The URL can be used to link to this page

Home My WebLink AboutPermit Mechanical 2007-04-09Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2007-00480ISSUED: 0410912007 APPLIED: 04/0312007EXPIRES: 10/0912007 VALUE: SITE ADDRESS: 2050 OTTO ST ASSESSOR'SPARCELNO.: 1703244302308 PROJECT DESCRIPTION: Install ac coil in existing gas BELINDA PETERSON 2O5O OTTO ST SPRINGFIELD OR 97477 NOARg maY obtat n coPies 0090 You center (N ote: tire ca Orego Residential 541-302-4868 Phone 541-998-5848 s4t-998-9423 Owner: Address: ,lling the Noti{ication Contractor Type Electrical Mechanical Contractol License ERICSON ELECTRIC INC 95909 MONTGOMERY HEATING & AIR CONDIT 172006 Expiration Date 0u0612009 09/08/2008 # of Units: Primary Occupancy GrouP: Secondary OccuPancY GrouP: Primary Construction TYPe Secondary Construction TYPe: # of Bedrooms: Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street ImProvements: Storm Sewer Available: Special [nstruction: # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/CarPort Sq Ft Other: Occupant Load: EXP\RE \F rfrtbSffioIH\S PER l"[ ABANDON Total: D HandicapPed: Compact: R-3 VB nla PARKING Sidewalk TyPe: Downspouts/Drains: Notes: Page I of3 rll TYPE OF WORK:System requires Center'Those rules are 952-001- set Springfield Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541 -7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2007-00480ISSUED: 0410912007APPLIED: 04/0312007EXPIRES: 10/0912007 VALUE: Descrintion Type of Construction Fee Description + l0o/o Administrative Fee + 57o Technology Fee + 87o State Surcharge Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 200 amps or less -Mechanical Issuance Fee- + l0"h Administrative Fee + 57o Technology Fee + 87o State Surcharge Boiler/Comp Up To 100,000 btu Minimum/Adj ustment Mechanical Total Amount Paid Total Value of Project Date Paid Value Date Calculated Receipt Number 2200700000000000501 2200700000000000501 220070000000000050r 2200700000000000s01 2200700000000000501 1200700000000000429 1200700000000000429 1 200700000000000429 1200700000000000429 r200700000000000429 1200700000000000429 $ Per Sq Ft or multiplier Square Footage or Bid Amount Amount Paid $6.90 $3.4s $s.s2 $6.00 $63.00 $10.00 $4.50 s2.25 $3.60 $12.00 $33.00 $150.22 419107 4t9107 4t9107 4t9107 4t9t07 4n8t07 4n8107 4n8107 4n8107 4n8t07 4n8107 Fees Paid Plan Reviews To Request an inspection call the24 hour recording at 726-3769, All inspections requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Paee 2 of3 Valuation Description I Keouired Inspecttons I Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2007-00480ISSUED: 0410912007 APPLIEDz 0410312007 EXPIRESz 1010912007 VALUE: By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times du ring construction. ,6"e^du AQrhuow {-/8 -o7 Owner or Contractors Signature Date Page 3 of3 225 Fifth Street Springfield, Oregon 97 477 547-726-3759 Phone Citv of Springfield Official Receipt I :lopment Services Department Public Works Department RECEIPT #: 1200700000000000429 Date: 0411812007 t2:43t23PM Job/Journal Number coM2007-00480 coM2007-00480 coM2007-00480 coM2007-00480 coM2007-00480 coM2007-00480 Description + 5% Technology Fee + 8% State Surcharge + l0% Administrative Fee Boiler/Comp Up To 100,000 btu M inimum/Adjustment Mechanical -Mechanical Issuance Fee- Amount Due 2.25 3.60 4.50 12.00 33.00 10.00 Item Total:$65.35 Payments: Type ofPayment Paid By eheck Number Received By Batch Number Authorization Number How Received Amount Paid CreditCard BELINDA A PETERSON ddk 04521A^ In Person Payment Total: $65.3 5 -$6s-S cReceintl Page I of I 411812007 {tas*nd*r* 225 FIFI H STREET . SPRINCFIELD, OR 97 47 7 t PHz(541)72G3753 o FAX: (541)72fi3ffi9 ELECTRICAL PERMIT APPLICATTON C)uzool - oo4 gD SPP'\GFIELE zoN INITIALS DATE Date 3.COMPLETE FEE SCHEDULE BELOVY A.New Residential- Single or Multi-Fantify p*t dwelling unit. h, 1.LO CATI ON OF INSTALI-AION; Joso 0llo =YLEGAL DESCRIPTION: d2 Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. 2.CONT RACTO R INSTALIATI AN ONLY Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or ModularDwelling'service or i Feeder 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 Amps/Volts Reconnect Only Pump or irrigation Sign/Outline Lighting Limited Energy/Residential br'Retocation: $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 $ s0.00 $ s0.00 $ 25.00 .9 ,(E /..q o $106.00 s 19.00 t -: $s0.00 Electrical Contractor Address '?D,'BDY-Z' €ncsan €l er*aV,lrL. qqg S.-" o ' '-7i3-oo City 1u+a Supervisor License Number Expiration Date Constr. Contr. Number Expiration Date le o '1 Signature of Supervising Electrician /*/aDfre> C. Temporary Services or Feeders Installation, Alteration or Relocation 200 Amps or less $ 50.00 I 201 Amps to 400 Amps $ 69.00 401 Amps to 600 Amps $100.00 Over 600 Amps or 1000 Volts see "B" above. D. nl[OJJEf""i,. *"*THlEf"EBltJfllAttItEJffiJh TH r !v0 R K o"dt{IHpRtzED UNDER THtS pERMlr tS4U.0d E c0 0hflJiE$m EDdft dSuAfiA N DOED-F 0-R seqA+l1b4ffi*AY+Eiql0D & $ 3'00 g*rsrs \nme Address %W)n+*-?, City Phone fuZ-+M OWNERINSTALLATION The installation is being made on properly I own which is not intended for sale, lease or rent. Owners Signature: b,b E. l\{iscellaneous (Sen{ce/feeder not included} -Each Installation .Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 * Surcharges 4. . STIBTOTAL OF ABOVE 8% State Surcharge l0% Administative Fee 57o TechnologY Fee 3 rorAl q4.r1 Shared Driv{T:/Building FormsiElectrical Permit Application 8-06'doc Inspection Request: 72G3769 City Job Number \*zo= )<L (t? n xso{\ JOB DESCRIPTION: I Lq.or Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2007-00480ISSUED: 0410912007APPLIED: 0410312007 EXPIRES: 1010912007 VALUE: SITE ADDRESS: 2050 OTTO ST ASSESSOR'S PARCEL NO.: 1703244302308 PROJECT DESCRIPTION: Install ac coil in existing gas furnace snrinsfielft,TIfE: oF woRK: Heating System I H I S P EmfWH 9B NEE :E hHfr Etiqn i H [ 1r! ffi fidentiar AUTHt)RIZED UNI]ER I'HIS PERMIT IS NOT Owner: Address: BELTNDA PETERSON 2O5O OTTO ST SPRINGFIELD OR 97477 ANy iB0 DAy pFBT0B"Number: s4r-302-4868 Contractor Type Electrical Mechanical Contractor License ERICSON ELECTRIC INC 95909 MONTGOMERY HEATING & AIR CONDIT 172006 Expiration Date 0U0612009 09/08/2008 Phone 541-998-5848 541-998-9423 # of Units: Primary Occupancy Group: Secondary Occupancy GrouP: Primary Construction Type Secondary Construction TyPe: # of Bedrooms: Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Energy Path: I Sprinkled Building: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: oh ofLot Coverage: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/CarPort Sq Ft Other: Occupant Load: R-3 VB REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: Downspouts/Drains: Notes: Paee I of3 [3 uuN L l(AU r uK rN r r::rylll!:ill ItU ILDING INI UT(IVTA T TUN I Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37 69 Inspection Line OF SPRIN Building/Combination Permit PERMIT NO: COM2007-00480ISSUED: 0410912007APPLIED: 04/0312007EXPIRES: 1010912007 VALUE: Description Type of Construction Fee Description + l0oh Administrative Fee + 57o Technology Fee + 87o State Surcharge Add, Alter, Extend Circ Ea Add Perm Servffdr 200 amps or less Total Amount Paid Total Value of Project Date Paid Value Date Calculated Receipt Number 2200700000000000501 2200700000000000501 220070000000000050r 220070000000000050r 2200700000000000501 $ Per Sq Ft or multiplier Square Footage or Bid Amount Amount Paid $6.90 $3.45 $5.52 $6.00 $63.00 $84.87 4t9107 4t9t07 419t07 4t9t01 4t9t07 Fees Paid Plan Reviews To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Pase 2 of 3 Valuation Descrintion I Reouired lnsnectlons I Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541 -7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2007-00480ISSUED: 0410912007 APPLIEDz 0410312007 EXPIRES: 10/0912007 VALUE: By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature Date Pase 3 of3 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone Citu of Springfield Official Receipt L ;lopment Services Department Public Works Department RECEIPT #: 2200700000000000501 Date: 0410912007 e:47:llAM Job/Journal Number coM2007-00480 coM2007-00480 coM2007-00480 coM2007-00480 coM2007-00480 Description Perm Serv/Idr 200 amps or less Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 8% State Surcharge + 10Yo Administrative Fee Amount Due 63.00 6.00 3.45 5.52 6.90 Item Total:$84.E7 Payments: Type ofPayment Paid By Received By Batch Number Check Number Authorization Number How Received Amount Paid CreditCard DEBE MCQUILLEN ddk 009819 Phone $84.87 Payment Total: -5Eii37 cReceintl Page I of I 4t9t2007