HomeMy WebLinkAboutPermit Mechanical 2002-10-29Status: Issued
225 Fifth Streel Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-7 26-37 69 InsPection Line
SITE ADDRESS: 1785 RAMBLING DR SPTiNgfiCId
ASSESSOR'S PARCEL NO.: 1703252102300
PROJECT DESCRIPTION: Install air handler and heat pump
OwneT: SHEEKS DALE P & SHARON F
Address: 1735 RAMBiiXG NN SPRINGFIELD OR Y7477
Buildin g/C ombination Permit
PERMIT NO: COM2002-01248ISSUED: 1012912002APPLIED: 1012912002E)PIRES: 0412912003
VALTJE:
TYPE OF
TYPE OF USE:
Heating System
New Residential
Contractor TYPe
Electrical
Mechanical
Owner
# of Buildings:
Primary OccuPancY GrouP:
Secondary OccuPancY
PrimarY Construction TYPe
Secondary Construction
# of Bedrooms:
Contractor
KS ELECTRIC
COMFORT FLOW
SHEEKS DALE P &
te Phone
541-686-6236
541-726-0100
SHARON
#of
Ileight of
Type of Heat:
Water TYPe:
Range TYPe:
EnergY Path:
72003
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/CarPort
Sq Ft Other:
Impervious Surface Area:
\
PARKING
SETBACKS
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Sohr Setbacks:
Street
Storm Sewer Available:
Special lnstruction:
Notes:
Description Tvpe of Construction $ Per Sq Ft Square Footage
\.1
Sidewalk TYPe:
Downspouts/Drains
lof2
Value Date Calculated
Overlay
# Street
Dist:
Paved
"h of $\a'j{ou
Status: Issued
225Fifth Street Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37 69 Inspection Line
CITY
Buitdin g/C ombination Permit
PERMIT NO: COM2002-01248ISSUED: 1012912002APPLIEDz 1012912002E)GIRES: 0412912003
VALT]E:
Total Value of Project
Fee Description
+ 7%o State Surcharge
+ 87o Administrative Fee
-Mechanical Issuance Fee-
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Heat Pump
Minimum/Adj ustment Mechanical
Total Amount
Total Fees Paid Prior to 9l30l02
Amount Paid Date Receipt Number
1200200000000000149
1200200000000000149
1200200000000000152
1200200000000000149
1200200000000000149
1200200000000000152
1200200000000000152
Received By
DJB
DJB
DJB
DJB
DJB
DJB
DJB
s3.22
$3.68
$10.00
$43.00
$3.00
$12.00
$33.00
$107.90
r0t29t02
10t29t02
10t29102
10t29t02
10t29t02
10t29t02
10t29102
Plan Reviews
To Request an inspection call the24 hour recording at 726-3769. All inspection 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.
I Rough Electric: Prior to Cover
2 Final Electric: When all electrical work is complete.
3 Rough Mechanical: Prior to Cover
4 Final Mechanical: When all mechanical work is complete'
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 furthlr certify that any and all work performed shall be done in accordance
with the ordinances of the City of Springfietd 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,
BuiHing Safety. I further certif, 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 t
0
Owner or
during
Signature
2of2
Date
F ees rato I
225 FIFTH STREET
SPRINGFIELD,
INSPECTION
Piojec. as submitted has
not reouire speciirc
ELECTRICAL PERMIT APPLI CATION
BELOW
per du'elling unit.
Service Included:
Items Cost
LEGAL Dl7o ESCRIPTION1L5Z \oz3 00
Sum
OND 1000 sq.ft. or less
Each additional 500
sq. ft or portion
flrereof
Each Manufd Home or
Modular Drvelling
Service or Feeder
B. Services or Fecders
200 amps or less
201 amps to 400 amps
401 anrps to 600 amps
601 amps to 1000 amps
Over 1000 ampVvolts
$106.00
$ 19.00
$ 63.00
$ 7s.00
$125.00 _
$163.00
$375.00 _
tLgzz-47-
SZ "L
/tJt'W
Permits are non-transferable and expire
if work is not started u,ithin 180 days
ofissuance or ifrvork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical-
Supervisor License Nrunber
Expiration
Constr Contr.
Expiration Date
Signaturc of Supervising Electrician
Oryners Name
Addrc.ss
OWNER
conmcor!2{,k(11)(2t2_r0^r"(trr,*I:::::il::'Arterationsor
The installation is being made on
propert-y I own rvhich is not intended
for sale, lease or rent.
Orvners Signature:
Reconnect Only
One
4. SUBTOTALOFABOYE
77o State Surcharge
8%o Administratiye Fce
Electric Permit Inspection Fec is 545.00 + Surcharges
TOTAL
the lollowrng
rafr$eJob Number Con bcZ -ot Z\ 8
or
ci*,9 q (zt-a phr^dil'L -b Z.?l.,
J
or
volts see
$50.00 _
$69.00 _
$100.00 _
or Per Panel
$50.00
$25.00
$45.00
240
D.
$43.00
3
W