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Home My WebLink AboutPermit Mechanical 2003-09-09Status 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: COM2003-00872ISSUED: 0910912003APPLIED: 09/0912003 EXPIRES: 03/1612004 VALUE: SITE ADDRESS: 7415 THURSTON RI) ASSESSOR'S PARCELNO.: 1702350002801 PROJECT DESCRIPTION: Heat pump Owner: OTTJOSEpHA&TRELLAJ Address: 7415 THURSTON RD SPRINGFIELD OR 97478 Contractor Tvpe Electrical Mechanical Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: New Residential \t1 N01 08t2u2007 12t23t2003 Phone s4t-344-874s 541-747-7445 Date # of Buildings: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: SETBACKS 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: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: oh of Lot Coverage: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: REQUIRED PARKING Total: llandicapped: Compact: Sidewalk Type: Downspouts/Drains: PUBLIC IMPROVEMENTS Notes: Paee I of3 \LL- Contractor JOSEPH BUNCH MARSHALLS INC iffrHsI$ 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: COM2003-00872ISSUED: 0910912003APPLIED: 09/0912003EXPIRES: 03/1612004 VALUE: Description Type of Construction Fee Description -Mechanical Issuance Fee- + l0oh Administrative Fee + 77o State Surcharge Air Handling Unit Up to 10,000 Heat Pump Minimum/Adj ustment Mechanical + l0oh Administrative Fee + 77o State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Total Amount Paid Total Value of Project Date Paid Value Date Calculated Receipt Number 1200200000000002089 1200200000000002089 1200200000000002089 1200200000000002089 1200200000000002089 r200200000000002089 1200200000000002140 1200200000000002140 r200200000000002140 1200200000000002140 $ Per Sq Ft or multiplier Square Footage or Bid Amount Amount Paid $10.00 $4.s0 $3.15 $8.00 $12.00 $2s.00 $s.20 $3.64 $43.00 $9.00 $123.49 9t9t03 9t9t03 9t9t03 9t9t03 9t9t03 919lo3 9n6t03 9n6t03 9tr6t03 9n6t03 Fees Paid Plan Reviews To Request an inspection call the 24 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 Mechanical: Prior to Cover 2 Final Mechanical: When all mechanical work is complete. 3 Rough Electric: Prior to Cover 4 Final Electric: When all electrical work is complete. Reorrired Insnections Paee 2 of3 Valuation Descrintion I F Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fzx 541-7 26-37 69 Inspection Line PERMIT NO: COM2003-00872ISSUED: 0910912003APPLIED: 09/0912003EXPIRES: 03/1612004 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 Paee 3 of 3 . 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springlield Official Receipt Development Services Department Public Works Department Receipt #:140 Date:09/1 2:16:58PM coM2003-00872 coM2003-00872 coM2003-00872 coM2003-00872 Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 7o/o State Surcharge + llYo Administrative Fee Item Total:$60.84 43.00 9.00 3.64 5.20 Type ofPayment Paid By Received By Batch Number Authorization Number How Received Amount Paid Check JOSEPH BUNCH ELECTRIC djb In Person Payment Total: $60.84 $60.84 ISFTffiFIII"T ELECTRICAL PERMITAPPLICATIAN ^ City Job Number COrr\ZoO j ^ c> o Z-rL Dut. '/ /L, I A!(t (5{dil,7;fff,E3, ". subm*ted haszontng and does nor rcquire,iiiiii"approval ,Jm land us€ 225 FIFTH STREET o SPRINGFIELD, OR97477 o PH:(541)726-3753 o F 3 Zoning (L t. 1,1 LEGAL DESCRIPTION t7oL3 s?a o zs cr A. New Residertial - Single or Nlulti.Faruilv per rhlelling unit. Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Sen ice or Feeder $50.00 J. JOB DESCRIPTION Permits non-.ble and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. / a slil,l' i.,irilonzed Signature E a $106.00 $ 19.00 ,|B. $ 63.00 $ 75.00 $ 12s.00 $163.00 L L EXPIRE#JHE $p/,riqa R THlsftft*4$B.seotr Installation, Alteration or Relocation 200 Amps or less $ 50.00 201 Amps to 400 Amps $ 69.00 401 Amps to 600 Amps $100.00 Each Additional Circuit or with . ". Pump or irrigation Sign/Outline Lighting Lirnited Energy/Residential Limited Energy/Commercial Minimum Electric Permit Inspection Fee is $45.00 * Surcharges 4. SUBT0TALOFABAVE '<3['r Se rvices or Ft'erlen - Installatiun, .{lteratiuns or Relocation: Electrical Conffactor ,./,200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps -1 7-^ -Address ,+>,+\u),llonc,, D r'- ciw €vql {L-L Phone .-r Supervisor License Number +73(/-s C. Expiration Date i0'0{ Constr. Conff. Number do -q63 - L Expiration Date /o -e{ Signature of Supervising Electrician Owners Name OWNER INSTALLATION The installation is being made on propefly I own which is not intended for sale, lease or rent. Owners Signature: Over 600 Amps or 1000 Volts see "B" above. D. Branch flircuits New Alteration or Extension Per Pane[ ; j, , _- one Circuit I $ +:.oo -i ) -/$ 3.oo '7 P Address 7+/f TA,^rrron EA E. b'liscellanenus (Service/feeder rrot included) -[,ach lnstallation City tpr{/n pnon"7y'G 33oZ $ $ $ $ 50.00 50.00 25.00 45.00 loh State Surcharge 10% Administrative Fee TOTAL gtu 6o8tInspection Request: 726-37 69 Shared Drive(T:)/Building Fonns/Electrical Pennit Application I -03.doc COAry&ACTOR IXf, STXT,IA TTON 601 000 Amps Over AUTHO ANY 180 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: COM2003-00872ISSUED: 0910912003APPLIEDz 0910912003EXPIRES: 03/0912004 YALUE: SITE ADDRESS: 7415 THURSTON RI) ASSESSOR'SPARCELNO.: 1702350002801 PROJECT DESCRIPTION: Heat pump Owner: OTTJOSEpHA&TRELLA J Address: 7415 THURSTON RD SPRINGFIELD OR 97478 Springfield TYPE OF WORI(: Single Family Residence TYPE OF USE: New Residential Contractor Type Mechanical Contractor MARSHALLS INC Expiration Date 1212312003 Phone s4l:147-7445 License 25790 # of Buildings: Primary OccupancY GrouP: Secondary OccuPancY GrouP: Primary Construction TYPe Secondary Construction TYPe: # of Bedrooms: SETBACKS Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: N01t CE: Street Storm Special ANY Notes: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: oh ofLot Coverage: FOR Ai IEI tollow Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/CarPort Sq Ft Other: Impervious Surface Area: REQUIRED PARICNG Total: Handicapped: Compact: Sidewalk TYPe: $ Per Sq Ft or multiplier Total Value of Project Page I of2 v Description TYPe of Construction sPr'luacFtILD Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2003-00872ISSUED: 0910912003APPLIED: 09/0912003EXPIRES: 03/0912004 VALUE: lees Paid Amount Paid Date Paid Receipt Number 1200200000000002089 1200200000000002089 1200200000000002089 1200200000000002089 1200200000000002089 1200200000000002089 Fee Description -Mechanical Issuance Fee- + l0o/o Administrative Fee + 7o/o State Surcharge Air Handling Unit Up to 10,000 Heat Pump Minimum/Adj ustment Mechanical Total Amount Paid $10.00 $4.50 $3.15 $8.00 $12.00 $25.00 9t9t03 9t9t03 9t9t03 9t9t03 9t9t03 9t9t03 $62.65 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. wilt be made the following work day. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete' I ) times By signature, I state and agree, that I have carefully examined the completed apptication and do hereby certify that all information hereon is true and correct, and I furthir certify that any "na "u work performed shall be done in accordance with the ordinances of the city of springfield and the Laws of ihe state of oregon pertaining to the work described herein, and that NO OCCUPAI\Cy will be made of any structure without permission of th. com-unity 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 inspeciion. are requestea at tne 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 or Contractors Signature Pree2 of2 Date 225 Fifth Street ir.ryf;T;,"ff:H s7477 City of Springfield Official Receipt Development Services DePartment Public Works Department # coM2003-00872 coM2003_00872 coM2003-00872 coM2003-00872 coM2003_00872 Air Handling Unit Up to 10,000 Heat Pump Minimum/Adjustment Mechanical *Mechanical Issuance Fee- + 7%o State Surcharge + l0%o Administrative Fee Item Total:$62.65 8.00 12.00 25.00 10.00 3.15 4.50 Type of Payment Paid By Amount PaidReceived By Batch Number Authorization Number lfow Received Check MARSHALLS INC dlm 17507 In Person Payment Total: $62.6s $62.65