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Home My WebLink AboutPermit Mechanical 2002-12-03FIELD Buildin g/C ombination Permit Status: Issued 225Fltth Street, Springfield, OR 541:726-3753 Phone 541-726-K76Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2002-01338ISSUED: lzt03t200zAPPLEDz 12t03t2002E)PIRES: 06104t2003 VALT]E: SITE ADDRESS: 3523 VALENTINE CT ASSESSOR'S PARCEL NO. : 17021 94203200 PROJECT DESCRIPTION: Install heat pump Owner: NICHOLSONDOUGLAS & CLAUDIA Address: 3523 VALENTINE CT SPRINGFIELD OR 97477 Springfield TYPE OF TYPE OF USE: License 70889 460 Heating System New Residential Contractor Type Electrical Mechanical Owner Contractor KS ELECTRIC COMFORT FLOW NICHOLSON DOUGLAS & CLAUDIA Expiration Date 12t30t2004 06t27t2003 Phone 541-686-6236 541-726-0100 CONTRACT OR INF ORMATI ON # of Buildings: Primary Occupancy Group: Secondary Occupancy Primary Construction Type Secondary Construction # of Bedrooms: SETBACKS Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Storm Sewer Available: Special Instruction: # of Stories: Height of Type of Heat: Water Type: Range Type: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Imp ervious Surface Area: REQUIRED PARKING Total: Handicapped: Compact: \t Notes: 1of 3 I)ULlfl-rlt'l \, 11\ r \rI!.YtA I l(rl\ | CITY F PRIN Buitdin g/C ombin ation Permit Status: Issued 225Fitth Street, SpringfieH, OR 541:726-3753 Phone 541-726-3676 Fax 541:7 26-37 69 Inspection Line PER,MIT NO: COM2002-01338ISSUED: 1210312002APPLIED: 1210312002 E)(PIRESz 0610412003 VALT]E: Description Type of Construction $ Per Sq Ft Square Footage Total Value of Project Amount Paid Date Fee Description + 77o State Surcharge + 87o Administrative Fee Add, Alter, Extend Circ Minimum/Adj ustment Electrical -Mechanical Issuance Fee- + l0%o Administrative Fee + 77o State Surcharge Air Ilandling Unit Up to 10,000 Heat Pump Minimum/Adj ustment Mechanical Total Amount $114.40 Value Date Calculated $3.15 $3.60 $43.00 $2.00 $r0.00 $4.s0 $3.15 $8.00 $12.00 $2s.00 t2t3t02 t2t3t02 12t3t02 t2t3t02 3n3t03 3n3t03 3n3t03 3/13/03 3t13t03 3n3t03 Receipt Number 1200200000000000326 r200200000000000326 1200200000000000326 1200200000000000326 1200200000000000821 1200200000000000821 1200200000000000821 r200200000000000821 1200200000000000821 1200200000000000821 Plan Reviews To Request an inspection call the24 hour recording at 726-3769. All inspection requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. I Rough Electric: Prior to Cover 2 Final Electric: When all electrical work is complete. 3 Rough Mechanical: Prior to Cover 4 Finat Mechanical: When all mechanical work is complete. red Insnections 2 of 3 Yaluation Description I r ees ratq l Status: Issued 225 Fifth Street, Springfield, OR 541:726-3753 Phone 541-726-3676 Bax 541:7 26-37 69 Inspection Line PRIN Building/C ombination Permit PERMIT NO: COM2002-01338ISSUED: 1210312002APPLED: 1210312002E)GIRESz 0610412003 VALUE: By signature, I state and agree, that I have carefully examined the completed application and do hereby certiS that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the C-ommunity Services Division, Building Safety. I further certi$ 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 all during construction. Owner or Co Signature Date 3 of 3 3/1312003 10:42:00AM City of Springlield Development Services Department Public Works Department Official Receipt 225 Fifth Street Springfield, Oregon 97 477 541:726-3759 Phone Receipt #: 120020000000000082 1 Date: 0311312003 Line ltems Job/Journal Number Description Amount Paid coM2002-01338 coM2002-01338 coM2002-01338 coM2002-01338 coM2002-01338 coM2002-01338 Air Handling Unit Up to 10,000 Heat Pump Minimum/Adj ustrnent Mechanical -Mechanical Issuance Fee- + lYo State Surcharge + ll%" Administrative Fee Payments: 8.00 12.00 25.00 10.00 3.15 4.50 Line ltem Total:$62.6s Tlpe of Payment Paid By Received By Check Number Confirm No How Received Amount Paid Check Change COMFORT FLOW COMFORT FLOV/ djb djb In Person In Person 79.35 (t6.70) Total:$62.65 Pagel of2 cReceipt.rpt 225 FIFTH STREET 3 LEGAL DESCRIPTIONltotlTqz 97177 ELECTRICAL PERMIT APPLICATION 3. COMPLETE FEE SC}IEDULE BELOW A. Nen' Residential-Single or JOB Pemrits are non-transferable if work is not started or less 500 sq portion Each Manufd Horne or Modular Drvelling Service or Feeder B. Services or Feeders . Installltion, Alterations or . f'l,zf . Relocation: Multi-Family per drrelling unit. Senice Includetl: 200 anps or less 201 amps to ., $y6p 401 to Over 600 amps or,l000 volts see Items Cost $106.00 $ r 9.00 $ 50.00 O'3zoo 7.0 ofissuance or ifrvork is 180 days. 2. CONTRACTOR Electrical' Contractor Expiration o Signaturc of Supcrvising Elcctrician Orvncrs Name property I own which is not intended for sale, lease or rent. fZts,'$q t{ eaar"r" 0. O,, 8.,x 2 y'?33 -200 amps or 201 arups to .u- Supen'isor License Nunrber J Expiration Date "8" abo\re D. Branch Circuits Nerv Alteration ros l_.$43.00 (Service/feedcr not included) -Each installation Pump or irrigation $50.00 Sign/Outline Liglrting Limited EnergvlRes $25.00 Lirnited Energy/Comm $45.00 IVlinimum Electric Permit Inspcction Fee is S45.00 * Surcharges Lt{,1. SUBTOTAL OFABOVE 7o/o St.lle Surcharge 8 o/o Arlministratiye Fec jt) t(o 0rvners TOTAL $t/7f F-r, r*rt?: Constr Contr. Over 1000 Reconnect $ 63.00 , $ 75.00 $125.00 $50.00 $69.00 $100.00 Scryices or Lrr,Jr.* 3 S )3 // A./*.,-fu-:C-y' or rvith Service: oo 3.00 _ Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Rax 541-726-37 69 Inspection Line CITY OF Buildin g/C ombination Permit PERMIT NO: COM2002-01338ISSUED: 1210312002APPLIEDI 1210312002E)PIRES: 06/0312003 VALI]E: SITE ADDRESS: 3523 VALENTINE CT ASSESSOR'S PARCEL NO.: 1702194203200 PROJECT DESCRIPTION: Install heat pump Owner: NICHOLSON DOUGLAS & CLAUDIA Address: 3523 VALENTINE CT SPRINGFIELD OR 97477 Springfield TYPE OF TYPE OF USE: License 70889 Heating System New Residential Contractor Type Electrical Owner Contractor KS ELECTRIC NICHOLSON DOUGLAS & CLAUDIA Expiration Date 1213012004 Phone 541-686-6236 TION TION # of Buildings: Primary Occupancy Group: Secondary Occupancy Primary Construction Type Secondary Construction # of Bedrooms: SETBACKS Frontyard Setback: Side I Setback: Side 2 Setback: # of Stories: Height of Type of Heat: Water Type: Range Type: Energy Path: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Im pervious Surface Area:d Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Paved Drive Rqd: %o ofLot Coverage: Street Storm Sewer Available: Special Instruction: Notes: Desc ription Type of Construction $ Per Sq Ft Square Footage EXP HE\t1RE REQUIRED PARKING Total: Handicapped: Compact: NOB\ \S NO\ lofZ Value Date Calculated NNY 1 BOD h\ 0R Type:AU Valuation Descrintion Status: Issued 225 Fifth Street, SpringfieH, OR 541:726-3753 Phone 541-726-3676 Fax 541:726-37 69 Inspection Line CITY OF SPRINGFIELD Buildin g/C ombination Permit PERMIT NO: COM2002-01338ISSUED: 1210312002 APPLIEDT 1210312002E)GIRES: 06/0312003 VALT]E: Total Value of Project Fee Description Minimum/Adj ustment Electrical + 7Yo State Surcharge + 87o Administrative Fee Add, Alter, Extend Circ Total Amount Amount Paid Date $2.00 $3.rs $3.60 $43.00 Receipt Number r200200000000000326 1200200000000000326 1200200000000000326 1200200000000000326 Received By djb djb djb djb t2t3t02 t2t3t02 t2t3t02 t2t3t02 $51.7s tr'ees Paid Plan Reviews To Request an inspection call the24 hour recording at 726-3769. AII 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. 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 certiS 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 2of2 Date Kequrreo rnsDceuons I