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Home My WebLink AboutPermit Mechanical 2003-06-19Lt I Y UI STKTI\G-F ILLI) Bu.^Jing/C ombination Permit Status: Issued 225 Fifth Street SpringfieH, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37 69 lnspection Line PERMIT NO: COM2003-00536ISSUED: 0611912003APPLIED: 0611912003EXPIRES: 0110212001 VALT]E: SITE ADDRESS: 4082 VIRGINIA AVE ASSESSOR'S PARCEL NO.: 1702314405900 PROJECT DESCRIPTION: Add Heat Pump and air handler Springfield TYPE OF TYPE OF USE: Single Fam ily Residence Addition Residential Owner: ERIC SIMpSON Address: 4082 VIRCINIA ST SPRINGFIELD OR 97478 Phone Number: 716-5229 CONTRACTOR IN FORMATI ON Contractor Type Electrical Mechanical Owner Contractor JB ELECTRIC MARSHALLS INC ERIC SIMPSON Expiration Date 03il1t2004 l2/23t2003 Phone 341-687-5770 541-747-7415 746-5229 License 104929 2s790 BUILDING INFORMATION # of Buildings: Primary Occupancy G roup: Secondary Occupancy Primary Construction Type Secondary Construction # of Bedrooms: SETBACKS Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: # of Stories: Height of Type of Heat Water Type: Range Ene t'h of Lot Coverage Lot Floor: r: urface Area: . REQUIRED PARKING Total: Handicapped: Compact: rt st \s1 DEV PUBLIC IMPROVEMENTS \l'ORK \S N01 t0s Street Storm Sewer Available: Special Instruction: Notes: r ^f a # Street Paved UI I Y UI STKINGI I}.LI) Bu^.Jin g/C ombination Permit Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37 69 Inspection Line PERMIT NO ISSUED: APPLIED: EXPIRES: VALTIE: coM2003-00536 06n9t2003 06t19t2003 0U02t2004 Description Type of Construction S Per Sq Ft or multiplier Square Foot:rge or Bid Amount Value Date Calculated Total V:rlue of Project Fee Description -Mechanical Issuance Fee- + l0oh Administrative Fee + 77o State Surcharge Air Handling Unit Up to 10,000 Heat Pump Minimum/Adj ustment Mechanical + l0"h Administrative Fee + 7%o State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Total Amount Amount Paid Date Paid 6fi9t03 6/19t03 6fi9t03 6n9t03 6/t9/03 6n9/03 7/2t03 712t03 712t03 7 t2t03 $r 0.00 S,1.50 s3.15 s8.00 s12.00 s2s.00 s4.60 $3.22 s43.00 s3.00 Receipt Number 1200200000000001 s9l 120020000000000t 591 120020000000000r 591 I 200200000000001 s9 I r 20020000000000 r s9 r I 200200000000001 s9l 2200200000000001 176 2200200000000001 I 76 220020000000000r r 76 220020000000000t I 76 sl t 6.J7 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 lyork day. I Rough Mechanical: Prior to Cover 2 Final Mechanical: When all mechanical work is complete.3 Rough Electric: Prior to Cover,l Final Electric: When all electrical lvork is complete. Reouired Insnect a ^f a Valuation Description I UI t Y U,T STKTNG-TII,LI-' Bu^^Jing/C ombination Permit Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541 -7 26-37 69 Inspection Line PERMIT NO: COM2003-00536ISSUED: 0611912003APPLIED 0611912003EXPIRES: 0110212004 VALI.jE: By signature, I state and agree, that I have carefully examined the completed application and do hereby certiry that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance withtheOrdinancesoftheCity of SpringfieldandtheLawsof theStateofOregonpertainingtotheworkdescribed herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certiff that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I furtheragree to ensurethat 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 2 ^f a 225 Fifth Street Springfield, Oregon 97 477 54l-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Date: coM2003-00536 coM2003-00536 coM2003-00536 coM2003-00536 + 7Yo State Surcharge + l0Yo Administrative Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add 3.22 4.60 43.00 3.00 Item Total:$53.E2 Type ofPeyment Paid By Received By Batch Number Authorization Number How Received Amount Paid Check JB ELECTRIC INC djb In Person Payment Total: $s3.82 $s3.EZ Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-7 26-37 69 Inspection Line OF Building/C ombination Permit PERMIT NO: COM2003-00536ISSUED: 0611912003 APPLIEDT 0611912003 EXPIRESz 1211912003 VALUE: SITE ADDRESS: 4082 VIRGINIA AVE ASSESSOR'S PARCEL NO.: 1702314405900 PROJECT DESCRIPTION: Add Heat Pump and air handler Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Addition Residential Owner: ERIC SIMpSON Address: 4082 VIRGINIA ST SPRINGFIELD OR 97478 Phone Number: 746-5229 Contractor Type Mechanical Owner Contractor MARSHALLS INC ERIC SIMPSON Expiration Date 12t23t2003 Phone 541-747-7445 746-5229 License 25790 CONTRACTOR INFORMATION BUILDIN( # 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: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: %o ofLot Coverage: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: NOTICE:Notes: THIS PERMIT SHALL EXPIRE lF THE WORK Sidewalk Type: Downspouts/l)rains: REQUIRED PARKING Total: Handicapped: Compact: DER THIS PERMIT IS NOT COMMENCED ANY 180 DAY PERIOD. Square FootageDescription Type of Construction $ per Sq Ft Page I of2 Value Date Calculated IllEFISLD 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: COM2003-00536ISSUED: 0611912003APPLIEDz 0611912003EXPIRES: 1211912003 VALUE: Fee Description -Mechanical Issuance Fee- + 1006 Administrative Fee + 7oh State Surcharge Air Handling Unit Up to 10,000 Heat Pump Minimum/Adj ustment Mechanical Total Amount Paid Total Value of Project Date PaidAmount Paid $10.00 $4.s0 $3.rs $8.00 $12.00 $2s.00 $62.6s Receipt Number 1200200000000001591 1200200000000001s91 r20020000000000159r 1200200000000001591 1200200000000001s91 1200200000000001591 6lt9t03 6n9t03 6n9t03 6n9t03 6n9t03 6n9t03 tr'ees Paid 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 Mechanical: Prior to Cover 2 Final Mechanical: When all mechanical work is complete. Reouired Insnections 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. Z,//*:T7;#6rr,"""r"^ signature - 7I Pase2 oI2 Date 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Receipt #: 120020000000000159 I Date: 0611912003 l1:54:24AM coM2003-00s36 coM2003-00536 coM2003-00536 coM2003-00536 coM2003-00536 coM2003-00536 Air Handling Unit Up to 10,000 Heat Pump -Mechanical Issuance Fee- Minimum/Adj ustment Mechanical + 7Yo State Surcharge + l0%o Administrative Fee 8.00 12.00 10.00 25.00 3.l5 4.50 Item Total:$62.65 Type ofPayment Paid By Received By Batch Number Authorization Number How Received Amount Paid Check MARSHALLS INC dlm 173t9 In Person Payment Total: $62.65 $62.6s 225 FTFTH STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 I. LOCATION OF INSTALLATION 4082 Virgina St LEGAL DESCRIPTION __noz3tvv cS floa JOB DESCRIPTION 2T HPW Air handler Permits are non-transferable and expire if work is not started within 180 days ofissuance or ifwork is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor JB ELECTRI c, rNc. Address 4685lsabelle St City Euqene, OR 97402 phone i4.1.688770,_ Supervisor License Number 3872S Expiration Date 1011103 CCB Constr Contr. Number 37587C 104929 Expiration Date 1011103 3t14tO4 Signature of Elecnician Owners Name Eric Simpson Address same City Sprinqfietam OWNERINSTALLATION The installation is being made on properfy I own which is not intended for sale, lease or rent. Owners Signature: ELECTRICALPERMIT''LICATION City Job 3. COMPLETE A. New Service 1000 sq. ft.. or less Each additional 500 sq. ft or portion thereof Each Manufd Home or Modular Dwelling Service or Feeder B. Services or Feeders Installation, Alterations or Relocation: 200 amps or less 201 amps to 400 401 is1 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts ril-- B above Cost Sum $106.00 $ $19.00 $ $50.00 $k c. $63.00 $ $75.00 $ 125.00 $SJo:.ooF 75.00 r-T: $50.00 $69.00 $100.00 $ D. Branch Circuits $43.00 $ 43.00 $3.00 $ 3.00 $50.00 $Sign/outlineLighting_ - $50.00 $ - Limited Energy/Res $25.00 $ - $4s.00 $ -Limited Energ,/Comm 5. SUBTOTALOFABOVE f,rilruc 7Yo State Surcharge l0% Administrative Fee s4s.oo $46.00 $3.22 $4.60 JB Job #TOTAL $s3.82 CAvd?c'o New, $-r- $- I OR \S not included) irrigation