HomeMy WebLinkAboutPermit Mechanical 2005-10-17,/
Building/Combination Permit
Status Issued
225Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
PERMIT NO: COM2005-01432ISSUED: l0ll7l200sAPPLIEDz 1011212005
EXPIRESz 0411712006
VALUE:
SITE ADDRESS: 4105 VIRGINIA AVE
ASSESSOR'S PARCEL NO.: 1702323310000
PROJECT DESCRIPTION: Install heat pump
Springfield TYPE OF WORI( Heating System
TYPE OF USE: New
ATTENTTON: O regon law UI
Residential
541-747-7446" Owner:
Address:
NICK ROCCAFORTE
4105 VIRGINIA ST
SPRINGFIELD OR 97478
fication Cen rU are set forthin OAR 952-001-0010 through OAH 952-001-00 0.v
Contractor Tvpe
Electrical
Mechanical
center. (Note: the tele phone
e Oregon Utitity Notifi
License Expiration DateContractor
C PERIilNS ELECTRIC
MARSHALLS INC
159537
25790
04fi't2008
t2t23t2005
Phone
541-895-4466
541-747-7445
# 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:
Sprinkled
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
oh of Lot Coverage:
Sidewalk Type:
Downspouts/Drains:
R-3
VN
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
NOIICE:Sq Ft Garage/Carport
Sq Ft Other:
IS PEB l\4tlaSHA
OR'SA
PERIOO.
IS NOI
v 1S0 oAy PARKING
Total:
Handicapped:
Compact:
Notes:
Pase I of3
Building/C ombination Permit
Status Issued
225 Fifth Street, Springfield, OR
54l-726-3153 Phone
541-726-3676 Fax
541-7 26-37 69 Inspection Line
Description Type of Construction
Fee Description
-Mechanical Issuance Fee-
+ l0yo Administrative Fee
+ 7%o State Surcharge
Heat Pump
Minimum/Adj ustment Mechanical
+ 10o/o Administrative Fee
+ 7oh State Surcharge
Add, Alter, Extend Circ
Minim um/Adjustment Electrical
Total Amount paid
To Request an inspection caII the 24will be made the same working day,
PERMIT NO: COM2005-01432ISSUED: 1011712005
APPLIED: 10/1212005
EXPIRES| 04fi7t2006
VALUE:
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Total Value of Project
Date Paid
t0n3t05
10/13/05
t0n3t0s
t0n3t05
t0n3t05
10fi7t05
t0n7tos
t0n7t05
t0n7t05
Value Date Calculated
Receipt Number
2200s0000000000t422
2200500000000001422
2200500000000007422
22005000000 00001422
2200s000000 00001422
22005000000000014s5
2200s0000000000r45s
2200500000000001455
2200500000000001455
inspection requested before 7:00 a.m.a.m. will be made the following work
Amount Paid
$r0.00
$4.50
$3.15
$r2.00
$33.00
$4.s0
$3.1s
$43.00
$2.00
day.
$rrs30
hour recording at 726-3769. AIt
inspections requested after 7:00 r
Rough Mechanical: prior to Cover
Final Mechanical: When all mechanical work is complete.
Rough Electric: prior to Coyer
PIan Reviews
Final Electric: When all electrical work is complete.
Paee 2 of3
-
Building/Combination Permit
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
PERMIT NO: COM2005-01432ISSUED: 1011712005APPLIEDz 1011212005
EXPIRESz 0411712006
VALUE:
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with
the Ordinances of the City of Springlield and the Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY wilt be made of any structure without permission of the Community Services Division, Building Safety.
I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the
street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all
times during construction.
Owner or Contractors Signature Date
Paee 3 of3
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
City of Springfield Official Receipt
lvelopment Services Department
Public Works Department
RECEIPT #: 2200500000000001455 Date: 1011712005 2:28:56PM
Job/Journal Number
coM200s-01432
coM2005-01432
coM2005-01432
coM2005-01432
Description
Add, Alter, Extend Circ
Minimum/Adj ustment Electrical
+ lYo State Surcharge
+ l0Yo Administrative Fee
Amount Due
43.00
2.00
3. l5
4.50
Item Total:$s2.65
Payments:
Type of Payment Paid By
CheckNumber Authorization
Received By Batch Number Number How Received Amount Paid
CreditCard CLYDE PERKINS njm 229706 In Person
Payment Total:
$s2.65
-sffi
t
,{
t0n7/200s Page I of I
rnmarrs
The lollowlng
zoning
approval
Zoning
225FIFTHSTREEToSPRINGFIELD,oRST4TTIPH:(5a1)726-3753oFAX:(541)726-3689
PERMIT APPLICATION
land use
City Job Num -ol a
1.
Io
I,OCAT'ION OF INSTALI-AT'ION
LEGAL DESCRIPTION lfxcoo
JOB
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. coIirIRAcToRINST:ALr,AI1I2N 1NLY
ElectricalContractor C ,(l
Address Po Rox /173
City eResr.'?/L4Phone
Supervisor License Number J770- s
Expiration Date /o d/- a7
Constr. Contr. Number 5
l,C-t?-;.6-DfDate
Service Included
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
nor
200 Amps
201 Amps
ED OR
3.COil,IPLET'E FEE SCHEDT-]LE BELAW .
t c-\-
$50.00
*g?l law requires you to
$ r 06.00
$ 19.00
l9l,I0T-
B. Services o
200 Amps or
201 Amps to
401 Amps to
601 Amps to 1000 AmPs $163.00
Over 1000 Amps/Volts $375.00
Reconnect OnlY $ 50'00
"r
C. Tenrporar-v Services or Feeders
MIT
Relocation
SHALL EXPIRE WORK
UND
?Expiration Date - /5 -og
Si gnature of Supervising Electrician D. Branch Circu
New Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with
Service or Feeder Permit
Pump or irrigation
SigniOutline Lighting
Limited Energy/Residential
Limited EnergyiCommercial
7% State Surcharge
10% Administrative Fee
TOTAL
Shared Drive(T: )/Building FonnVElectrical
above.
r,
Owners Name CJL
Address of
Phone -1 'tb
OWNER TION
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:
Minimum Electric Permit Inspection Fee is $.{5.00 * Surcharges ) , N
5(2
$ 43.00
$ 3.00
$ 50.00
$ s0.00
s 25.00
$ 45.00
4, trc
Inspection Request: 726-37 69 t, 3'){
'"$^r6;F
?r?7
Feeders
(?l
Over 600
E. Nliscellaneous (Sen'ice/feeder
/-</3 ,
CitY of SPringf,reld
DeveloPment Services OeOaY;11
c o mm,n ity i. * i. J' o i' i' i"
i:rt#]lrlB ?ili;t
541-726-3676 Fax
Aprrl24,2006
NICK ROCCAFORTE
4105 VIRGINIA ST
SPRINGFIELD, OR 97478
Date Permit Issued:101r712005
Permit Number:coM2005-01432
Location 4105 VIRGINIA AVE
Project DescriPtion Install heat PumP
Dear Permit Holder:
Lisa Hopper
Building Safety Supervisor
cc: Dave Puent, Community Services Manager
Code Enforcement
As stated on your permit and/or approved plans, work authorized under the permit issued will
expire if the workls not.o.*.ni.d or is abandoned for any 180 day period' Because you
did not contact us to request an inspection or to call us to veriff that progress has continued to
be made on the project, your permil(s) has expired. This letter is a reminder that the above
referenced permi(s) expired in 411712006. Please contact our office at Springfield City Hall,
225 Fifthstreet, Springfield, Oregon between 8:00 a.m. and noon or between 1:00 p.m. and
3:00 p.m. Monday through Friday, excluding holidays prior to continuing work on your
project. There are additional permit fees that are due in order to complete your project.
Peil
City of Springfield
225 Fifth Street, Springfield, OR97477
541-726-3759 Phone
541-726-3676Fax
March 30,2006
ROCCAFORTE NICK
4105 VIRGINIA ST
SPRINGFIELD oR 97478
Job Number:
Location:
coM2005-0r432
4105 VIRGINIA AVE
Project Install heat pump
Dear Permit Holder
The Springfield Building Safety Code Administrative Code provides that in order for a permit to
remain valid, the work which has been authorized by the permit must begin within 180 days of the date
of issuance, and an inspection must be requested at least every 180 days.
According to our records, you obtained a permit for a project at 4105 VIRGINIA AVE which is set to
expire on 4/17/2006. Our records indicate that you have not requested an inspection within the past
five (5) months. This letter is written to notify you that your permit(s) will be expiring shortly. If you
are ready to request an inspection for your project, please phone the inspection line at 541-726-3769. If
you do not request an inspection prior to the expiration date, your permit(s) will expire and additional
permit fees will be required in order to complete your project.
If you have any questions, please feel free to phone me at 54r-726-3790.
Sincerely,
.Nq@
Lisa Hopper
Building Safety Supervisor