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Home My WebLink AboutPermit Mechanical 2004-06-10Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Eax 541-7 26-37 69 Inspection Line ITY O Building/Combination Permit PERMIT NO: COM2004-00681ISSUED: 0611012004APPLIED: 06/1012004EXPIRESz 1212512004 YALUE: SITE ADDRESS: 139 WOODLANE DR ASSESSOR'S PARCEL NO.: 1703262201900 PROJECT DESCRIPTION: Install heat pump and air handler Springfield TYPE OF WORI(: Heating System TYPE OF USE: New Residentiat Owner: SOKOL JACeUELINE L & WALTER L Address: PO BOX 1040 LAPINE OR 97739 Contractor Type Electrical Mechanical Contractor JOSEPH BUNCH ELECTRIC INC MARSHALLS INC License ls676t 25790 Expiration Date 08t2u2007 12t23t2005 Phone 541-344-8745 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: Notes: $E ,NED t0R Building:nla Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: rsE: # of Stories: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: o/" of Lot Coverage: WORK \S NO"i ANY 180 $ Per Sq Ft or multiplier REQUIRED PARKNG Total: Handicapped: Compact: Square Footage or Bid Amount DEVELOPMENT INFORMATION a Description Type of Construction Page 1 of3 Value Date Calculated Llrr\ r r(AL r 1rt{. rr\ru:|]E!j2.]r__.! D Ul|-r_[l\ (r rI\ I UI(lvrA, !.l!11.t_] k' ul msI 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: COM2004-00681ISSUED: 06t10t2004APPLIED: 06/10t2004EXPIRES: 1212512004 VALUE: Eees Paid Fee Description -Mechanical Issuance Fee- + 10%o Administrative Fee + 7o/o State Surcharge Air Ilandling Unit Up to 10,000 Heat Pump Minimum/Adj ustment Mechanical + l0Yo Administrative Fee + 7o/o State Surcharge Add, Alter, Extend Circ Ea Add Perm Serv8dr 200 amps or less Total Amount Paid Amount Paid Total Value of Project Date Paid Receipt Number 1200400000000000879 1200400000000000879 1200400000000000879 r200400000000000879 r200400000000000879 1200400000000000879 22004000000000008s2 22004000000000008s2 22004000000000008s2 22004000000000008s2 $10.00 $4.50 $3.1s $8.00 $12.00 $2s.00 $6.90 $4.83 $6.00 $63.00 6lt0t04 6n0t04 6fi0t04 6lt0t04 6lt0t04 6n0t04 6t2st04 6l2st04 6t25t04 6t25t04 $143.38 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. Rough Mechanical: Prior to Coyer Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. Renrrired Insnecfinns Pase 2 of3 WI Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Rax 541-7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2004-00681ISSUED: 0611012004APPLIED: 06/1012004EXPIREST 1212512004 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 Page 3 of3 reL 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone ^rty of Springlield Official Receipt evelopment Services Department Public Works Department RECEIPT #: 2200400000000000852 Date: 0612512004 9:48:06AM Job/Journal Number coM2004-00681 coM2004-00681 coM2004-00681 coM2004-00681 Description + lYo State Surcharge + l0% Administrative Fee Perm Serv/Fdr 200 amps or less Add, Alter, Extend Circ Ea Add Amount Due 4.83 6.90 63.00 6.00 Item Total:$80.73 Payments: Type of Payment Paid By CheckNumber Authorization Received By Batch Number Number How Received Amount Paid CreditCard JOSEPH BUNCH ELECTRIC djb 000422 702102 In Person $80.73 Payment Total: -SEIF 6/25t2004 Page I of I SPBTI{GFICLD 225 FIFTH STREET . SPRINGFIETD, OR97477 r PH:(541)726-3753 o FAX: E LE CTRI CAL P E RMIT AP P LI CAT IO N CityJob Number(gtttzoaq -aA6/ ,ur" (i-ZS -OLl : . .. a:: :' ,,LOQ{flION,AF,[NSX4I-,1,4T10II i',. t 3 "t I ulooJ L*rot- \>L. E;i"l:!,, 1. LEGAL DESCzuPTIONlTa3Z5ZZ OI ? o(> JOB DESCRIPTION Lv c- L**uGe Z eC.^; la Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. 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 3 Services or Feetlers - Installation, Nteratiorrs or Reloc:rtion: $ 106.00 $ 19.00 $50.00 b= B.) Erectrical contracror JO*.p l, B*dt dx"r >€2{ ,p,lf cna Df.Address City consrr. conrr. Number A0 - 163 L Expiration Date l0 -04 of Supervising Electrician 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 Amps/Vols $ 63.00 $ 7s.00 $ 125.00 $ 163.00 $37s.00€r,rrl Phone 3q/4-r74{ N01t Supervisor License Number tlzz1-s Expiration Date ic -01 c Only IF IHE tion or Relocation WggK_ $ s0.00 ANY ufl or less 201 Amps to 400 Amps 401 Amps to 600 Amps New Alteration or Extension Per ofg@ H Each ccfitlL Pump or lor$e loh State Surcharge l0% Administrative Fee TOTAL $ 69.00 S Over 600 Amps or 1000 Volts see "B" above. D. Branch Circuits /- .r/- Owners Name il*h-+S,opae Address / > 9 (..r'oa4! /trrut- E- Ciry =P,=\Phone OIVNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Limited Energy/Residential $ 25.00 Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 00 4.67 EEJ, ?ogcE Inspection Request: 726-3769 Shared Drive(T:)/Building Fonns/EIec0ical Pennit Application l-03.doc A. New Residential- Single or I Status Issued 225 Fifth Street Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line Building/C ombination Permit PERMIT NO: COM2004-00681ISSUED: 0611012004APPLIED: 06/1012004EXPIRES: 1211012004 VALUE: SITE ADDRESS: 139 WOODLANE DR ASSESSOR'S PARCEL NO.: 1703262201900 PROJECT DESCRIPTION: Install heat pump and air handler Springfield TYPE OF WORK: Heating System TYPE OF USE: New Residential Owner: SOKOL JACeUELINE Address: PO BOX 1040 LAPINE L & WALTER L oR 97739 Contractor Type Mechanical Contractor MARSHALLS INC Expiration Date 12t23t200s Phone 541-747-7445 License 25790 CONTRACTOR INFORMATION # of Units: Primary Occupancy Group: R-3 Secondary Occupancy Group: ANY 1 DAY 'tH\ AB $ Per Sq Ft or multiplier # of Stories: Height of Structure Type of Heat: RK N01 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: o/o of Lot Coverage: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARI(NG Total: Handicapped: Compact: nla 80 Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Square Footage or Bid AmountDescription Type of Construction Total Value of Project Value Date Calculated L UILI-rI1\ t rL\-r \rl(lYr.qfllllll Primary Construction Secondary # of Bedrooms: 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: COM2004-00681ISSUED: 0611012004APPLIED: 06/1012004EXPIRES: 1211012004 VALUE: Fee Description -Mechanical Issuance Fee- + l0Vo Administrative Fee + 1oh State Surcharge Air Handling Unit Up to 10,000 Heat Pump Minimum/Adj ustment Mechanical Total Amount Paid Amount Paid $10.00 $4.s0 $3.rs $8.00 $12.00 $2s.00 $62.6s Date Paid 6n0t04 6n0t04 6n0t04 6n0t04 6lt0t04 6n0t04 Receipt Number 1200400000000000879 1200400000000000879 1200400000000000879 1200400000000000879 1200400000000000879 1200400000000000879 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. Rough Mechanical: Prior to Cover 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 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 or Contractors Signature Pase2 of2 Date 'q --5 Fees raro I Kequrreo lnspecuons I 225 ['ifth Street Springfield, Oregon 97 477 541-726-3759 Phone City of Springlield Official Receipt ;velopment Services Department Public Works Department RECEIPT #: 1200400000000000879 Date: 0611012004 t0:25z27trM Job/Journal Number coM2004-00681 coM2004-00681 coM2004-00681 coM2004-00681 coM2004-00681 coM2004-00681 Description + 7o/o State Surcharge + l0% Administrative Fee Heat Pump Air Handling Unit Up to 10,000 Minimum/Adjustment Mechanical -Mechanical Issuance Fee- Amount Due 3.15 4.50 12.00 8.00 25.00 10.00 Item Total:$62.6s Payments: Type ofPayment Paid By Uhecl(NumDer Authorization Received By Batch Number Number How Received Amount Paid Check MARSHALLS INC djb 18013 In Person $62.65 Payment Total: -56ffi 6n012004 Page I of I *fllNa3,&