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Home My WebLink AboutPermit Mechanical 2005-03-07FIELD Building/C ombination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2005-00253ISSUED: 0310712005 APPLIEDz 0310412005EXPIRES: 09/0912005 VALUE: SITE ADDRESS: 1324 lST ST ASSESSOR'S PARCELNO.: 1703263300518 PROJECT DESCRIPTION: Install heat pump and air handler Springfield TYPE OF WORK: Heating System TYPE OF USE: New PhoneNumber: 541-744-0008 Date Owner: Address: Contractor Tvpe Electrical Mechanical Contractor GROUNDED CHITTIM R-3 ta$, roN:brym Range Type: Energy Path: Sprinkled Building: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: oh of \t LINDA YOUNG 1324 1ST ST SPRINGFIELD OR 97477 Residential Phone s4t 726-68s8 541-461-2101 # 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: inO 0090 .Ior 02t24t2006 03/08/2005 Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: V'l \S r0B Type: Downspouts/Drains: REQUIRED PARKING Total: Yft nla Occupant Load: EXP Handicapped: Compact: q' c Dh\ 1H ,B\S hN\180 CONTRACTOR INFORMATION DEVELOPMENT INF( Notes: Pase 1 of3 f, Size: \t 1HE Building/Combination Permit Status Issued 225 Fifth Street, Springfield,0R 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM200S-00253ISSUED: 0310712005APPLIEDz 0310412005EXPIRES: 09/0912005 VALUE: Description Tvpe of Construction Fee Description -Mechanical Issuance Fee- + l0/o Administrative Fee + 1oh State Surcharge Air Handling Unit Up to 10,000 Heat Pump Minimum/Adj ustment Mechanical + l0Vo Administrative Fee + lVo State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Total Amount Paid Total Value of Project Date Paid 317t05 317105 3t7t05 3t7tos 3t7tos 3t7t05 3t9t0s 3t9t05 3t9t05 3t9t05 Value Date Calculated Receipt Number r200500000000000299 r200500000000000299 1200s00000000000299 1200s00000000000299 1200s00000000000299 r200500000000000299 2200s00000000000268 2200500000000000268 2200500000000000268 2200500000000000268 $ Per Sq Ft or multiplier Square Footage or Bid Amount Amount Paid $10.00 $4.50 $3.1s $8.00 $12.00 $2s.00 $5.20 $3.64 $43.00 $9.00 $123.49 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. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Reouired Insnecfions Paee 2 of3 Fees rar(l I Valuation Descrintion I F'IELD 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: COM2005-00253ISSUED: 0310712005APPLIED: 03/0412005EXPIRES: 09/0912005 VALUE: By signature, I state and agree, that I have carefully examined the completed appHcation 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 .qt 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone City of Springfield Official Receipt relopment Services Department Public Works Department RECEIPT #: 2200500000000000268 Date: 0310912005 8:26:20AM Job/Journal Number coM2005-002s3 coM2005-00253 coM2005-00253 coM2005-00253 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 7Yo State Surcharge + l0% Administrative Fee Amount Due 43.00 9.00 3.64 5.20 Item Total:$60.84 Payments: Type ofPayment Paid By Received By Check Number Batch Number Authorization Number How Received Amount Paid Check DARRELL ROSIN djb In Person Payment Total: $60.84 -sffi 7225 3/9/2005 Page I of I tF[lilliFt&t] 225 FIFTH STREET . SPRINGflELD, OR 97477 o PII:(541) EIfr CTRT CAL PERMTT APP LIUTT ON CiU Job Number - {oC>Z 1. l3 z/I sr -Sf LEGALDESCRIPNON A. i70 3zb>3 ,O orr { JOB DESCRIPTION €4 Permits are non-trantferable and expire if work isi not started within JE() days of issuance or if work is Srspended for 1t0 days. A 2.fol Electical Contractor Address SOf y S^ tr4' sf 0090. calli numctv SIP/J '"l,.orc ?26- d&58 Supervisor License Number 3 7-t6 S c. Expiration Date Constr. Contr. Number /"r88 Ofl Expiratioo Date b I ILSignature of Supenrising Electrician Owners Name Ad&ess rulee are set lordt s 63.00 OAR932d0t=$ 75.00 $12s.00 s163.00 the rulrb|r the telep'lronr Notificatim- s375.00 Reconnect $ 50.00 Installatiott, Alteration or Relocation 200 Amps or less S 50.00 201 Amps to 400 Amps $ 69.00 Hfltffii to 600 Arrps s100.00 726-37s3 r FtUft (54L)72G3689 sPatslactra€LD 90 $50.00 w4* .Date 6 3. Service Included 1000 sq. ft. or less Each additional500 sq. ft. or &ereof Each Manufrct'd Homc or Modular Dwelting Service or Fecder 7%oSrate Surcharge 10% Administrative Fee TOTAL New Alteration or Extension Per Panel onecircuit I s43'oo Each Additional Circuit or with Service or Feeder Permit -4 $ 3'00 13 ) E. City 7 9//-660 OWNER INSTALLATION The installation is being made on proPerty I owu which is not intended for sale, lease or renl Owners Signature: - 9?-L.1. Yw"".P Pump or irrigation $ 50.00 Limited Energy/Residential $ 25.00 Limited Energy/Commercial S 45.00 Minimum Electric Permit Inspection Fee is $45.00 * Surcharges 5Z LLI 4. 5"* 8Ll Inspection Reques* 126-37 69 Shared Drive(Tr/Buildin g FormVElectrical Permit Application 1'03'doc Building/C ombination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Eax 541-726-37 69 Inspection Line PERMIT NO: COM2005-00253ISSUED: 0310712005APPLIED: 03/0412005EXPIRES: 0910712005 VALUE: SITE ADDRESS: 13241ST ST ASSESSOR'SPARCELNO.: 1703263300518 PROJECT DESCRIPTION: Install heat pump and air handler Springfield TYPE OF WORK: Heating System TYPE OF USE: New Residential LINDA YOI]NG 1324 lST ST SPRINGFIELD OR 97477 PhoneNumber: 541-744-0008 CONTRACTORINF( Contractor Tvpe Mechanical Contractor CHITTIM ENTERPRISES I INC Date Phone 541461-2101ie0n # 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: Sidewalk Type: , Downspouts/Drains: 952-001- u\es bY Floor: Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARJ(NG Total: Handicapped: Compact: RK OT ru\es R-3 vN Energy Path: Sprinkled Building: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: o/" of Lot Coverage: THIS P nla AUTHO RIZED COMhIENCED PERIODANY 1BO DAY $ Per Sq Ft or multiplier Square Footage or Bid Amount IINFORMATION Description Type of Construction Page I of2 Value Date Calculated Owner: Address: tor Valuation Description I N: Ora'$ 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: COM2005-00253ISSUED: 0310712005APPLIEDz 0310412005EXPIRESz 0910712005 VALUE: Fee Description -Mechanical Issuance Fee- + l0Yo Administrative Fee + 1Vo State Surcharge Air Handling Unit Up to 10,000 Heat Pump Minimum/Adj ustment Mechanical Total Amount Paid Amount Paid $10.00 $4.50 $3.rs $8.00 $12.00 $2s.00 $62.6s Total Value of Project Date Paid 3t7t05 317t05 3t7tos 3t7tgs 3t7t0s 3t7t05 Receipt Number 1200s00000000000299 1200s00000000000299 1200s00000000000299 1200500000000000299 1200500000000000299 1200500000000000299 Plan Reviews To Request an inspection call the24 hour recordingatT26-3769. 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. Reouired Insnect 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 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. 3-) - o,<- Owner or Contractors Signature Pase 2 of 2 Date 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone Crty of Springfield Official Receipt relopment Services Department Public \ilorks Department RECEIPT #: 1200s00000000000299 Date: 0310712005 1:37:28PM Job/Journal Number coM2005-002s3 coM2005-00253 coM200s-00253 coM2005-00253 coM2005-00253 coM2005-00253 Description + 7%o State Surcharge + l0% Administrative Fee Air Handling Unit Up to 10,000 Heat Pump Minimum/Adjustment Mechanical -Mechanical Issuance Fee- Amount Due 3. l5 4.50 8.00 12.00 25.00 10.00 Item Total:$62.6s Payments: Type of Payment Paid By Check Number Received By Batch Number Authorization Number How Received Amount Paid Check JAMES HEATING djb In Person Payment Total: $62.6s -$6-ffif 1334 3t7/2005 Page I of I