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Home My WebLink AboutPermit Mechanical 2005-08-05Status: Issued 225 Fifth Street, Springfield, OR 541:726-3753 Phone 541-726-3676Fax 541:7 26-37 69 I nspe ction Line CITY OF SPRIN Buildin g/Co mbinatio n Permit PERMIT NO: COM2005-01045ISSUED: 08/05/2005APPLIED: 08/0312005E)GIRESz 0210512006 VALUE:r \ SITE ADDRESS: 2858 3RD ST ASSESSOR'S PARCELNO.: 1703233400500 PROJECT DESCRIPTION: Install heat pump and air handler Springfield TYPE OF TYPE OF USE: Heating System New Residential Owner: Address: PHYLLIS ZOLEZZI PO BOX 806 SWEETHOME OR 97386 Phone Number: 541-517-0681 CONTRACTOR INFORMATION Contractor Mechanical # of Bedrooms: Frontlard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Storm Sewer Available: Special Instruction: Notes: law requrlres You to egon UtilitYOr $ Per Sq Ft or multiplier Expiration Date 12123t2005 Phone 541-747-7445 License 25790 nla Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: Energy Path: Sprinkhd Overlay Dist: # Street Trees Paved Drive Rqd: Yo ofLot Coverage: Sidewalk Type: Downspouts/Drains REQUIRED PARKING Total: Handicapped: Compact: Square Footage or Bful Amount DEVELOP MENT I NFORMATION PUBLIC IMPROVEMENTS Valuation Descrintion Description Type of Construction lof2 Value Date Calculated -_lT}J Type: Status: Issued 225 Hfttr Street, Springfield, OR 541:726-3753 Phone 541-726-3676Fax 541:1 2G37 69 I nspe ction Line GFIELD Buildin g/Co mbinatio n Permit PERMIT NO: COM2005-01045ISSUED: 08/05/2005APPLED: 08/0312005E)PIRESz 0210512006 VALUE: Fee Description -Mechanical Issuance Fee- + l0Yo Administrative Fee + lYo State Surcharge Air Handling Unit Up to 10,000 Heat Pump Minimum/Adjustment Mechanical Total Amount Amount Paid $10.00 $4.s0 $3.15 $8.00 $12.00 $25.00 $62.6s Total Value of Project Date Paid 8/s/0s 8/5/05 8/s/0s 8/s/0s 8/s/0s 8/s/0s Receipt Number 1200500000000001147 1200s00000000001147 r200s00000000001147 1200s00000000001147 1200s00000000001147 1200500000000001147 Plan Reviews To Request an inspection call the24 hour recording at 726-3769. All inspection requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Reouired fnsnect By signature,I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certi$ 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 OCCT PAI\CY 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 further agree to ensure that all required inspections are requested at the proper time, that each address is readable llom the stree! that the permit card is located at the front of the property, and the approved set of plans will remain on the site at R"g Owner or Contractors Signature 2of2 Date Hees ralfl I lT: 225 Fifth Street Snringt eld, Oregon 97 477 541-726-3759 Phone City of Springfield Official Receipt velopm ent Services Department Public Works Department RECEIPT#: 1200500000000001147 Date:08/05/2005 2:29257PM Job/Journal Number coM2005-01045 coM2005-0104s coM200s-0104s coM2005-01045 coM2005-01045 coM2005-01045 Description + loh State Surcharge + l0% Administrative Fee Air Handling Unit Up to 10,000 Heat Pump Minimum/Adjustment Mechanical -Mechanical Issuance Fee- Amurnt Due 3. ls 4.50 8.00 12.00 25.00 10.00 Item Total:$62.65 Payments: , Type of Payment Paid By Received By uheck Number 3ds5 I\umher Autnorization Number How Received Amount Paid Check MARSHALLS INC djb 187s2 In Person $62.65 PaymentTotal: ffi t 8t5/2005 lofl e9"- 225 FIFTH STREET . SPRINGtr'IELD, OR97477 o PH:(541)726-3753 o FAX: ELE CTRI CAL P ERMIT AP P LI CATI O N City Job Number Date ,u$m 1.3.?{Ea 3 LEGAL DESCRIPTION 11 oz ?b "+oowo JOB DESCRIPTION a LUru^;E *car-aun .. 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 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 Amps/Volts Reconnect Only Service or Feeder Permit Pump or irrigation Sigrr/Outline Lighting Limited Energy/Residential Limited Energy/Commercial A. C. D. E. $106.00 s 19.00 s50.00 B., Electrical Contractor Address Pe , .Rn^ //?.? City 3/drs,,,-il Pnone 825 f? l.l Supervisor License Number .29 zo -J Expiration Date /a */ - Constr. Contr. Number I /-1 "->a-a ,/' Expiration Date a Signature of Supervising Electrician Owners Name Address bOto lbm.Etl,l ?,11- OWNER INSTALLATION The installation is being made on properly I own which is not intended for sale, lease or rent. Owners Signature: Q. Qxl,,as € '7* fr.,2ooAmpsorless $ 63.00 $ 75.00 $r25.00 $163.00 $375.00 $ s0.00 Installation, Alteration or Relocation 200 Amps or less $ 50.00 201 Amps to 400 Amps $ 69.00 401 Amps to 600 Amps $100.00 Over 600 or 1000 Volts see "B" above. New Alteration or Extension Per to One Circuit Each Additional Circuit or with orth N &.b aoo1-3oo;Sffier ,r-444).n $ s0.00 $ 50.00 $ 25.00 $ 4s.00 Minimum Electric Permit Inspection Fee is $45.00 * Surcharges 4.4lo.d2 |o/ostateSurcharge ?'2'Z lo%AdministrativeFee ru- rorAl %sT Shared Drive(T:/Building Forms/Electrical Permit Application I {3'doc Inspection Request: 726-3769 ttr-.r. Ti q / aLil- 4,t;)ose . ':, 225 Fifth Sr'.,.,r. l,1rin,,t'irld, C)ll 541:726-3 I 541-726-3t i 541:726-3- ,"''rr"t [.ir€ - Status: SITE ,. ASSE: PROJr..r. # of Ur, Printl Secolr,l Print:, Seco' # of l' Front.' Side ' Side l Rear. Sollr,' ,' Streel Stornr l Spec' Buildin g/Co mbin ation Permit PERIVIIT NO: COM2005-01045ISSUED: 08/0s/2005 APPLIED: 08/03/2005E)GIRES: 02/0812006 VALUE: .1Rt) ST().: 170.1233-100500 :( )N: Install hcat pump and air handlcr )I,EZZI 'rl oR 97386 Contrnctor L PE'I!,'I\S ELECTRIC INC }I {. II!] !I,\I-LS INC Springfield TYPE OF TYPE OF USE: PhoneNumber: 541-517-068f Heating System New Residential Phone 541-8954466 541-747-7445 License 159537 25790 Expiration Date 04n5t2008 t2t23t2005 CONl'IIACTOR IN FORMATION BUILDING R-3 # of Stories: I Iciglrt oI T1'pe ol'llcat: \\'ater Tl,pc: Range Type: Energy Path: Sprinkled l-t) Lt- : - I -O I' ) I I.]N'I' I NTiORMATION Ovcrlay Dist: # Street Trees Prn'crl Drive Rqd: "1, ol'Lot Coverage: ffi - ---1 Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: nla Occupant'!t ,lroC \/1r Sidewalk Type: Downspouts/Drains Utility *.ft$rnro PARKTNG ESil'il $ggdlcapped: Criirnact:Ition^ VN Note s 1of 3 "-*.Addrer Contrl' Electr i,sl., .-.rrr t): ,.,r€ e rules are center. (l.Jote: the e Oregon Utility N is 1 -800-332 -2344). -Statr. r : 225 Fit" 541-7: , 541-7: 541-7: Deso' Fee l\,' -1\'l t c' +li + 7',\, Air !; Hetl Mil +1( ' + 7", Adt!. At! .'. To a.r' wo: Buildin g/Co mbination Permit s-,,,.:,1q,fi1,1fl. Qft '"",t I-ine PERMIT NO: COM2005-01045ISSUED: 08/0s/2005APPLIED: 08/0312005E)GIRES: 02/0812006 VALUE: Valuation Descrintion r'l' Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Total Value of Project Date Paid 8/5/05 8/5/05 8/5/05 8/s/05 8/s/05 8/s/05 8/8/05 8/8/0s 8/8/05 8/8/0s Value Date Calculated Receipt Number 1200500000000001 147 1200500000000001 147 1200s00000000001147 1200s00000000001r47 1200s0000000000il47 1200s0000000000r 147 1200500000000001156 1200s00000000001 156 r200s00000000001156 r200500000000001156 ,\ntottttt Pititl s I 0.00 s{.50 $1.r5 $8.00 $12.00 $25.00 $,1.60 $3.22 $,13.00 s.1.00 r 10.000 , . l,.,,tr.,tlriCAl 'la Arlrl $r r 6.17 Iir.cs Il I)lan Reviews "r crrll tlrc lJ holl rccorcling at 726-3769. All inspection requested before 7:00' .' rvorl;;rr1 t!:rr'. irrs;lcctions requested after 7:00 a.m. will be made the following ffi --rlIIlIr-- "l: Prior to Cover ': ',\'lr,,n :rll rrrcchanical u'ork is complete. ' 'r. l', 1'lrrt'r ' ''it,lcctr'ic:rl tvork is r:ornplctc. 2of3 HC "!t - F Building/Co mbination Permit -Stat.: 2251" 541-',7: 541-7l 541-; - ('r r ..' PERMIT NO: COM2005-01045ISSUED: 08/05/2005APPLIED: 08/03/2005E)GIRES: 02/0812006 VALUE:{ ''r,'!rl. Cll , r.irre on l. By r' inI ui'l an(l Brr, Ilirr the at:ri Or., II ''r'r'r'. lrr:rl I l':rve carelirlly cxanrined the conrpleted application and do herebycertifythat all '. "'r! I l'r1'1 l1('r'ccrtifythatanyandallworkperformedshallbedoneinaccordance . .,,,,:.,i'icltl rr,rtllhcLan'sof theStateofOregonpertainingtotheworkdescribedherein, I ' \ ' ''r lr,-' r'r;r tlc of a n1' structure rvithout permission of the Community Services Division, . tlrrrt orrlv contrlctors and employees who are in compliance with ORS 701.005 will be used "",1 :r!l rer;uircd inspections are requested at the proper time, that each address is readable from ' :. r","'r,"1 ut the front of the property, and the approved set of plans will remain on the site Date I (rr' 3 of 3 225\ifth Street Springfield, Oregon 97 477 541-726-3759 Phone city of Springfield Official Receipt ;velopment Services Department Public Works Department RECEIPT#: 1200s00000000001156 Date:08/08/2005 12:53:19PM Job/Journal Number coM2005-01045 coM2005-01045 coM2005-0104s coM2005-01045 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 7o/o State Surcharge + 10oA Administrative Fee Amount Due 43.00 3.00 3.22 4.60 Item Total:$53.82 Payments: Tlpe of Payment Puitl Rv Received By checl( NumDer Batch Nurnber Authorization Number How Received Amount Paid CreditCard C PERKINS l-Ll:CTl{lC ddk 222706 In Person Payment Total: $s3.82 -$ffi '( 8181200s lofl sFE.INGFISLD