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Home My WebLink AboutPermit Mechanical 2004-04-30o 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: COM2004-00504ISSUED: 0413012004APPLIEDz 0413012004EXPIRES: 10/3012004 VALUE: SITE ADDRESS: 2600 5TH ST ASSESSOR'SPARCELNO.: 1703233409800 PROJECT DESCRIPTION: Heat Pump and Air Handler Springfield TYPE OF WORK: Heating System TYPE OF USE: New Residential Owner: RyBKA JERRy p & KEILA ANN Address: 2223 ROSE BLOSSOM DR SPRINGFIELD OR 97477 ON: Orego n law requires you to by the Orego n UtilitY Contractor Type Electrical Contractor KIDD ELECTRIC INC 0090. You o calling # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: Yo of Lot ICE: PERMII S N 0 Phone 54t-942-1352 REQUIRED PARKING Total: Handicapped: Compact: E lt lHE w0![ PERMIT IS NU I is1 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: SETBACKS Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: cor..$0J l HiS HALL EXPIR NDER lHIS AN $ Per Sq Ft or multiplier Square Footage or Bid Amount Downspouts/Drains: Total Value of Project Paee I of2 DEVELOPMENT INFORMATION Description Type of Construction Value Date Calculated EI I through OAR 952-001 coPies ot the rules by Valuation Descriotion I F 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: COM2004-00504ISSUED: 0413012004APPLIED: 04/3012004EXPIRES: 10/3012004 VALUE: Fee Description + l0o Administrative Fee + 7o/o State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Total Amount Paid Amount Paid $4.60 $3.22 $43.00 $3.00 $53.82 Date Paid 4t30t04 4t30t04 4t30t04 4t30t04 Receipt Number 1200400000000000s92 1200400000000000s92 1200400000000000s92 1200400000000000592 Plan Reviews To Request an inspection call the24 hour recording at 726-3769. All inspection requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. 1 Rough Electric: Prior to Cover 2 Final Electric: When all electrical work is complete. By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature Date Reouired Insnections Pase2 of2 Ieesfarq I 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone Fty of Springlield Official Receipt ,velopment Services Department Public Works Department RECEIPT #: 1200400000000000s92 Date: 0413012004 10:24:43AM Job/Journal Number coM2004-00504 coM2004-00504 coM2004-00504 coM2004-00504 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 7% State Surcharge + l0o/o Administrative Fee Amount Due 43.00 3.00 3.22 4.60 Item Total:$s3.82 Payments: Type of Payment Paid By CheckNumber Authorization Received By Batch Number Number How Received Amount Paid CreditCard KIDD ELECTzuC ddk 000370 030734 In Person $53.82 Payment Total : -553.-67 4/30t2004 Page I of I 5a \tl 225 FIFTHSTREET . SPRINGFIELD, Ok97477 r PH:(541)726-3753 oF E LECTRI CAL P ERMIT AP P LI CA City Job Number LEGAL JOB DESCRIPTION t/_$(Lapprovalo.'Zoning AUthorized Signature Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof 3 ln Each A. New llesidential - Single or NIulti-Faruily per drvclling unit' $ 106.00 $ 19.00 law requires Yc Permits are non-,transferable and exPire if work is not started within 180 days of issuance or if work is Suspended for 180 daYs. 1 Electrical Contractor Address Pnone 22€ ro ?aa-/2 Supervisor License Number Expiration Date ,/o * Zoo 4 Constr. Contr. Number Expiration Date of Supervising Electrician Owners Name Address Phone IN The installation is being made on properfy I own which is not intended for sale, lease or rent. Owners Signature: 5 C. Temporar."- Sen'ices or Feetlers Installation, Alteration or Relocation 200 Amps or less $ 50'00 201 Amps to 400 AmPs $ 69.00 401 Amps to 600 AmPs $100.00 $50.00 Feeder callin center One se ru trt City 201 Ar@rfE{001600-l 401 Amps to 600 AmPs 601 Amps to 1000 AmPs Over 1000 AmpsA/olts Reconnect Only e regon UtilitY N 332-2344), fl6ritltP .iftryHE w EfiM,I $ 63.00 s 7s.00 $125.00 $163.00 $37s.00 $ 50.00 $ 43.00 $ 3.00 $ s0.00 $ s0.00 $ 25.00 $ 45.00 ,Lz oO ).oo 0 ,- Over 600 Amps or 1000 Volts see "B" above' D. Branch Circuits iJ0}tt?& Alteration or Extension Per Panel / A UUM fti E.-Each lnstallatiott Ciry Pump or irrigation Sign/Outline Lighting Limited Energy/Residential Limited Energy/Commercial Minimum Electric Permit Inspection Fee is $45.00 * surcharges 4+,n lYo State Surcharge 10% Administrative Fee TOTAL 57 8v Inspection Request: 726-37 69 4. Shared Driv{T:/Building Forms/Electrical Permit Application I {3'doc 1.LOCA:I'ION OF INS:TALIATION . . included) 4zs; q uh$b 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: COM2004-00504ISSUED: 0413012004APPLIED: 04/3012004EXPIRES: 10/3012004 VALUE: SITE ADDRESS: 2600 sTH ST ASSESSOR'S PARCEL NO.: 1703233409800 PROJECT DESCRIPTION: Heat Pump and Air Handler Springlield TYPE OF WORK: Heating System TYPE OF USE: New Residential Owner: RyBKA JERRy p & KEILA ANN Address: 2223 ROSE BLOSSOM DR SPRINGFIELD OR 97477 Contractor Tvpe Electrical Mechanical Contractor KIDD ELECTRIC INC DEAN M SCHULTZ Expiration Date 01t27t2005 02t23t200s Phone 541-942-1352 541-767-0626 License 154009 133733 CONTRACTOR INFORMATION # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Overlay # Street Paved o/o of Lot Lot Size: Sq Ft lst Floor: 2nd Floor: o{ $.s Handicapped: Compact: Area: PARIilNG 1$ ,\9 Sidewalk Type: Downspouts/Drains: Notes: Pase 1 of3 I -1 Lr, ItUllJl-rl-t\t, It\It l(rYrArr(ri\ l Frontyard Side I Side 2 Setback: Energy Path: 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: COM2004-00504ISSUED: 0413012004APPLIED: 04/3012004EXPIRES: 10/3012004 VALUE: Description Tvpe of Construction Fee Description -Mechanical Issuance Fee- + l0oh Administrative Fee + l0oh Administrative Fee + 7oh State Surcharge + 7o/o State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Heat Pump Minimum/Adj ustment Mechanical Total Amount Paid Total Value of Project Date Paid 4t30t04 4t30t04 4t30t04 4t30t04 4t30t04 4t30t04 4t30t04 4t30t04 4t30t04 Value Date Calculated Receipt Number 2200400000000000457 22004000000000004s7 1200400000000000592 2200400000000000457 1200400000000000s92 1200400000000000s92 1200400000000000s92 2200400000000000457 2200400000000000457 $ Per Sq Ft or multiplier Square Footage or Bid Amount Amount Paid $10.00 $4.50 $4.60 $3.1s $3.22 $43.00 $3.00 $12.00 $33.00 $116.47 tr'pps Peid 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. 2 Rough Electric: Prior to Cover 1 Final Electric: When all electrical work is complete. 3 Rough Mechanical: Prior to Cover 4 Final Mechanical: When all mechanical work is complete. Paee 2 of 3 L LL Valuation Descrintion I Keouired Insnectrons 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: COM2004-00504ISSUED: 0413012004APPLIED: 04/3012004EXPIRES: 10/3012004 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 at the proper time, that each address is readable from the street,permit card is located at the of the , and the approved set of plans will remain on the site at all D Owner or Contractors Signature Date Page 3 of3 T o 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone city of Springfield Official Receipt velopment Services Department Public Works Department RECEIPT #: 2200400000000000457 Date: 0413012004 2:08:31PM Job/Journal Number coM2004-00504 coM2004-00504 coM2004-00504 coM2004-00504 coM2004-00504 Description Heat Pump Minimum/Adj ustment Mechanical -Mechanical Issuance Fee- + 7Yo State Surcharge + l0% Administrative Fee Amount Due 12.00 33.00 10.00 3. l5 4.50 Item Total:$62.65 Payments: Type of Payment Paid By CheckNumber Authorization Received By Batch Number Number How Received Amount Paid Check DIH,INC jmp 216 In Person Payment Total: $62.6s -562i-f 4/3012004 Page I of I rc