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Home My WebLink AboutPermit Mechanical 2005-12-01Building/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: COM2005-01676ISSUED: 1210112005APPLIEDz 1210112005EXPIRES: 0611212006 VALUE: SITE ADDRESS: 343 sTH ST ASSESSOR'SPARCELNO.: 1703352413000 PROJECT DESCRIPTION: Install heat pump and air handler. Springfield TYPE OF WORK: Mechanical Only TYPE OF USE: New Residential Owner: Address: Contractor Type Mechanical BERGOLD ELSIE 343 N sTH ST SPRINGFIELD OR 97477 N OTICE: ANY T so onv EXPIRE I 2s790 Phone 54t-747-7445 I IHE PhoneNumber: 541-746-3440 WORK FOR Contractor MARSHALLS INC Expiration Date 12t23t2005 BUILDIN( # 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: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: 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:nla Sidewalk Type: Downspouts/Drains: REQUIRED PARKING Total: Handicapped: Compact: $ Per Sq Ft or multiplier Square Footage or Bid Amount PUBLIC IMPROVEMENTS Description Type of Construction Page I of3 Value Date Calculated IrL(JrlYtlll\ I lt\rlJl(lvlAll(rl\ | Valuation Description I 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: COM2005-01676ISSUED: 1210112005APPLIEDz l2l0l/2005 EXPIRESz 0611212006 VALUE: tr'ees Paid Fee Description -Mechanical Issuance Fee- + l0%i Administrative Fee + 7%o State Surcharge Air Handling Unit Up to 10,000 Heat Pump Minimum/Adj ustment Mechanical + l0Yo Administrative Fee + 7%o State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Total Amount Paid Amount Paid Total Value of Project Date Paid Receipt Number 220050000000000164s 2200500000000001645 2200500000000001645 2200500000000001645 2200500000000001645 220050000000000I645 2200500000000001683 2200500000000001683 220050000000000r683 2200500000000001683 $10.00 $4.s0 $3.15 $8.00 $r2.00 $25.00 $4.90 $3.43 $43.00 $6.00 t2ntos t2nt05 t2nt05 t2nt05 t2nt05 t2lu05 t2n2t05 t2n2l05 t2n2t05 t2lt2l05 $119.98 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. red fnsnecfinns Page 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: COM2005-0I676ISSUED: 1210112005 APPLIED z 1210112005 EXPIRESz 0611212006 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 OCCUPAIICY 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 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone ^ity of Springfield Official Receipt - evelopment Services Department Public Works Department RECEIPT#: 2200500000000001683 Date: 1211212005 1:17:15PM Job/Journal Number coM200s-0r676 coM2005-01676 coM200s-01676 coM200s-01676 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 7Yo State Surcharge + l0% Administrative Fee Amount Due 43.00 6.00 3.43 4.90 Item Total:$57.33 Payments: Type of Payment Paid By CheckNumber Authorization Received By Batch Number Number How Received Amount Paid CreditCard JOSEPH BUNCH ELECTRIC ddK 017540 In Person $57.33 Payment Total: -Sffi tl \ ft 1211212005 Page I of I AFf,Ir.GFI&LO 225 FIFTH STREET . SPRINGFIELD, OF.97477 . PH:(541)726-3753 r FAX: (541)726-3689 E LE CTRI CAL P ERMIT AP P LI CATI ON Tltrtng mDg- tn City Job Number 1. .1*.1 r+h 5L. LEGAL DESCRIPTION 0 JOB DESCRIPTION {a Permits are non-transferable and expire if work is ' not started within 180 days of issuance or if work is Suspended for 180 days. I Electrical Contractor Date Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service ort'ilfilcE: 401 Amps to 600 Amps 601 Amps to 1000 AmPs Over 1000 Amps/Volts Reconnect Only One Circuit Each Additional Circuit or with Service or Feeder Permit Sign/Outline Lighting Limited Energy,Residential Limited Energy/Commercial 3. A. B. Address uc,/lono- Dr Sitrg7{5- $50.00 ABANDoNED F$qr.oo $125.00 $163.00 s375.00 $ s0.00 $ 50.00 $ 2s.00 $ 4s.00 0 Ciry Phone Supervisor License Number tlz atl's C. Expiration Date i0 -00 Constr. Contr. Number /fi,7/r i Expiration Date i0 .,X T of Electrician D. Owners Name i) Address 3q3 N.S th E. City pnon"'7Ll lp - 3'-lV0 Pump or irrigation Installation, Alteration or Relocation 200 Amps or less $ 50.00 201 Amps to 400 Amps $ 69.00 401 Amos &o 600 Amps '- $100'00.-- -----rfrt- - Over 60Q or 1000 Volts see "B" above. New Alteration or Extension Per PanelL 1ss 43.00 .m 9- $ 3.oo b,OD $ 50.00 OWNER INSTALLATION 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 $45'00 * Surcharges 7o/o State Surcharge 10% Adminisffative Fee TOTAL 5 'J,33Inspection Request: 726-37 69 4 Shared Drive(T:)iBuilding Fonns/Electrical Permit Application 1 -03'doc 0 € oulenl $106.00 $ 19.00 OR 20lm$pt 3.46---q7- 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: COM2005-01676ISSUED: 1210112005APPLIED: 1210112005 EXPIRES: 06/0112006 VALUE: SITE ADDRESS: 343 sTH ST ASSESSOR'SPARCELNO.: 1703352413000 PROJECT DESCRIPTION: Install heat pump Springlield TYPE OF WORI(: Mechanical Only WOBS IS NOT Residential PhoneNumber: 541-746-3440 E S lHt Owner: Address: Contractor Type Mechanical BERGOLD ELSIE 343 N sTH ST SPRINGFIELD OR 97477 OMME NY 1BO DAY PERIOD. NCED OR t, A Contractor MARSHALLS INC License 25790 Expiration Date 12t2312005 Phone 541-747-744s CONTRACTOR # 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: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: nla Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: oh of Lot Coverage: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft oug PARIflNG Total: Handicapped: Compact: Sidewalk Type: Downspouts/Drains: PUBLIC IMPROVEMENTS $ Per Sq Ft or multiplier Square Footage or Bid AmountDescription Type of Construction Page 1 of2 Value Date Calculated t .tHIS I'UILf'II\U II\ I (-,T(IVIA I II-,I\ I cop roS Valuation Description I Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line Buitding/C ombination Permit PERMIT NO: COM2005-01676ISSUED: 1210112005APPLIEDz 1210112005EXPIRES: 06/0112006 VALUE: Fee Description -Mechanical Issuance Fee- + 10'J6 Administrative Fee + 1oh State Surcharge Air Handling Unit Up to 10,000 Heat Pump Minimurn/Adj ustment Mechanical Total Amount Paid $10.00 $4.s0 $3.1s $8.00 $12.00 $2s.00 12nt05 tztLt05 t2nt05 t2nt05 t2nt05 t2nt0s Total Value of Project Date PaidAmount Paid $62.65 Receipt Number 2200500000000001645 2200500000000001645 220050000000000r64s 2200500000000001645 2200500000000001645 2200s0000000000164s Fees Paid Plan Reviews To Request an inspection call the 24 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 construction. "4**^-.-€?..l2-l -c,'il Owner or Contractors Signature Pase2 of2 Date Keoutreo rnsDeeuolls l 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone city of Springfield Official Receipt rvelopment Services Department Public Works Department RBCEIPT #: 2200500000000001645 Date: 1210112005 11:58:37AM J,rb/Journal Number ccM2005-01676 cr )M2005-01676 c)M2005-01676 coM2005-01676 coM2005-01676 coM2005-01676 Description Heat Pump Air Handling Unit Up to 10,000 Minimum/Adj ustment Mechanical -Mechanical Issuance Fee- + 7Yo State Surcharge + l0% Administrative Fee Amount Due 12.00 8.00 25.00 10.00 3. l5 4.50 Item Total:$62.6s Payments: Type ofPayment Paid By Check Number Received By Batch Number Authorization Number How Received Amount Paid Check MARSHALL'S INC ddk 18964 In Person Payment Total: $62.6s -562i-f n ( '.t i. tznt200s Page I of I *?rlxotrILD