The URL can be used to link to this page

Home My WebLink AboutPermit Mechanical 2004-10-28Status Issued 225 Fifth Street, Springlield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line Building/C ombination Permit PERMIT NO: COM2004-01337ISSUED: 1012812004APPLIED: 1012812004 EXPIRES: 05/0312005 VALUE: o Owner: Address: SITE ADDRESS: 1175 6TH ST ASSESSOR'S PARCEL NO.: 1703264311600 PROJECT DESCRIPTION: Gas furnace with ac HELEN MCCHESNEY 1175 6TH ST SPRINGFIELD OR 97477 HALL EXPI DER lHIS c0i{ ANY Contractor Type Electrical Mechanical Contractor DIXON ELECTRIC CRYSTAL CLEAN AIR INC Springfield TYPE OF WORK: Heating System TYPE OF USE: New Residential RE IF THE WO PERMIT IS N Phone Number: Expiration Date 07fi8t2005 02fl7t2005 s4t-w,09 Phone 541-895-2440 541-484.2286 BK 01 License 66894 96878 TION Valuation Description BUILDING INFORMATION # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: # ofStories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: oh 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 PARKING Total: Handicapped: Compact: R-3 VN nla $ Per Sq Ft or multiplier Square Footage or Bid Amount DEVELOPMENT INFORMATION Description Type of Construction Pase I of3 Value Date Calculated I F' 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: COM2004-01337ISSUED: 1012812004APPLIEDz 1012812004EXPIRES: 05/0312005 VALUE: tr'eps Pqid Total Value of Project Date PaidFee Descrintion -Mechanical Issuance Fee- + l0o/o Administrative Fee + 7%o State Surcharge Air Handling Unit Up to 10,000 Appliance Vent Furnace - up to 100,000 btu Gas Outlets 1-4 Minimum/Adjustment Mechanical + l0Yo Administrative Fee + 7%o State Surcharge Add, Alter, Extend Circ Minimum/Adj ustment Electrical Total Amount Paid Amount Paid $10.00 $4.50 $3.1s $8.00 $6.00 $12.00 $4.00 $1s.00 $4.s0 $3.15 $43.00 $2.00 $11s.30 10t28t04 10128t04 t0t28t04 10t28t04 10128t04 10t28t04 10128104 10t28t04 tu3t04 tu3t04 tu3t04 tu3t04 Receipt Number 1200400000000001525 1200400000000001525 1200400000000001525 1200400000000001s2s 1200400000000001525 1200400000000001525 1200400000000001525 1200400000000001s2s 1200400000000001561 1200400000000001561 1200400000000001s61 1200400000000001561 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. Gas Service: After line is installed and line has been connected to a minimum of one appliance including required testing. Presure test done at this point. 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. Renrrired Insnecfions Paee 2 of3 F Status Issued 225 Fifth Street, Springlield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2004-01337ISSUED: 1012812004APPLIEDz 1012812004EXPIRES: 05/03t2005 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 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone -'+y of Springfield Oflicial Receipt - cvelopment Services Department Public Works Department RECEIPT #: 1200400000000001561 Date: 1110312004 1:40:02PM Job/Journal Number coM2004-01337 coM2004-01337 coM2004-01337 coM2004-01337 Description Add, Alter, Extend Circ Minimum/Adj ustment Electrical + lYo State Surcharge + l0% Administrative Fee Amount Due 43.00 2.00 3.ls 4.50 Item Total:$s2.6s Payments: Type of Payment Paid By CheckNumber Authorization Received By Batch Number Number How Received Amount Paid Check DIXON ELECTRIC djb I 178 In Person $52.65 PaymentTotal: -$ffif tt/3/2004 Page 1 of I ffix;un 225 FIFTH STREET . SPRINGFIELD, OR97477 o PH:(541)726-3 E LECTRICAL P ERMIT APP LICATION 753 o FAX: (541)72 City JobNumber C()wtzooq, - Ot3'S'?Date I (%o LOCA'TION AF INSTALLATION 3. COMPLE'nE I;EEI LEGAL DESCRIPTIONlac3z6 A. New Residentiat 7,/l s wlo i tll,oo Service Included 1000 sq. ft. or less Each additional500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder JOB DESCRIPTION t:L Permits are non-transferable and expire if work is - not started within 180 days of issuance or if work is Suspended for 180 days. 2. 00}rTRACTOR TNSTALIATTON ONLY Electrical Contractor Address City ttaL Supervisor License Number Expiration Date itr-l *Zoo 7 Constr. Contr. Number B. Services or Feeders - Installation, 200 Amps or less ?6 201 Amps to 400 Amps 401 Amps to 600 Amps phone 41 ; -z,a (/Ouio' t"fltffiitlffi*- Reconnect Only $ 63.00 $ 7s.00 $ 12s.00 $ 163.00 $375.00 $ s0.00 $l $50.00 $ 43.00 $ 3.00 Temporary Services or Feetlers Installation, Alteration or Relocation 200 Amps or less $ 50.00 201 Amps to 400 Amps $ 69.00 401 Amps to 600 Amps $100.00 Expiration Date 6-of C. a-t of Supervising Electrician ame { Over 600 Amps or 1000 Volts see "B" above. D. Branch Circuits New Alteration or Extension Per Panel 1<,0(' ', -..Address ll /\L"q sJ- One Circuit Each Additional Circuit or with Service or Feeder Permit fol ow 4 Ciry OWNER INSTALLATION The installation is being made on properry I own which is not intended for sale, lease or rent. Owners Signature: Pho"e l4u.qftDt Xo?trodurirGgrds Th SiWou8ir{blf,'$ftil& .00 .00 .00 .00 $45 + Surcharges tn Limited Minimum 4. SLTBTOTAL OF ABOVE 7o/o State Surcharge l0% Administrative Fee TOTAL 3' Ll to )b)t-Inspection Request: 726-37 69 Shared Drive(T:)/Building Forms/Electrical Permit Application [-03.doc Reloc:rtion: tt\ )bc.<z? rules are set L ol tFrsrutes the teieph€'F€ F 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: COM2004-01337ISSUED: 1012812004APPLIED: 1012812004EXPIRES: 0412812005 VALUE: SITE ADDRESS: 1175 6TH ST ASSESSOR'S PARCEL NO.: 1703264311600 PROJECT DESCRIPTION: Gas furnace with ac Springfield 10 TYPE OF WORI(: Heating System TYPE OF USE: New Residential PhoneNumber: 541-Owner: Address: HELEN MCCHESNEY 1I75 6TH ST SPRINGFIELD $o Contractor Type Mechanical # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-3 Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: VN # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: Yo ofLot Coverage: License 96878 nla Expiration Date 021171200s Phone 541484.2286 Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARIflNG Total: Handicapped: Compact: $ Per Sq Ft or multiplier Square Footage or Bid Amount Total Value of Project )PMENT INFORMATION Description Type of Construction ., VaIue Date Calculated * 1H\S AU1 ANY 180 DAY N0"t Valuation Description I 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: COM2004-01337ISSUED: 1012812004APPLIEDz 1012812004 EXPIRESz 0412812005 VALUE: Fee Description -Mechanical Issuance Fee- + l0/o Administrative Fee + loh State Surcharge Air Handling Unit Up to 10,000 Appliance Vent Furnace - up to 100,000 btu Gas Outlets 1-4 Minimum/Adj ustment Mechanical Total Amount Paid Amount Paid $10.00 $4.s0 $3.15 $8.00 $6.00 $12.00 $4.00 $15.00 $62.65 Date Paid 10t28t04 10t28t04 10t28t04 10t28t04 10t28t04 10t28t04 10t28t04 10t28t04 Receipt Number r200400000000001525 1200400000000001525 1200400000000001525 1200400000000001s2s 1200400000000001s25 1200400000000001525 1200400000000001s2s 1200400000000001525 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. Gas Service: After line is installed and line has been connected to a minimum of one appliance including required testing. Presure test done at this point. 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 construction. Owner or Signature Paee2 of2 Date /14tr-ot{ li ees rato Kequrreo lnsDecrrons 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone City of Springfield Official Receipt ^- :velopment Services Department Public Works Department RECEIPT #: 1200400000000001525 Date: 1012812004 10:40:14AM Job/Journal Number coM2004-01337 coM2004-01337 coM2004-01337 coM2004-01337 coM2004-01337 coM2004-01337 coM2004-01337 coM2004-01337 Description + 7o/o State Surcharge + l0% Administrative Fee Furnace - up to 100,000 btu Air Handling Unit Up to 10,000 Appliance Vent Gas Outlets 1-4 -Mechanical Issuance Fee- Minimum/Adj ustment Mechanical Amount Due 3. l5 4.50 12.00 8.00 6.00 4.00 10.00 15.00 Item Total:$62.6s Payments: Type of Payment Paid By CheckNumber Authorization Received By Batch Number Number How Received Amount Paid Check CRYSTAL CLEAN AIR INC djb 8199 In Person $62.65 Payment Total: -56ffi t0/28t2004 Page I of I IDTT'TAA