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Home My WebLink AboutPermit Mechanical 2003-05-21rF 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: COM2003-00392ISSUED: 0512112003 APPLIEDT 0512112003EXPIRES: 1112812003 VALUE: SITE ADDRESS: 1305 7TH ST Springfield TYPE OF WORK: Heating System ASSESSOR'S PARCEL NO.: 1703264308501 TYPE OF USE: New Residential PROJECT DESCRIPTION: Install heat pump, air handler and duct work Owner: BRITNEy ANDERSON Address: 1305 ?TH ST SPRINGFIELD OR 97477 PhoneNumber: 541-726-0491 Contractor Tvpe Electrical Mechanical Owner Contractor KS ELECTRIC COMFORT FLOW BRITNEY ANDERSON Expiration Date t2t3012004 06t2712003 Phone 54t-686-6236 54t-726-0100 54t-726-0491 License 70889 460 qe s'J# of Buildings: 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: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: oh of Lot Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: >" \t REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: Downspouts/Drains: Notes: Paee 1 of3 L 10 'r$ UUI\ Ii(ALTUI( 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: COM2003-00392ISSUED: 0512112003APPLIEDz 0512112003 EXPIRESz 1112812003 VALUE: Description Type of Construction $ Per Sq Ft Total Value of Project Date Paid Value Date Calculated Receipt Number r200200000000001277 120020000000000t277 1200200000000001277 1200200000000001277 1200200000000001277 r200200000000001277 2200200000000000938 2200200000000000938 2200200000000000938 2200200000000000938 Square Footage Fee Description -Mechanical Issuance Fee- + l0o/o Administrative Fee + lYo State Surcharge Air Handling Unit Up to 10,000 Heat Pump Minimum/Adj ustment Mechanical + l0oh Administrative Fee + 77o State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Total Amount Paid Amount Paid $10.00 $4.50 $3.15 $8.00 $12.00 $25.00 $4.60 $3.22 $43.00 $3.00 $116.47 sl2u03 st2u03 stzu03 st2U03 stzu03 512u03 5t28t03 st28t03 5t28t03 5t28t03 ['ees Paid 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. I Rough Mechanical: Prior to Cover 2 Final Mechanical: When all mechanical work is complete. 3 Rough Electric: Prior to Cover 4 Finat Electric: When all electrical work is complete. nsneefions Pase 2 of3 q Valuation Descrintion 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: COM2003-00392ISSUED: 0512112003APPLIEDz 0512112003 EXPIRESz 1112812003 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 70f .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 Pase 3 of3 225 Fifth Street Springfield, Oregon 97 477 541-72G3759 Phone CitY of SPringfield Development Services DePartment Public Works DePartment Oflicial Receipt , Receipt #z 2200200000000000938 Date: 05/28/2003 coM2003-00392 coM2003-00392 coM2003-00392 coM2003-00392 + 7Yo State Surcharge + l0%o Administrative Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add 3.22 4.60 43.00 3.00 Item Total: o Payments: Check KS ELECTRIC djb In Person Payment Total: s3.82 5/28/2003 l0:55:00AM Page I of I cReceipt.rpt ( -$ffi the lollowing land use225 FIFTH STREET . SPRINGFIELD, OR97477 o PH:(541)726-3753 ELECTRICAL PERMITAPPLICATION approvar city Job Number C@t zec3 -ci)3 ? Z Date os L ro 3 Zonins LEGAL DESCRIPTION l7o s z6\3 o aso {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 JOB DESCRIPTION Permits are non-transfera and expire if work is ) 3 -o $106.00 $ 19.00 $50.00not started vvithin 180 days of issuance or if work is Suspended for 180 days. Electrical Conffactor Address 0. O 13+>/??3 /l.n2oo Amps or less 201 Amps to Amps 401 Amps olts 7o/o State Surcharge 10% Administrative Fee TOTAL c 5 e $ 63.00 $ 7s.00 $ 12s.00 $ 163.00 s37s.00 $ 50.00 City Supervisor License Nurnber Expiration Date Constr. Contr. Number Expiration Date Signature of Supervising Electrician pnon" (*b'62J / o 3 Owners Name Address /3O5 ?hrrr,1 city qt 'Phone ? ZZ 'O--u- OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: 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 D. Eoo L(7 rgto 7 Pump or irrigation $ s0.00 Sign/Outline Lighting $ 50.00 Limited Energy/Residential $ 2s.00 Limited EnergyiCommercial $ 45'00 Minimum Electric Permit Inspection Fee is $45.00 * Surcharges 4L 3vz .)JU T6a 53 8Z Inspection Request: 726-37 69 4. Shared Drive(T:)/Building Forms/Electrical Permit Application 1-03.doc CITYOF OREGON. I {I}rS'IHf-,LA}]f OIII A. Ncw Residcntial - Single ar Multi:Fanily per drvelling unit. TIIST:{II,ArION OA'I,Y B.Sen'iees or Feeders - hxtallatiou, Alteratiotts or Retrocation: ,Ternpcrarl,or Feeders: Branch Circuits New -Each \s1 oI,dF,ave' 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: COM2003-00392ISSUED: 0512112003 APPLIEDz 0512112003 EXPIRESz lll2ll2003 VALUE: SITE ADDRESS: 1305 7TH ST Springfield TYPE OF WORJ(: Heating System ASSESSOR'S PARCEL NO.: 1703264308501 TYPE OF USE: New Residential PROJECT DESCRIPTION: Instalkl heat pump, air handler and duct work Owner: Address: BRITNEY ANDERSON 1305 7TH ST SPRINGFIELD OR 97477 PhoneNumber: 541-726-0491 Contractor Type Mechanical Owner Contractor COMFORT FLOW Expiration Date 06t27t2003 Phone 54r-726-0100 54t-726-0491 License 460 CONTRACTOR INFORMATION BRITNEY .;tu9u-D' # of Buildings: 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: No Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: REQUIRED PARI(NG \t Type: Downspouts/Drains: R-3 VN oo9\Heat: Energy Path: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: %o of Lot $t nu*u" Street Improvements: Storm Sewer Available: Special Instruction: Notes: \, o Square FootageDescription Type of Construction $ Per Sq Ft Page 1 of2 Value Date Calculated ib -I r\1 iY o((the c rca{rot nn-3 t-il,v[L(rr1Yl-111\ t 11\t'\rr(]vrAr[LrN I Valuation Description I FIELD Building/C ombination Permit F Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2003-00392ISSUED: 0512112003APPLIEDz 0512112003 EXPIRES: lll2ll2003 VALUE: Fee Description -Mechanical Issuance Fee- + l0oh Administrative Fee + 7%o State Surcharge Air Handling Unit Up to 10,000 Heat Pump Minimum/Adj ustment Mechanical Total Amount Paid Amount Paid $10.00 $4.s0 $3.15 $8.00 $12.00 $25.00 $62.6s Total Value of Project Date Paid st2u03 5t2il03 st2u03 5t2u03 512u03 st2u03 Receipt Number 1200200000000001277 1200200000000001277 1200200000000001277 1200200000000001277 r200200000000001277 1200200000000001277 ees Paid 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. I Rough Mechanical: Prior to Cover 2 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 OCCUPAI\CY 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 located at the front of the property, and the approved set of plans will remain on the site at all times during Reou or Pase2 oI2 Date I 225 Fifth Street Springfield, Oregon 97 477 54l-726-3759 Phone City of Springfield Development Services Department Public Works Department Official Receint Receipt #z 12002000000000 0127 7 Date: 0512112003 coM2003-00392 coM2003-00392 coM2003-00392 coM2003-00392 coM2003-00392 coM2003-00392 Check Air Handling Unit Up to 10,000 Heat Pump Minimum/Adj ustment Mechanical -Mechanical Issuance Fee- + 7Yo State Surcharge + l0o/o Administrative Fee 8.00 12.00 25.00 10.00 3. l5 4.50 Item Total:$62.6s PaymeDt!:' COMFORT FLOW djb In Person Payment Total: 62.6s $62.6s 5lzt/2003 l0:52:58AM Page I of I cReceipt.rpt