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Home My WebLink AboutPermit Mechanical 2004-05-06Status 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: COM2004-00530ISSUED: 0510612004APPLIED: 05i0612004EXPIRESz 1lllll2004 VALUE: SITE ADDRESS: 2232 9TH ST ASSESSORTS PARCEL NO.: 1703261201011 PROJECT DESCRIPTION: Install heat pump and air handler Springfield TYPE OF WORK: Heating System TYPE OF USE: New Residential Owner: Address: PURCELLYICTORE & DONNA 2232N 9TH ST SPRINGFIELD OR 97477 Phone Number: 541-726-5098 License Expiration Date Phone 25790 12t23t2005 541-747-7445 Contractor Tvpe Electrical Mechanical Contractor OWNER MARSHALLS INC CONTRACTOR INFORMATION # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: SETBACKS Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: # ofStories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: %o ofLot Coverage: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: R-3 VN REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: Downspouts/Drains: DEVELOPMENT INFORMATION PUBLIC IMPROVEMENTS Notes: Page 1 of3 I' U I I,UII\ U 11\ T1 (-,I(IYIA I IL'I\ 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: COM2004-00530ISSUED: 0510612004APPLIED: 05/0612004EXPIRES: llllll2004 VALUE: Description Tvpe of Construction Fee Description -Mechanical Issuance Fee- + l0%o Administrative Fee + 77o State Surcharge Air Handling Unit Up to 10,000 Heat Pump Minimum/Adj ustment Mechanical + l0oh Administrative Fee + 7oh State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Total Amount Paid Total Value of Project Date Paid Value Date Calculated Receipt Number 12004000000000006s7 1200400000000000657 r200400000000000657 1200400000000000657 12004000000000006s7 1200400000000000657 1200400000000000707 1200400000000000707 1200400000000000707 1200400000000000707 $ Per Sq Ft or multiplier Square Footage or Bid Amount Amount Paid $10.00 $4.s0 $3.1s $8.00 $12.00 $25.00 $4.60 $3.22 $43.00 $3.00 $116.47 st6t04 st6t04 st6t04 st6t04 5t6t04 st6t04 5nu04 strU04 smt04 snu04 Fpps 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. 2 Rough Mechanical: Prior to Cover I Final Mechanical: When all mechanical work is complete. 3 Rough Electric: Prior to Cover 4 Final Electric: When all electrical work is complete. Reouired Insnections Paee 2 of3 Valuation Descrintion I Status Issued 225 Fifth Street, Springfield, OR 54l-726-3753 Phone 541-726-3676Fax 541 -7 26-37 69 Inspection Line Building/C ombination Permit PERMIT NO: COM2004-00530ISSUED: 0510612004APPLIED: 05/0612004EXPIRESt llllll2004 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 (>-tt^o{1 Owner or Contractors Signature Date Paee 3 of3 \ 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone rity of Springfield Official Receipt ;velopment Services Department Public Works Department RECEIPT #: 1200400000000000707 Date: 0511112004 8:22:35AM Job/Journal Number coM2004-00530 coM2004-00530 coM2004-00530 coM2004-00530 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 7o/o State Surcharge + l0o/o Administrative Fee Amount Due 43.00 3.00 3.22 4.60 Item Total:$53.82 Payments: Type of Payment Paid By CheckNumber Authorization Received By Batch Number Number How Received Amount Paid Check VICTORE PURCELL dlm 511 In Person $53.82 Payment Total: -SSET 5ltt/2004 Page I of 1 rarxal{r,.e 225 FIFTII STREET . SPRINGFIELD, OR97477 o PII:(541)726-3753 r FAX: (541)726-3689 E LECTRI CAL P E RMIT AP P LI CATI O N Ihe following project as City Job Number Ml t q'3D zonjng, and doos not require specific Date approval sFatr?r s* *i, a*c Eila*:) $s0.00 $ r 06.00 s r9.00 1. LEGAL DESCRIPTION -/70 " 3 Auth0rized A. B. C. JOB DESCRIPTION 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 THIS PE 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 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps to 1000 Amps Amps/Volts Only Installation, Alteration or Relocation City s s0.00 $ 69.00 $100.00 $ 63.00 $ 7s.00 sl2s.00 $ 163.00 $37s.00 s s0.00 $43.00 43 !: Amps Amps or 1000 Volts see "B" above. or Extension Per Panel Each Additional Circuit or with Service or Feeder Permit Pump or irrigation Sign/Outline Lighting Limited Energy/Residential Supervisor License Nuinber Expiration Constr Date in OAB 952-001-0010 through copies Signarure of Supervising ptectrfrdling the center. (Note:tE number for the Oregon UtilitY Center is 1-800-332-2 . iollo'uv rules adcPted bY the O Number ffiserule LL E. l-' Owners Name Address (d ciry piroo" *lA4fSCq8 OWNER INSTALLATION The installation is being made on properly I own which is not intended for sale, lease or rent. Limited Energy/Commercial $ 45'00 Minimum Electric Permit Inspection Fee is $45'00 * Surcharges 2-L 7o/o State Surcharge l0% Administrative Fee TOTAL 6? / $€'tro--o. $ s0.00 $ 50.00 $ 2s.00 3z & X"Sffi'[ ]*-* Inspection Request: 726-3769 4. Shared Drive(T:)/Building FonnsiElectrical Pennit Application l-03'doc land use 1vul-[w../ OR COM ANY,4 80 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: COM2004-00530ISSUED: 0510612004APPLIED: 05/0612004 EXPIREST 1110612004 VALUE: SITE ADDRESS: 2232 9TH ST ASSESSOR'SPARCELNO.: 170326f20f011 PROJECT DESCRIPTION: Install heat pump and air handler Springfield TYPE OF WORI(: Heating System TYPE OF USE: New Residential Ou'ncr: pURCELL yICTOR E & DONNA Acldrcss: 2232N 9TH ST SPRINGFIELD OR 97477 PhoneNumber: 541-726-5098 Contractor Type l\{echl nical Contractor MARSHALLS INC Expiration Date 12t23t2005 Phone 541-747-7445 License 25790 CONTRACTOR INFORMATION # of Units: # of Stories: Primary Occupancy Group: R-3 Height of Structure ffix1;.I"ffIx:,[filfr$H' * ilr#:i]ff:' sccondary ConstruTti6$ ?ffirllT SHALL EXPIRE A"IU€ty0fiK # of Bedrooms: AUTH0RIZED UNDER THIS PERMfE{9+tSI COMMENCED (]R IS AEANDTJ|IED FOR SETBACKS Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: Frontl'ard Setback: Side 1 Setback: Side 2 Setback: Rcarl'ard Setback: Solar Sctbacks: Street Storm Spccil Notcs: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: u'r,Zbt1,?$Coverage: you to $ Per Sq Ft or multiplier Square Footage or Bid Amount Sidewalk Type: Downspouts/Drains: REQUIRED PARI(NG Total: Handicapped: Compact: Total Value of Project Pagel oI2 Description Type of Construction Value Date Calculated ''"tl&l*D .l, t ult trll\u ll\rur(lYlAIltJl\ Valuation Description I Building/Combination Permit Status Issued 225 Fillh Street, Springfield, OR 541-'726-3753 Phone 511-726-3676Fax 541 -7 26-37 69 Inspection Line PERMIT NO: COM2004-00530ISSUED: 0510612004APPLIED: 05/0612004EXPIRES: 1110612004 VALUE: Fees Paid Amount Paid Date Paid Receipt Number 12004000000000006s7 1200400000000000657 1200400000000000657 1200400000000000657 12004000000000006s7 12004000000000006s7 Fcc Dcscription -II cc hanical Issuance Fee- + 70"h Administrative Fee + 7"/o State Surcharge Air llandling Unit Up to 10,000 IIcat Pump NI i n i rnum/Adjustment Mechanical Total Amount Paid $10.00 $4.s0 $3.15 $8.00 $12.00 $25.00 st6t04 516t04 st6t04 5t6t04 5t6t04 5t6t04 $62.65 Plan Reviews To Request an inspection call the24 hour recording at 726-3769. AII 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 da)'. 1 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 Springlield 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 furthcr agree to ensure that all required inspections are requested at the proper time, that each address is readable from the strcct, 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 timcs during construction. On'ncr or Contractors Signature Page 2 of 2 Date ,:iFlXl*S & Keoulreo InsDecnons 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone 6u+y of Springfield Official Receipt relopment Services Department Public Works Department RECEIPT #: 1200400000000000657 Date: 0510612004 tt:27:40ANt Job/Journal Nunrber coM2004-00s30 coM2004-00530 coM2004-00530 coM2004-00s30 coM2004-00s30 coM200.1-00s30 Description + 7%o State Surcharge + l0% Administrative Fee Air Handling Unit Up to 10,000 Heat Pump Minimum/Adjustment Mechanical -Mechanical Issuance Fee- Amount Due 3.15 4.50 8.00 12.00 25.00 10.00 Item Total:$62.6s Paymcnts: Type of Payment Paid By CheckNumber Authorization Received By Batch Number Number How Received Amount Paid Check MARSHALLS INC djb 1799t In Person $62.65 Paymenttotal: ffi 5t612004 ffia' Page I of I