HomeMy WebLinkAboutPermit Mechanical 2005-06-15F
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: COM2005-00736ISSUED: 06/1.52005APPLIED: 06/1512005
EXPIRESz 0110712006
VALUE:
SITE ADDRESS: 2361 8TH ST
ASSESSOR'S PARCELNO.: 1703261201206
PROJECT DESCRIPTION: Install heat pump and air handler
Springfield TYPE OF WORI(: Heating System
TYPE OF USE: New
Owner:
Address:
Contractor Tvpe
Electrical
Mechanical
DEBORAII HAWORTH
2361 8TH ST
SPRINGFIELD OR 97477
Expiration Date
08t2u2007
12t231200s
Residential
Phone
541-344-8745
541-747-7445
PhoneNumber: 541-335-5043
Contractor
JOSEPH BUNCH ELECTRIC INC
MARSHALLS INC
License
15676t
25790
# 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:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
R-3
VN
nla
Sidewalk Type:
Downspouts/Drains:
PUBLIC IMPROVEMENTS
Notes:
Page I of3
L:]
:D Ul
EDO
IHIS PERMIT IS NO
BANDONED FOR
I' U ILI-'II\ U I].\ -T TJI(YIA T TUN J
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: COM2005-00736ISSUED: 0611512005APPLIED: 06/1512005EXPIRES: 0110712006
VALUE:
Description Tvpe of Construction
Fee Description
-Mechanical Issuance Fee-
+ l0o/o Administrative Fee
+ 77o State Surcharge
Air Handling Unit Up to 10,000
Heat Pump
Minimum/Adj ustment Mechanical
+ l0Yo Administrative Fee
+ 77o 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
2200500000000000773
2200500000000000773
2200500000000000773
2200500000000000773
2200500000000000773
2200500000000000773
2200500000000000892
2200500000000000892
2200500000000000892
2200s00000000000892
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Amount Paid
$10.00
$4.50
$3.1s
$8.00
$12.00
$2s.00
$4.60
$3.22
$43.00
$3.00
$116.47
6/15/05
6tr5t05
6nst05
6n5t05
6lt5t05
6/1s/05
717105
7t7t05
7t7t05
717105
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.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Paee 2 of 3
LLi
Valuation Descrintion
Keourred InsDecfions 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: COM2005-00736ISSUED: 0611512005APPLIED: 06/15/2005
EXPIRESz 0110712006
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
Paee 3 of3
"\
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
City of Springfield Official Receipt
rvelopment Services Department
Public Works Department
RECEIPT #: 2200500000000000892 Date: 0710712005 10:10:11AM
Jab/Journal Number
coM2005-00736
coM2005-00736
coM2005-00736
coM200s-00736
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 7Yo State Surcharge
+ l0% Adminishative 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
CreditCard JOSEPH BLINCH ELECTRIC ddK 252910 In Person $53.82
Payment Total:
-5SBT
1)
7t71200s Page I of 1
rm.e
\
{
land use
225 FIFTH STREET . SPRINGFIELD, OF.g7477 o PH:(541)726'3753 ' FAX: (54
ELE CTRI CAL P ERMIT AP P LI CATI ON
City Job Number 7N5-(.Date Ws(ktll;r
3. COMPLETE T'EE SCHEDLiLE BELOIY
A. New Residential - Single or Nlulti-Farnily per drvelling unil
I
rr,iurrzeo $ignat
l7 03 1,b t\- olTD b
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.
o,t,/lono- br
$ r 06.00
$ 19.00
$s0.00
s 63.00
$ 75.00
s125.00
$163.00
$375.00
$ s0.00
50.00
69.00
TIbo.oo
)01-
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
B.,
Electrical eb,:r
City € auXUt-t Phone 3'/rr7{{
Supervisor License Number 4z arl-s C.'Temporary Services or Feeders
Expiration Date tC -0(!Installation, Alteration or Relocation
Address
Constr. Contr. Number /{67lt i
Expiration Date ic -{7
Electrician
Owners Name
Address
City pnn"ffi-5O*3
OWNER INSTAILATION
The installation is being made on property I own which
is not inteuded for sale, lease or rent.
Owners Signature
law
bY th
rff{Rtdngmnose ruleslGT{f
reouires You tg
e cireoonTltist
1"ptre$6$d?&
of cr
$,Extension Per Panel
$ 43.00 4Z@
Service or Feeder Permit
Circuit or with t $ 3.oo V-qEach
dts is 1-8(
ABAVE
'vicei feeder ltot ilcluded) -Each lnstallation
:
Pump or irrigation
Sign/Outline Lighting
$ 50.00
$ s0.00
Limited Energy/Residential $ 25.00
Limited Energy/Commercial $ 45'00
Minimum Electric Permit Inspection Fee is $45.00 * Surcharges
SUBTOTAL OF 4b-eo
6?.XL
7Vo State Surcharge
10% Administrative Fee
TOTALInspection Request: 726-37 69
4.
Shared Drive(T:/Building Fonns/Electrical Permit Application l -03'doc
suhmiueo J IAJ
fhe
200 Amps or less
201 Amps to 400 AmPs
401 Amps to 600 AmPs
601 Amps to 1000 AmPs
Over 1000 Amps/Volts
Reconnect OnlY
LEGAL DESCRIPTION
I
4.?rL--1.oo
Building/Combination Permit
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-7 26-37 69 Inspection Line
PERMIT NO: COM2005-00736ISSUED: 06/ts/2oos
APPLIED: 06/15/2005EXPIRES: 12/15/2005
VALUE:
SITE ADDRESS: 2361 8TH ST
ASSESSOR'S PARCEL NO.: 1703261201206
PROJECTDESCRIPTION:Installheatpumpandairhandler
Springlield TYPE OF WORK: Heating System
TYPE OF USE: New
PhoneNumber: 541-335-5043
Contractor TYPe
Mechanical
Contractor
MARSHALLS INC
Expiration Date
1212312005
Residential
Phone
541-747:7445
Owner:
Address:
DEBORAH HAWORTH
2361 8TH ST
SPRINGFIELD OR 97477
License
25790
# of Units:
PrimarY OccuPancY GrouP:
SecondarY OccuPancY
Primary
Secondary
# of Bedrooms:
5R
g5z
o
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
RearYard Setback:
Solar Setbacks:
Street ImProvements:
Storm Sewer Available:
Special Instruction:
Notes:
nla-
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/CarPort
Sq Ft Other:
Occupant Load:
\s
REQUIRED PARKING
Total:
HandicaPPed:
Compact:
OverlaY Dist:
# Street Trees Rqd:
Paved Drive Rqd:
Yo ofLot Coverage:
NU\Sidewalk TYPe:
DownsPouts/Drains:
$ Per Sq Ft
or multiPlier
Square Footage
or Bid AmountDescriPtion TYPe of Construction
Pase 1 of2
Value Date Calculated
lsf-5[[,;D kun
uu
toYi$'l;; DhY PEti'u"
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: COM2005-00736ISSUED: 06/15/2005APPLIED: 06/15/2005EXPIRES: 1211512005
VALUE:
Fee Description
-Mechanical Issuance Fee-
+ l0o/o Administrative Fee
+ 7o/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
$3.1s
$8.00
$12.00
$2s.00
$62.65
Total Value of Project
Date Paid
6n5t0s
6lt5t05
6nstos
6fistos
6lt5l05
6/15/05
Receipt Number
2200s00000000000773
2200s00000000000773
2200s00000000000773
2200500000000000773
2200500000000000773
2200500000000000773
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.
Reouired Insnections
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.
--1 z- -z',, /' ^' 7t2-z <- ,-'-/1;'s2-- Z. - Z C --s> a?
Owner or Contractors Signature
Pase2 of2
Date
L rLl
Fees rard I
225 Fifth Street
Spr: rglield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
velopment Services Department
Public Works Department
RECEIPT #: 2200500000000000773 Date: 0611512005 1:51:54PM
Job/Journal Number
coM2005-00736
coM2005-00736
coM200s-00736
coM200s-00736
coM2005-00736
coM2005-00736
Description
+ 7%o State Surcharge
+ l0% Administrative Fee
Air Handling Unit Up to 10,000
Heat Pump
Minimum/Adj ustrnent Mechanical
-Mechanical Issuance Fee-
Amount Due
3. l5
4.50
8.00
12.00
25.00
r0.00
Item Total:$62.65
Payments:
Type of Payment Paid By
CheckNumber Authorization
Received By Batch Number Number How Received Amount Paid
Check MARSHALLS INC djb 18662 In Person
Payment Total:
s62.6s
-$6-2^6-f
,{
6/15/200s Page I of I
H5a;3.O
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