The URL can be used to link to this page

Home My WebLink AboutPermit Mechanical 2004-08-17Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax S4l-7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2004-01021ISSUED: 0811712004APPLIEDI 0811712004 EXPIRESz 0310712005 VALUE: SITE ADDRESS: 247016TH ST ASSESSOR'S PARCEL NO.: 1703243402800 PROJECT DESCRIPTION: Install heat pump and air handler Owner: EVANS JACK D & DALE J Address: 2470 N 16TH SPRINGFIELD OR 97477 Springfield TYPE OF WORK: Heating System TYPE OF USE: New Residential Contractor Type Electrical Mechanical # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Contractor JOSEPH BUNCH ELECTRIC INC MARSHALLS INC R-3 VN F \a'tt ot' Expiration Date 08t2u2007 t2t23t2005 Phone 541-344-8745 541-747-7445.OO\ o tfte Sprinkled Building:nla 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: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: 1 s$1 s REQUIRED PARIflNG Total: Handicapped: $ Per Sq Ft or multiplier Square Footage or Bid Amount DEVELOPMENT INFORMATION Description Type of Construction Page 1 of2 Value Date Calculated \t \S \s0 Valuation Description Building/C ombination 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: COM2004-01021ISSUED: 0811712004APPLIED: 08/1712004 EXPIRESz 0310712005 VALUE: Fee Description -Mechanical Issuance Fee- + l0Yo Administrative Fee + 7Yo State Surcharge Air Handling Unit Up to 10,000 Heat Pump Minimum/Adj ustment Mechanical + l0o/o 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 1200400000000001224 1200400000000001224 1200400000000001224 1200400000000001224 1200400000000001224 1200400000000001224 1200400000000001317 1200400000000001317 1200400000000001317 1200400000000001317 $10.00 $4.50 $3.1s $8.00 $12.00 $2s.00 $4.90 $3.43 $43.00 $6.00 8n7t04 8fi7t04 8n7104 8t17104 8fi7t04 8n7t04 9t&t04 9t8t04 9t8t04 9t8t04 $1r9.98 Plan Reviews To Request an inspection call the24 hour recording at 726-3769. All inspection requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY wilt be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. Reouired Insnections Owner or Contractors Signature Pase2 of2 Date [}-l rees ralo 225 FIFTH STREET . SPRINGFIELD, OR97477 . PH:(541)726-3753 r FAX: (54 E LE CTRI CAL P ERMTT AP P LI CATI O N City Job Number aturpal - aoLl Date Alo | 6fc- s+ LEGAL DESCRIPTION t7c:3 zL(3Y OZKO- JOB DESCRIPTION _t,fR Permits are non-transferable and expire if work is r not started within 180 days of issuance or if work is Suspended for 180 days. ,{4 t Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder Alteration or Relocation sFrra!tutrFrt:!LD 8$ $19 $s0.00 s 50.00 $ 69.00 s100.00 1 3. A. -S (- t {z<-v. 7 B. \-CIS€ $ 63.00Electrical Contractor 200 Amps or less 201 Amps to 400 Amps s 75,00 Address 66 u:i lla,rtn b f 401 Amps to 600 Amps $125.00 Ciry Phone Supervisor License Expiration Date Constr. Contr. Number Expiration Date of o theto(\e1 o*rJ*N"-" T^.-t._ et/*N\ less 400 Amps 600 Amps Over 600 or 1000 Volts see "B" above. S New Alteration or Extension Per Panel. one circuit e'*vu r " ^ *i $ 43.00 '{ 3 3:S,*iTi::i|,'x."#1,"'** z $3.00 L, Address 'Ztl,l O I /-tL s D. E. City S},=\ Phone OWNER INSTALLATION The installation is being made on property I own is not intended for sale, lease or rent. Owners Signature: Pump or irrigation Inspection Fee is $45.00 + Surcharges \7 jLt) Ll ?u S;1 3 t 7% State Surcharge 10% Administrative Fee TOTATInspection Request: 726-37 69 Shared Drive(T:/Building Forms/Electrical Permit Application I -0i.doc Amps to 1000 Amps 1000 Amps/Volts Only -8 $ 50.00 $ s0.00 $ 25.00 s 45.00 \)N 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone ^rty of Springfield Official Receipt _ Jvelopment Services Department Public Works Department RECEIPT #: 1200400000000001317 Date: 0910812004 8:21:58AM Job/Journal Number coM2004-01021 coM2004-01021 coM2004-01021 -coM2004-01021 Description + 7%o State Surcharge + l0% Administrative Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Due 3.43 4.90 43.00 6.00 Item Total:$s7.33 Payments: Type of Payment Paid By CheckNumber Authorization Received By Batch Number Number How Received Amount Paid CreditCard JOSEPH BUNCH djb 306910 In Person Payment Total: $s7.33 -sffi 91812004 Page I of 1 6PIIINGFIELD F Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fa'x 541-7 26-37 69 Inspection Line Building/C ombination Permit PERMIT NO: COM2004-01021ISSUED: 0811712004APPLIED: 08/1712004 EXPIRES: 0211712005 VALUE: SITE ADDRESS: 247016TH ST ASSESSOR'S PARCEL NO.: 1703243402800 PROJECT DESCRIPTION: Install heat pump and air handler Owner: EVANS JACK D & DALE J Address: 2470 N 16TH SPRINGFIELD OR 97477 Contractor Type Mechanical 0R \S NB 1 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Springfield TYPE OF WORI(: Heating System TYPE OF USE: New Residential N R-3 VN License 25790 nla Expiration Date 12t23t2005 Phone 541-747-7445 # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Overlay # Street Paved o/o of Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: $ Per Sq Ft or multiplier rs Square Footage or Bid Amount Sidewalk Type: Downspouts/Drains: PARJilNG Valuation Descriotion Description Type of Construction Total Value of Project Value Date Calculated .T \[}- You 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: COM2004-01021ISSUED: 0811712004APPLIEDz 0811712004 EXPIRESz 0211712005 VALUE: Fee Description -Mechanical Issuance Fee- + l0o 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 $.rs $8.00 $12.00 $25.00 $62.65 Date Paid 8n7t04 8n7104 8n7t04 8tr7l04 8n7t04 8tr7l04 Receipt Number 1200400000000001224 1200400000000001224 1200400000000001224 1200400000000001224 1200400000000001224 1200400000000001224 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. By signaturer l 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. Dateor Contractors Signature Pase2 of2 r ees raro I t(eourreo lnspecttons I 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone rity of Springfield Official Receipt ivelopment Services Department Public Works Department RECEIPT #: 1200400000000001224 Date: 0811712004 12:01:32PM Job/Journal Number coM2004-01021 coM2004-01021 coM2004-01021 coM2004-01021 coM2004-01021 coM2004-01021 Description + 7o/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:$62.65 Payments: Type of Payment Paid By Check Number Received By Batch Number Authorization Number How Received Amount Paid Check MARSHALLS INC djb 18145 In Person $62.65 Payment Total: -$6ffi 8/17/2004 Page I of 1 SPFu{.3FlrLO