HomeMy WebLinkAboutPermit Mechanical 2003-08-13B uil ding/Com bin ation Permif
Status Issued
225 Fifth Street, SPringfield, OR
541-726-3753 Phone
541-726-3676Ftx
541-7 26-37 69 InsPection Line
PERMIT NO: COM2003-00691ISSUED: 08/13/2003
APPLIED: 08/0112003
EXPIRESz 0211512004
VALUE:
SITE ADDRESS: 519 16TH ST
ASSESSOR'SPARCELNO.: 1703362407000
PROJECT DESCRIPTION: Install heat pump and air handler
Owner: FARNSWORTH KENNEY M & BONNIE
Address: 519 N 16TH ST SPRINGFIELD OR 97477
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New Residential
Contractor TyPe
Electrical
Mechanical
Contractor
OWNER
HOME COMFORT HEATING & AIR
Expiration Date Phone
0612512007 s4l-34s-2838
License
84164
tt)
# of Buildings:
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:
R-3
VN
Floor:
arport
iurface Area:
REQUIRED PARKING
Total:
Handicapped:
Compact:
# Street Trees Rqd:
Paved Drive Rqd:
Yo oflot Coverage:
$l
1
Notes:
Pase 1 of3
_5
# of Stories:
Height of
Type of
Floor:
\s0
r0$
0R
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: COM2003-00691ISSUED: 08/13/2003APPLIED: 08/0112003
EXPIREST 0211512004
VALUE:
Description Tvpe of Construction
Fee Description
-Mechanical Issuance Fee-
+ l0%o Administrative Fee
+ 7Yo State Surcharge
Air Handling Unit Up to 10,000
Heat Pump
Minimum/Adj ustment Mechanical
+ lOoh Administrative Fee
+ 7o/o State Surcharge
Add, Alter, Extend Circ
Minimum/Adj ustment Electrical
+ l0o/o Administrative Fee
+ 7o/o State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Total Amount Paid
Total Yalue of Project
Date Paid
Value Date Calculated
Receipt Number
1200200000000001894
1200200000000001894
1200200000000001894
1200200000000001894
1200200000000001894
120020000000000r894
2200200000000001377
2200200000000001377
2200200000000001377
220020000000000r377
1200200000000002011
12002000000000020r1
r200200000000002011
1200200000000002011
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Amount Paid
$10.00
$4.s0
$3.1s
$8.00
$12.00
$25.00
$4.50
$3.1s
$43.00
$2.00
$4.60
$3.22
$43.00
$3.00
8/5/03
8/5/03
8/s/03
8/s/03
8/5/03
8/5/03
8n2t03
8n2t03
8lt2t03
8n2t03
8t22t03
8t22t03
8t22t03
8t22t03
$169.12
tr'pps Peid
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 Final Electric: When all electrical work is complete.
Renuired Insnections
Paee 2 of3
a
Valuation Descrintion
F
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: COM2003-00691ISSUED: 08/13/2003APPLIED: 08/0112003
EXPIREST 0211512004
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
Pase 3 of3
225 Fifth Street
Springfield, Oregon 97 477
541-72G3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department ,
12002 Date:I4PM
coM2003-00691
coM2003-00691
coM2003-00691
coM2003-00691
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 7Yo State Surcharge
+ l0%o Administrative Fee
43.00
3.00
3.22
4.60
Item Total:
-sstsType of Payment Paid By Received By Batch Number Authorization Number How Received Amount Paid
Check ROBS ELECTRIC djb In Person
Payment Total:$s3.82
$53.82
?ISFIFTHSTREET . SPRINGFIELD, OR 97477 . PH:(s41)726-3753 o F
ELECTRICAL PERMIT APPLICATI ON
City Job Number CO ottzoo'3.-cl5 bI I Date Z
1.
5t7 /6+t^
LEGAL DESCRIPTION
l-7o3 3 L'Z.V O "7oo o
A.
approval
Zoning
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
601 Amps to 1000 AmPs
Over 1000 Amps/Volts
Reconnect Only
Cne Circuit
Eaeh Additional Circuit or with
Service or Feeder Permit
d has the tol,owing
tequte specific land use
t1>
s 106.00
$ 19.00
s 63.00
s 75.00
$ 12s.00
$ 163.00
$375.00
$ s0.00
)0-33??!$13'oo q )
/ $3.00 ,3
JOB DESCRIPTION
\+\ Z c,
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 zt ts-
,?rLs El"-/r,L
oil,b S /-
City fr-7e-t^<-Phone lrd rlqy
Superuisor License Number v 7 qv s
Expiration Date lo *0/ - o'/
Constr. Contr. Number %-H(, /Ln
Expiration Date ?-Lf- ol
Signature of Supervising Eiectrician
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 see "B" above,
New Alteration or Extension Per Panel
B.
C
D.
A,/
Owners Name (t1/ft*''19LJL<?-r *
5/? \b*L s+-E.Address
City s Pf u Phone
OWNER INSTALLATION
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:
numffiffi€tqm,if SHALI
s ierd[tJ{id
r *rett{* U N I i.
L t,tt+'iiii+itfi €nCIltpt I Il-imitedtirsilCblddr&Aiu" $ 4s'00
hlt I ?-
Minimum Electric Permit Inspection Fee is $45.00 * Surcharges
L/6
7%o State Surcharge
i0% Administrative Fee
3ZZ
TOTAL 53 8L
$ s0.00
$ 2s.00
v6e
Inspection Request: 726'37 69
4.
Shared Drive(T:),tsuilding Forms,{Electricai Permit Application l-03'doc
5
3.
$50.00
rd-
rules I
{g.om1-
.-<.
tsltH$laFlELD CitY of SPringfield'' Development Services Departrnent
Community Services Division, Building Safety
541-726-3759 Phone
541-726-3676Fax
March 26,2004
FARNSWORTH KENNEY M & BONNIE
519 N 16TH ST
SPRINGFIELD, OR 97477
Date Pertnit Issued:811312003
Permit Number:coM2003-00691
Location:519 16TH ST
Project Description:Install heat pump and air handler
Dear Permit Holder:
Recently, our office sent you a letter notifying you that your permit(s) was about to expire.
Because you did not contact us to request an inspection or to call us to veriff that progress has
continued to be made on the project, your permit(s) has expired. This letter is a reminder that
the above referenced permit(s) expired on2ll5l2004. Please contact our office at Springfield
City Hall, 225 Fifth Street, Springfield, Oregon between 8:00 a.m. and noon or between 1:00
p.m. and 3:00 p.m. Monday through Friday, excluding holidays prior to continuing work on
your project. There are additional permit fees that are due in order to complete your project.
Sincerely,
Lisa Hopper
Building Safety Supervisor
City of Springfield
225 Fifth Street Springfield, OR97477
541-726-3759 Phone
541-726-3676Fa,x
January 02,2004
FARNSWORTH KINNEY M & BONNIE
519 N I6TH ST
SPRINGFIELD OR 97477
Job Number:
Location:
coM2003-00691
5I9 16TH ST
Project:Install heat pump and air handler
Dear Permit Holder:
The Springfield Building Safety Code Administrative Code provides that in order for apermit to
remain valid, the work which has been authorized by the permit must begin wthin 180 days of the date
of issuance, and an inspection must be requested at least every 180 days.
According to our records, you obtained a permit for a project at 519 16TH ST which is set to expire on
211512004. Our records indicate that you have not requested an inspection within the past five (5)
months. This letter is written to notiff you that your permit(s) will be expiring shortly. If you are ready
to request an inspection for your project, please phone the inspection line at 541-726-3769. If you do
not request an inspection prior to the expiration date, your permit(s) will expire and additional permit
fees will be required in order to complete your project.
If you have any questions, please feel free to phone me at 541-726-3790.
Sincerely,
Lisa Hopper
Building Safety S upervisor
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: COM2003-00691ISSUED: 08/05/2003APPLIED: 08/0112003EXPIRES: 0210512004
VALUE:
SITE ADDRESS: 51916TH ST
ASSESSOR'S PARCELNO.: 1703362407000
PROJECT DESCRIPTION: Install heat pump and air handler
Owner: FARNSWORTH KENNEy M & BONNIE
Address: 519 N 16TH ST SPRINGFIELD OR 97477
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New Residential
Contractor Type
Mechanical
Contractor
HOME COMFORT HEATING & AIR
License
84164
Expiration Date
06t2512007
Phone
541-345-2838
CONTRACTOR INFORMATION
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Rqd:
Drive Rqd:
o/o of Lot Coverage:
u.s1
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
\rN
SETBACKS
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
REQUIRED PARKING
Total:
Handicapped:
\e $o*$"'
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
\t
Type:
Total Value of Project
Paee I of2
Description Type of Construction Value Date Calculated
.I}'GFIELD
l, U lr-[rll\ rJ 11\ r UI{IYTryJ
\
Frontyard
Side I Setback:
Side 2 Setback:
Rearyard
Solar Setbacks:
Valuation Description I
F
Building/Combination Permit
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Rax
541-7 26-37 69 Inspection Line
PERMIT NO: COM2003-00691ISSUED: 08/05/2003
APPLIED: 08/0112003
EXPIRES: 02/0512004
YALUE:
Fee Description
-Mechanical Issuance Fee-
+ l0o Administrative Fee
+ 77o 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
Date Paid
8/5/03
8/5/03
8/5/03
8/5/03
8/5/03
8/s/03
Receipt Number
1200200000000001894
1200200000000001894
1200200000000001894
120020000000000r894
120020000000000r894
1200200000000001894
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 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
,tr-s-o3
Reouired Insnections
Owner or
Pase2 of2
Date
rcL
lieelriuq l
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department ,
Receipt #: 1200200000000001894 Date:08/0s/2003 10:32:50AM
Amount Paid
coM2003-00691
coM2003-00691
coM2003-00691
coM2003-00691
coM2003-00691
coM2003-00691
+ 7%o State Surcharge
+ lUYo Administrative Fee
Air Handling Unit Up to 10,000
Heat Pump
Minimum/Adjustment Mechanical
-Mechanical Issuance Fee-
Item Total:$62.6s
3. l5
4.50
8.00
12.00
25.00
10.00
Payments:
Type of Payment Paid By Received By
Check Number
Batch Number Authorization Number How Received Amount Paid
Check HOME COMFORT djb In Person
Payment Total:
$62.65
$62.6s
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-36768ax
541 -7 26-37 69 Inspection Line res uiu
Owner:
Address: 519 N 16TH ST SPRINGFIELD OR 97477
Building/Combination Permit
TYPE OF WORK: Heating System
TYPE OF USE: New Residential
N0TICE: License Expiration Date Phone
lhffi P E R M 1il4$&$ L L E XP I R E d6/I#f0U{U ii K s4r-34s-2838
Contractor Type
Electrical
Mechanical
Contractor
OWNER
HOME COMFORT HEATING &
IS ABaNDOIJED FOR
+orsto#$Y 180 DII PIFiiuJ, Lotsize:# 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:
R-3
VN
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
oh of Lot Coverage:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Sidewalk Type:
Downspouts/Drains:
Notes:
Paee I of3
PROJECT
PERMIT NO: COM2003-00691ISSUED: 0811212003APPLIED: 08/0112003
EXPIRES2 0111212004
VALUE:
Springfield
cuN'lr(AUrur( rNr(ryJ
Building/Combination Permit
Status Issued
225 Fifth Street, Springfield, OR
54l-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
PERMIT NO: COM2003-00691ISSUED: 0811212003APPLIED: 08/0112003
EXPIRESz 0111212004
VALUE:
Description Type of Construction
Fee Description
-Mechanical Issuance Fee-
+ l0Yo Administrative Fee
+ 77o State Surcharge
Air Handling Unit Up to 10,000
Heat Pump
Minimum/Adj ustment Mechanical
+ l0o/o Administrative Fee
+ 77o State Surcharge
Add, Alter, Extend Circ
Minimum/Adj ustment Electrical
Total Amount Paid
Total Value of Project
Date Paid
Value Date Calculated
Receipt Number
1200200000000001894
1200200000000001894
1200200000000001894
1200200000000001894
1200200000000001894
r200200000000001894
2200200000000001377
2200200000000001377
2200200000000001377
2200200000000001377
$ 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.s0
$3.15
$43.00
$2.00
$115.30
8/5/03
8/5/03
8/5/03
8/s/03
8/5/03
8/5/03
8n2t03
8n2t03
8n2t03
8n2t03
tr'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.
1 Rough Mechanical: Prior to Cover
2 Final Mechanical: When all mechanical work is complete.
3 Rough Electric: Prior to Cover
4 Final Electric: When all electrical work is complete.
Reouired Insnecfions
Page 2 of 3
Yafuation Oescrintioil
ITY
Building/Combination Permit
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Rax
S4l-7 26-37 69 Inspection Line
PERMIT NO: COM2003-00691ISSUED: 0811212003APPLIED: 08/0112003
EXPIRESz 0111212004
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
Pase 3 of3
T
225 FIFTH STREET . SPRINGFIELD, OR97477 o
City Job Number
PH: (54r)726-3753 o FAXe (SIDIYTr.E@ assb
zonirig. ahd does nol requl re specific land use
Zoning
3. COXLPLET'E
Authorized
A. New Residential - Single or Nlulti-Farrrily per drvelling unit.
I INST'ALI-A?'IOAT
mitted has the tollowing
$ r 06.00
$ r9.00
LEGAL DESCRIPTION
i70 3 31*2 o 7(x:'c'
JOB DESCRIPTION
8k.{c icnl r fle
Pernrits are non-transferable and expire if rrork is
not started nithin 180 da1's of issuance or if tork is
Suspended for 180 davs.
2. co,\r?lRAcroR rArsTl4rI-ArION O-lirr
Electrical Contractor
Address
City Center is 1 -80Gfih?E -234a\
Service Included
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
Each Manufact'd Home or
401 Amps to 600 Amps
601 Amps to 1000 Amps
Over 1000 Amps/Volts
Reconnect Only
One Circuit
Each Additional Circuit or with
Service or Feeder Permit
B.
Vt
$125.00
$ 163.00
$37s.00
$ s0.00
$ s0.00
$ 69.00
$ 100.00
Supervisor License Number ,.1'\'f
Installation, Alteration or Relocation
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
Over 600 Amps or 1000 Volts see "B" above.
D. Branch Circuits
New Alteration or Extension Per Panel
Expiration Date l)
Constr. Contr. Number
Expiration Date
Signature of Supervising Electrician
>J_ $ 43.00
$ 3.00
,b 06
Owners Name
Address 5tq l(
fu'n","Q(4./332
E. l\{iscellaneous
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Residential
Limited Energy/Commercial
Minimum Electric Permit Inspection Fee is $45.00 + S
4. SUBTOTALOFABOW
7o/o State Surcharge
l0% Administrative Fee
(Service/feeder not inclutled) -Each lnstallatiou
$ s0.00
$ s0.00
$ 2s.00
$ 45.00
urcharges
-1/3 q)
0
Cify
OWNER INSTALLATION
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:
aAlOt{-)
Inspection Request: 726-3769 rorA,. 4 5?^G 7
. Shared Driv(T:)/Building Forrns/Electrical Pennit Applicatio" l-03 d(.Vi5j
fftrTY*ii$F ORflGtr)N
3-
.5lq t(,* 5.1-( nQ
C. Temporar-v Services or Feeders
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 0811212003
coM2003-00691
coM2003-00691
coM2003-00691
coM2003-00691
Add, Alter, Extend Circ
Minimum/Adj ustrnent Electrical
+ 7Yo State Surcharge
+ lOoh Administrative Fee
Item Total:$52.65
43.00
2.00
3.15
4.s0
Payments:
Type of Payment Paid By Received By
Check Number
Batch Number AuthorizationNumber lfowReceived Amount Paid
CreditCard BONME FARNSWORTH nJm 00139 471995 In Person
Payment Total:
$s2.65
$s2.6s