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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