HomeMy WebLinkAboutPermit Mechanical 2007-05-03LD
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-7 26-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2007-00581ISSUED: 0510312007
APPLIEDT 0412012007
EXPIRES: l1l0312007
VALUE:
SITE ADDRESS: 177 19TH ST
ASSESSOR'S PARCELNO.: 1703364201100
PROJECT DESCRIPTION: Heat pump and air handler
TYPE OF WORK: Heating System
TYPE OF USE: New
Springfield
Residential
Owner:
Address:
PhoneNumber: 541-747-6861DAVID ANDERSON
177 N 19TH ST
SPRINGFIELD OR 97477
Contractor Type
Electrical
Mechanical
Contractor
C PERKINS ELECTRIC INC
MARSHALLS INC
License
159537
25790
Expiration Date
04n512008
12t2312009
Phone
s4t-895-4466
54t-747-7445
# 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:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
oh oILot Coverage:
otths Garage/Carport
Load:
R-3
YB
nO
REQUIRED PARKING
Total:
Handicapped:
Compact:
E\FIH V{OBK
COMM
ANY 1
ENCED
BO DAY PER\0D' Downspouts/Drains:
OR \S
Notes:
Page I of3
,1ffi"*}
uuN IKAULuK rNluryJ
to
lst Floor:
2nd Floor:
qnt&
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-126-3676 Fax
541-726-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2007-00581ISSUED: 05103/2007APPLIED: 04/2012007
EXPIRES: 1110312007
VALUE:
Description Type of Construction
Fee Description
+ l0oh Administrative Fee
+ 5olo Technology Fee
+ 87o State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
-Mechanical Issuance Fee-
+ 1006 Administrative Fee
+ 57o Technology Fee
+ 87o State Surcharge
Air Handling Unit Up to 10,000
Heat Pump
Minimum/Adj ustment Mechanical
Total Amount Paid
Total Value of Project
Date Paid
513t07
st3t07
5t3107
513t07
513101
sn0t07
5n0t07
sn0t07
5tr0l07
sn0t07
5n0t07
5n0t07
Value Date Calculated
Receipt Number
2200700000000000644
2200700000000000644
2200700000000000644
2200700000000000644
2200700000000000644
1200700000000000555
1200700000000000555
1200700000000000555
1200700000000000s55
1200700000000000555
1200700000000000ss5
1200700000000000555
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Amount Paid
$4.60
$2.30
$3.68
$43.00
$3.00
$10.00
$4.s0
$2.25
$3.60
$8.00
$12.00
$2s.00
$121.93
Fees Pa
Plan Reviews
To Request an inspection call the 24 hour recording at 726-3769. All inspections 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.
Reouired Insnections
Paee 2 of3
Valuation Descrintion I
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37 69 lnspection Line
Building/Combination Permit
PERMIT NO: COM2007-00581ISSUED: 0510312007APPLIED: 04120/2007
EXPIRES: l1l0312007
VALUE:
By signature, I state and agree, that I have carefully examined the completed application and do hereby certiff 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.
n ?/o-o1
Owner or Contractors Signature Date
Page 3 of3
225 Fifth ttreet
Springfiel ., Oregon 97477
541-726-3759 Phone
Cibr of Springfield Official Receipt
L ,lopment Services Department
Public Works Department
RECEIPT #: 1200700000000000555 Date: 0511012007 l:46:13PM
Job/Journal Number
coM2007-00581
coM2007-00s81
coM2007-00581
coM2007-00581
coM2007-00581
coM2007-00s81
coM2007-00581
Description
+ 5oZ Technology Fee
+ 8% State Surcharge
+ llYo Administrative Fee
Air Handling Unit Up to 10,000
Heat Pump
M inimum/Adj ustment Mechanical
-Mechanical Issuance Fee-
Amount Due
2.25
3.60
4.50
8.00
12.00
25.00
10.00
Item Total:$65.35
Payments:
Type ofPayment Paid By
CheckNumber Authorization
Received By Batch Number Number How Received Amount Paid
Check MARSHALLS INC djb t9798 In Person
Payment Total:
$65.3 5
-ffiF
cReceint I Page I of I 5n012007
*rHf,'ttn
City of Springfield
Upon review and approval by your local iurisdiction, your
permit will be e-mailed or faxed within one business day,
with instructions on how to schedule your inspection.
NOTE: This Authorization To Begin Work expires within 180
days if a permit is not obtained.
The local building department may determine that an
Authorization To Begin Work is null and void if it does not
meet applicable land use laws and local ordinances'
-.dctrical Authorization To Begin Work
E-mailed To: stacic.perkins@hotmail.com
Check on status of permit
By Phone: (541)7 26-37 53 or Email : permitcenter@ci.sprin glield.or.us
OfSpringfield I
Receint # 8C510942
5t3/2007 fi
fl$/
Technology Fee
l-l New construction E Addition/alteration/replacement
I t or 2 family dwelling J-l uulti-family l-l Commercial / Industrial
Job no.Jobaddress: 177 I9THST
City/State/ZIP: SPRINGFIELD, OR 97477-5002
Suite/bldg./apt. no.:Start out gorng SOUTH on 5TH ST toward A ST
Cross street/directions to job site:
Subdivision:Lot no.:
Tax map/parcel no.r 1703364201100
Name: ANDERSON
Phone: (541) 747-6861 Fax:
Email
El. lic. no.: 20-521C CCB lic.no.: 159537
Business Name: C PERKINS ELECTRIC INC
Contact: staci
Address: POBOX ll93
City/State/ZIP: CRESWELL OR 97426
Phone: 54 I 8954466 Fax: 5418954366
Email: stacic.perkins@hotmail.com
Metro lic no.:City lic no.:
Supervising electrician's lic. no.: 29705
Supervising electrician's name: CLYDE I PERKINS
Description Qty.Ea.Total
1,000 sq. ft. or less
Ea. addl 500 sq. ft. or portion
- Limited energy, residential
(with above sq. ft.)
energy, multifamily
residential with above
,tt.""ttrrrA
200 amps or less
201 amps to 400 amps
401 amps to 599 amps
200 amps or less
rrs installati
201 amps to 400 amps
40'l amps to 599 amps
ffi
A. Fee for branch circuits with
above service or feeder fee,
each branch circuit.
ri 0R extenS
$43.00I$43 00B. Fee for branch circuits
without service or feeder fee,
first branch circuit;
each addl branch crrcuit
Service reconnect only
$3.00 $3 00
Each manufactured or modular
dwelling, service and/or feeder
Pump or irrigation circle
Sign or outline lighting
offered online at this jurisdiction
00Subtotal
s3.68State
fees *s6.90City Of S
PERMIT FEE
This Authorization To Begin Work must be posted at the job site until replaced by a Permit.
WPE OF WORK
CATEGORY OF CONSTRUCTION
JOB SITE INFORICIATION ANq LOCATION
DESCRIPTION OF WORK
2 CIRC FOR HEAT PUMP MARS}IALLS TOOK MECHANICAL
SITE CONTACT
CONTRACTOR
FEE SCHEDULE
Residrntiat SINGLf,- OR multi-family dwelling unit. Includes
attached garage
I
Misc*llaneous
Signal circuit(s) or Iimited-
energy panel, alteration, or
extension.
ELEGTRICAL PERMIT FEES
TO'IAL
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-7 26-37 69 Inspection Line
Building/C ombination Permit
PERMIT NO: COM2007-00581ISSUED: 0510312007
APPLIEDz 0412012007EXPIRES: 11/0312007
VALUE:
SITE ADDRESS: 177 l9TH ST
ASSESSOR'S PARCELNO.: r703364201100
PROJECT DESCRIPTION: Heat pump and air handler
TYPE OF WORK: Heating System
TYPE OF USE: New
Springfield
Residential
Contractor Type
Electrical
Mechanical
DAVID ANDERSON
I77 N 19TH ST
SPRINGFIELD OR 97477
Phone Number: 541-747-6861
Contractor
C PERKINS ELECTRIC INC
MARSHALLS INC
License
159537
25790
Expiration Date
04nst2008
12t23t2009
Phone
541-895-4466
541-741-7445
# 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:
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:
R-3
VB
nla
REQUIRED PARKING
Total:
Handicapped:
Compact:
Sidewalk Type:
Downspouts/Drains:
DEVELOPMENT INFORMATION
PUBLIC IMPROVEMENTS
Notes
Page I of3
q!il*Frfit*If
ffi.,
Owner:
Address:
Lt l\ I|(AL
|,U ILI-'II\G T1\T UKVTA T TUNI
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37 69 Inspection Line
CITY F
Buildin g/C ombination Permit
PERMIT NO: COM2007-00581ISSUED: 0510312007
APPLIEDz 0412012007EXPIRES: 11/0312007
VALUE:
Valuafion I)escrintion
Description Type of Construction
Fee Description
+ l0oh Administrative Fee
+ 57o Technology Fee
+ 87o State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Total Amount Paid
Total Value of Project
Date Paid
513/07
5t3t07
5t3t07
5t3t07
5t3107
Value Date Calculated
Receipt Number
2200700000000000644
2200700000000000644
2200700000000000644
2200700000000000644
2200700000000000644
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Amount Paid
$4.60
$2.30
$3.68
$43.00
$3.00
$s6.s8
E'ees Pe
Plan Reviews
To Request an inspection call the24 hour recording at 726-3769. All inspections 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 of3
"-:
Keouired lnsDecttons I
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2007-00581ISSUED: 0510312007APPLIED: 04/2012007EXPIRES: 11/0312007
VALUE:
By signature, I state and agree, that I have carefully examined the completed apptication 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 properfy, and the approved set of plans will remain on the site at all
times during construction.
Owner or Contractors Signature Date
Paee 3 of 3
h
225Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
y of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT#: 2200700000000000644 Date: 0510312007 t2:07:44PM
Job/Journal Number
coM2007-00581
coM2007-00581
coM2007-00581
coM2007-0058r
coM2007-00581
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 8% State Surcharge
+ l\Yo Administrative Fee
+ 57o Technology Fee
Amount Due
43.00
3.00
3.68
4.60
2.30
Item Total:$56.58
Payments:
Type ofPayment Paid By Received By
Check Number
Batch Number
Authorization
Number How Received Amount Paid
ONLINE CHGS ONLINE PERMIT CHGS ddk ONLINE C Perkins Online
Payment Total:
$56.58
-$s6-35.
cReceint I Page I of I 51312007