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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