HomeMy WebLinkAboutPermit Mechanical 2003-06-13FIELD
Building/Combination Permit
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Ftx
541-1 26-37 69 Inspection Line
PERMIT NO: COM2003-00502ISSUED: 0611312003APPLIED| 06/13/2003
EXPIRESz 1211312003
YALUE:
SITE ADDRESS: 825 19th St
ASSESSOR'SPARCELNO.: 1703361206500
PROJECT DESCRIPTION: Install heat pump
Owner: TETER pATRICIA L
Address: PO BOX 1228 SPRJNGFIELD OR 97477
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New Residential
Contractor Type
Electrical
Mechanical
Owner
Contractor
RALPH W BROWN
LARRY DEAN MCGINNIS
TETER PATRICIA L
License
63137
51813
Expiration Date
02fl5t2004
10t09t2006
Phone
541-729-1500
541-928-0460
CONTRACTOR INFORMATION
G INFORMATION
# 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:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
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:
Impervious Surface Area:
R-3
VN
REQUIRED PARJilNG
Total:
Handicapped:
Compact:
(.t\'gc\"
^o
Sidewalk Type:
Downspouts/Drains:
DEVELOPMENT INFORMATION
Page 1 of3
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Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2003-00502ISSUED: 06113t2003APPLIEDz 06t13t2003EXPIRESz 1211312003
YALUE:
Description Tvpe of Construction $ Per Sq Ft Square Footage Value Date Calculated
Receipt Number
1200200000000001s28
1200200000000001528
1200200000000001s28
1200200000000001528
1200200000000001528
1200200000000001s28
r200200000000001s28
Fee Description
-Mechanical Issuance Fee-
+ l0yo Administrative Fee
+ loh State Surcharge
Add, Alter, Extend Circ
Heat Pump
Minimum/Adjustment Electrical
Minimum/Adjustment Mechanical
Total Amount Paid
Amount Paid
$10.00
$9.00
$6.30
$43.00
$12.00
$2.00
$33.00
$11s.30
Total Value of Project
Date Paid
6fi3t03
6n3t03
6n3t03
6fl3t03
6t13t03
6lt3t03
6n3t03
tr'ees Paid
Plan Reviews
To Request an inspection call the24 hour recording at 726-3769. AII 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.
Reorrired Insnecfions
Pase 2 of3
Valuation Description I
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: COM2003-00502ISSUED: 0611312003APPLIED: 06/1312003
EXPIRESz 1211312003
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 is located at the front of the property, and the approved set of plans will remain on the site at all
times
or Signature Date
Pase 3 of 3
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
City of Springfield
Development Services Department
Public Works Department
Official Receipt
Receipt #z 120020000000000 I 528 Date: 0611312003
coM2003-00502
coM2003-00502
coM2003-00s02
coM2003-00502
coM2003-00502
coM2003-00502
coM2003-00s02
Heat Pump
Minimum/Adj ustment Mechanical
-Mechanical Issuance Fee-
Add, Alter, Extend Circ
Minimum/Adj ustment Electrical
+ 7%o State Surcharge
+ l0%o Administrative Fee
12.00
33.00
10.00
43.00
2.00
6.30
9.00
Item Total:$115.30
Check
Check
LARRY MCGINNIS
LARRY MCGINNIS
djb
djb
In Person
In Person
Payment Total:
52.65
62.6s
$115.30
coM2003-00502
coM2003-00502
coM2003-00502
coM2003-00502
coM2003-00502
coM2003-00502
coM2003-00502
Heat Pump
MinimumiAdj ustment Mechanical
-Mechanical Issuance Fee-
Add, Alter, Extend Circ
Minimum/Adj ustment Electrical
+ 7o/o State Surcharge
+ lUoh Adminishative Fee
12.00
33.00
10.00
43.00
2.00
6.30
9.00
Item Total:$115.30
Check
Check
LARRY MCGINNIS
LARRY MCGINNIS
djb
djb
In Person
In Person
Payment Total:
s2.6s
62.65
$rr530
611312003 l:44:17PM Page I of I cRcceipt.rpt
ffi*
City of Springfield
225 Fifth Street, Springfield, OR 97477
541-726-3759 Phone
541-726-3676Ftx
December 02,2003
TETER PATRICIA L
PO BOX 1228
SPRINGFIELD
Job Number:
Location:
oR 97477
coM2003-00502
825 19th Sr
Project:Install heat pump
Dear Permit Holder:
The Springfield Building Safety Code Administrative Code provides that in order for a permit 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 825 19th St which is set to expire on
1211312003. Our records indicate that you have not requested an inspection within the past five (5)
months. This letter is written to notify 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 S afety Supervisor
\s,
225 FIFTH STREET
INSPECTION REQUEST I i 26-37 69
OFFICE. 726-315t)
1 LOCATIOI.i OF INSTALLATION,. , 'i'
LEGAL
17
ONZ
Multi-Family per drlelling unit.
Sen'icc Included:
Items Costf\T<)C
$ I06.00
180 days.
2. CONTRACTOR INST
EIectrical' Contractor
Address
Phone
ration Date
R INSTALLATION
property I olvn rvltich is not intended
for sale, lease or rent.
or Feeder
B. Serl'ices or Feeders
oa\e
e^fi'-Instrrllation,
Relocirtion:
Alterttions
200 amps or less
201 anips to 400
401 amps
601 autps
1000
"B" abo\te
D. Branch Circuits
Neu or Extension Per
Each Additional Circuit or l'ith S
or Feeder Perurit
E. i\Iiscelllneou.s (Scn'ice/lccder not includctl)
-Each installation
Putnp or irrigation
Sign/Outline Ligltting
Lintited Errergl',Res
Liruited Energry'Cornnl
-
$ 3.oo --
$50.00
$50.00
$25.00
$+5.00
Nlinimunr Electric Permit Insllcction Fee i
J. SUBTOTALOFABOVE
7%o State Surchitrgc
I 7o Administratil'e Fee
@ * S.rcSirrgcstti
3'f
On'rtcrs Signitttrre
TOTAL b SZ*
BELOW
$ r 9.00Permits are