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Home My WebLink AboutPermit Mechanical 2004-05-05Building/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: COM2004-00521ISSUED: 0510512004APPLIED: 05/0512004EXPIRES: 11/0512004 VALUE: SITE ADDRESS: 425 24TH ST ASSESSOR'SPARCELNO.: 1703361410800 PROJECT DESCRIPTION: Install gas pipe and gas heat stove Owner: IRONWOOD ACQUISITIONS INC Address: 3028 ASHLEY LOOP EUGENE OR 97405 Springfield TYPE OF WORJ(: Heating System TYPE OF USE: New Residential Contractor Type Mechanical Contractor J LOGUE GAS WORI(S INC License t47ttt Expiration Date 03/06/2005 Phone 54r-345-7599 )R INF'ORMATION # of Units: Primary Occupancy Secondary Occupancy Primary Construction Secondary saflls1[,# of Bedrooms: 0S.ttburry obtiltt fimb.fbt SETBACKS Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: NOTICE: Street Improvemenfg,g pEBMIT Storm Sewer Availa[[f{l{0RlzE$ I Special Instruction: 60MMENCED Notes: ANY 180 DAY SHALL EXPIRE IF THE WOR Ul\lOTN THIS PERMIT IS NO OR IS ABANDONEO FOR PERIOD. REQUIRED PARKING Total: Handicapped: Compact: Ccrtt r # of Stories: hrtl $roElophonc Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: o/o of Lot Coverage: T Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: $ Per Sq Ft or multiplier Square Footage or Bid Amount Sidewalk Type: Downspouts/Drains: Total Value of Project Page I of2 PUBLIC Description Type of Construction Value Date Calculated t-m I, u tt-ull\ (, I I\ rt rJr(rYrry..l h Valuation Description I Building/C ombination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-726-37 69 Inspection Line PERMIT NO: COM2004-00521ISSUED: 0510512004APPLIED: 05/0512004EXPIRES: l1l0512004 VALUE: F ees Pa Fee Description -Mechanical Issuance Fee- + l0o Administrative Fee + 7oh State Surcharge Gas Fireplace Gas Outlets 1-4 Minimum/Adj ustment Mechanical Total Amount Paid Amount Paid $10.00 $4.50 $3.15 $1s.00 $4.00 $26.00 $62.6s Date Paid 5t5104 5tsl04 5t5t04 515104 5lsl04 515104 Receipt Number 12004000000000006s3 12004000000000006s3 1200400000000000653 1200400000000000653 12004000000000006s3 12004000000000006s3 Plan Reviews To Request an inspection call the24 hour recording at 726-3769, All inspection requested before 7:00 a.m. wilt be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. I Gas Service: After line is installed and line has been connected to a minimum of one appliance including required testing. Presure test done at this point. 2 Rough Mechanical: Prior to Cover 3 Final Mechanical: When all mechanical work is complete. Reouired Insnect By signaturer l 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. )"1-9, @/;i6{^fi"Signature Pase2 of2 Date (-('DY 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone 1-:ty of Springlield Official Receipt ._ *relopment Services Department Public Works Department RECEIPT #: 12004000000000006s3 Date: 0510512004 1:26:58PM Job/Journal Number coM2004-00521 coM2004-00521 coM2004-00s21 coM2004-00521 coM2004-00521 coM2004-00521 Description Minimum/Adj ustrnent Mechanical -Mechanical Issuance Fee- + lYo State Surcharge + l0% Administrative Fee Gas Outlets l-4 Gas Fireplace Amount Due 26.00 10.00 3. ls 4.50 4.00 15.00 Item Total:$62.65 Payments: Type of Payment Paid By rc Received By Batch Number Authorization Number How Received Amount Paid Check J LOGUE GAS WORKS rNC djb 22tt In Person $62.65 Payment Total: -$6r3,t 5/5/2004 Page I of I r.rlI,S{r.E 225 FI}TH STREET SPRINGFIELD, OR 97177 o GHCrA06,il6ftqecr as submitted has the foilowing zoning, and does not require specific land use approval. zonins .LDfZ a PH:(541)726-3753 r o'Lt)a FAX L1 E LE CTI(I CAL P E RM IT AP P LICATI O N City Job Number &)vvrzaoq - oo 2?L/ out" l. LACA:IION OF INSTALIIIT'IONLtZ"{ /u1{-'u.- sl LEGAL DESCzuPTION i703361 4 I O{oo JOB DESCzuPTION Za-o'+ s,v /Z- c- Permits are non-transferable and expire if work is not started u'ithin 180 days of issuance or if work is Suspended for 180 days. 2. : CONTRACTOr. INSTALLATIAN ONLY Electrical Contractor Address Q.o lS,-n ?rv 3. COMPLET'E ITEE $-a -o Authorized Signature A. New Ilesidentiat - Single or N'lulti-Family per dwelling unit. 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 $ 106.00 n 4)'r4 c t 4<- 0Z pion- t3 2- t LiL- 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 201 Amps to 400 Amps 401 Arnps to 600 Amps Pump or irrigation Sign/Outline Lighting Limited Energy/Residential 10% Administrative Fee TOTAL $ 19.00 s50.00 $ 63.00 $ 75.00 $ 125.00 $ 163.00 $375.00 $ 50.00 $ 69.00 $ 100.00 Ciry SupervisorLicenseNumber 3e >3 5 C Expiration Date 5 o-1 Constr. Contr. Number 20 * 5>-O L Expiration Date /?oL O'f Signature of Supervising Electrician Installation, Alteration or Relocation 200 Amps or less $ 50.00 nat )0gn//'3L Address qB.,l P.itet- V ie,,l R/,tl E. city SPtr N Phone OWNER INSTALLATION The installation is is not intended for Owners Signature: $ s0.00 $ s0.00 $ 25.00 $ 4s.00 Installation ?1 Fee is $45.00 * Surcharges L7) 7?,iisgInspection Request: 726-3769 Shared Dlive(T:)/Building ForrnsiElectrical Perrnit Application l -03.doc B. Seivices or Feetlers - Installation, Alterations or Reloc:rtion: I L._ t:€i..,b) see "B" above. D. Branch you to 952-OO_ $ 43.00 lL $ 3.oo n uti A ealllno the, owners Name L-C t Z&6ef* S(ts'ff ANY ro" -' . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2004-00294ISSUED: 0311712004APPLIEDz 0311712004 EXPIRES:. 0911712004 VALUE: SITE ADDRESS: 425}4THST ASSESSOR'S PARCEL NO.: 1703361410800 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New Residential Owner: Address: ELIZABETH SCOTT 434 RIVERVIEW BLVD SPRINGFIELD OR 97477 Contractor Type Electrical Contractor TIIINK ELECTRIC Expiration Date 02mt2005 Phone 541-232-1212 License 154326 ffi # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: 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 o(€ As )gonWater Type: Range Type:rrJ\ SETBACKS Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Energy Path: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: Yo ofLot Coverage: \S r0R $ Per Sq Ft or multiplier Square Footage or Bid Amount Sidewalk Type: Downspouts/Drains: REQUIRED PARJ<ING Total: Handicapped: Compact: Total Value of Project Page I of2 Description Type of Construction Value Date Calculated -r \L}-Building/Combination Permit PROJECT DESCRIPTION: 200 amp service and 12 circuits Valuation Descrintion I \\\S FIELD Buildin g/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: COM2004-00294ISSUED: 0311712004 APPLIEDT 0311712004EXPIRES: 0911712004 VALUE: F ees Pa Fee Description + l0o Administrative Fee + 7Yo State Surcharge Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 200 amps or less Total Amount Paid Amount Paid Date Paid 3n7t04 3n7t04 3n7t04 3n7104 $9.90 $6.93 $36.00 $63.00 Receipt Number 22004000000000002s7 2200400000000000257 2200400000000000257 2200400000000000257 $115.83 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 Electric: Prior to Cover 2 Electric Service: Approval required prior to utility company energizing service. 3 Final Electric: When all electrical work is complete. Reouired Insnect 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 Pase2 of2 -I 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone City of Springfield Official Receipt Development Services Departmqnt Public Works Department Receipt #: 2200400000000000257 Drtgt 0311 2004 3:08:3:PM coM2004-00294 coM2004-00294 coM2004-00294 coit/{2004-00294 + 7%o State Surcharge + l0o Administrative Fee Perm ServlFdr 200 amps or less Add, Alter, Extend Circ Ea Add 6.93 9.90 63.00 36.00 Item Total:$1rs.83 Payments: Type of Payment Paid By Received By Check Number Batch Number Authorization Number How Received Amount Paid CreditCard ANDREI DZIEDZTC djb 000326 001571 In Person Payment Total: $115.83 $115.83 5l'ratr{(;FlELr, J I ab 225 FIFTH STRBET sPRrNcFrEL,D, oREGoN 97477 INSPBCTI0N REQUEST: 726-3769 OFPICE: 726-3759 BLBCTRICAL PBru{IT City Job Number 3. COHPI.BTE FBE SCEEDUI,E BBLOII A Nev Residential-Single or Mu1ti-Family per dwelling unit. Service Included:Items Cost L000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dwelling Servlce or ['eeder $ 8s.00 $ 1s.00 $ 40.00 B. Services or Feeders Installation, Alteratlons or Relocatlon: IJGAL DESCRIPTION L1c1zQ-,t4 - lo€c"c Sum JOB 4'C Permlts are non-transferable and explrelf work ls not started wlthln 180 days of issuanee or if vork is suspended for 180 days. 2. CONTRACf,OR INSTALI,ATION ONLY Electrical Contractor Address ci Phone Supervisor License Number Expiration Date Constr Contr. Number Exp iration Date Signature of Supervlslng Blectrlcian 4m N zLtl''' 8' ci ffiu pno"" aLlLf'-i%7 OIJNER INSTALI..ATION The installation is being made on property I own vhich ls not intended for sale, Iease or rent. Owners RBCBIPT 200 amps or less I $ 5O.oO 201 amps to 400 amps _ $ 60.00 401 amps to 600 amps $100.00 601 amps to 1000 amps_ - $130.00 Over 1000 amps/volts _ $300.00 Reconnect On1y $ 40.00 fts.c;t Owners Address C. Temporary Services or Feeders Installatlon, Alteratlon or Relocation ST'BTOTAI OT ABOVB 5Z State Surcharge TOTAL 200 amps or less $ 40.00 201 amps to 400 amps _ $ 55.00 0ver 401 to 600 amps _ $ 80.00 0ver 600 amps or 1000 volts see ilBtr above D. Branch Circuits New, Alteratlon or Extension Per Panel one Circuit $ 35.00 Each Adcli tional Circuit or vith Service or Feeder Permi t l0 $ 2:0A 'A/P E. Miscellaneous (Service/feeder not included) -Each installation Punp or irrigation Sign/outline Lightine- Limited Energy/Res Limited Energy/Comm -- 10. aa 3-60'7?t.5O $ 40.00 $ 40.00 $ 20.00 $ 36.00 RECEIVED BY: 5 1. LOCATION OT INSTAIJ,A:TION4Zf N ztlt" 3f APPLICATION t,