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Home My WebLink AboutPermit Mechanical 2005-06-15Building/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: COM2005-00731ISSUED: 0611512005APPLIED: 06/1512005EXPIRES: l2ll5l2001 VALUE: SITE ADDRESS: 871 23RD ST Springfield TYPE OF WORK: Heating System ASSESSOR'S PARCEL NO.: 1703361105100 TYPE OF USE: New PROJECT DESCRIPTION: Install Heat pump and air handler with duct work. ED QUINONES 871 223RD ST SPRINGFIELD OR 97477 Phone Number: 541-736-5870 ( r Residential Owner: Address: Contractor Type Electrical Mechanical Contractor DELLS ELECTRJC SUNSET ELECTRIC INC License 109864 158859 Expiration Date 0U14t2007 02127t2006 Phone 541-93s-2154 541-915-4883 CONTRACTOR INFORMATION # 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 Instructlon: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: o/o of Lot Coverage: Lot Size: Sq Ft lst Floor: ATTENT loN: tollow rules ado cation Center. AR 952 nla cente rumber for the O Center ts Sidewalk Type: Downspouts/Drains: to utilw 952-001- rules bY Handicapped: Compact: PUBLIC IMPROVEMENTS Notes: Page I of3 LU llJl-rll\ t rl\ I lJl1Jvrl!!!\2!l l (Note: Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-726-37 69 Inspection Line PERMIT NO: COM2005-00731ISSUED: 06lt$l2001APPLIED: 06/1512005EXPIRES: 1211512005 VALUE: Plan Reviews Description Type of Construction Fee Description -Mechanical Issuance Fee- + l07o Administrative Fee + 7oh State Surcharge Air Handling Unit Up to 10,000 Heat Pump Minimum/Adj ustment Mechanical + l0Yo 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 6fi5t05 6trst0s 6nst05 6n5t05 6lt5t05 6/15/05 6lt6t05 6n6t0s 6n6t05 6n6t05 Value Date Calculated Receipt Number 2200500000000000769 2200500000000000769 2200500000000000769 2200s00000000000769 2200500000000000769 2200500000000000769 2200s00000000000783 2200500000000000783 2200500000000000783 2200500000000000783 $ Per Sq Ft or multiplier Square Footage or Bid Amount Amount Paid $r0.00 $4.s0 $3.15 $8.00 $12.00 $2s.00 $s.20 $3.64 $43.00 $9.00 $123.49 Fees Paid To Request an inspection call the 24 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. witl 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. Pase 2 of3 I Valuation Description I Keoutred !nsnecfions I Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Frx 541-726-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2005-00731ISSUED: 0611512005APPLIED: 06/1512005 EXPIRESz 1211512005 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 OCCITPANCY 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 Page 3 of 3 225Fifth Street :Springfield, Oregon 97 477 541-726-3759 Phone ^ity of Springfield Official Receipt _ evelopment Services Department Public Works Department RECEIPT#: 2200500000000000783 Date: 0611612005 2:40:59PM Job/Journal Number coM2005-00731 coM2005-00731 coM2005-00731 coM2005-00731 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 7Yo State Surcharge + l0% Administrative Fee Amount Due 43.00 9.00 3.64 5.20 Item Total:$60.84 Payments: Type ofPayment Paid By Received By Check Number Batch Number Authorization Number How Received Amount Paid Check DELL'S ELECTRIC ddk 5945 In Person $60.84 Payment Total: -SffiEii- 6n6t200s Page I of I angru.D 225 FIFTH STREET . SPRINGFIELD, OR 97477 t pH:(541 )726-3753 o FAX: (541 E LE CTRICAL P E RM I T APPLI CA TION City Job Number -b Date l. 0 bb $d 1 *Trl 05\Seryice Included Or." 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof EachManufact'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 New Alteration or Extension Per One Circuit Each Addidhiil (\}o A. 7% State Surcharge 10% Administrative Fee TOTAL JOB DESCRIPTION i{to $ r 06.00 $ 19.00 Permits are nol-tran d expire if work not started within 180 days of issuance or if work is Suspended for 180 days. ) $50.00 Electrical Contractor Address citv ftflLl\P_T- Supervisor License Number Expiration Date 0 U Constr. Contr. Number Expiration Date 0 $ 63.00 $ 75.00 $125.00 $ I 63.00 $375.00 $ 50.00 Phone C C. Temporary Services or lreeders Installation, Alteration or Relocation $ 50.00 n law rggllrer y66tdodbythe lregoo CIffinpo Signature of Supervising Electrician tLr/*.^- )AJ*; D. tb 43-2344I s 3.oo---€-7 Owners Name Address City 5 ,l- OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Sigrrature: Service or Feeder Permit Pump or irrigation Sigrr/Outline Lighting Limited Energy/Residential Limited Energy/Commercial Minimum Electric Permit Inspection Fee is $45.00 * Surcharges E. Miscellaneous (Service/feeder not included.; -Each lnstallationC\ $ 50.00 $ s0.00 $ 2s.00 $ 4s.00 ,o4 Inspection Request: 726-3769 Shared Drive(T)/Building Forms/Electrical Permit Application l-03.doc CITY OF OREGON INSTALIATIAN 3. COMPLETE per dwelling unit. or Relocation:CONTRACTOR INSTALIATION ONLY B. Services or Feeders _ Uh /Dqrb4 forth IIYUU Oregon Ph",. ? jU- 5?7D 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: COM2005-00731ISSUED: 06/15/2005APPLIED: 06/1512005EXPIRES: l2ll5l2001 VALUE: SITEADDRESS: 871 23RDST ASSESSOR'S PARCEL NO.: 1703361r05r00 PROJECT DESCRIPTION: Springfield TYPE OF WORIC Heating System TYPE OF USE: New Install Heat pump and air handler with duct work. Owner: Address: Contractor Type Mechanical Contractor SUNSET ELECTRIC INC Expiration Date 02t27t2006 Residential Phone 541-915-4883 ED QUINONES 871 223RD ST SPRINGFIELD OR 97477 PhoneNumber: 541-736-5870 PhoneNumber: 541-517-3549 License 158859 'ORMATION # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled ON:Qqgon Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Ft REQUIRED PARKING Total: Handicapped: Compact: to n., Overlay Dist: , # Street Trees Rqd: Paved Drive *.qd: oh of Lot Coverage: Sidewalk Type: Downspouts/Drains: $ Per Sq Ft or multiplier Square Footage or Bid Amount PUBLIC IMPROVEMENTS Description Type of Construction Page I of2 Value Date Calculated I l, U rLull\ U 11\ 11 UI(lVr,{ I IVN_I Valuation Description I F Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR S4l-726-3753 Phone 541-726-3676Fax 541 -7 26-37 69 Inspection Line PERMIT NO: COM2005-00731ISSUED: 0611512005APPLIED: 06/1512005EXPIRES: 1211512005 VALUE: Fee Description -Mechanical Issuance Fee- + l0Yo Administrative Fee + 7Yo State Surcharge Air Handling Unit Up to 10,000 Heat Pump Minimum/Adj ustment Mechanical Total Amount Paid Total Value of Project Date PaidAmount Paid $10.00 $4.s0 $3.1s $8.00 $12.00 $2s.00 $62.6s Receipt Number 2200s00000000000769 2200s00000000000769 2200500000000000769 2200500000000000769 2200500000000000769 2200500000000000769 6nst05 6n5t0s 6nst0s 6trst0s 6n5t05 6nst0s 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. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Reouired fnsnections 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 Springlield 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 Z -/6-o{ Owner or Contractors Signature Pase2 of2 Date tl ees raro I 225 Fit'th Street Springfield, Oregon 97 477 541-726-3759 Phone rity of Springfield Official Receipt lvelopment Services Department Public Works Department RECEIPT #: 2200500000000000769 Date: 0611512005 10:24:06AM Job/Journal Number coM2005-00731 , coM2005-00731 coM200s-00731 coM2005-00731 coM2005-00731 coM2005-00731 Description Heat Pump Air Handling Unit Up to 10,000 Minimum/Adjustment Mechanical -Mechanical Issuance Fee- + 1Yo State Surcharge + l0o/o Administrative Fee Amount Due 12.00 8.00 25.00 10.00 3. l5 4.50 Item Total:$62.6s Payments: Type of Payment Paid By CheckNumber Authorization Received By Batch Number Number How Received Amount Paid Check SUNSET HEATING AND AIR INC. ddk r267 In Person Payment Total: $62.65 $62.6s 6lts12005 Page I of I IPEUTq'IILD It