HomeMy WebLinkAboutPermit Mechanical 2004-11-18Building/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: COM2004-01414ISSUED: llll8l2004
APPLIEDz llll712004
EXPIRES: 06/0812005
VALUE:
SITE ADDRESS: 748 25TH ST
ASSESSOR'S PARCELNO.: 1703361117100
PROJECT DESCRIPTION: Install heat pump and air handler
Owner: ANNE ESSIG
Address: 748 25TH ST SPRINGFIELD OR 97477
Spring{ield TYPE OF WORK: Heating System
TYPE OF USE: New Residential
Phone Number: 541-747-3798
Contractor Type
Electrical
Mechanical
Contractor
JOSEPH BUNCH ELECTRIC INC
MARSHALLS INC
License
15676t
25790
Expiration Date
08tzu2007
12t23t2005
Phone
541-344-8745
541-747-744s
# 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:
Notes:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
$q Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
nla Occupant Load:
R-3
VN
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
oh of Lot Coverage:
bllow rulee
t{otfrcdon C€rilor. Those rules are set forth
h OAH 96a-m({O10 through OAR 952-001-
mflLt&rrmryobtaln copies of the rules by
cdllrq tho crntar. (Note: the telephone
n/mbor br the Oregon Uti lity Notification
center b 1 -800-332 -2344
REQUIRED PARKING
Total:
Handicapped:
Compact:
$ Per Sq Ft
or multiplier
Sidewalk Type:
Downspouts/Drains:
Square Footage
or Bid Amount
DEVELOP
Description Type of Construction
Pase I of2
Value Date Calculated
LUNrKALrur(rNrlryJ
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: COM2004-01414ISSUED: tlll8l2004
APPLIEDz llll712004
EXPIRES: 06/0812005
VALUE:
Amount Paid
Total Value of Project
Date Paid
Fee Description
-Mechanical Issuance Fee-
+ lOoh Administrative Fee
+ 77o State Surcharge
Air Handling Unit Up to 10,000
Heat Pump
Minimum/Adj ustment Mechanical
+ l0oh Administrative Fee
+ 7o/o State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Total Amount Paid
$10.00
$4.s0
$3.1s
$8.00
$12.00
$25.00
$4.60
$3.22
$43.00
$3.00
1Ul8/04
tut8t04
tut8t04
til18l04
tut8t04
tut8t04
t2t8t04
t2l8t04
t2t8t04
12t8t04
Receipt Number
1200400000000001630
120040000000000r630
1200400000000001630
1200400000000001630
1200400000000001630
120040000000000r630
1200400000000001706
1200400000000001706
1200400000000001706
1200400000000001706
$116.47
Fees Paid
Plan Reviews
To Request an inspection call the 24 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.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Reouired Insnections
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
streeg 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
Pase2 of2
Date
l-
,
.PTIil(lr|TLD - ''y of Springfield Official Receipt
,*velopment Services DePartment
Public Works Department
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
RECEIPT #: 1200400000000001706 Date: 1210812004 e:01:5eAM
Job/Journal Number
coM2004-01414
coM2004-01414
coM2004-01414
coM2004-01414
Description
+ 7Yo State Surcharge
+ l0% Administrative Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Item Total:
Payments:
Type of Payment Received By Batch Number
Checl( Number Authorization
Number How Received Amount PaidPaid By
CreditCard JOSEPH BI.'NCH djb 297101 In Person $53.82
Payment Total:
-5SBT
t21812004 Page I of I
Amount Due
3.22
4.60
43.00
3.00
$53.82
sPtarrircfla-D
225 FIFTE STREET . SPRINGFIELD, OR 91477 ' PH:(541)72G3753 o FAX:
EI,E CTRT CAL P ERYITT AP P I,I CATTON
City Job Number Oev*zc C-\L - ot\),1 Date
1.3
-7 \g ZS*-:+
LEGAL DESCRIPTIONlac lald ()
1 @
t'
A.
Service Included
1000 sq. ft or less
Each additional 500 sq. ft" or
portion thereof
Each Manufact'd Home or
Modular Dwclling Service or
Feeder
4a
JOB DESCRIPTION
Aux z +s
Permits are non-transferable and erpire if work is
i not started within 180 days of issuance or if work is
Suspended for 180 daYs.
G-Lut'C I
B.
2.
Electrical Contractor w InC 2oo
Address ?s Nrl lrn,n )r75
rr,rq nL ,ooo" 3!!-'77 {{
I
City
Supervisor License Number +1 3+5
Expiration Date io
Constr. Contr. Number zc-
Expiration Date 0 7
of
Owners Name ,Auae-SSIG
Address 7qK zt+t^
City <Pru Phone
OWNER INSTALLATION
The installation is being made ou ProPerly I ovrn which
is not intended for sale, leasc or rent.
Installation, Alteration or Relocation
200 AmPs or less $ 50'00
I ZOtAEps to 400 AoPs $ 69'00
401 AmPs to 600 AmPs $100'00
c.
7 Over 600
D.
or 1000 Volts see "B" above-
New Alteration or Ertension Per Panel 1 . . 2
one circuit / $ 43'oo L{ >
Each Additional Circuit or with / ^ a
:+ E.
Limited EnergYiResidential
-
S
Linited EnergY/Courmercial
-
S
Nlinimum Electric Permit Inspection Fee is $45'00
Pump or irrigation
Sigo/Outline Lighting
7%Slei:c Surcharge
l0% Administrative Fee
s 50.00
s 50.00
25.00
45.00
* Surcharges
Ll (,
Owners Signature:
377
6o
55 8L
Inspection Request: 726-37 69
C0i'1hiiENCED,0
ANY 1Br,J DAY?
TOTAL
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