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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 4 r6 .:rr:-- r---/6-.-l--l Da} Annlinarinn lJll dm bt t f trcOegon copt6"Ortrle