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Home My WebLink AboutPermit Mechanical 2004-04-21Building/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: COM2004-00446ISSUED: 0412112004 APPLIEDz 0412112004 EXPIRES: 1110712004 VALUE: SITE ADDRESS: 2550 31ST ST ASSESSOR'SPARCELNO.: 1702193300101 PROJECT DESCRIPTION: Install heat pump and air handler Orvner: ANDERSON CARLA & MJ Address: 2550 N 31ST ST SPRJNGFIELD OR 97478 Springfield TYPE OF WORK: Heating System TYPE OF USE: New Residential PhoneNumber: 541-746-2164 Contractor Type Electrical Mechanical Contractor JOSEPH BUNCH ELECTRIC INC MARSHALLS INC License 156761 25790 Expiration Date 08t2y2007 12t23t2005 Phone s4t-344-874s 541-747-7445 CONTRACTOR INFORMATION BUTLDING INFO # of Units: # of Stories: Primary Occupancy Group: R-3 Height of Structure Secondary Occupancy Group: Type ofHeat: Primary Construction Type yl\ Water Type: Secondary Constructio[l$fiEE: Range Type: # of Bedrooms: THIS PEBMIT SHALL EXplnfeEJTH[ry/0RK AUTHORIZED UNDEB THIS PERMIT IS NOT Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: SETBACKS ANY 1BO DAY PE Frontyard Setback: Side I Setback: Side 2 Setback: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: o/o of Lot Coverage: REQUIRED PARI(NG Total: Handicapped: Compact: Rearl,ard Setback: Solar Setbacks: Notlffcrflon Ccfibi. Street Improvements: h OAR gSA-(DlOlO SETEIIOH@fi. Storm Sewer4"dh51s9090. tbu mey obtarn oopi.t d$a ndct ry Special Instruction: Calling theeafrr. S,tg66ttt hbptrnr aumber lor fio Oregon t fllityNdificdtorr Sidewalk Type: Downspouts/Drains: Notes:Center b I {00.q}a{34+ Paee I of3 [] s 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: COM2004-00446ISSUED: 0412112004APPLIEDz 0412112004 EXPIRESz 1110712004 VALUE: Description Tvpe of Construction Fee Description -Mechanical Issuance Fee- + 1006 Administrative Fee + 7o/o State Surcharge Air Handling Unit Up to 10,000 Heat Pump Minimum/Adj ustment Mechanical + l0oh Administrative Fee + 7oh State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Total Amount Paid Total Value of Project Date Paid Value Date Calculated Receipt Number 1200400000000000513 1200400000000000513 1200400000000000s13 1200400000000000513 1200400000000000513 1200400000000000513 1200400000000000675 1200400000000000675 1200400000000000675 1200400000000000675 Amount Paid $ Per Sq Ft or multiplier Square Footage or Bid Amount 4t2u04 4t2u04 4t2|04 4t2u04 4t2u04 4tzu04 5t7t04 st1t04 5t7104 5t7t04 $10.00 $4.s0 $3.15 $8.00 $12.00 $2s.00 $4.90 $3.43 $43.00 $6.00 $119.98 tr'ees Paid 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. 2 Rough Mechanical: Prior to Cover I Final Mechanical: When all mechanical work is complete. 3 Rough Electric: Prior to Cover 4 Final Electric: When all electrical work is complete. Reouired Insnections Paee 2 of3 u t I Valuation Descrintion I Building/C ombination P ermit Status Issued 225 Fifth Street, SPringfield, OR 541-726-3753 Phone 541-126-3676Ftx 541-7 26'37 69 InsPection Line PERMIT NO: $SUED: APPLIED: EXPIRES: coM2004-00446 0412112004 0412112004 1110712004 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 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, Buitding 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,thaithe permit card is located at the front ofthe propertY, and the apProved set of plans will remain on the site at all times during construction. Date Orvncr or Contractors Signature Page 3 of3 J L fiL.l 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone Job/Journal Number coM2004-00446 coM2004-00446 coM2004-00446 coM2004-00446 'ty of Springfield Official Receipt /evelopment Services DePartment Public Works DePartment 1200400000000000675 Date: 05t07t2004 1:02:21PM RECEIPT #: Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 7Yo Srate Surcharge + l0% Administrative Fee Amount Due 43.00 6.00 3.43 4.90 Item Total: Check Payments: Type of PaYment Check Batch Number Number How Received 1549 In Person Payment Total: Amount Paid Paid By JOSEPH BI.TNCH ELECTRIC Received BY djb $s7.33 s/7/2004 Page I of 1 lFtuaeFlt..o L -sffi 1. asso LEGAL DESCRIPTION ao 33 oo JOB H*no Permits are .ble and expire if work is not started within 180 days of issuance or if work is Suspended for 180 daYs. B.1 Electrical Contractor fnU 2oo Amps or less Address Z5 Q,t[Ancc-Dr City 6 phone Zt/q -y%K Supervisor License Number 47 ztl 's C A. Service Included 1000 sq. ft. or less Each additional500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder 201 Amps to 400 AmPs 401 Amps to 600 AmPs 601Amps to 1000 AmPs Over 1000 AmPsA/olts Reconnect OnlY ORK New Alteration or Extension Per One Circuit Each Additional Circuit or with Service or Feeder Permit st"4l&r&F,Et-r, $106.00 $ 19.00 $50.00 s 63.00 $ 7s.00 $12s.00 $163.00 $375.00 $ 50.00 Expiration Date Constr. Contr. Number Z 0-4b3 Expiration Date 0 -04 Installation, Alteration or Relocation 200 Amps or less" $ 50'00 see "B" above. 0 -04I dJ.IOTICE: MIT S AUTHORIZED UN CED OR Signature of Supervising Electrician ANY 180 DAY G* No /3-$ 43.00 $ 3.00 (p Owners Name r/0Lr5o Address Cify S D Phone Oregon yru b ron in OAR 9s2-001-0010 tbrff€hn4B6e;dgtjal 7o/o State Surcharge l0% Administrative Fee TOTAL $ s0.00 $ s0.00 $ 25.00 $ 45.00 Fee is $45.00 * Surcharges OWNER INSTALLATION The installation is being made on is not intended for sale, lease or rent. number fOr the Owners Signature -47 3; (?oo 3?: Inspection Request: 726-3769 Center is Shared Drive(T:)iBuilding Forms/Electrical Pennit Application l'03.doc 225 FIFTH STREET o SPRINGFIELD, OF.g7477 . PtI:(541)726-3753 'FAX: ELE7TRI1ALPERMTT TO*€_/--0+ { CityJobNumber CATnZOO\- OCq q bDut" >' (? tol 3. Date $ 69.00 $i00.00 4n Panel Z 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: COM2004-00446ISSUED: 0412112004APPLIEDz 0412112004 EXPIRESz 1012112004 VALUE: SITEADDRESS: 255031STST ASSESSOR'SPARCELNO.: 1702193300101 PROJECT DESCRIPTION: Install heat pump and air handler Springfield TYPE OF WORI(: Heating System TYPE OF USE: New Residential Owner: Address: ANDERSONCARLA&MJ 2550N31STST SPRINGFIELD OR 97478 PhoneNumber: 541-746-2164 Contractor Type Mechanical Contractor MARSHALLS INC Expiration Date 12t23t2005 Phone 541-747-7445 License 25790 CONTRACTOR INFORMATION )RMATION # of Units: Primary Occupancy Group: ANY 1 SETBACKS Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 1H\S ABN NTION % Oregon t tollow r lotific ation Ce IN OAR 95?-001 obtain # of Stories: Height of Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: 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 t Sidewalk Type: Downspouts/Drains: REQUIRED PARKING Total: Handicapped: Compact: Street Improvements: Storm Sewer Available: Special Instruction: Notes: copies ol the ru 0090 . You may er. (Note: the telePhone number to e cent rthe O regon onn-' UtilitY iac-2344\ Notificationcallingth $ Per Sq Ft or multiplier Square Footage or Bid Amount Total Value of Project Paee 1 of2 DEVELOPMENT INFORMATION Description Type of Construction Value Date Calculated T Secondary Occupancy Primary Secondary # of Bedrooms: tcl Oregon UtilitY Au1 Valuation Description I Status Issued 225 Fifth Street, SPringfield' OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 InsPection Line Building/C ombination Permit PERMIT NO: COM2004-00446ISSUED: 0412112004 APPLIEDz 0412112004 EXPIRESz 1012112004 VALUE: Amount Paid Date Paid Receipt Number 1200400000000000s13 1200400000000000513 1200400000000000513 1200400000000000513 1200400000000000513 1200400000000000513 Fee Description -Mechanical Issuance Fee- + l0Yo Administrative Fee + 77o State Surcharge Air Handling Unit Up to 10,000 Heat Pump Minimum/Adjustment Mechanical Total Amount Paid $10.00 $4.s0 $3.1s $8.00 $12.00 $2s.00 4t2u04 4t2u04 4t2u04 4t2u04 4t2u04 4t2il04 $62.65 )L 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 Mechanical: Prior to Cover 2 Final Mechanical: When all mechanical work is complete. 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 Springfietd 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. <*- (\ Reouired Insoect Owner or Contractors Signature Pase2 ol2 Date - --:- \ I'ees Paid I 225 Fifth Street Springfield. Oregon 97 477 541-726-3759 Phone ^'ty of Springfield Official Receipt -cvelopment Services Department Public Works Department RECEIPT #: 1200400000000000513 Date: 0412112004 e:35:18AM Job/Journal Number coM2004-00446 coM2004-00446 coM2004-00446 coM2004-00446 coM2004-00446 coM2004-00446 Description + 7Yo State Surcharge + l0% Administrative Fee Air Handling Unit Up to 10,000 Heat Pump Minimum/Adj ustment Mechanical -Mechanical Issuance Fee- Amount Due 3.15 4.50 8.00 12.00 25.00 10.00 Item Total:$62.6s Payments: Type of Payment Paid By CheckNumber Authorization Received By Batch Number Number How Received Amount Paid Check MARSHALLS INC djb 17956 In Person $62.65 Payment Total: -56i8 4121/2004 Page I of I amffD