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Home My WebLink AboutPermit Mechanical 2004-01-20Status 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: COM2004-00080ISSUED: 0112012004APPLIEDz 0112012004 EXPIRESz 0712012004 VALUE: SITE ADDRESS: 516 32ND ST ASSESSOR'S PARCEL NO.: 1702312407900 Springfield TYPE OF WORK: Heating System TYPE OF USE: New PROJECT DESCRIPTION: Install heat pump>> request for refund by Associated Heating Residential PhoneNumber: 541-746-9916Owner: JACLyN ROBERTSON Address: 446 35TH ST SPRINGFIELD OR 97478 Contractor Type Mechanical Contractor License UNITED HEATING & AIR CONDITIONING 102602 Expiration Date 04t04t2004 Phone 541-688-9162 C ONTRA C TOR IN FO R]VIATI ON BUILDING INFORMATI( # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: SETBACKS 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: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: o/o oILot Coverage: 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 EIF THE WORK 1090. You maY REQUIRED PARIflNG Total: Handicapped: Compact: Utility Notification e?e-23441. AfiE requlres you to follow e Oregon UtilitY .Jotilication Cenler' Those rules are set forl n OAR 952-001-0010 throug h oAR 952-00 obtain copies ol the rules t Sidewalk Type: NTICN:Oreqon law 'rPeYamstgPmtqn ber for the Oregon r..".t.^ '- { Qnn- $ Per Sq Ft or multiplier Square Footage or Bid Amount Total Value of Project Page I of2 DEVELOPMENT INFORMATION Description NOTICE: D Value Date Calculated *-:rEi UNDER OR IS 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: COM2004-00080ISSUED: 0112012004APPLIED: 0112012004 EXPIRESz 0712012004 VALUE: Fee Description -Mechanical Issuance Fee- + l0%o Administrative Fee + 77o State Surcharge Air Handling Unit Up to 10,000 Heat Pump Minimum/Adj ustment Mechanical -Mechanical Issuance Fee- + l0o Administrative Fee + 7oh State Surcharge Air Handling Unit Up to 10,000 Heat Pump Minimum/Adjustment Mechanical Total Amount Paid Amount Paid $10.00 $4.50 $3.15 $8.00 $12.00 $25.00 $10.00 $4.50 $3.15 $8.00 $12.00 $25.00 $r2s.30 Date Paid u20t04 il20t04 y20t04 y20t04 U20t04 u20t04 2fi1t04 2nu04 2fiy04 2nU04 2nu04 2mt04 Receipt Number 1200400000000000081 1200400000000000081 120040000000000008r 1200400000000000081 1200400000000000081 1200400000000000081 2200400000000000130 2200400000000000r30 2200400000000000130 2200400000000000130 2200400000000000130 2200400000000000130 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. 1 Rough Mechanical: Prior to Cover 2 Final Mechanical: When all mechanical work is complete. 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. Contractors Signature Pase2 of2 Date H ees rrtfl Keourreo lnspecuons I 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone City of Sprinffield Official Receipt Development Services Department Public Works Department #z 2200400000000000 I 3 0 Date: 0211112004 3:04:15PM coM2004-00080 coM2004-00080 coM2004-00080 coM2004-00080 coM2004-00080 coM2004-00080 Air Handling Unit Up to 10,000 Heat Pump Minimum/Adjustrnent Mechanical -Mechanical Issuance Fee- + 7o/o State Surcharge + l0o/o Administrative Fee 8.00 12.00 25.00 10.00 3.15 4.50 Item Total:$62.65 Type ofPayment Paid By Received By Batch Number Authorization Number How Received Amount Paid Check UNITED GARIBAY HEATING dIM 3921 In Person Payment Total: $62.6s $62.6s Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax S4l-7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2004-00080ISSUED: 0112012004 APPLIEDz 0112012004EXPIRES: 0712012004 VALUE: SITE ADDRESS: 516 32ND ST ASSESSOR'S PARCEL NO.: 1702312407900 PROJECT DESCRIPTION: Install heat pump Owner: JACLyN ROBERTSON Address: 446 35TH ST SPRINGFIELD OR 97478 Contractor Type Mechanical Springfield TYPE OF WORK: Heating System TYPE OF USE: New Residential Phone Number: 541-746-9916 Contractor License ASSOCIATED HEATING & AIR CONDITIO 106275 Expiration Date 08t3u2004 Phone 541-683-2590 CONTRACTOR INFORMATION # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-3 SETBACKS Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street ImproYements: Storm Sewer Available: Special Instruction: Notes: VN # of Stories: Height of Structure Type of Heat: Water Type: Yo ofLot Coverage: AUTHORIZED UNDER THIS E IF THE WORK PEflMPTSNryP.' C0MMENCED 0R lS ABAND0I{8&fiSRuts/Drains: ANY 1BO DAY PERIOD. 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 REQUIRED PARKING Total: Handicapped: Compact: Total Value of Project Paee I of2 Description Type of Construction Value Date Calculated _t u ll].l-rll\ u ll\.r rrruYr4llvlll Valuation Description I la}l&$ Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2004-00080ISSUED: 0112012004APPLIEDz 0112012004 EXPIRESz 0712012004 VALUE: Fees Paid Fee Description -Mechanical Issuance Fee- + llYo Administrative Fee + 7o/o State Surcharge Air Handling Unit Up to 10,000 Heat Pump Minimum/Adj ustment Mechanical Total Amount Paid Amount Paid $10.00 $4.s0 $3.15 $8.00 $12.00 $2s.00 $62.6s Date Paid u20t04 y20t04 u20104 u20t04 u20t04 y20t04 Receipt Number 1200400000000000081 1200400000000000081 1200400000000000081 1200400000000000081 1200400000000000081 1200400000000000081 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. nsnections 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. Owner or Contractors Signature Pase 2 of 2 Date .*t m.i 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department #:1 Date:2:07:06PM coM2004-00080 coM2004-00080 coM2004-00080 coM2004-00080 coM2004-00080 coM2004-00080 + 7Yo State Surcharge + lUYo Administrative Fee Air Handling Unit Up to 10,000 Heat Pump Minimum/Adj ustrnent Mechanical -Mechanical Issuance Fee- Item Total:$62.65 3. l5 4.50 8.00 12.00 25.00 10.00 Payments: Type of Payment Received By Batch Number Authorization Number How Received Amount PaidPaid By Check NumFer Check ASSOCIATED HEATING djb In Person Payment Total: $62.65 $62.65 ( SPP!UGFIELD Report lD: SPRA103 City of Springfie.d Voucher Associated Heating & Air Condition !nc. PO Box 412 Eugene, OR 97/140 Voucher lD : Handling Code: 00073213 RE Accounting Date: Vendor Number: lnvoice Date : lnvoice # : Approver: Operator: Gross Amount : Proi/Grant March 1,2004 0000003510 January 20,2004 coM2004-00080 Puent,David wtLS5940 39.15 Amount 3.15 36.00 Description Account Refund of Mech permit 215004 425602 Comments: Express Check Refund Ok'd by Lisa Hopper Com2004-00080/51 6 32nd Street Fund gJg SubClass BY 821 100 2004 2004 as submitted has the following not require sPecilic land use l:j\P225 FIFTH STREET . SPRINGFIELD, OR97477 . PH:(541)726-3753 . FAX: (SnEtqGb689 ELECTRICAL PERMIT APPLICATIoN Zoning Ciry Job Number /hi' ^Date Date 3 LEGAL DESCzuPTION A. Service lncluded I 000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder JOB DESCRIPTION 2.B. Electrical Contractor iL -l -o s 106.00 $ r9.00 $50.00 I'ermits are non-transferable and expire if work is not started u'ithin 180 days of issuance or if work is Suspended for 180 days. Address lSto ON RDC ciry F 06O$Phone 3Lttl-35b\ SupenisorLicenseNumber 3l S f -f ExpirarionDate /0 - / -A / Constr. Contr. Number ( LoQ naoo Expiration Date Signature of Supervising Electrician Owners Name Installation, Alteration or Relocation 201 Amps to 400 Amps $ 69.00 401 Amps to 600 Amps $100.00 Over 600 Amps or 1000 Volts see "B" above. D. . .Ilranch Ciriuits :,. ,..,;ji _'1',,i:l,l-r,,;1.:' f:.:,a:'... .: r' , Nerv Alteration or Extension Per Panel One Circuit l/ S 43.00 Each Additional Circuit or with Service or Feeder Permit Z $ 3.00 E. 200 Amps or less 201 Arnps to 400 Amps 401 Amps to 600 Arnps 601 Amps to.1000 Amps Over 1000 AmpsA/olts Reconnect Only 7%o State Surcharge l0% Administrative Fee TOTAL 4l,n oo sls s 63.00 s 75.00 s 125.00 s 163.00 s37s.00 s 50.00 C. tXGL Address Cify Phone OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Pump or irrigation Sign/Outline Lighting Limited Energy/Residential Limited Energy/Comrnercial Minimum Electric Permit Inspection Fee is $45.00 * Surcharges $ s0.00 $ 50.00 $ 25.00 $ 45.00 2,70 #33Inspection Request: 726-3769 4. Shared Driv{T: /Build ing Fonns/Electrical Permit Appl ication I 4J.doc 4tz t /'-= -/ 2' Owners Signature: 225 Fiftii Street Springfield, Oregon 97 477 54L-726-3759 Phone ,.'t!City of Springfield Officiai Receipt Development Services Department Public Works Department Receipt #z 2200400000000000 132 Date: 0211212004 ll:12:274]U{ Amount Paid coM2004-00080 coM2004-00080 coM2004-00080 coM2004-00080 Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 7Yo State Surcharge + l0o/o Administrative Fee Item Total:$57.33 43.00 6.00 3.43 4.90 Type of Payment Paid By Received By Batch Number Authorization Number How Received Amount Paid CreditCard RUSSELL BBINS dlm 000298 0r2248 In Person Payment Total: $s7.33 -ffi