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Home My WebLink AboutPermit Mechanical 2004-06-28Status Issued 225 Fifth Street, SPringfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26'37 69 InsPection Line lt Contractor TvPe Electrical Mechanical 1 c SITE ADDRESS: 871 S 37TH ST ASSESSOR'SPARCELNO': 1802061203200 PROJECT DESCRIPTION: Install AC OWNCT: RICHARD NEUBAUER Address: bTis lz-rs Sr spnrxGFrELD oR 97478 Buitding/Combination Permit PERMIT NO: COM2004-00785 ISSUED: 0612812004 APPLIEDz 0612812004 EXPIRES: 01/0612005 VALUE: Springfield TYPE OF WORJ(: Heating System TYPE OF USE: New Residential PhoneNumber: 541-746-4511 01lr SH ALL # 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: R-3 VN lHIS t0R License 756761 2s790 Square Footage or Bid Amount Expiration Date 0812112007 1212312005 Phone 541-344-8745 541-747-7445 # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: {ou Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/CarPort Sq Ft Other: Occupant Load:nla 1 $ Per Sq Ft . or multiplier Sidewalk Type: Downspouts/Drains: Description Type of Construction Pase I of2 Value Date Calculated Yaluation Desqriptioq l s6t ru\6 PARKING Building/Combination Permit Status Issued 225Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2004-00785ISSUED: 0612812004APPLIED: 0612812004 EXPIRES: 0110612005 VALUE: Fee Description -Mechanical Issuance Fee- + l0%o Administrative Fee + 7o/o State Surcharge Air Handling Unit Up to 10,000 Minimum/Adj ustment Mechanical + llYo Administrative Fee + 7oh State Surcharge Add, Alter, Extend Circ Minimum/Adj ustment Electrical Total Amount Paid Total Value of Project Date PaidAmount Paid $10.00 $4.s0 $3.15 $8.00 $37.00 $4.50 $3.15 $43.00 $2.00 $1rs30 Receipt Number 1200400000000000990 1200400000000000990 1200400000000000990 1200400000000000990 1200400000000000990 1200400000000001049 1200400000000001049 1200400000000001049 1200400000000001049 6t28t04 6t28t04 6t28t04 6t28t04 6t28t04 7t7t04 7t7t04 7t7t04 7t7t04 tr'ees Pa 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 foltowing 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. 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 wi1 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 Page2 of2 Date t Keourreo lnsDectrons I 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone oity of Springfield Official Receipt evelopment Services Department Public Works Department RECEIPT #: 1200400000000001049 Date: 0710712004 1:51:53PM Job/Journal Number coM2004-00785 coM2004-00785 coM2004-0078s coM2004-00785 Description + 7o/o State Surcharge + l0% Administrative Fee Add, Alter, Extend Circ Minimum/Adj ustment Electrical Amount Due 3.15 4.50 43.00 2.00 Item Total:$s2.6s Payments: Type of Payment Paid By Check Number Received By Batch Number Authorization Number How Received Amount Paid CreditCard JOSEPH BtiNCH ELECTzuC djb 000432 562639 In Person Payment Total: $52.6s -M6t 7 t]/2004 Page I of I rya tr 1. LEGAL JOB DESCRIPTION 4 Permits are non-tr not started within Suspended for 180 daYs' (L DSZoo r)126-3 153 . fAX: Service Included 1000 sq. ft. or less Pach iditional 500 sq' ft' or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder B. or less C. D s 19.00 s50.00 Lc 'ansferable and exPire if work is itO arv. of issuance or if work is ) PER DON @Hi:: mttsttuil2s.oo EU-Tor sr63.00 RE IF City Electrical Contractor Address >€2 fcilct Df. Phone 3L/4 .r74{ Supervisor License Number q 734 *5 Expiration Date ic -04 Constr. Contr. Number a0 _ Ll63 L Expiration Date l0 -04 S of Superwising Electrician Installation, Alteration or Relocation 200 Amps or less $ 50'00 201 Amps to 400 Amps $ 69.00 401 Amos to 600 AmPs $100'00 Over 600 or 1000 Volts see "B" above, New Alteration or Extension One Circuit Each fis $37s.00 $ 50.00 l lZ*t^,*J ,/,r^b*^*Owners Name Address 6it 5 i715 City >?ra Phone OWNER INSTALLATION The installation is being made on properfy I own which is not intended for sale, lease or rent. Owners Signature: Inspection l?equest: 726_3 769 E. may Pump c€fitef.0tote: $te Oregon Limited 1 25.00 Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee Surcharges 4 qf J/f //fo | ; 7% Stare Surcharye VID I t o%,tdminismtt've Fee g l'v roTAL J -r'. %W shardDoy(ryEattdtng Fonns/Etsctticat (.i^ oR9?4?1 i Date { -CIa-7 7+I I A. N9W { €uet Building/C ombination Permit Status Issued 225 Fifth Street, Springlield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2004-00785ISSUED: 0612812004APPLIED: 0612812004EXPIRES: 1212812004 VALUE: SITE ADDRESS: 871 S 37TH ST ASSESSORTS PARCEL NO.: 1802061203200 PROJECT DESCRIPTION: Install AC OwneT: RICHARD NEUBAUER Address: 871 S 37TH ST SPRINGFIELD OR 97478 Springlield TYPE OF WORJ(: Heating System TYPE OF USE: New Residential PhoneNumber: 541-746-4511 Contractor Type Mechanical Contractor MARSHALLS INC Expiration Date 12t23t2005 Phone 541-747-7445 License 25790 CONTRACTOR INFORMATION aluation # of Units: Primary Occup Secondary Primarv Secondary #of .{St \tl Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Building:nla Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: $ Per Sq Ft or multiplier Square Footage or Bid Amount REQUIRED PARKING Total: Handicapped: Compact: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: o/o of Lot Coverage: Description Type of Construction Total Value of Project Value Date Calculated \L] tr{{ $a'| Building/Combination Permit Status Issued 225 Fifth Street, Springlield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2004-00785ISSUED: 0612812004APPLIEDz 0612812004EXPIRES: 1212812004 VALUE: tr'ees Paid Fee Description -Mechanical Issuance Fee- + llYo Administrative Fee + 77o State Surcharge Air Handling Unit Up to 10,000 Minimum/Adj ustment Mechanical Total Amount Paid Amount Paid Date Paid 6t28t04 6t28t04 6t28104 6t28t04 6t28t04 $10.00 $4.s0 $3.1s $8.00 $37.00 Receipt Number 1200400000000000990 1200400000000000990 1200400000000000990 1200400000000000990 1200400000000000990 $62.6s 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 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 Larvs 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. -o or Contractors Signature Date Pase? of2 L I 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone city of Springlield Official Receipt ,,elopment Services Department Public Works Department RECEIPT #: 1200400000000000990 Date: 0612912004 tt:25:26AM Job/Journal Number coM2004-00785 coM2004-0078s coM2004-0078s coM2004-0078s coM2004-00785 Description + 7o/o State Surcharge + l0o/o Administrative Fee Air Handling Unit Up to 10,000 Minimum/Adjustment Mechanical -Mechanical Issuance Fee- Amount Due 3.15 4.50 8.00 37.00 10.00 Item Total:$62.65 Payments: Type of Payment Paid By Check Number Received By Batch Number Authorization Number How Received Amount Paid Check MARSHALLS INC djb In Person Payment Total: $62.65 -$6-2"6-t 18042 6t2812004 Page I of 1 rgll6tE.c