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Home My WebLink AboutPermit Mechanical 2005-10-21Building/Combination Permit Status Issued 225 Fifth Street Springfield, OR 541-726-3753 Phone 541-726-3676Erx 541-7 26-37 69 Inspection Line PERMIT NO: COM2005-01469ISSUED: 1012112005APPLIED: 1011912005 EXPIREST 0412112006 VALUE: SITE ADDRBSS: 2484 37TH ST ASSESSOR'S PARCEL NO.: 1702194206300 PROJECT DESCRIPTION: Install heat pump and furnace 0wner: Address: Contractor Type Electrical Mechanical Contractor MNB ELECTRIC INC J CO ENTERPRISES INC Expiration Date turgt2006 09t09t2007 Residential Phone 541-726-860r 541-689-1667 RALPH HOLLEMBAEK 2484 37TH ST SPRINGFIELD OR 97477 PhoneNumber: 541-953-4498 License 1,62191 156807 CONTRACTOR INFORMATION # 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: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: Vo ofLot Coverage: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: R-3 VN nla REQUIRED PARKING Total: Handicapped: Compact: Street Improvements: Storm Sewer AvailST&ENTION: Oregon law requires you to Special Instructionlollotu rule.r aCopted by tlre Oregon Utilily I'Jotification Center' Those rules are set forth Notes: in Olrtl s)52-001-0010 tlrrough OAR 952-001- C090. Ycu ffray cijtain copies of the ruies [''y caliinq tire cerit:r. (Noie: tlre teiephone ntin,i.;r,:i illr tile frsilr'-rP UtilrlV !'rl rtrfication Cer-r'i.'r)' is 1 -8u'u-,132 234t+). Sidewalk Type: Downspouts/Drains: NOTICE: THIS PERMIT SHALL EXPIRE IF THE TVORI( AUIHOBIZEO UNOER THIS PERMIT IS NOT COMMENCEO OR IS ABAI{OOI{ED FO8 ANY 180 DAY PEftIOO. ! ii DEVELOPMENT INFORMATION PUBLIC IMPROVEMENTS Pase I of3 Springfield TYPE OF WORI(: Heating System TYPE OF USE: New lrull:-l-rlL\ (r rI\ I \r-[(rYrA r -l(r1'l I Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-726-37 69 Inspection Line PERMIT NO: COM2005-01469ISSUED: 1012112005APPLIED: 10/1912005 EXPIRESz 0412112006 VALUE: Description Type of Construction Fee Description -Mechanical Issuance Fee- + l$Vo Administrative Fee + 77o State Surcharge Furnace - up to 100,000 btu Heat Pump Minimum/Adj ustment Mechanical + l0o/o Administrative Fee + TVoState Surcharge Add, Alter, Extend Circ Minimum/Adjustment Electrical Total Amount Paid Total Value of Project Date Paid Value Date Calculated Receipt Number 1200s0000000000r570 1200500000000001570 1200500000000001570 1200500000000001570 1200s00000000001s70 1200500000000001570 2200500000000001470 2200500000000001470 2200500000000001470 2200500000000001470 $ Per Sq Ft or multiplier Square Footage or Bid Amount Amount Paid $10.00 $4.50 $3.1s $12.00 $12.00 $21.00 $4.50 $3.1s $43.00 $2.00 $115.30 10/19/0s 10/19/05 10/19/05 10/19/05 10/19/05 r0/r9105 t0t2u05 t0t2u0s t0lzu05 t0t2u0s ['eps Pcid 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 fnsneef Pase 2 of3 Valuation Description Building/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: COM2005-01469ISSUED: 1012112005 APPLIED: 10/1912005 EXPIREST 0412112006 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 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. Owner or Contractors Signature Date Page 3 of3 225Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone City of Springfield Official Receipt evelopment Services Department Public Works Department ,RECEIPT #: 2200500000000001470 Date: 1012112005 11:14:05AM Job/Journal Number coM2005-01469 coM2005-01469 coM2005-01469 coM2005-01469 Description Add, Alter, Extend Circ Minimum/Adjustment Electrical + 7o/o State Surcharge + l0o/o Administrative Fee Item Total: Payments: . Type of Payment Paid By CheckNumber Authorizatlon Received By Batch Number Number How Received Amount Paid CreditCard MNB ELECTzuC llh 021405 Phone Payment Total: $52.65 $s2.6s -L t012U2005 Page I of I alrmmD Amount Due 43.00 2.00 3.15 4.50 $52.65 225 FIFTH STREET . SPRINGFIELD, OR97477 o PH:(541)726'3753 o FAX: (541 ELECTRICAL City Job Number LEGAL JOB DESCRIPTION.t Permits are ble expire if work is ' not started within of issuance or if work is Suspended for 180 days. ) Electrical Contractor J,"C Address OGL Supervisor License Number YK'z /s Expiration Date /0 *a"7 Constr. Contr. Numb ", / b'J \qt Expiration Date /l-t1* Signarure of Electrician IUTH0R IZED UNDER CO MMENCED OR IS DAY PERIOD. Owners Address City q.oqn[Phone -_TT- OWNER INSTALLATION NT N:O The installation is not intended TION owners sin runi11,pAR 952-001-0010 through OAR --'-----0090. You may obtain copies of the calling the center. (Note: the tele Date Service Included 1000 sq. ft. or less Each additional500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 Amps/Volts Reconnect Only Installation, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 401Amps to 600 Amps Volts'see "B" above.EXFM& or Extension Per $106.00 $ 19.00 $50.00 City C $ 63.00 $ 7s.00 $ 125.00 $163.00 s375.00 $ 50.00 :a 43 $ 50.00 $ 69.00 s100.00 $ 43.00 $ 3.00 $ s0.00 $ 50.00 $ 2s.00 $ 4s.00 aOne Circuit Each Additional Circuit or with Service or Feeder Permit Pump or irrigation Sigrr/Outline Lighting Limited Energy/Residential pho ne '\Yo State Surcharge Surcharges 0D ?vL.(^1 E. Fee rul ES numoer Tor In Center Inspection Request: 726-37 69 e egolTurlrfty Notifi 10% Administrative Fee TOTAL $45.00 r is 1-800-332-2344) cation Shared Drive(T:)/Building Fonns/Electrical Pennit Application l-03.doc 1.3. cotttptgrn unit, : \fl 0tot00 s. i s;r;icesti tr'eeaeis - lnstattaiion; atterationq orRelobition: "',' ;1 ;::.'.,,rr,i, ::i r::i.:::.,.:,: : .-, a' :,.: , I , : ', :::.l'!li:: .. .. r'.: