HomeMy WebLinkAboutPermit Mechanical 2002-11-20CITY
Status: Issued
225 Fifth Street, SpringfieH, OR
541-726-3753 Phone
541-726-3676 Fax
541 -7 26-37 69 Inspection Line
Buildin g/C ombination Permit
PERMIT NO: COM2002-01296ISSUED: 1112012002APPLIED: 11/1512002E)CIRES: 05/2012003
VALI]E:
PROJECT DESCRIPTION: Install heat pump and air handler
Owner: STEARNS DEBORAH ANN
Address: 847 S 38TH ST SPRINGFIELD OR 97478 ENIt0N:uteg..,
SITE ADDRESS: 847 S 38TH ST
ASSESSOR'S PARCEL NO.: 1802061102700
Springfield TYPE OF
TYPE OF USE:
Heating System
New Residential
Expiration Date Phone
541-686-6236
541-726-0100
12t30t2004
06t27t2003
u
pr(Contractor Type
Electrical
Mechanical
Owner
Contractor
KS ELECTRIC
COMFORT FLOW
STEARNS DEBORAH ANN
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy
Primary Construction Type
Secondary Construction
# of Bedrooms:
SETBACKS
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street
Storm Sewer Available:
Special Instruction:
# of Stories:
Height of
Type of Heat:
Water Type:
Range Type:
Energy Path:
THIS
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
Compact:
overtaf,lDlH0RlZED r
# Streef,SffiENCED
Paved Rnif"fWOnV
o/o of Lot Coverage:
Sidewalk Type:
DownspoutVDrains
UNDER
OR IS
PERIOD.
D TION
PUBLIC IMPROVEMENTS
Notes:
l of 3
0090. You
callingthe
numberfor
Centet is
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IT THE PARIflNG
CITY OF SPRINGFIELD
Buildin g/C ombination Permit
PERMIT NO: COM2002-01296ISSUED: 1112012002
APPLIED: 11/1512002
E)GIRESz 0512012003
VALIIE:
Status: Issued
225 Fifth Street, SpringfieH, OR
541:726-3753 Phone
541-726-3676 Fax
541-726-37 69 Inspection Line
Valuation Descrintion
Description Type of Construction $ Per Sq Ft Square Footage
Total Value of Project
Value Date Calculated
Received ByAmount Paid Date Receipt Number
1200200000000000242
1200200000000000242
1200200000000000242
1200200000000000242
1200200000000000242
1200200000000000242
2200200000000000203
2200200000000000203
2200200000000000203
2200200000000000203
Fee Description
+ 77o State Surcharge
+ 87o Administrative Fee
Air Handling Unit Up to 10,000
-Mechanical Issuance Fee-
Heat Pump
Minimum/Adj ustment Mechanical
+ 7Yo State Surcharge
+ 87o Administrative Fee
Add, Alter, Extend Circ Ea Add
Add, Alter, Extend Circ
Total Amount
$3.15
$3.60
$8.00
$10.00
$r2.00
$25.00
$3.43
$3.92
$6.00
$43.00
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$118.10
Fees Paid
Plan Reviews
To Request an inspection call the24 hour recording at 726-3769. AII inspection requested before 7:00 a.m.
will be made the same working day, inspections requested after 7:00 a.m. will be made the following work
day.
I Rough Mechanical: Prior to Cover
2 Final Mechanical: When all mechanical work is complete.
3 Rough Electric: Prior to Cover
4 Final Electric: When all electrical work is complete.
Reouired Insnections
2of3
OF SPRING
Buildin g/C ombination Permit
PERMIT NO: COM2002-01296ISSUED: 1112012002APPLIED: llll5l2002E)PIRESz 0512012003
VALI]E:
Status: Issued
225 Fifth Street, SpringfieH, OR
541-726-3753 Phone
541-726-'3676 Fax
541-726-37 69 Inspection Line
By signature, I state and agree, that I have carefully examined the completed application and do hereby certi$ 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 certiff that only contractors and employees who are in compliance with ORS 701.0ffi 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
3 of 3
a
'769
TION
LEG
DES
Permits are
if work is
of issr-rance
180 days.
Multi-Family per drvelling unit.
Ser-vice Included:
Items Cost
ft. or less $ 106.00
$ 19.00
Electrical'
Address
work is suspended
Date
Supervising Electrician
Each Manufd Home or
Modular Drvelling
Service or Feeder
B. Sen'ices or Fecders
200 amps or
201 amps to
1 amps
I amps
HOT
THIS
E. lVliscell
Limited Energv,Res
Liurited Ener
Nlinimum
SUBTOTAL OFABOVE
7%o State Surchurgc
8 7o Atlministrltive Fcc
$ 50.00
ONLY
00
InsJlcction Frc is S-15.00 * Surcharges
$50
$25
$4s
1
Expiration
Orvncrs N
OWNER INSTALLATION
Thc installation is being rurtde on
property I olvn rvltich is not intended
lor slle. lease or rent.
Orvncrs Signature:
.J
ELEy- ,JCAL PERMIT APPLIC,4TIOi\l
Citl-Joh ^1fn7 *I
CON4PLETE FEE SCFIEDTJLE BELOW
Nerv Residentinl-Single or
500
200 amps
201 amps
Or,-er 401
Per Ptrnel
One Circuit
Each Additional Circuit orn'ith
or Feeder Perrnit
sen'rce
2 $3.00
-
*-ffi (,a
TOTAL 5u4t
F PRIN FIELD
Buildin g/C ombination Permit
PERMIT NO: COM2002-01296ISSUED: llll5l2002APPLIED: 11/1512002E)PIRES: 05/1512003
VALT]E:
Status: Issued
225 Fifth Street, SpringfieH, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37 69 Inspection Line
SITE ADDRESS: 847 S 38TH ST Springfield
ASSESSOR'S PARCELNO.: 1802061102700
PROJECT DESCRIPTION: Install heat pump and air handler
Owner: STEARNS DEBORAH ANN
Address: 847 S 38TH ST SPRINGFIELD OR 97478
TYPE OF
TYPE OF USE:
Heating System
New Residential
Contractor Type
Mechanical
Owner
Contractor
COMFORT FLOW
STEARNS DEBORAH ANN
License Expiration Date
06t27t2003
Phone
541-726-0r00460
TION
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy
Primary Construction Type
Secondary Construction
# of Bedrooms:
SETBACKS
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street
Storm Sewer Available:
Special Instruction:
Notes:
# of Stories:
Height of
Type of Heat:
Water Type:
Range Type:
Energy Path:
Lot Size:
Sq Ft lst
Ft 2nd
eN 2 b
,n
Area:
PARKING(Not
tne
r lol the . -g,0(Overlay
# Street
Paved Drive Rqd:
o/o oILot Coverage:
.an\€
Total:
Handicapped:
Compact:
NOTICE:
Sidewalk Type:
Downspouts/Drains
THIS PERMIT SH ALL EXPIRE IF THE WORKAUTHORIZED UN DEH THIS PER MIT IS NOT
PERIOD.
Description Type of Construction $ Per Sq Ft Square Footage
Total Value of Project
PUBLIC IMPROVEMENTS
lof2
Value Date Calculated
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,4$ego\)(r\)\'b.j
ea
DEVELOPMENT INFORMATION I
Status: Issued
225 Fifth Street, Springfield, OR
541:726-3753 Phone
541-726-3676 Fax
541:726-37 69 Inspection Line
CITY OF
Building/Combination Permit
PERMIT NO: COM2002-01296ISSUED: llll5l2002APPLIEDI llll5l2002E)CIRES: 05/1512003
VALI]E:
F ees Paid
Fee Description
+ 77o State Surcharge
+ 87o Administrative Fee
Air Handling Unit Up to 10,000
-Mechanical Issuance Fee-
Heat Pump
Minimum/Adj ustment Mechanical
Total Amount
Total Fees Paid Prior to 9130102
Amount Paid Date Receipt Number
1200200000000000242
1200200000000000242
1200200000000000242
1200200000000000242
1200200000000000242
1200200000000000242
Received By
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$3.15
$3.60
$8.00
$10.00
$12.00
$25.00
tyt't02
tUt'l02
tutsl02
tutst02
tut5t02
tut5l02
$6r.7s
Plan Reviews
To Request an inspection call the24 hour recording at 726-3769. AII 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
informafion 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 certiS 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 bcated at the front of the property, and the approved set of plans will remain on the site
at 7{ times during construction.
\l"y\" 1rr^r \t/l5lct-
oroo.J or Coi/tractors Signature
2of2
Date
Kequrreo lnsDectlons I