HomeMy WebLinkAboutPermit Mechanical 2004-08-17Status 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: COM2004-01020ISSUED: 0811712004APPLIED: 08/1712004EXPIRES: 03/0312005
VALUE:
SITE ADDRESS: 7425 THURSTON RD
ASSESSOR'SPARCELNO.: 1702350002800
PROJECT DESCRIPTION: Install heat pump and air handler
Springfield TYPE OF WORI(: Heating System
TYPE OF USE: New Residential
Owner: ROKEyALBERT S & CLETAG
Address: 7425 THURSTON RD SPRINGFIELD OR 97477
Contractor Tvpe
Electrical
Mechanical
Contractor
JOSEPH BUNCH
Expiration Date
08t2u2007
12t23t2005
Phone
541-344-8745
541-747-7445
# 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:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
the
Type:
Energy Path:
Sprinkled Building:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
Yo ofLot Coverage:
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
REQUIRED PARI(NG
Total:
Handicapped:
Compact:
nla
\S
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
IMrfi
DEVELOPMENT INFORMATION
Description Type of Construction
Paee 1 of2
Value Date Calculated
L LJt]
rB0 Dh\
Valuation Description I
I|{otl
VN
F
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: COM2004-01020ISSUED: 0811712004APPLIED: 08/1712004EXPIRES: 03/0312005
VALUE:
Fee Description
-Mechanical Issuance Fee-
+ l0Yo Administrative Fee
+ 77o State Surcharge
Air Handling Unit Up to 10,000
Heat Pump
Minimum/Adj ustment Mechanical
+ l0oh Administrative Fee
+ 77o State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Total Amount Paid
Total Value of Project
Date PaidAmount Paid
$10.00
$4.s0
$3.1s
$8.00
$12.00
$2s.00
$4.90
$3.43
$43.00
$6.00
$119.98
Receipt Number
1200400000000001223
120040000000000r223
1200400000000001223
1200400000000001223
1200400000000001223
1200400000000001223
1200400000000001290
1200400000000001290
1200400000000001290
1200400000000001290
8n1104
8n7104
8n7t04
8fi7t04
8n7t04
8n7t04
8t3u04
8t31t04
8t3u04
8t3y04
tr'ees
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.
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 OCCUPAIICY 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 wiII 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
Paee2 oI2
Date
tl L tl LJ
Keourreo lnsDectrons
225 Fifth Street
Springfield, Oregon 97 477
541=726-3759 Phone
-ity of Springlield Official Receipt
;evelopment Services Department
Public Works Department
RECEIPT #: 120040000000000r290 Date: 0813112004 1:50:2ePM
Job/Journal Number
coM2004-0r020
coM2004-01020
coM2004-01020
coM2004-01020
Descrlpfion
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 7Yo State Surcharge
+ 10% Adminishative Fee
Amount Due
43.00
6.00
3.43
4.90
Item Total:$57.33
Payments:
Type of Payment Paid By
Uhecl(Number Authorization
Received By Batch Number Number How Received Amount Paid
CreditCard JOSEPH BUNCH ELECTRIC djb 812968 In Person
Payment Total:
$s7.33
-sffi
8l3t/2004 Page I of I
-l
Building/C ombination Permit
Status Issued
225 Fifth Street, SpringIield, OR
541-726-3753 Phone
541-726-3676Fax
541 -7 26-37 69 Inspection Line
PERMIT NO: COM2004-01020ISSUED: 0811712004APPLIED: 08/1712004
EXPIRESz 0211712005
VALUE:
SITE ADDRESS: 7425 THURSTON RI)
ASSESSOR'SPARCELNO.: 1702350002800
PROJECT DESCRIPTION: Install heat pump and air handler
Springfield TYPE OF WORI(: Heating System
TYPE OF USE: New Residential
owner: RoKEY ALBERT s & CLET&SL.^_
Address: 7425 THURSTON RD SPRJIWIELT:OR 97477
Contractor Type
Mechanical
Contractor ANY
MARSHALLS INC
180 oAy PERI0D.
I
Expiration Date
12t231200s
Phone
s4t-747-7445
AU
c0
2s790
m
# 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:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Overlay Dist:
# Street Trees Rq d:
bllort
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
REQUIRED PARJ(NG
Total:
Handicapped:
Compact:
R-3
VN
nla
$ Per Sq Ft
or multiplier
w
Square Footage
or Bid Amount
DEVELOPMENT INFORMATION
Description Tvpe of Construction
Total Value of Project
VaIue Date Calculated
f
{L]Yrr
-)
trc
Valuation Description I
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: COM2004-01020ISSUED: 0811712004APPLIED: 08/1712004
EXPIRESz 0211712005
VALUE:
Fee Description
-Mechanical Issuance Fee-
+ l0o/o 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
$4.50
$3.1s
$8.00
$12.00
$25.00
$62.6s
Date Paid
8n7t04
8n7t04
8tr7t04
8n7t04
8n7t04
8n7t04
Receipt Number
1200400000000001223
120040000000000r223
r200400000000001223
1200400000000001223
1200400000000001223
1200400000000001223
Plan Reviews
To Request an inspection call the 24 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.
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 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 construction.
B-lloy'
or Contractors
Page2 of2
Date
TE
I(eourreo lnsDectlons
225 Fifth Sfreet
Springfield, Oregon 97 477
541-726-3759 Phone
'ity of Springfield Official Receipt
,velopment Services Department
Public Works Department
RECEIPT #: 120040000000000r223 Date: 0811712004 12:01:09PM
Job/Journal Number
coM2004-0r020
coM2004-01020
coM2004-01020
coM2004-01020
coM2004-01020
coM2004-01020
Description
+ 7o/o Stzte Surcharge
+ l0% Administrative Fee
Air Handling Unit Up to 10,000
Heat Pump
Minimum/Adj usfinent Mechanical
-Mechanical Issuance Fee-
Amount Due
3. l5
4.50
8.00
12.00
25.00
10.00
Item Total:$62.6s
Payments:
Type of Payment Paid By
checl( NumDer Authorization
Received By Batch Number Number How Received Amount Paid
Check MARSHALLS INC djb 18145 In Person
Payment Total:
$62.65
-$6-ffif
8/17/2004 Page I of I
rx5|lf[..
225 FIFTH STREET . SPRNGFIELD, OR97477 O PH:(54I)726.3753 ' FAX: (541
E LECTF.I CAL P ERMIT AP PLI CATIAN
City Job Number13,.,ta g:o11 \-c (o Zo Date a 6L{7/
I. LOCATIAN OF INST'ALI-A'I'1ON
s ,"tfS
LEGAL DESCzuPTION A. Ncrv Residential - Single or
lTozStOo OZ80o
*%#
JOB DESCRIPTION
,4-D,\ 3 C-\ (Z<--,i
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
2
Service Included
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
to
$
$50.00
$ 63.00
s 7s.00
$125.00
1-
$375.00
$ s0.00
Alteration or Relocation
$ s0.00
$ 69.00
$ 100.00
B. Services or Feeders - Installation, Alterations or Reloc:rtion:
Electrical Contractor
Address >€2{f cncn,
City Phone
Supervisor License Number 73
Expiration Date iC '01
constr. contr. Number A0 - Ll63 L
Expiration Date l0 -04
Si of Supervising Electrician
4.
Pl,skr Amps or200
201
60
Over 600 Amps or 1000 Volts see "B" above.
D. Branch Circuits '' , "
I $43.00 f3
O\YNER INSTALLATION
The installation is being made on properry I own which
is not intended for sale, lease or rent.
Owners Signarure:
E.
\'t
s s0.00
$ s0.00
$ 2s.00
Energy/Commercial $ 45.00
Minimum Electric Permit Inspection Fee is $-15.00 + Surcharges
4. SL'BTOTALOFABOI,'E II C,
tl
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
New Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with
Service or Feeder Permit \r
7oh State Surcharge
10% Administrative Fee
3.00 (-
Owners Name At- D"L6r
TLlZ\ ,1,,^/ sI-,^^Address
Ciry SQ r=\ Phone
373q 70
AL -t 3Inspection Request: 726-3769 $"'
Shared Drive{T:)/Building Fonns/Electrical Permit Application l-03.doc
3. COMPLETE FEE
%
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