HomeMy WebLinkAboutPermit Mechanical 2006-03-28Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-7 26-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2006-00365ISSUED: 0312812006
APPLIED: 03/2812006EXPIRES: 0312612007
VALUE:
SITE ADDRESS: 561 S 40TH ST
ASSESSOR'S PARCEL NO.: 1702314401666
PROJECT DESCRIPTION: Heat Pump
Springfield TYPE OF WORK: Heating System
TYPE OF USE: Addition
PhoneNumber: 541-521-1067
Expiration Date
04fi512008
03t08t2007
Residential
Phone
541-895-4466
541-461-2101
Owner:
Address:
Contractor Type
Electrical
Mechanical
Contractor
C PERKINS ELECTRIC INC
CHITTIM ENTERPRISES I INC
MEYERS TIMOTHY L & VALERIE A
561 S 4OTH ST
SPRINGFIELD OR 97478
License
1s9537
47396
CONTRACTOR INFORMATION
# 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:
*TffiffitlHiit?#'3mffii**
Energy Path:
Sprinkled Building
Sq Ft Other:
Occupant Load:nla
REQUIRED PARKING
Centerir
Notes:
Page 1 of3
q
(Note: the telephone
11\I (JISIYIA I TUT\
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-7 26-37 69 Inspection Line
Building/C ombination Permit
PERMIT NO: COM2006-00365ISSUED: 0312812006
APPLIEDT 0312812006
EXPIRESz 0312612007
VALUE:
Description Type of Construction
Fee Description
+ l0oh Administrative Fee
+ 87o State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
-Mechanical Issuance Fee-
+ l0oh Administrative Fee
+ 57o Technology Fee
+ 87o State Surcharge
Air Handling Unit Up to 10,000
Heat Pump
Minimum/Adj ustment Mechanical
Total Amount Paid
Total Value of Project
Date Paid
Value Date Calculated
Receipt Number
2200600000000000394
2200600000000000394
2200600000000000394
2200600000000000394
1200600000000001533
1200600000000001533
1200600000000001533
1200600000000001533
1200600000000001533
1200600000000001533
1200600000000001 533
Amount Paid
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
3t28t06
3t28t06
3t28t06
3t28t06
t0n6t06
t0n6t06
t0n6t06
t0n6t06
t0n6t06
t0n6t06
t0n6t06
$4.60
$3.68
$43.00
$3.00
$10.00
$4.s0
s2.25
$3.60
$8.00
$12.00
$2s.00
$r19.63
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 Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Rough Mechanical: Prior to Cover
FinaI Mechanical: When all mechanical work is complete.
Rpnrrired Insneefinns
Pase 2 of3
Valuation Description
Bees Prrd I
Status Issued
225 Fifth Street, Springfieldo OR
541-726-3753 Phone
541-726-3676Fax
541-726-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2006-00365ISSUED: 0312812006APPLIED: 0312812006
EXPIRESz 0312612007
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 Springfield and the Laws of the State of Oregon pertaining to the work described hereinn 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.
lR - Ita- Ob
er or Contractors Signature Date
Page 3 of3
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
C''- of Springfield Oflicial Receipt
L-- /elopment Services Department
Public Works Department
RECEIPT #: 1200600000000001533 Date: 1011612006 2:40:53PM
Job/Journal Number
coM2006-00365
coM2006-00365
coM2006-00365
coM2006-00365
coM2006-00365
coM2006-00365
coM2006-0036s
Description
Air Handling Unit Up to 10,000
Heat Pump
-Mechanical Issuance Fee-
Minimum/Adj ustment Mechanical
+ 5%o Technology Fee
+ 8% State Surcharge
+ l0o/o Administrative Fee
Amount Due
8.00
12.00
10.00
2s.00
2.25
3.60
4.50
Item Total $65.35
Payments:
Type of Payment Paid By
Check Number
Received By Batch Number
Authorization
Number How Received Amount Paid
Check JAMES HEATING AND AC djb t46l In Person S65.35
Payment total:
-56ffi
cReceint I Page 1 of 1 t011612006
-.-
CitY of SPringfield
225 Fifth Street, Springfield, OR97477
541-726-3759 Phone
541-726-36768ax
August 21,2006
MEYERS TIMOTHY L & VALERIE A
56I S 4OTH ST
SPRINGFIELD OR 97478
Job Number:
Location:
coM2006-00365
561 S 4OTH ST
Dear Permit Holder:
The Springfreld Building Safety code Administrative code provides that in order for a permit to
remain valid, the work which has been autho.ired by the permit must begin within 180 days of the date
liir.uurr"", and an inspection must be requested at least every i80 days'
According to our records, you obtained a permit for a project at 561 s 40TH ST which is set to expire
on912g12006. our records indicate that you have not requested an inspection within the past five (5)
rnonths. This letter is written to notifi ylu that your pennit(s) will be expiring shortly. If you are,
-
ready to request an inspection for your project, pteas" pfrone the inspection line-at 541-726-37 69' If
you do not request an inspection prior to the exiiration date, your permit(s) will expire and additional
permit fees will be requirid in order to co,rplete your project.
If you have any questions, please feel free to phone tne at 541-126-3790.
Sincerely,
Project:Heat PumP
Lisa Hopper
Building Safety N{anagement Analyst
==.-
$FEtHCjEIELtr
following
s. and does not requi
oval
USOzov
,oning
225 FIFTH STREET . SPRINGFIELD, OR 97477 t PH:(541)726-3753 o FAX: (541)726-3689
PERMIT APPLICATION ,^r"3f)X)2rpG
City Job Number
1. LOCA:TION OF 3.
5a
JOB
Permits are non-transferab and expire if work is
A.Nerv Residential - Single or l\'lulti-Family.'per dwelfing unit', , ,-
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
B. Services or Feeders - Instrllation, Alterttions or Relocatinn:
AL DESCRIPTIONb
s 106.00
$ 19.00
$50.00not started within 180 days of issuance or if work is
Suspended for 180 daYs.
2. cor{tRAcToR TNSTALLA'J|ION ONLY
ElectricalContractor C ?.oR, *t
Address PO Box //7s
City C-Re.r r.'Phone (?5^ y d,
Supervisor License Number
Expiration Date /o 4/- a7
Constr. Contr. Number 5
Expiration Date ?- rs -og
Si gnature of Supervising Electrician
Owners Name
Address tl -[1
201 &nnv.rtpr4QQ AmPs
oo*ii'!t'fgfl^fffpS r*L L rx
200 Amps or less
20i Amps to 400 AmPs
401 Amps to 600 AmPs
601 Amps to 1000 AmPs
Over 1000 AmPs/Volts
Reconnect OnlY
Each Additional Circuit or with
Service or Feeder Permit
E. Nliscellaneous
Pump or inigation
Sign/Outline Lighting
Limited Energy,&.esi denti al
Limited EnergY/Commercial
7% State Surcharge
10% Administrative Fee
TOTAL
J770- s
Installation, Alteration or Relocation
200 Arnps or less $ 50.00
s 69.00
$ 100.00
s 43.00
s 3.00
s 50.00
$ 50.00
$ 25.00
$ 45.00
E WOR K
D.
New Alteration or Extension, Per Panel
One Circuit (43
C Phone
OWNER ALLATTON
The installation is being made on property I own which
is not intended for saie, lease or rent.
Owners Signature
Minimum Electric Permit Inspection Fee is S'15'00 * Surcharges
93 o!
3b
L )Inspection Request: 726'37 69
Shared Drive(T:)/Building Fonns/Electlical Penuit Application l-03.doc
{
lic'^ring proiect as
).
utit
Over
$ 63.0Q:
$ 75.00
$1as.oo
$375.00
\
4. SUBTOTAL OF ABO\'E
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
S4l-7 26-37 69 Inspection Line
Building/C ombination Permit
PERMIT NO: COM2006-00365ISSUED: 0312812006APPLIEDz 0312812006EXPIRES: 0912812006
VALUE:
SITE ADDRESS: 561 S 40TH ST
ASSESSOR'SPARCELNO.: 1702314401666
PROJECT DESCRIPTION: Heat Pump
Springfield TYPE OF WORK: Heating System
TYPE OF USE: Addition Residential
Owner:
Address:
Contractor Tvpe
Electrical
Contractor
C PERJilNS ELECTRIC INC
MEYERS TIMOTHY L & VALERIE A
s61 S 40TH ST
SPRINGFIELD OR 97478
License
159537
Expiration Date Phone
04nst2008 541-89s4466
CONTRACTORINF(
BUILDING INFOR
# 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:
Strect Improvements:
Storrn Sewer Available:
Special Instruction:
Notes:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
IBE IF
nla
1INCTD O R IS ABANO
R iHIS PER
ON
,ffi#I?#,PARJ(NG
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
%o ofLot Coverage:
ERIOD
ELh6tS
Handicapped:
Compact:
Sidewalk Type:
Downspouts/Drains
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
PUBLIC IMPROVEMENTS
Description Type of Construction
Page I of2
Value Date Calculated
NLIII
) DAY
Yaluation Description I
;HGFIELS
ITY
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: COM2006-00365ISSUED: 0312812006APPLIED: 0312812006
EXPIRESz 0912812006
VALUE:
Fee Description
+ l\'h Administrative Fee
+ 8'lo State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Total Amount Paid
Amount Paid
$4.60
$3.68
$43.00
$3.00
$54.28
Total Value of Project
Date Paid
3t28t06
3t28t06
3t28t06
3t28t06
Receipt Number
2200600000000000394
2200600000000000394
2200600000000000394
2200600000000000394
Fees Pa
Plan Reviews
To Request an inspection call the24 hour recording at 726-3769. All inspection requested before 7:00 a.m.
will be made the same working day, inspections requested after 7:00 a.m. will be made the following work
day.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
nsnections
By signaturer l state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with
the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety.
I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the
street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all
times during construction.
Owner or Contractors Signature
Pase2 of2
Date
L
225 Fifth Street
Springlield, Oregon 97 477
541-726-3759 Phone
r-ity of Springfield Official Receipt
jvelopment Services Department
Public Works Department
RECEIPT #: 2200600000000000394 Date: 0312812006 10:54:52AM
Job/Journal Number
coM2006-00365
coM2006-00365
coM2006-00365
coM2006-00365
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 8% State Surcharge
+ l0% Administrative Fee
Amount Due
43.00
3.00
3.68
4.60
Item Total:$s4.28
Payments:
Type ofPayment Paid By
Check Number
Received By Batch Number
Authorization
Number How Received Amount Paid
CreditCard C PERKINS ELECTRIC njm wendy 028776 Phone
Payment Total:
$s4.28
-$s4-3E.
(,
'(.,'
3/28/2006 Page I of I
ailxel3,.e
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