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Home My WebLink AboutPermit Mechanical 2003-06-05Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-726-37 69 Inspection Line Building/C ombination Permit PERMIT NO: COM2003-00459ISSUED: 06/05/2003APPLIED: 06/0512003 EXPIRES: 1211012003 YALUE: SITEADDRESS: 824S44THST ASSESSORTS PARCEL NO.: 1802052105400 PROJECT DESCRIPTION: Install AC Owner: SINNIGERJASON p & DEONNA M Address: 824 S 44TH ST SPRINGFIELD OR 97478 Springfield TYPE OF WORK: Heating System TYPE OF USE: New Residential Contractor Tvpe Electrical Mechanical Owner Contractor KS ELECTRIC COMFORT FLOW SINNIGER JASON P & DEONNA M License 70889 460 Expiration Date 12t30t2004 06t2712003 Phone 541-686-6236 541-726-0100 CONTRACTOR INFORMATION # of Buildings: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: SETBACKS Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Solar Street Storm Sewer Special Instruction: R-3 VN # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: 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: Impervious Surface Area: REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: Downspouts/Drains: PUBLIC Notes: Paee 1 of3 *5 lJ UlLt_rlt\ u r.NIi ul(tYr.q, I 42Nl .4" s1 {ou lel?s o, t;\$ r") Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax S4l-7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2003-00459ISSUED: 06/05/2003APPLIED: 06/0512003 EXPIRESz 1211012003 VALUE: Description Type of Construction $ Per Sq Ft Total Value of Project Date Paid Value Date Calculated Receipt Number 1200200000000001449 1200200000000001449 1200200000000001449 1200200000000001449 1200200000000001449 1200200000000001481 1200200000000001481 1200200000000001481 1200200000000001481 Square Footage Fee Description -Mechanical Issuance Fee- + l0o Administrative Fee + 7o/o State Surcharge Air Handling Unit Up to 10,000 Minimum/Adj ustment Mechanical + l0oh Administrative Fee I 7o/o State Surcharge Add, Alter, Extend Circ Minimum/Adj ustment Electrical Total Amount Paid Amount Paid $10.00 $4.50 $3.15 $8.00 $37.00 $4.50 $3.1s $43.00 $2.00 $115.30 615103 6t5t03 6t5t03 6t5t03 6tst03 6n0t03 6n0103 6n0103 6/10/03 Rpps Prid 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. 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. Reorrired Insneefions Paee 2 of 3 Valuation Descrintion I Status Issued 225 Fifth Street, Springfield, OR 54l-726-3753 Phone 541-726-3676Fax 541-726-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2003-00459ISSUED: 06/05/2003APPLIED: 06/0512003 EXPIRESz 1211012003 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 Springlield 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 Pase 3 of3 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone City of Springfield Development Services Department Public Works Department . Official Receipt Date: 0611012003 coM2003-00459 coM2003-00459 coM2003-00459 coM2003-00459 + 7Yo State Surcharge + l0o Administrative Fee Add, Alter, Extend Circ Minimum/Adj ustment Electrical Payments: 3.15 4.50 43.00 2.00 Item Total:$s2.65 o Check KS ELECTRIC djb In Person Payment Total: 52.65 $s2.6s 61t012003 l0:41:00AM Page 1 of I cReceipt.rpt Receipt #: 120020000000000 1 48 1 225 FIFTH STREET . SPRINGFIELD, OR97477 o ELE CTIiI CAL P E RMIT AP P LI CATI O N City Job Number (tttaZi;O)-- 6X>Y S'i Date 1. 8aq t LEGAL DESCRIPTION I 60L OSLI C sYo<: JOB DESCzuPTION PH:(54r)726-3753 r FAX: (s41)726-3689 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. 4U. 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 C D. One Circuit Each Additional Circuit or with Service or Feeder Permit 7oh State Surcharge l0% Administrative Fee TOTAL has thetollowing land use $106.00 $ 19.00 $s0.00 fl,a (-- nri ^? Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. 7 Electrical Contractor Address 0. O' l3r*2/?,-7 City Eq , A^-e, Phone 6f6'6zia J Superwisor License Number 3 Expiration Date t o/t /oy Installation, Alteration or Relocation 200 Amps or less $ 50.00 201 Amps to 400 Amps $ 69.00 401 Amps to 600 Amps $100.00 Over 600 or 1000 Volts see "B" above. New Alteration or Extension Per Panel $ 63.00 $ 7s.00 $125.00 s163.00 $375.00 $ s0.00 $ 43.00 $ 3.00 ____T___7 Expiration Date Signature of Supervising Electrician <o\./ r'^ Owners Name Address City OWNERINSTALLA $ The is not Owners ?4 E. Pump or irrigation Sign/Outline Lighting Limited Energy,/Residential Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 * Surcharges 6 33 $ s0.00 $ s0.00 $ 2s.00 ''({ 3/ q@ 52e t- Inspection Request: 726-3769 I own which 4 Shared Drive(T:)/Building Forms/Electrical Permit Application 1-03.doc # The A.1\ew u,niil,,.l i* $[[**uu I ti'ii;ir*td 3. k s&e,/riz i (rutk Constr. Contr. Number -7 r>*,€s {^{eIr' .o 3r Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Bax 541-7 26-37 69 Inspection Line Building/C ombination Permit PERMIT NO: COM2003-00459ISSUED: 0610512003APPLIED: 06/0512003EXPIRES: 1210512003 YALUE: PUBLIC SITE ADDRESS: 824 S 44TH ST ASSESSORTS PARCELNO.: 1802052105400 PROJECTDESCRIPTION: InstallAC Owner: SINNIGER JASON P & DEONNA M Address: 824 S 44TH ST SPRINGFIELD OR 97478 Springfield TYPE OF WORI(: Heating System TYPE OF USE: New Residential License Expiration Date Phone 541-726-0100460 Contractor Tvpe Mechanical Owner # of Buildings: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: SETBACKS Frontyard Setback: Side I Setback: Side 2 Setback: Contractor COMFORT FLOW SINNIGER JASON P & DEONNA M R-3 VN # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: oh of Lotc$eII& ANY 1 Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: THIS PERMIT SHALL EXPIRE IF THIS PER REQUIRED PARKING Total: Handicapped: Compact: .THE WORK MIT IS NOT Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: OR IS PSS$RI rrn., Downspouts/Drains: Square Footage CONTRACTOR INFORMATION DEVELOPMENT INFORMATION Description Type of Construction $ Per Sq Ft Page I of2 Value Date Calculated Iegul t Those r ) cel Yaluation Description I G Status Issued 225Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-36768ax 541-7 26-37 69 Inspection Line Building/C ombination Permit PERMIT NO: COM2003-00459ISSUED: 0610512003APPLIED: 06/0512003 EXPIRESz 1210512003 YALUE: Fee Description -Mechanical Issuance Fee- + l0%o Administrative Fee + lVo State Surcharge Air Handling Unit Up to 10,000 Minimum/Adjustment Mechanical Total Amount Paid Amount Paid $r0.00 $4.50 $3.15 $8.00 $37.00 $62.6s Total Value of Project Date Paid 6tst03 615t03 6t5t03 6tst03 6t5t03 Receipt Number 1200200000000001449 1200200000000001449 1200200000000001449 1200200000000001449 1200200000000001449 Fees Paid 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. 1 Rough Mechanical: Prior to Cover 2 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 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. J Owner or Signature Pase2 of2 Date 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone City of Springfield Development Services Department Public Works Department Official Receipt coM2003-00459 coM2003-00459 coM2003-00459 coM2003-00459 coM2003-00459 + 7Yo State Surcharge + l0o/o Administrative Fee Air Handling Unit Up to 10,000 Minimum/Adjustment Mechanical -Mechanical Issuance Fee- 3. l5 4.s0 8.00 37.00 10.00 Irem Totrlr S62.65 djb 62.65CheckCOMFORT FLOW In Person Payment Total:$62.65 6ts12003 l:30:28PM Page I of I cReceipt.rpt Receipt #: 1200200000000001449 Date: 06/0s/2003 (