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Home My WebLink AboutPermit Mechanical 2003-07-29Building/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: COM2003-00648ISSUED: 0712912003APPLIEDz 0712212003 EXPIRESz 0112912004 VALUE: SITE ADDRESS: 3430 SUE ANN CT ASSESSOR'S PARCEL NO.: 1702194201100 PROJECT DESCRIPTION: Install heat pump and air handler Springfield TYPE OF WORK: Heating System TYPE OF USE: New Residential Owner: Address: Contractor Type Electrical Mechanical Contractor JB ELECTRIC MARSHALLS INC ZEDWICK LAWRENCE S & ANN B 3430 srrE,q,NN couir sIRTNGFTELD oR ,rTu:1ll,X;:ft:1"j1'f^:1y,"r3:":,"J.:lly in copies of the rules I r. (Note:the t€lePhone nunbDlContbe O rm$ftldtffi DgEit"iiubne r&}Beteris 1-80$8&?tffi44\ s4t-687-s770 25790 12t23t2003 541-747-7445 # 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 Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Overlay Dist: # Street Trees Rqd: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: R-3 VN T SHALL I"IORiZED UNDER T ITISN IL{ENCED 0R S ABA PavedDriveRqd: ,. ,l' '180 DAY PERI0D %o ofLot Coverage: Compact: Sidewalk Type: Downspouts/Drains PUBLIC IMPROVEMENTS Notes: Pase I of3 IL D U rlulr\ tr 11\ I (r[\IYrft I ltJ].\ | F 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: COM2003-00648ISSUED: 0712912003APPLIEDz 0712212003 EXPIRESz 0112912004 VALUE: Description Type of Construction Fee Description -Mechanical Issuance Fee- + l0o/o Administrative Fee + 7%o State Surcharge Air Handling Unit Up to 10,000 Heat Pump Minimum/Adj ustment Mechanical + lOoh Administrative Fee + 7o/o State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Total Amount Paid Total Value of Project Date Paid Value Date Calculated Receipt Number 1200200000000001802 1200200000000001802 1200200000000001802 120020000000000r802 1200200000000001802 1200200000000001802 1200200000000001840 1200200000000001840 1200200000000001840 1200200000000001840 $ Per Sq Ft or multiplier Square Footage or Bid Amount Amount Paid $10.00 $4.s0 $3.15 $8.00 $12.00 $25.00 $4.60 s3.22 $43.00 $3.00 $116.47 7/22t03 7t22t03 7t22t03 7t22t03 7t22t03 7t22t03 7t29t03 7/29t03 7t29t03 7t29t03 Fees Paid 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. 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. Paee 2 of3 ru Valuation Descrintion I Keourreo rnsnectrons I Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541 -7 26-37 69 Inspection Line Building/C ombination Permit PERMIT NO: COM2003-00648ISSUED: 0712912003 APPLIEDT 0712212003EXPIRES: 0112912004 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 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 Official Rec0ipt Development Services Department Public Works Department #z 840 Date: 0712912003 8:36:52AM coM2003-00648 coM2003-00648 coM2003-00648 coM2003-00648 Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 7Yo State Surcharge + lloh Administrative Fee Item Total: 43.00 3.00 3.22 4.60 -ffi Type ofPayment Paid By Received By Batch Number Authorization Number How Received Amount Paid Check JB ELECTRIC ddk In Person Payment Total:$s3.82 $53.82 Building/C ombination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2003-00648ISSUED: 0712212003APPLIEDz 0712212003EXPIRES: 0112212004 VALUE: SITE ADDRESS: 3430 SUE ANN CT ASSESSOR'S PARCEL NO.: 1702194201100 PROJECT DESCRIPTION: Install heat pump and air handler Springfield TYPE OF WORK: Heating System TYPE OF USE: New Residential Owner: ZEDWICK LAWRENCE S & ANN B Address: 3430 SUE ANN COURT SPRINGFIELD OR 97477 Contractor Type Mechanical Contractor MARSHALLS INC R-3 .1{) Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: oh oILot Coverage: Expiration Date 12t23t2003 Phone 541-747-7445 License 25790 # of Buildings: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: SETBACKS Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: $ Per Sq Ft or multiplier o$\s Square Footage or Bid Amount REQUIRED PARKING Total: Handicapped: \t Type Total Value of Project Page I of2 CONTRACTOR INFORMATION Description Type of Construction Value Date Calculated tL. Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Ftx 541 -7 26-37 69 Inspection Line PERMIT NO: COM2003-00648ISSUED: 0712212003APPLIED: 0712212003EXPIRES: 0112212004 VALUE: Fees Paid Fee Description -Mechanical lssuance Fee- + l0Yo Administrative Fee + 7%o State Surcharge Air Handling Unit Up to 10,000 Heat Pump Minimum/Adj ustment Mechanical Total Amount Paid Amount Paid $10.00 $4.s0 $3.1s $8.00 $12.00 $2s.00 $62.65 Date Paid 7122103 7t22t03 7t22t03 7t22t03 7t22t03 7t22t03 Receipt Number 1200200000000001802 1200200000000001802 1200200000000001802 1200200000000001802 1200200000000001802 r200200000000001802 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. 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 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 70f .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. 6 ," Owner Signature Paee 2 of 2 Date I(eourreo rnsDecuons I 225 Fifth Street Springfield, Oregon 97 477 54L-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Receipt #: 1200200000000001802 Date: 0712212003 l:14:12PM coM2003-00648 coM2003-00648 coM2003-00648 coM2003-00648 coM2003-00648 coM2003-00648 + 7%o State Surcharge + l0%o Administrative Fee Air Handling Unit Up to 10,000 Heat Pump Minimum/Adj ustment Mechanical -Mechanical Issuance Fee- 3.ls 4.50 8.00 12.00 2s.00 10.00 Item Total:$62.65 Payments: Type of Payment Paid By (-heck Number Received By Batch Number Authorization Number How Received Amount Paid Check MARSHALLS INC djb In Person Payment Total: $62.6s $62.65 ( 225FWTH STREET SPRINGFIELD, OREGON 97477 INSPECTION REQIJEST : 726-37 69 OFFICE: 72G3759 I. LOCATION OF INSTALLATION 3430 Sue Ann Ct LEGAL DESCRIPTION JOB DESCRIPTION Heat Pump Exchange & electric to electric 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. CONTRACTOR INSTALLATION ONLY Electrical Contractor JB ELECTRIC. INC. Address 4685lsabelle St. City Euqene. OR 97402 Phone_8.1€E;[@_ Supervisor License Number 3872S Expiration Date 1Ql1l04 Constr Contr. Number 37587C ccB 104929 C Expiration Date 10t1t03 3t14tO4 of Electrician Owners Zedwick Address: 3430 Sue Ann Ct City Sprinqfield. OR PhoneT4l-3224 OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: ELECTRICALPERMIT _-'LICATION City Job Number O6E\dil00ih0ffiEct as submitted has the toilowing zcning and does not require specific land use 3. COMPLETE FEE SCI{ED(ISHBfibW Zoning A. New Residential-Single or Dale t-x)(. Multi-Family per dwgflflqgp{k S,snatu,e Service lncluded: Items Cost Sum 1000 sq. ft.. or less Each additional 500 sq. ft or portion thereof Each Manufd Home or Modular Dwelling Service or Feeder B. Services or Feeders Installation, Alterations or Relocation: 200 amps or less 201 amps to 400 amps 401 amps to 600 amps 601 amps to 1000 amps $106.00 $ $r9.00 $ $50.00 $ $63.00 $7s.00 $ $125.00 $163.00 $ $ e$ 00.00 $ .=, $- Over 600 amps or 1000 volts see B above D. Branch Circuits New, Alteration or Extension Per Panel 5. SUBTOTALOFABOVE milmur T/o State Surcharge I @/o Administrative Fee $ One Circuit I $43.00 Each Additional Circuit or *itliffice- or Feeder Permit I $3.00 N0TlcE: $ 43.00 $ 3.00 E Misceuaneoifl{Spffrf$?#gnAtttfp+hE IF THE w0 **,,;"#ld3{ryffi,fl,,,Jl,,,r1-l[:JrTltfffl y Limited EnergyALLP't rLiiiLrTr- $25.00 Limited Energy/Comm $45.00 RK 0i $ t4i.oo $46.00 $7, .,1 $4.60 $JB Job # 03-526 TOTAL 53.82 200 201 the center.(Note: the amps to is1Over 401 to $- $-