HomeMy WebLinkAboutPermit Mechanical 2005-01-19F
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: COM2005-00038ISSUED: 0111912005APPLIEDT 0111212005EXPIRESz 0711912005
VALUE:
SITE ADDRESS: 512 SPRINGDALE AVE
ASSESSOR'S PARCEL NO.: 1703224206100
PROJECT DESCRIPTION: Install furnace and air handler
Springfield TYPE OF WORI(: Heating System
TYPE OF USE: Repair
Owner:
Address:
Contractor Type
Electrical
Mechanical
PERRY ALLEN
512 SPRINGDALE AVE
SPRINGFIELD OR 97477
Expiration Date
08t2u2007
t2t23t2005
Residential
Phone
541344-8745
541-747-7445
Phone Number: 541-747-2161
Contractor
JOSEPH BUNCH ELECTRIC INC
MARSHALLS INC
License
156761
25790
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:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
oh of Lot Coverage:
Lot Size:rth
'e set fo
R-3
VN Orego
Fts1
ffioryrer
nlz Occupant Load:
lst Floor:0r-
by
REQUIRED PARKING
Total:
Handicapped:
Compact:
(N ot
nente,. i
PF IU r0B
Sidewalk Type:
Downspouts/Drains:
DEVELOPMENT INFORMATION
Notes:
Page 1 of3
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SHALT EXPIBE
UNOER
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: COM2005-00038ISSUED: 0111912005APPLIEDz 0lll2/2005EXPIRESz 0711912005
VALUE:
Description Type of Construction
Fee Description
-Mechanical Issuance Fee-
+ l0Yo Administrative Fee
+ lYo State Surcharge
Air Handling Unit Up to 10,000
Furnace - up to 100,000 btu
Minimum/Adj ustment Mechanical
Total Amount Paid
Total Value of Project
Date Paid
Ut9tos
ut9t05
utgt05
ut9t05
utgtos
utgtOs
Value Date Calculated
Receipt Number
1200s00000000000077
1200500000000000077
1200s00000000000077
1200s00000000000077
1200500000000000077
1200s00000000000077
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Amount Paid
$10.00
$4.s0
$3.1s
$8.00
$12.00
$25.00
$62.6s
Fpes Peid
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.
Rough Mechanical: Prior to Cover
Pinal Mechanical: When all mechanical work is complete.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Reorrired Insneefions
Paee 2 of3
Valuation Descriotion 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: COM2005-00038ISSUED: 0111912005
APPLIEDz 01112/2005
EXPIRESz 0711912005
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 wilt 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.
('l^ zE.o-r-
Owner or Contractors Signature Date
Paee 3 of3
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
city of Springfield Official Receipt
velopment Services Department
Public Works Department
RECEIPT #: 1200s00000000000077 Date: 0111912005 2225:37PtrI
Job/Journal Number
coM2005-00038
coM2005-00038
coM2005-00038
coM2005-00038
coM2005-00038
coM200s-00038
Description
+ 7o/o State Surcharge
+ l0% Administrative Fee
Furnace - up to 100,000 btu
Air Handling Unit Up to 10,000
Minimum/Adj ustment Mechanical
-Mechanical Issuance Fee-
Amount Due
3.ls
4.50
12.00
8.00
25.00
10.00
Item Total:$62.6s
Payments:
Type of Payment Paid By
CheckNumber Authorization
Received By Batch Number Number How Received Amount Paid
Check MARSHALLS INC djb r8407 In Person $62.65
Payment Totat:
-56ffi
t/191200s Page I of I
5r
sParfir.FlaLD
225 FIFTE STBEET . SPRINGFIELD,OR97477 . PH:(541)726'3753 'FAx:
EIE, CTRI CAL P ERMIT AP P I'I CATTON
City Job Numbcr UA g Datc
1.3.
LEGAL DESCRIPTION A.
l7 o 3zz\z o6too ,ro,
JOB DESCRtrfiON
C \ /LLt\1
Permits are non-transferable and expire if work is
i iot started lYithin 180 days of issuance or if work is
Suspended for 180 daYs.
2.
Electrical Contractor w
Address rlIcnra f
-f,Phone
B.
InC 2oo AmPs orless
201 AmPs to 400 AmPs
401Amps to 600
.i-ilQ$i
rul
Nottti cation
in OAR 952-00
07
D.
0Tlc
1H\S PE
Service Included
1000 sq. ft. or less
Each additional 500 sq. fr or
portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
OAR
I $ 63.00
s 75.00
$ s0.00
s 69.00
$100.00
9.00
$s0.00
City
Supervisor License Nr:mbcr +1 3+4 0090
Expiration Date e
Constr. Contr. Number zo-
Expiration Datc 0
of Supervising
d lL(
8
Atle"t
401 Amps to 600 AmPs
Over 600 or 1000 Volts see "B" above.
New Alteratiou or Ertension Per Panel
One Circuit $ 43.00
Owners Name
Address 51 2-?turruc-E.
City SP Phone
ANY 18
OWNER bISTALLATION
The installation is being made on property I own which
is not intended for sale, lcase or renl
Owners Signanue:
or irrigation
Sigr/Outline Lighting
Limited EnergY/Residential
Limited EnergY/C ommercial
Minimum Electric Permit Inspection
't% Stzte Surcharge
I Qol6 [dmini 5trative Fee
TOTAL
irf
-?-E3.oo
s 50.00
s 50.00
$ 25.00
$ 45.00
Fee is $45.00 * Surcharges
67
of flithE b
Inspection Request: 726-37 69
a i ,n :r r:- - f,---r6-l--l D6ii A Mli.rri^n l -ol dm
5, tZ S P fl'uc- is'4V€
I
b)
s125.00
$163.00
s375.00
s 50.00
v83
-@
4o-r,
RMI'i
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: COM2005-00038ISSUED: 0111912005APPLIEDz 0111212005EXPIREST 0712012005
VALUE:
SITE ADDRESS: 512 SPRINGDALE AVE
ASSESSOR'S PARCEL NO.: 1703224206100
PROJECT DESCRIPTION: Install furnace and ac compressor
Springfield TYPE OF WORK: Heating System
TYPE OF USE: Repair
Owner:
Address:
Contractor Type
Electrical
Mechanical
PERRY ALLEN
512 SPRINGDALE AVE
SPRJNGFIELD OR 97477
Expiration Date
08t2u2007
12t23t2005
Residential
Phone
541-344-8745
541-747-7445
Phone Number: 541-747-2161
Contractor
JOSEPH BUNCH ELECTRIC INC
MARSHALLS INC
License
ts676t
25790
CONTRACTOR INFORMATIC
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
SoIar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
# of Stories:
Height of Structure
Type of Heat:
ATTMqTI
NU
Paved Drive Rqd:
o/o of Lot Coverage:
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
R-3
VN
fol
lawrequlrrec yot,
pted by the Oregon
rulss by
Ft Basement:
Ft Garage/Carport
Ft Other:
set Load:in
REQUIRED PARKING
Total:
Handicapped:
Compact:
Sidervalk Type:
Downspouts/Drains:
PUBLIC IMPROVEMENTS
Notes:
Page I of3
rL
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
l,UILUII\U TNT UT(rYTA T TUN]
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: COM2005-00038ISSUED: 0lll9l200sAPPLIED| 0y12t2005
EXPIRESz 0712012005
VALUE:
Valuation Descrintion
Description Tvpe of Construction
Fee Description
-Mechanical Issuance Fee-
+ llYo Administrative Fee
+ lYo State Surcharge
Air Handling Unit Up to 10,000
Furnace - up to 100,000 btu
Minimum/Adj ustment Mechanical
+ lOoh Administrative Fee
+ 7Vo State Surcharge
Add, Alter, Extend Circ Ea Add
Perm Serv/Fdr 200 amps or less
Total Amount Paid
Total Value of Project
Date Paid
Yalue Date Calculated
Receipt Number
1200500000000000077
1200500000000000077
r200500000000000077
r200500000000000077
1200s00000000000077
1200500000000000077
2200500000000000073
2200500000000000073
2200500000000000073
2200500000000000073
Amount Paid
$10.00
$4.50
$3.r5
$8.00
$12.00
$25.00
$6.90
$4.83
$6.00
$63.00
$143.38
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
utgt05
utgt05
ulgt05
utgtos
utgt05
utgt05
u20t05
u20t05
y20t05
u20t05
f,'ees 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.
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.
Electric Service: Approval required prior to utility company energizing service.
Reouired Insnections
Paee 2 of3
I
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: COM2005-00038ISSUED: 0111912005APPLIEDz 0111212005
EXPIREST 0712012005
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
Page 3 of 3
._t
225 Fifth Street
Springfield, Oregon 97 477
541-726-3159 Phone
City of Springlield Oflicial Receipt
evelopment Services Department
Public Works Department
RECEIPT #: 2200500000000000073 Date: 0112012005 9:01:12AM
Job/Journal Number
coM2005-00038
coM200s-00038
coM200s-00038
coM200s-00038
Description
Perm Serv/Fdr 200 amps or less
Add, Alter, Extend Circ Ea Add
+ loh State Surcharge
+ l0% Administrative Fee
Amount Due
63.00
6.00
4.83
6.90
Item Total:$80.73
Payments:
Type ofPayment Paid By
Check Number
Received By Batch Number
Authorization
Number How Received Amount Paid
CreditCard JOSEPH BLINCH djb 349421 In Person $80.73
Payment Total :
-53T-23-
U20/2005 Page I of I
&t'lNlx6rtxLD