HomeMy WebLinkAboutPermit Mechanical 2003-05-08ITY
Building/Combination Permit
Status Issued
225Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
PERMIT NO: COM2003-00353ISSUED: 05/08/2003APPLIED: 05/0812003
EXPIREST 1112912003
VALUE:
SITE ADDRESS: 820 SUNSET DR
ASSESSOR'S PARCELNO.: 1703341409501
PROJECT DESCRIPTION: Install2heat pumps and air handler
Owner: MICHELLE MCCALL
Address: 820 SUNSET DR SPRINGFIELD OR 97477
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New Residential
PhoneNumber: 541-953-9530
Contractor Tvpe
Electrical
Mechanical
Owner
Contractor
JB ELECTRIC
MARSHALLS INC
MICHELLE MCCALL
Expiration Date
03n4t2004
t2t23t2003
Phone
541-687-5770
s4t-747-7445
541-953-9530
License
r04929
2s790
CONTRACTOR INFORMATION
FORMATION
# 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:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
%o 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:
R-3
VN
)\o REQUIRED PARIflNG
Total:
Handicapped:
Compact:
oi
Notes:
Page 1 of3
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Building/Combination Permit
Status Issued
225Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fa,x
541-7 26-37 69 Inspection Line
PERMIT NO: COM2003-00353ISSUED: 05/08/2003APPLIED: 05/0812003
EXPIRESz 1112912003
VALUE:
Description Type of Construction $ Per Sq Ft
Total Yalue of Project
Date Paid
Value Date Calculated
Receipt Number
r200200000000001152
1200200000000001152
1200200000000001 152
1200200000000001152
12002000000000011s2
1200200000000001152
1200200000000001267
1200200000000001267
1200200000000001267
1200200000000001267
12002000000000013s8
12002000000000013s8
12002000000000013s8
Square Footage
Fee Description
-Mechanical Issuance Fee-
+ l0o Administrative Fee
+ 7%o State Surcharge
Air Handling Unit Up to 10,000
Heat Pump
Minimum/Adj ustment Mechanical
+ l0Yo Administrative Fee
+ 7o/o State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ l0/o Administrative Fee
+ 77o State Surcharge
Perm Serv/Fdr 200 amps or less
Total Amount Paid
Amount Paid
$10.00
$4.s0
$3.1s
$8.00
$24.00
$13.00
$s.20
$3.64
$43.00
$9.00
$6.30
$4.41
$63.00
$197.20
5/8/03
s/8/03
s/8/03
5/8/03
5/8/03
5/8/03
st20t03
5t20t03
5t20t03
5t20t03
5t29t03
5t29t03
5t29t03
tr'ees Peid
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.
5 Electric Service: Approval required prior to utility company energizing service.
red Insneefions
Paee 2 of 3
Valuation Descrintion I
Building/C ombination Permit
Status Issued
225Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
PERMIT NO: COM2003-00353ISSUED: 05/08/2003APPLIED: 05/0812003
EXPIRESz 1112912003
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
Paee 3 of3
E
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
City of Springfield
Development Services Department
Pubric*"#"HlHf#:
Receipt #z 120020000000000 1358 Date: 0512912003
coM2003-003s3
coM2003-00353
coM2003-003s3
Perm Serv/Fdr 200 amps or less
+ 1Yo State Surcharge
+ lloh Administrative Fee
Payments:
63.00
4.41
6.30
Item Total:$73.71
o
Check JB ELECTRIC djb In Person
Payment Total:
73.71
$73.71
5/29/2003 l:55:l6PM Page I of 1 cRcccipt.rpt
225 F:!TH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-37 69
OFFICE: '126-3759
ELECTRICAL PERMT- . "'PPLICATION
CityJobr*nur@5j
3. COMPLETE FEE SCHEDULE BELOW
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items
I. LOCABru
LEGAL DESCzuPTION
n o)3 v/L{O?5
JQB DESCRIPTIONServtu Cha 1v-
o,
Expiration Date 10l1l01
cc8
Constr Contr. Number 37587C 104929
Exoiruion Date 10l1ll1 3l14lV
Signature Electrician
ft,. or less
500
or
Manufd Home or
Modular Dwelling
Reconnect Only
C. Temporary Services or Feeders
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 ,lmps or 1000 volts sef-
B above
D. Branch Circuits
New, Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with S-*i""-
or Feeder Permit
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
S igr/Outl ine Lighting _
Limited EnerrylRes
Limited Enerry/Comm
5. SUBTOTALOFABOVE rrNrttut
7%Stata Surcharge
l0% Administrative Fee
Cost Sum
$106.00 $
$19.00 $
$s0.00 $
$63.00 s(E - -s75.00 $ -
$12s.00 $ -
$163.00
s375.00
$50.00
$
$69.00
$100.00
$
$
$
$50.00
City R Phone
OWNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
s43.00 $
$3.00 $
$50.00
$50.00
$25.00
$45.00
$
s
$
$
$
$
$45.00
$JB Job #61313 TOTAL -7s -"1
OF
B. Services or Feeders
Installation,
Permits are
if work is not started
of issuance or if work is
400 amps
amps
amps to 1000 amps
Over 1000
,
180 da1r.
2. CONTRACTOR
Electrical Contractor JB INC
$R
Address
City Eusene, OR 97402
Supervisor License Number
\O\{
\AO
$-
$-
$-
\e1
225.:IIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-37 69
OFFICE: 726-3759
I. LOCATION OF INSTALLATION
820 Sunset Dr.
City Job Number
3. COMPLETE FEE SCHEDULEBELOW
A. New Residential.Single or
Multi-Family per dwelling unit.
Service Included:
Items
1000 sq. ft.. or less
Each additional500
sq. ft or portion
thereof
Each Manufd Home or
Modular Dwelling
Service or Feeder
B. Services or Feoders
Installation" Alterations or
Relocation:
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. Temporary Services or Feeders
ELECTRICALPERMI. .IPLICATION
CoUto o353
200 amps or lpss.
201 amps to 400 amps
Over 401 to 600 amps
Over 600 .rmps or 1000 volts see
B above
I $43.00 $ 43.00
3 $3.00 $ 9.00
k
LEGAL DESCRIPTION
i70"3'3Yt'l o?J-ol
JOB DESCRIPTION
12)He{ pgmpsM hgndlqq
Permits are non-transferable and expire
ifwork is not started within 180 days
of issuance or ifwork is suspended for
180 days.
2. CONTRACTOR INSTALI-ATION ONLY
Electrical Contractor JB ELECTRIC. INC"
Address 4685 lsabelle St.
City Eusene, OR,97402 Phonel416EZ.5Z9._
Supervisor License Number 3872S
Expiration Date 1011t03
CCB
Constr Conk. Nurnber 37587C 104929
Expiration Date 10/1/03 3t14t04
Electrician
Owners
MicheleMoCall
Address same
City Spriq,ofield, OF 97472 PhoneT4l-0550-
OWNERINSTALLATION
The installation is being made on
property I own which is not intended
for salq lease or rent.
Owners Sigrrahrre:
D. Branch Circuits
New, Alteration or Extension Per Panel
One Circuit
Each Additiorral Circuit or with Service
or Feeder Permit
Cost Sum
$106.00 $
$r9.00 $
$50.00 $
$63.00
$75.00
$125.00
$163.00
$375.00
$s0.00
$
$
$
$
$
$
$
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigdion
Sign/Outlinelig$hg *.ri
Limit€d m&rt&Hqtl'ii \^'',
Limited Ear@Ei-gqLt; -'
$+.r\!"
JYt . ,, \N\,"' $25.00 $ -;W $45.ooT -
L\'
$45.00 $52.00
$3 .64
$5.20
$50.00
s50.00
$
5. SUBTOTALOFABOVE
lYs State Surcharge
l0% Adminisfrative Fee
JB Job # _03-333_TOTAL
UIIMIIUil
$60.E4
$-
$--$T
$50.00
$69.00
$100.00
\t
Building/Combination Permit
Status Issued
225Fifth Street, Springfield, OR
541-726-3753 Phone
541-7263676Fax
541-7 26-37 69 Inspection Line
PERMIT NO: COM2003-00353ISSUED: 05/08/2003APPLIED: 05/0812003EXPIRES: 1111912003
VALUE:
SITE ADDRESS: 820 SUNSET DR
ASSESSOR'S PARCEL NO.: 1703341409501
PROJECT DESCRIPTION: Install2heat pumps and air handler
Owner: MICHELLE MCCALL
Address: 820 SUNSET DR SPRINGFIELD OR 97477
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New Residential
PhoneNumber: 541-953-9530
Contractor Type
Electrical
Mechanical
Owner
Contractor
JB ELECTRIC
MARSHALLS INC
MICHELLE MCCALL
Expiration Date
03n4t2004
12t23t2003
Phone
s4t-687-s770
541-747-7445
541-953-9530
License
104929
25790
# 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:
Paved Drive Rqd:
o/o of Lot Coverage:
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
REQUIRED PARKING
Total:
Handicapped:
Compact:
\S
tos
PUBLIC IMPROVEMENTS
Notes:
Page I of3
Il,,N I
It U rL[[].\ tr Ir\ r UII'IVIA r r(rlll
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: COM2003-00353ISSUED: 05/08/2003APPLIED: 05/0812003EXPIRES: llll9l2003
VALUE:
Description Tvpe of Construction $ Per Sq Ft
Total Value of Project
Date Paid
Value Date Calculated
Receipt Number
1200200000000001 152
12002000000000011s2
r2002000000000011s2
12002000000000011s2
12002000000000011s2
1200200000000001 r52
1200200000000001267
1200200000000001267
1200200000000001267
1200200000000001267
Square Footage
Fee Description
-Mechanical Issuance Fee-
+ l0Yo Administrative Fee
+ 7Yo State Surcharge
Air Handling Unit Up to 10,000
Heat Pump
Minimum/Adj ustment Mechanical
+ l0Vo Administrative Fee
+ 7%o State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Total Amount Paid
Amount Paid
$10.00
$4.s0
$3.1s
$8.00
$24.00
$13.00
$5.20
$3.64
$43.00
$9.00
$123.49
5/8/03
5/8/03
5/8/03
5/8/03
s/8/03
5/8/03
5t20t03
5t20t03
5t20t03
st20l03
tr'ees Pnid
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.
1 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.
Renrrired Insnecfinns
Paee 2 of3
Valuation Descrintion I
Building/Combination Permit
Status Issued
225 Fifth Street, Springlield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
PERMIT NO: COM2003-00353ISSUED: 05/08/2003APPLIED: 05/0812003
EXPIRESz 1111912003
YALUE:
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 of3
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
City of Springfield
Development Services Department
Public Works Department
Official Receipt
Receipt #: 1200200000000001267 Date: 05/20/2003
COM200340353 Add, Alter, Extend Circ Ea Add 9.00
COM200340353 + 7% State Surcharge 3.64
COM2003-00353 + l0% AdministrativE Fee 5.20
Item Total:$60.84
Prvment!:
Typ. o[P.ymt PrId By Rec.iv.d By CheckNrDb.r CotrfrDNo Hoe Receiv.d Amounl Pdd
Check JB ELECTRIC djb 60.84In Person
Payment Total:$60.84
s/2012003 3:20:37PM Page I of I cR€ceipt.rpt
Status Issued
225 Fifth Street, SPringfield' OR
541-726-3753 Phone
541-726-3676F.ax
541-7 26-37 69 Inspection Line
Building/
PERNTIT NO:
ISSUED:
APPLIED:
EXPIRES:
VALUE:
Combination Permit
coMz003-00353
0s/08/2003
0s/08/2003
11/08/2003
SITE ADDRESS: 820 SUNSET DR
ASSESSOR'S PARCEL NO.: 1703341409501
PROJECT DESCRIPTION: Install2heat pumps and air handler
Owner: MICHELLE MCCALL
Address: 820 ST NSET DR SPRINGFIELD OR 97477
Springfield TYPE OF WORJ(: Heating System
TYPE OF USE: New Residential
Phone Number: 541-953-9530
Contractor Type
Mechanical
Owner
Contractor
MARSHALLS INC
MICHELLE
(
Range Type:
Energy Path:
Expiration Date
12t23t2003
Phone
541-747-744s
s41-953-9s30
License
25790
# of Buildings:
Primary Occupancy
Secondary Occupancy
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:\()
SETBACKS
prl
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:o 9$
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Description Type of Construction $ Per Sq Ft Square Footage
Sidewalk Type:
Downspouts/Drains:
Surface Area:
REQUIRED PARJilNG
Total:
Handicapped:
Compact:
Page 1 of2
Value Date Calculated
\5
Valuation Description I
o\\s,e
{$e
Building/C ombination Permit
Fee Description
-Mechanical Issuance F ee_+ l0y" Administratiye Fee+ 7yo State Surcharse
Air Handling Unit U:p to t0,000
Heat Pump
Minimum/Adj ustment Mechanical
Total Amount paid
To Request an inspection call the 24wiII be made the same working da5day.
] XouSh Mechanical: prior to2 Final Mechanical: When aII
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 phone
541-726-3676 Fax
541-7 26-37 69 Inspection Line
Amount Paid
$r0.00
$4.s0
$3.1s
$8.00
$24.00
$13.00
$62.65
Cover
mechanical work is complete.
PERMIT NO: COM2003-00353ISSUED: 05/08/2003
APPLIED: 05/08/2003
EXPIRES: 11/08/2003
VALUE:
Receipt Number
1200200000000001152
1200200000000001152
1200200000000001 152
1200200000000001152
1200200000000001152
r2002000000000011s2
AII inspection req uested before 7:00 a.m.:00 a.m. wiII be made the following work
Total Value of project
Date Pai
5/8/03
5/8/03
5t8/03
5t8/03
s/8/03
5/8/03
or Contractors Signature
Pase 2 of 2
Date
j-
:ll[IF#si?:Hs7477
City of Springfield
Development Services Departtent
Public Works Department
Official ReceiptReceipt#: 12002000000000 Lttlz Date: 05/08/2003
Air Handling Unit Up to 10,000
Heat Pump
-Mechanical Issuance Fee-
+ 7%o State Surcharge
+ llYo Administrative Fee
Minimum/Adj ustment Mechanical
8.00
24.00
10.00
3.15
4.50
13.00
Item Total:$62.65
o
In Person
Payment Total:
62.65
$6235
djb
5lStZO03 t 1:34:54AM
Page I ofl
cReceipt.rpt\