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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 qT 0 'r$w \'.()@ o$-t 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\