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Home My WebLink AboutPermit Building 2005-06-15FIELD Buildin g/C ombination Permit Status: Issued 225 Fifth Streef Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2005-007 32 ISSUED: APPLIED: EXPIRES: VALT]E: 06/15/200s 06n5t2005 0U28t2006 $ 10,000.00 SITE ADDRESS: I438 VERA DR ASSESSOR'S PARCEL NO. : 1703243200700 PROJECT DESCRIPTION: Install heat pump and dryrot repair Springfield TYPE OF TYPE OF USE Single Family Residence Repair Residential Owner: Address: Contractor Type General Electrical Mechanical LOYD IVERSON I438 VERA DR SPRINGFIELD OR 97477 Phone Number: 541-746-9705 License Exrriration DateContractor DAVID ZARZYCKI GENERAL REYNOLDS ELECTRIC law 0412612009 02t08t2007 12t23t200s Phone 541-688-0243 541-343-7297 541-747-7445 TION MARSHALLS Oregon copies Energy Path: Sprinkled Overlay Dist: # Street Trees Paved Drive Rqd: o/" of Lot Coverage: 952-001- rules bY # of Units: Primary Occupancy Group: Secondary Occupancy Primary Construction Type Secondary Construction # of Bedrooms: Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Storm Sewer Available: Special Instruction: in OAR R-3 0090. callintVN numb te\ePhone Notilication Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: nla Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: Sidewalk TyPe: Downspouts/Drains ANY 1BO DAY PERIOD Notes: 1of 3 H&Fl€r-r} GFIELD Buildin g/C ombination Permit Status: [ssued 225 Fifth Street Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37 69 Inspection Line PERMIT NO: COM2005-00732ISSUED: 06/15/2005 APPLIED: 06/1512005 EXPIRES: 01/2812006VALUE: $ 10,000.00 Plan Desc rirrtion Bid Amount Fee Description -Mechanical Issuance Fee- + l0oh Administrative Fee + 7oh State Surcharge Heat Pump Minimum/Adj ustment Mechanical + l0o/" Administrative Fee + 7oh State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + l0o/o Administrative Fee + 77o State Surcharge Building Permit Total Amount Type of Construction Use Bid Amount $ Per Sq Ft Square Footage or multiplhr or Bid Amount $1.00 10,000.00 Total Value of Project Amount Paid Date Paid Value $10,000.00 $10,000.00 Receipt Number 2200s00000000000772 2200s00000000000772 2200s00000000000772 2200500000000000772 2200500000000000772 1200500000000001063 120050000000000r063 120050000000000r063 1200500000000001063 1200s00000000001 109 1200s00000000001 109 1200s0000000000r 109 Date Calculated 07t28t2005 $10.00 $4.50 $3.1s $12.00 $33.00 $4.90 $3.43 $43.00 $6.00 $10.74 $7.s2 $107.40 6/15/05 6n5105 6n5105 6i 15/05 6/15/05 7/22t05 7t22t05 7122105 7t22105 7t28t05 7t28t05 7t28105 s245.64 Fees 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. .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. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Final Building: After all required inspections have been requested and approved and the building is complete. 2of3 xsFrEL{} Valuation Description I Reouired lnsnections CITY Buildin g/C ombin ation Permit Status: Issued 225 Fifth Streel Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541 -726-37 69 Inspection Line PERMIT NO: COM2005-00732ISSUED: 06/15/2005 APPLIED: 06/1512005 EXPIRES: 01128/2006VALUE: $ 10,000.00 By signature, I state and agree, that I have carefully examined the completed application and do hereby certiff 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 fu rther certiff that only contractors and em ployees 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 readabh 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 Date 3of3 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone .ity of Springfield Official Receipt :velopment Services Department Public Works Department RECEIPT#: 1200500000000001109 Date: 0712812005 2:42:44PM Job/Journal Number coM2005-00732 coM2005-00732 coM2005-00732 Description Building Permit + 7o/oState Surcharge + l}"h Administrative Fee Amount Due 107.40 7.52 10.74 Item Total:$125.66 Payments: Type ofPayment Paid By Received By Check Number Batch Number Authorization Number How Received Amount Paid CreditCard DAVID ZARZYCKT djb 240194 In Person $125.66 Payment Totat: -ST2F66- 7 t281200s lofl *F,!*il&Et*&S approval Zoning 225 FIFTH STREET r SPRINGFIELD, OR 97477 o PH:(547)726-3753 o FAX: (541)726-3689 E LE CTRI CAL P E RMIT AP P LI CATI ON City JobNumber COtrz.ZeeiS- A74 Date Z?- o{ l. / Lt38 \te{L A- LEGAL DESCRIPTION t7o3 Ztt3 z oOTOo JOB DESCRIPTION /\N 3 aao{fr Permits are uon-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. . .,t: ;*a - .r.,._..._ -_., ...,, A. Nerv Residential -Single or lVlutti-Farnitv per dwelling unit-:i:- \.,..rt 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. Servlc.es or by 2-001' -ries ote s106.00 $ 19.00 $50.00 ) --7 C Address :l \ - j*) L\-' l--j 'tt\ l\r, ,i City i- t r-,-i l: r- + Phone -) T.) Electrical Contractor Supervisor License Number ,:) -r.1C 1 t l) Expiration Date Expiration Date Constr. Cont. Number \ -laf)'f Installation, Alteration or Relocation 200 Amps or less 201 Amps ro 400 Amps 401 Amps to 600 Amps Over 600 Amps or 1000 Volts see "8" above. (-.(-,C'-l C. D. $ s0.00 $ 69.00 $100.00 r_);:ic,t-l Si gnature of Supervising Electncian ame New Alteration or Extension Per Panel One Circuit / Each Additional Circuit or with ^ Serrrice or Feeder Permit Z s 43.00 q3 $ 3.00 bLoud; Tn€u>c.rIrt33,12.641a- E.Miscellaneous (Service/feeder not included) -Each Insta llatio nAddress Ciry SP r Phone\7t{L- ?79 OWNER INSTALLATION The installafion is being made on property I own which is not intended for sale, lease orrent. Owners Signature: Minimum Electric Permit Inspection F,ee is $45.00 + Surcharges 1. 'STIBTOTALOFABOVE: Pump or irrigation Sigr/Outline Lighting Limited Energy/Residential Limited Energy/Commercial 7% State Surcharge l0% Administrarive Fee TOTAL s 50.00 $ 50.00 s 2s.00 $ 45.00 t{1 717 r( ?t> 7-TInspection Request: i26-3769 Shared DrivelT:)/Buiiding FormvElectncal permit Application l -03.doc U,D2ffir -0010 Reconnect is1 200 201 401 601 Over UU. OF SPRIN Building/Co mbination Permit Status: Issued 225 Fifth Street, Springfield, OR 541:726-3753 Phone 541-726-3676 Fax 541-7 26-37 69 I nspection Line PERMIT NO: COM2005-00732ISSUED: 06/15/2005APPLIED: 06/151200sE)?IRES: 0112212006 VALUE: SITE ADDRESS: 1438 VERA DR ASSESSOR'S PARCEL NO. : 17032432007 00 PROJECT DESCRIPTION: Install heat pump Springfield TYPE OF TYPE OF USE: Heating System New Residential Phone 541-343-7297 541-747-7445 Owner: Address: Contractor TVpe Electrical Mechanical LOYD IYERSON T43SVERADR SPRINGFIELD OR 97477 Phone Number: S4t-746-9705 Contractor REYNOLDS ELECTRIC MARSHALLS INC License 17252 2s790 Expiration Date 02t08t2007 12t23t200s CONTRACTOR INFORMATI ON # of Unib: Primary Occupancy Group: Secondary Occupancy Primary Construction Type Secondary Construction # of Bedrooms: Notitication Oregon law by inO AR 952 -001 obtain cop 0090 You maY calling the c enter Oregon num,bet {or the Center is1 R-3 VN # of Stories: Height of Type of Heat: Water Type: torth n/a Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: FYontprd Setbaclc Side l Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: S&eet Storm SewerAvailable: Special Instruction: REQTIIRED PARKING Total: Handicapped: Compact:Rqd: oh olLot Coverage: Sidewalk Type: DownspoutVDrains Notes: l of 3 tt [].1 I'UILL'I.I\U 11\I UTUYIA I T('I\I ,IRE IF THE WORl( S PERMIT IS NOT i!i]ONED FOR IDI D Building/Co mbination Permit Status: Issued 225 Fifth Street, Springfield, OR 541:7263753 Phone 541-726-3676Frx 541:7 26-37 69 Inspe ction Line PERMIT NO: COM2005-00732ISSUED: 0611512005APPLIED: 06/1512005E)?IRES: 0112212006 VALUE: Description Type of Construction Fee Description -Mechanical Issuance Fee- + 10',6 Administrative Fee + 77o State Surcharge Heat Pump Minimum/Adj ustment Mechanical + l0o Administrative Fee + 7oh State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Total Amount Total Value of Project Date Paid Value Date Calculated$ Per Sq Ft or muhiplier $10.00 $4.50 $3.15 $12.00 $33.00 $4.90 $3.43 $43.00 $6.00 $119.98 Square Footage or Bid Amount 6/15/05 6/15/05 6/15/05 6fi5t05 6fist05 1t22t05 7t22t0s 7t22t05 7t22t0s 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. 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. red Insnections 2of3 Valuation Description I Receipt Number 2200s00000000000772 2200500000000000772 2200500000000000772 2200500000000000772 2200500000000000772 1200500000000001063 1200500000000001063 1200500000000001063 1200500000000001063 Amount Paid rees rald I Buildin g/Co mbin atio n Permit Status: Issued 225 Fifth Street, Springfield, OR 541:726-3753 Phone 541-726-3676Fax 541 :7 26-37 69 Inspection Line PERMIT NO: COM2005-00732ISSUED: 0611512005APPLBD: 06/1512005E)GIREST 0112212006 VALUE: By signature,I state and agree, that I have carefully examined the completed apptication and do hereby certify that all information hereon is true and correct, and I further certis that any and all work performed shalt 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 certiff 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 ptans will remain on the site at all times during construction Owner or Contractors Signature Date 3 of 3 225 Fifth Street Springfield, Ore gon 97 477 541:72G3759 Phone -City of Springfield Oflicial Receipt lvelopment Services Department Public Works Department RECEIPT #: 1200500000000001063 Date: 0712212005 1:43:45PM Job/Journal Number coM200s-00732 coM2005-00732 coM200s-00732 coM200s-00732 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 7% State Surcharge + l0Yo Administrative Fee Amount Due 43.00 6.00 3.43 4.90 Item Total:$57.33 Payments: Type of Paynent Paid By unecKNumDer Aumorizafion Received By Bdch Number Number How Received Amount Paid CreditCard ELLEN REYNOLDS djb 021288 In Person Payment Total: $57.33 $s7.33 'i 7t2212005 lofl *II'TND 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: COM2005-00732ISSUED: 06/15/2005APPLIED: 06/1512005EXPIRES: 1211512005 VALUE: SITE ADDRESS: 1438 YERA DR ASSESSOR'S PARCEL NO.: 1703243200700 PROJECT DESCRIPTION: Install heat pump Springlield TYPE OF WORK: Heating System TYPE OF USE: New Phone Number:s4r-'14{r,q10S UL Residential Phone 54t-747-7445 Owner: Address: Contractor Type Mechanical LOYD TVERSON 1438 YERA DR SPRINGFIELD OR 97477 Contractor MARSHALLS INC License 25790 Expiration Date 12t23t2005 CONTRACTOR INFORMATION # of Units: Primary Occupancy Group:R-3 # of Stories: 'totth 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: Occupant Load: by nla 0090 ca\\ngthe er 10r the .alsr Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: nurnb cen,te( Street Improvements: Storm Sewer Available: Special Instruction: Notes: Sidewalk Type: Downspouts/Drains: REQUIRED PARKING Total: Handicapped: Compact: $ Per Sq Ft or multiplier Square Footage or Bid AmountDescription Type of Construction Pase I of2 Value Date Calculated |, Ur-Lr,rr\ U rN I UKrVrA, rllrNl Primary Construction Secondary # of Bedrooms: \aw by )AY rct"" PE t0R J. Valuation Description I 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: COM2005-00732ISSUED: 0611512005APPLIED: 06/1512005EXPIRESz 1211512005 VALUE: Fee Description -Mechanical Issuance Fee- + l0Yo Administrative Fee + 1Yo State Surcharge Heat Pump Minimum/Adj ustment Mechanical Total Amount Paid Amount Paid $10.00 $4.50 $3.1s $12.00 $33.00 $62.65 Total Value of Project Date Paid 6lt5l05 6/15/05 6flst05 6ltst05 6n5t05 Receipt Number 2200s00000000000772 2200s00000000000772 2200500000000000772 2200s00000000000772 2200500000000000772 tr'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. By signaturer l 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.E*; Owner or Contractors Signature Pase2 of2 Date b -r+^-a{ Keourreo InsDecuons I 4----o,-- 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone eity of Springlield Official Receipt :velopment Services Department Public Works Department RECEIPT #: 2200500000000000772 Date: 0611512005 1:51:08PM Job/Journal Number coM200s-00732 coM2005-00732 coM200s-00732 coM2005-00732 coM2005-00732 Description + lYo State Surcharge + lOYo Administrative Fee Heat Pump Minimum/Adjustment Mechanical -Mechanical Issuance Fee- Amount Due 3. l5 4.s0 12.00 33.00 10.00 Item Total:$62.6s Payments: Type of Payment Paid By uneckNumber Authorization Received By Batch Number Number How Received Amount Paid Check MARSHALLS INC djb 18662 In Person $62.65 Payment Total: -56ffi 6ns12005 Page I of I r$mD