HomeMy WebLinkAboutPermit Mechanical 2004-04-01Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-36768ax
541-726-37 69 Inspection Line
Building/C ombination Permit
PERMIT NO: COM2004-00366ISSUED: 0410112004APPLIED: 04/0112004EXPIRES: 10/0112004
VALUE:
SITE ADDRESS: 1469 VERA DR
ASSESSOR'S PARCEL NO.: 1708243200309
PROJECT DESCRIPTION: New Heat Pump & Air Hanler
Springfield TYPE OF WORK: Heating System
TYPE OF USE: use initials
Owner:
Address:
BEERYJ CRAIG & MICHELLE M
1469 VERA DR SPRINGFIELD OR 97477
Contractor Type
Mechanical
Contractor
SERVICE SPECIALISTS
Expiration Date
02t08t2006
Phone
541-736-3940
License
140770
CONTRACTOR INFORMATION
BUILDIN(
# of Units:
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:
Notes:
# 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:
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Sidewalk Type:
Downspouts/Drains:
REQUIRED PARI(NG
Total:
Handicapped:
Compact:
Total Value of Project
Paee I of2
DEVELOPMENT INFORMATION
PUBLIC IMPROVEMENTS
Description Type of Construction Value Date Calculated
Valuation Description 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: COM2004-00366ISSUED: 0410112004APPLIED: 0410112004EXPIRES: 10/0112004
VALUE:
F ees Pa
Fee Description
-Mechanical Issuance Fee-
+ l0o/o Administrative Fee
+ 7o/o State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Heat Pump
Minimum/Adj ustment Mechanical
Total Amount Paid
$10.00
$9.10
$6.37
$43.00
$3.00
$12.00
$33.00
4nt04
41u04
4nt04
4nt04
4nt04
4nt04
4nt04
Receipt Number
1200400000000000429
1200400000000000429
1200400000000000429
1200400000000000429
1200400000000000429
1200400000000000429
1200400000000000429
Amount Paid
$116.47
Date Paid
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.
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.
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 Springlield 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.
4/,, /*
Owner or Contractors Signature
Pase? of2
;#--7
11**r6}s
Kequrreo lnsDecuons I
225 FIFTH STREET . SPRINGFIELD, OR97477 . PH:(541)726-3753 o FAX: (541)726-3689
ELECTRICAL P ERMIT APPLICATIAN
cityJobNumber Cn t ^,'l i @)66"
The following prolect as submitted has the followinE
zoning, and does not require specific land use
1.
t'1 6+ vera ,1,. 5r,r;^o{-ol)t7
LEGAL DESCRIPTION
JOB DESCRIPTION
Permits are and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
7
Electrical
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
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
601Amps to 1000 Amps
Over 1000 Amps/Volts
Reconnect Only
$ 106.00
$ 19.00
$s0.00
B.
$ 63.00
$ 7s.00
$ 125.00
$163.00
$375.00
$ 50.00
City
Address
Supervisor License N
Expiration Date
Constr. Contr
C.
D.
Installation, Alteration or Relocation
200 Amps or less $ 50.00
201 Amps to 400 Amps $ 69.00
401 Amps to 600 Amps $100.00
Over 600 or 1000 Volts see "B" above.
of Supervising Electrician
New Alteration or Extension Per Panel
onecircuit I $43.00
Each Additional Circuit or with
Service or Feeder Permit I $ 3'00
Ll\,oo
OD
4 b'oo
3
Owners Name
Address
City SDnnr{A Phone
*iY-}-zu4f-r---T-
OWNER INSTALLATION
The installation is being made on propefty I own which
is not intended for sale, lease or rent.
Signature:
E.
Pump or irrigation
Sign/Outline I,ighting
Limited Energy/Residential
Limited Energy/Commercial
Minimum Electric Permit Inspection Fee is $45.00 * Surcharges
$ s0.00
$ s0.00
$ 25.00
$ 45.00
7Yo State Surcharge
l0% Administrative Fee
TOTALInspection Request: 726-3769
4.
Shared Drive(T:)/Building Forms/Electrical Permit Application 1-03.doc
ffiBB
3.
/7e 32472 sO,<D'
A.Nrw jP,Sr
Springlield, Oregon 97477
541-72G3759 Phone M Lrry ur Dpr rtrg[uu uru(ur nErErpr
Dev€lopment S€nices Department
Public Works Department
Datet 041012004 3:29:07PM
lot'/Joumd Nutur
:oM2004-00366
:oM2m-00366
loM2004-m3tr
loM20M-m166
toM2m440356
1oM200440366
toM2004{0366
MinimudAdjuslmnl Mechanical
-Mechiliellssuoce FeF
Add, AIt€r, Extend Circ
Add,AllerExlendcircE Add
+ 7% ShG Suchtrce
Dtrdpllotr
Heat Pump
-Siiair
I 2.00
33.00
l0.m
43.00
3.00
6.11
9.10
P.ymo(3: CkkNuDbr Aulhorbtion
tyF olPryml PrU By Ra€lrd By B.tch Number Num&r Hov Rseivd Amunt Pdd
Pryment Totrt:
-Sii3:i7
IlGm Tot.l: