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Home My WebLink AboutPermit Mechanical 2004-05-06Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-7 26-37 69 lnspection Line Building/C ombination Permit PERMIT NO: COM2004-00532ISSUED: 0510612004APPLIED: 05/0612004EXPIRES: 1112412004 VALUE: SITE ADDRESS: 4085 VIRGINIA AVE ASSESSOR'S PARCEL NO.: 1702314406300 PROJECT DESCRIPTION: Install heat pump and air handler Springlield TYPE OF WORJ(: Heating System TYPE OF USE: New Residential Owner: LINKENBACK ANNA N & THOMAS Address: 4085 VIRGINIA AVE SPRINGFIELD OR 97478 PhoneNumber: 541-726-4184 Contractor Tvpe Electrical Mechanical Contractor JOSEPH BUNCH ELECTRIC INC MARSHALLS INC License 156761 25790 Expiration Date 0812u2007 12t23t2005 Phone 541-344-8745 541-747-7445 CONTRACTOR INFORMATION # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: ATTENTTON: lbllowrulcr adopbd Notificatlon Center. ln OAR 9s2-001{010 0090. You obtain ng number for Street Improvements: Storm Sewer Available: Special Instruction: Notes: rvpeof Heat' cout'arNcED 0R ls ffiffiiB&.lEpqQR Xn.[:I#:; ir'rV ist oAy pEnro$lil:B:'.'"-#".po,t Energy Path: Sq Ft Other: Sprinkled Building: n/a Occupant Load: # of stories: THIS PERMTT SHALL EXPffi&i Height of strucflgyHgglzED UNDER ryry S[ Sidewalk Type: Downspouts/Drains: R-3 VN F THE WORK frM0I:tS NOT REQUIRED PARICNG Total: Handicapped: Compact: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Center is 1 -800€92 -2g4/,), $ Per Sq Ft or multiplier Square Footage or Bid Amount DEVELOPMENT INFORMATION Description Type of Construction Page I of2 Value Date Calculated 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: COM2004-00532ISSUED: 0510612004APPLIED: 05/0612004 EXPIRES:. 1112412004 VALUE: Fee Description -Mechanical Issuance Fee- + l0oh Administrative Fee + 7o/o State Surcharge Air Handling Unit Up to 10,000 Heat Pump Minimum/Adj ustment Mechanical + l0Yo Administrative Fee + 7Yo State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Total Amount Paid Amount Paid Total Value of Project Date Paid Receipt Number 120040000000000065s 12004000000000006s5 12004000000000006ss 1200400000000000655 12004000000000006s5 1200400000000000655 1200400000000000790 1200400000000000790 1200400000000000790 r200400000000000790 $10.00 $4.s0 $3.15 $8.00 $r2.00 $25.00 $4.60 $3.22 $43.00 $3.00 5t6t04 5t6t04 5t6t04 516t04 5t6t04 5t6t04 5t24t04 5t24t04 st24t04 st24t04 $116.47 Plan Reviews To Request an inspection call the24 hour recording at 726-3769. All inspection requested before 7:00 a.m. wilt be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. 2 Rough Mechanical: Prior to Cover I Final Mechanical: When all mechanical work is complete. 3 Rough Electric: Prior to Cover 4 Final Electric: When all electrical work is complete. By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature Paee? of2 Date L ra rees raro I Keourreo lnsDecuons 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone atty of Springfield Official Receipt evelopment Services Department Public Works Department RECEIPT #: 1200400000000000790 Date: 0512412004 11:3e:08AM Job/Journal Number coM2004-00532 coM2004-00532 coM2004-00s32 coM2004-00532 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 7%o State Surcharge + l0% Administrative Fee Amount Due 43.00 3.00 3.22 4.60 Item Total:$s3.82 Payments: Type of Payment Paid By Check Number Received By Batch Number Authorization Number How Received Amount Paid CreditCard JOSEPH BUNCH ELECTRIC djb 000391 $53.82 -ffi s/2412004 Page I of I a3rnailto 801027 In Person Payment Total: a /25 FIFTH STREET . SPRINGFIELD, OR97477 o PH:(541)726-3753 o FAX: E LECTRICAL P ERM IT AP P LICATI O N Ciry Job Number Cbyn?-OO .l -oO53 L Date Date Zoning <?L 1 L A CAT' I O N O T' IN ST'ALIAT' I O N ES LEGAL DESCzuPTION L{q 6soo JOB DESCzuPTION Z Lt(t'*, Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. A. New Residential - Single or 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. 3 I tA $106.00 $ 19.00 $s0.00 201 Amps to 400 Amps 401 Amps to 600 AmPs 601 Amps to 1000 AmPs Over 1000 Amps/Volts Reconnect Only 7oh State Surcharge l0% Administrative Fee TOTAL $ 63.00 $ 75.00 s 125.00 s 163.00 $375.00 s s0.00 $ 50.00 s 50.00 $ 2s.00 $ 4s.00 Fee is $45.00 * Surcharges Ltb not iuclutled) -Each lnstallation ) Electrical 6lxr lhc zooAmps or less Address LSZ-{usi llona D City Phone 34{-nq( Supervisor License Number 4734-5 C. Temporar,v Serl'ices or Feeders Expiration Date rc -{tl Constr. Contr. Number zo -46 3C Expiration Date Signature of Electrician D L Each Additional Circuit or with s 3.00 ) L Service or Feeder Permit Owners Name qbo SsaaInspection Request: 726-37 69 Shared Drive(T:/Building Fonns/Electrical Permit Application l-03'doc ft, has or Relocation SHALL IF THE THIS see "B" above. ONLY Address o Yf City in OAR owNER INSTALLATIOI$g99. yo, The installation is being made is not intended for sale, lease New Alteration or Extension Per Panel one circuit e'uru, r.t t attsl $ 43'00 Ll 3 rulos by E. Miscellaneous ?€qtfiar Permit InsPection OF ABOVEOwners Signature: Center Oregon Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 547-'126-3753 Phone 541-726-3676 Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2004-00532ISSUED: 0510612004APPLIED: 05/0612004 EXPIRESz 1110612004 VALUE: SITE ADDRESS: 4085 VIRGINIA AYE ASSESSOR'S PARCEL NO.: 1702314406300 PROJECT DESCRIPTION: Install heat pump and air handler Springlield TYPE OF WORI(: Heating System TYPE OF USE: New Residential Owncr: LINKENBACKANNAN & THOMAS Address: 4085 VIRGINIA AVE SPRINGFIELD OR 97478 PhoneNumber: 541-726-4184 Contractor Type Mechanical Contractor MARSHALLS INC Expiration Date 12t23t2005 Phone 541-747-7445 License 25790 CONTRACTOR INFORMATION BUILDING INFORMATION # of Units: Primary Occupancy Group: R-3 Secondary Occupancy Grpillt,... -Primary Construction Tybbu I I lrE: yN Secondary construction f#S PER f\4lT # of Bedrooms: AUIH0RIZED C0Mf\,4ENCED SETBACKS Frontyard Setback: Side 1 Sctback: Sidc 2 Setback: Rcarl'ard Setback: Solar Setbacks: Notes: y,Bft4telFyAii l,Ts"IE,r,tilF, WORK S NOI Lot Size: Sq tr't lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: SHALL E UNDER T OR IS # of Stories: Height of Structure Type of Heat: Water Type: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: $ Per Sq Ft or multiplier Square Footage or Bid Amount Sidewalk Type: Downspouts/Drains REQUIRED PARKING Total: Handicapped: Compact: v Total Value of Project Page 1 of2 Description Type of Construction Value Date Calculated too Valuation Description I Building/C ombination Permit Status Issued 225 Filth Street, Springfield, OR 541-126-3753 Phone 541-726-3676Fa,x 541-7 26-37 69 Inspection Line PERMIT NO: COM2004-00532ISSUED: 0510612004APPLIED: 05/0612004 EXPIRESz 1110612004 VALUE: Fees Pa Fcc Dcscription -IIcchanical Issuance Fee- * 70"A Administrative Fee * 7'% State Surcharge Air Illndling Unit Up to 10,000 Il eat I'u rrrp NIin i nr u m/Adjustment Mechanical Total Amount Paid Amount Paid Date Paid 5t6104 5t6t04 st6t04 5t6t04 5t6t04 5t6t04 $10.00 $4.s0 $3.1s $8.00 $12.00 $2s.00 Receipt Number 1200400000000000655 1200400000000000655 12004000000000006s5 1200400000000000655 1200400000000000655 12004000000000006ss $62.65 Plan Reviews To Rcqucst an inspection call the24 hour recording at 726-3769. All inspection requested before 7:00 a.m. n'ill bc made the same working day, inspections requested after 7:00 a.m. will be made the following work da)'. 1 Rough N{echanical: Prior to Cover 2 Final Mcchanical: When all mechanical work is complete. red Insnections Bl,signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all inforrnation hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Orrlinances 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 furthcr ccrtify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I furthcr agree to ensure that all required inspections are requested at the proper time, that each address is readable from the strcct, 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 tirncs d uring construction. Ou'ncr or Contractors Signature Paee2 oI2 Date . ... tiLD \I' 225 Fifth Street Springfi eld, Oregon 97 477 541-726-3759 Phone SFell{CtrGO nrty of Springfield Official Receipt rvelopment Services Department Public Works Department RECEIPT #: 1200400000000000655 Date: 0510612004 11:26:13AM Job/Journal Number coM2004-00532 coM2004-00532 coM2001-00532 coM2004-00s32 coM2004-00532 coM2004-00532 Descrlptlon + lYo State Surcharge + l0% Administrative Fee Air Handling Unit Up to 10,000 Heat Pump Minimum/Adjustment Mechanical -Mechanical Issuance Fee- Amount Due 3.15 4.50 8.00 12.00 25.00 10.00 Item Total:$62.65 Paymcnts: Type of Pa1'ment Paid By Checkffi Received By Batch Number Number How Received Amount Paid Check MARSHALLS INC djb 17991 In Person Payment Total: $62.6s -$6-2i-t st6t2004 Page I of I