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Home My WebLink AboutPermit Mechanical 2003-05-20Buildin g/C ombination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2003-00385ISSUED: 0512012003APPLIED: 05/1912003EXPIRES: 1112012003 VALUE: SITE ADDRESS: 707 21ST ST ASSESSOR'SPARCELNO.: 1703361210400 PROJECT DESCRIPTION: Install heat pump and air handler Springlield TYPE OF WORI(: Heating System TYPE OF USE: New Residential Owner: Address: TODD GHENT 707 21ST ST SPRJNGFIELD OR 97477 PhoneNumber: 541-741-8654 Contractor Type Electrical Owner Contractor JB ELECTRIC TODD GHENT License 104929 Expiration Date 03n4t2004 Phone 541-687-5770 541-741-8654 CONTRACTOR INFORMATION # 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: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: o/o oILot Coverage: R-3 YN Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: REQUIRED PARIflNG Total: Handicapped: Compact: Sguare Footage PUBLIC IMPROVEMENTS Valuation Descrintion Description Type of Construction $ Per Sq Ft Paee 1 of2 VaIue Date Calculated T l, U I LI,'II\ U 11\ I IJI(1YTry..] Impervious Surface Area: (o.t: Sidewalk Type: Downspouts/Drains: 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: COM2003-00385ISSUED: 0512012003APPLIED: 05/1912003 EXPIRBST 1112012003 VALUE: Fee Description + l0o/o Administrative Fee + lVo State Surcharge Add, Altern Extend Circ Add, Alter, Extend Circ Ea Add Total Amount Paid Amount Paid $4.60 $3.22 $43.00 $3.00 $53.82 Total Value of Project Date Paid 5t20t03 5t20t03 5t20t03 st20t03 Receipt Number 1200200000000001265 120020000000000126s 1200200000000001265 1200200000000001265 Fees Pa Plan Reviews To Request an inspection call the24 hour recording at 726-3169, All inspection requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. Reouired Insnect By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required insp6ctions are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature Pase2 of2 Date 1 Rough Electric: Prior to Cover 2 Final Electric: When all electrical work is complete. 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone City of Springfield Development Services DePartment Public Works Department Oflicial Receipt Receipt #: 12002000000000 01265 Date: 0512012003 coM2003-0038s coM2003-00385 coM2003-0038s coM2003-00385 Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 7o/o State Surcharge + l}oh Administrative Fee Payments: 43.00 3.00 3.22 4.60 Item Total:$s3.82 Check JB ELECTRIC djb In Person Payment Total: 53.82 $53.E2 s12012003 3:18:3OPM Page I of I cReccipt.rpt liiltsnGffiCI 225 FIFTH STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-37 69 OFFICE: 726-3759 $1 ELECTRICALPERMII PLICATION , COMPLETE FEE SC}IEDULE BEI.,OW A. New Residential-Single or Multi-Family per dwelling unit. Service Included: Items I000 sq. ft.. or less Each additional500 sq. ft or portion thereof Each Manufd Home or Modular Dwelling Service or Feeder B. Services or Feeders Installatioru Alterations or Relocation: 200 amps or less 201 amps to 400 amps 401 amps to 600 amps 501 amps to 1000 amps Over 1000 amps/volts Reconnect Only cityJobNumber Couuia2S'': a =g{ I. LOCATION OF INSTALLATION 7O7 21st LEGAL DESCRIPTIONfla33brz lCIqoo JOB DESCRIPTION 2T|10KW Heat pump with handler Permits are non-tansferable and expire ifwork is not started within 180 days of issuanoo or if work is suspended for 180 days- 2. CONTRACTOR INSTALLATTON ONLY Electical Confactor JB ELECTRIC. INC. Address 4685lsabelle St. city Eupene. OR 97402 Phone i{-LS!!15228._ Supervisor License Number 3872S Expiration Date 10t1t03 Constr Cont.Number 37587C 10/}929 Expiration Date 1011103 .. . - S1.4{04 of Ovmers Todd Ghent Addross City Sprinqfield. OR 97477 Phone 741-8654 _ OWNERINSTALLATION The installation is being made on property I own which is not intended forsale, leaseorrent. Owners Signature: Cost Sum $106.00 $ $1e.00 $ s50.00 s $75.00 $ $12s.00 $ . $163.00 ffi $37s.00 $ - $50.00 $ $63.00 $ ccB C. Temporary Services or Feeders 200 amps or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts see B above D. Branch Circuits New, Alteration or Extension Per Panel t $50.00 $ - $6e.00 $ - $100.00 $ One Circuit I Each Additional Circuit or with ffie-- or Feeder Permit I E. Miscsllaneous (Service/feeder not -Each installation Pump or irrigation 5. SUBTOTAL $4s.oo $ 7o/oState $ I0% Administrative Fee $ $43.00 $ 43.00 3,00 $50.00 $ $2s.00 $ 46.00 3.22 4.60 JB Job # 03-324 TOTAL $ $4s.00 $ 53.82