HomeMy WebLinkAboutPermit Mechanical 2007-03-01Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-7 26-37 69 Inspection Line
Buildin g/Combin ation Permit
PERMIT NO: COM2006-01472ISSUED: 0310112007
APPLIEDz 1111612006
EXPIRES: 09/0112007
VALUE:
SITE ADDRESS: 2425 ITTH ST
ASSESSOR'S PARCEL NO.: 1703243400329
PROJECT DESCRIPTION: Add heat PumP
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New Residential
Owner:
Address:
Contractor Type
Electrical
Mechanical
R L CHRISTENSEN REV TR 1-2
2425 N 17TH ST
SPRINGFIELD OR 97477
PhoneNumber: 541-746-8032
Contractor
C PERKINS ELECTRIC
EUGENE HEATING & COOLING
License
159537
149452
Expiration Date
04/15/2008
10t22/2007
Phone
541-895-4466
541-726-76s4
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
I REQUIRED PARKING
R-3
VB
# of Stories: Lot Size:
Height of Structure: Sq Ft lst Floor:
Type of Heat: Sq Ft 2nd Floor:
Water Type: Sq Ft Basement:
Range Type: Sq Ft Garage/CarPort
Energy Path: Sq Ft Other:
Sprinkled Building: nla Occupant Load:.
n
Overlay Dist: Total:
# Street Trees Rqd: HandicaPPed:
Paved Drive Rqd: ComPact:
oh of Lot Coverage:
Sidewalk Type:
Downspouts/Drains:
PUBLIC IMPROVEMENTS
Notes:
Paee I of3
cuN I KAU t uK rNI r$!!\!l!l
tt u r LDIN u lI\ r lr_tqv|]uJ
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-7 26-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2006-01472ISSUED: 0310112007
APPLIEDz 1111612006
EXPIRES: 09/0112007
VALUE:
Description Tvpe of Construction
Fee Description
+ l0o/o Administrative Fee
+ 57o Technology Fee
+ 8oZ State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Total Amount Paid
Total Value of Project
Date Paid
31u07
3tu07
3nt07
3nt07
3nt07
Value Date Calculated
Receipt Number
3200700000000000124
3200700000000000124
3200700000000000124
3200700000000000124
3200700000000000124
Amount Paid
$ Per Sq Ft
or multiplier
$4.90
$2.4s
$3.92
$43.00
$6.00
$60.27
Square Footage
or Bid Amount
['ees Peid
Plan Reviews
To Request an inspection call the24 hour recording at 726-3769. All inspections 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.
Renrrired Insnecfinns
Page 2 of3
Valuation Descriotion ]
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
Building/C ombination Permit
PERMIT NO: COM2006-01472ISSUED: 0310112007
APPLIEDz 1111612006
EXPIRES: 09/0112007
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 witl 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 70f .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 of 3
zoN -7,/
Z
LEGAL DESCzuPTION
\-1 32
Electrical Contractor
Address
Owners
Address
Name
City
OWNER TALLATION
The installation is being made on proPerty I own which
is not intended for sale, lease or rent.
Owners Signature:
SpRtI\r^Ft ELO
Date
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
INITIALS
DATE
SOURCE
3{\ - )t:D7
$ 106.00
$ 19.00
$s0.00
AIterations or Relocation:
$ 63.00
$ 75.00
$ 125.00
%,225 FTFTH STREET . SPRINGFIELD, OR 97477 . PH:(541)72(t-3753 . FAX: (541',)726-3689
APPLICATION
Cify Job Number
1 3.
JOB DE
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
,C.ONTRACTORINSTALI-ATION ONLY B. Services
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 AmPs
New Alteration or Extension Per Panel
One Circuit /00 /'13
6
Limited EnergyiCommercial $ 45.00
Minimum Electric Permit lnspection Fee is $45'00 * Surcha
q fr4. SUBTO'TAL OF ABOVE
8% State Surcharge
l0% Administrative Fee
5% Technology Fee
Inspection Request: 726-3769 TOTAL
Shared Drive(T: )/Building Fonns/Electrical
ao
CO]}IPLETE FEE SCHEDWE BELOW
A. Nerv Residential - Single or NIulti-Family per dt'elling unit.
City 0.nn*r).Xy'Phone 7r5 " qg4L
Reconnect Only vu l\.,
rhPOregon utit{5,
$ 163.00
$375.00
$ 50.00
Prt // ?3
Al lcrrr t tu
Supervisor License Number 7 tollow
Expiration Date ,/D -a
Constr. Contr. Numb", f,' . i3 2 -.-c3[:9,
Expiration Date /-t<-47
Signature of Supervising Electrician
l-L
$ 50.00
$ 69.00
$ 100.00
Over 600 Amps or 1000 Volts see "8" above.
D. Branch Circuits
5r"t 0 t|-j Phone -74U
Installation
dtrrt-)a
Pernfit'Application 8-06.doc
225 Fifth Street
Spi ingfield, Oregon 97 477
541-726-3759 Phone
Cir' of Springfield Official Receipt
L --;lopment Services Department
Public Works Department
RECEIPT #: 3200700000000000124 Date: 0310112007 1l:00:02AM
Job/Journal Number
coM2006-01472
coM2006-01472
coM2006-01472
coM2006-01472
coM2006-01472
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 5%o Technology Fee
+ 8% State Surcharge
+ l|oh Administrative Fee
Amount Due
43.00
6.00
2.45
3.92
4.90
Item Total:$60.27
Payments:
Type of Payment Paid By
CheckNumber Authorization
Received By Batch Number Number How Received Amount Paid
CreditCard C PERKINS ELECTRIC njm 025148 Fax 560.27
Payment Total:
-5667
cReceint I Page I of I 31112007
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