HomeMy WebLinkAboutPermit Mechanical 2005-03-09Building/C ombination Permit
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
PERMIT NO: COM2005-00272ISSUED: 03/09/2005APPLIED: 03/0912005
EXPIREST 0911412005
VALUE:
SITE ADDRESS: 1417 31ST ST
ASSESSORTS PARCEL NO.: 1702303403501
PROJECT DESCRIPTION: Install heat pump and air handler
Springlield TYPE OF WORK: Heating System
TYPE OF USE: New
Owner:
Address:
Contractor Type
Electrical
Mechanical
JESSE SHOUSH
1417 31ST ST
SPRINGFIELD OR 97478
Contractor
JOSEPH BUNCH ELECTRIC INC
MARSHALLS INC
License
156761
2s790
Expiration Date
08t2u2007
12t23t2005
Residential
Phone
s4t-344-874s
541-747-744s
]TOR INFORMATION
# 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:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
Yo ofLot Coverage:
# of Stories:You 1s
rules on uifi ty
OAR
are
952
set fofth
the
of the rules by
nla
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
requires
h -00r-
REQUIRED PARIilNG
Total:
Handicapped:
Compact:
|rlcE;
c (t
Sidewalk Type:
Downspouts/Drains:
Notes:
Page I of3
w
/s
,1
TI
AN /vcF DOBYts0Dr /r /s OTiy PE 0D.
A
B/FOR
F'IELD
Building/C ombination Permit
F
Status Issued
225 Fifth Street, Springlield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
PERMIT NO: COM2005-00272ISSUED: 03i09/2005APPLIED: 03/0912005
EXPIRESz 0911412005
VALUE:
Valuation Descrintion
Description Tvpe of Construction
Fee Description
-Mechanical Issuance Fee-
+ l0oh Administrative Fee
+ 7oh State Surcharge
Air Handling Unit Up to 10,000
Heat Pump
Minimum/Adj ustment Mechanical
+ l0o Administrative Fee
+ 7oh State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Total Amount Paid
Total Value of Project
Date Paid
Value Date Calculated
Receipt Number
2200500000000000271
2200s00000000000271
2200500000000000271
2200500000000000271
2200s00000000000271
2200500000000000271
1200500000000000322
1200500000000000322
1200500000000000322
1200500000000000322
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Amount Paid
$10.00
$4.50
$3.1s
$8.00
$12.00
$25.00
$4.60
$3.22
$43.00
$3.00
$116.47
3t9t05
319l0s
3t9t05
3t9t05
3t9tos
3t9105
3n4t05
3tr4t05
3n4t0s
3n4t0s
Fees 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.
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 fnsnections
Paee 2 of3
Building/C ombination Permit
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
PERMIT NO: COM2005-00272ISSUED: 03/09/2005APPLIED: 03/0912005
EXPIRESz 0911412005
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 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 Date
Page 3 of3
--.-t
225 EIFTH STREET ' SPRINGFIELD, OR 97477 o PHz (s4t)12L3753 o FA)ft
EW CTRI CAL P ERYITT AP P LI CATTON
City Job Number CO Zoo t-oo Laz Date
1.3
LEGAL DESCRIPTION
i70 L so3 Ll 6:,stdl
JOB DESCRIPTION
Axl L C- t {Lv'a (fj
Permits are non-Eansferable and erpire if work is
i not started lYithin 180 days of issuance or if work is
Suspended for 180 daYs-
1
Electrical Contractor
Address illcnro
Phoue
Supervisor License Number +1 3+4
Expiration Date o
Service Included
1000 sq. fl or less
Each additional 500 sq. fr or
portion thereof
Each Manufact'd Home or
Modular pwslling Seryice or
Feeder
Center is 1
sPtrmcFra-D
19.00
s50.00
s 63.00
$r25.00
si63.00
$375.00
s 50.00
5r s.|-
f N
B.
c.
City
Number ZC-\i5b76 t
8 7
Nane kSJc-;/,.,^.r L-
Over 600 or 1000 Volts see "B" above.
D.
s 43.00
s 3.00
E.
PumP or irrigation $ 50'00
Sign/Outline Lighting $ 50'00
Limited Energy/Residential $ 25'00
Lioited EnergyiCommercial S 45'00
Minirnum Electric Permit Inspection Fee is $45.00 * Surcharges
6
Installation, Alteration or Relocation
200 Amps or less $ 50'00
201 Amps to 400 AmPs S 69'00
327
y@
9s az
Const Contr.
Expiration Date
of
Owners
Address tq t1 lltt sl
City S}Phone
OWNER INSTALLATION
The installation is being made on property I own which
is not inteuded for salc, lease or renl
Owners Signature:4.
7%Starc Surcharge
l0% Administrative Fee
TOTALkspection Request: 726-37 69
e---lg-.;^-l o-ir A ^aliratina l -Ol dm
lLlt 7
A.
oAn e60lm$'sl oEr-nnl.
rr,i.rtiRhofrh&fuagPn Utility
ll
\NDON
L/3
')
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
City of Springfield Oflicial Receipt
relopment Services Department
Public \ilorks Department
RECEIPT #: 1200500000000000322 Date: 0311412005 9:11:4lAM
Job/Journal Number
coM2005-00272
coM2005-00272
coM2005-00272
coM2005-00272
Description
+ 7o/o State Surcharge
+ l0%o Administrative Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Amount Due
3.22
4.60
43.00
3.00
Item Total:$53.82
Payments:
Type ofPayment Paid By Received By
Check Number
Batch Number
Authorization
Number How Received Amount Paid
CreditCard JOSEPH BUNCH ELECTRIC djb 561555 In Person $53.82
Payment total:
--Tfr37
3/r4/200s Page I of I
$rn$r$FiILo
Building/Combination Permit
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
S4l-7 26-37 69 Inspection Line
PERMIT NO: COM2005-00272ISSUED: 03/09/2005
APPLIED: 03/0912005
EXPIRES: 09/0912005
VALUE:
SITE ADDRESS: 1417 31ST ST
ASSESSOR'S PARCEL NO.: 1702303403501
PROJECT DESCRIPTION: Install heat pump and air handler
Springfield TYPE OF WORK: Heating System
NI roN
AR95
the ru\esbyOwner:
Address:
Contractor Type
Mechanical
Contractor
MARSHALLS INC
Expiration Date
12t23t2005
Residential
Phone
541-747-7445
JESSE SHOUSH
1417 31ST ST
SPRINGFIELD OR 97478
License
25790
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
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:
R-3
VN
nla
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
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 Amount
PUBLIC IMPROVEMENTS
Description Type of Construction
Pssel of2
Value Date Calculated
L-,
TYPE
0
-TJUTLUTNG rNruKvrAlgJ
I-,t vtll(rrtvlDl\t ll\rt KrYrArrt,l\ |
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: COM2005-00272ISSUED: 03/09/2005APPLIED: 03/0912005EXPIRES: 09/0912005
VALUE:
Fee Description
-Mechanical Issuance Fee-
+ l0oh Administrative Fee
+ 77o State Surcharge
Air Handling Unit Up to 10,000
Heat Pump
Minimum/Adj ustment Mechanical
Total Amount Paid
Total Value of Project
Date PaidAmount Paid
$10.00
$4.s0
$3.15
$8.00
$12.00
$25.00
$62.65
Receipt Number
220050000000000027r
2200500000000000271
2200500000000000271
2200500000000000271
220050000000000027r
2200500000000000271
3t9t05
3t9tos
3t9t05
3t9t0s
319t05
3t9t05
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.
Reouired Insnections
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 contrtctors 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
,?.zs-
Paee2 of2
Date
?*?2{
F ees raro
225 Fifth Street
Springfield, Oregon 97 47 7
5ll-726-3759 Phone
City of Springfield Official Receipt
velopment Services Department
Public Works Department
RECEIPT #: 2200500000000000271 Date: 0310912005 2:13:27PM
Job/Journal Number
coM200s-00272
coM2005-00272
coM2005-00272
coM2005-00272
coM200s-00272
coM2005-00272
Description
+ loh State Surcharge
+ llYo Administrative Fee
Air Handling Unit Up to 10,000
Heat Pump
Minimum/Adjustment Mechanical
-Mechanical Issuance Fee-
Amount Due
3.1s
4.50
8.00
12.00
25.00
10.00
Item Total:$62.65
Payments:
Type of Payment Paid By
CheckNumber Authorization
Received By Batch Number Number How Received Amount Paid
Check MARSHALL'S INC njm In Person
Payment Total:
$62.6s
-562"6-t
I 8489
3t9/200s Page I of I
*FBII,IAFl5LD