HomeMy WebLinkAboutPermit Building 2006-08-24StR&til*FllILa
Building/Combination 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: COM2006-01053ISSUED: 0812412006
APPLIED: 08/1512006
EXPIRES| 0212412007
VALUE:
SITE ADDRESS: 1228 35th ST
ASSESSOR'SPARCELNO.: 1702303409702
PROJECT DESCRIPTION: Heat Pump and Air Handler
Springfield TYPE OF WORK: Mechanical Only
TYPE OF USE: New
PhoneNumber: 541-726-5072
Residential
Phone
541-895-4466
541-747-7445
SCOTT MERRILYN E
1228 35TH ST
SPRINGFIELD OR 97478
Contractor Type
Electrical
Mechanical
Contractor
C PERKINS ELECTRIC INC
MARSHALLS INC
License Expiration Date
159537 0411512008
25790 12/2312009
# 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:
# ofStories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
oh of Lot 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
REQUIRED P4RKING
Total:
Handicapped:
Compact:
Sidewalk Type:
Downspouts/Drains:
PUBLIC IMPROVEMENTS
Notes:
Pase I of3
l rEl
Owner:
Address:
LUN l l(AL I UK rNr Lr_$!L1y11LJ
BUILL'ING INIUKIVTA I TUI\ I
Th .
FIBLD
Building/Combination Permit
PERMIT NO: COM2006-01053ISSUED: 0812412006
APPLIED: 08/1512006
EXPIRESz 0212412007
VALUE:
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541 -7 26-37 69 Inspection Line
Valuation Descrintion
Description Tvpe of Construction
Fee Description
-Mechanical Issuance Fee-
+ l0oh Administrative Fee
+ 5olo Technology Fee
+ 87o State Surcharge
Air Handling Unit Up to 10,000
Heat Pump
Minimum/Adj ustment Mechanical
+ l0oh Administrative Fee
+ 57o Technology Fee
+ 87o 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
220060000000000r 144
2200600000000001 144
2200600000000001 144
2200600000000001 144
2200600000000001 144
2200600000000001 144
2200600000000001 144
2200600000000001 189
2200600000000001 189
2200600000000001 189
2200600000000001 r89
2200600000000001 189
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Amount Paid
$10.00
$4.s0
$2.2s
$3.60
$8.00
$12.00
$2s.00
$4.60
$2.30
$3.68
$43.00
$3.00
8/15/06
8/15/06
8/15/06
8/15/06
8/15/06
8/15/06
8tr5t06
8t24t06
8t24t06
8t24106
8t24t06
8t24t06
$121.93
tr'ees'
Plan Reviews
To Request an inspection call the 24 hour recording at 726-3769. All inspection requested before 7:00 a.m.
wi1be made the same working day, inspections requested after 7:00 a.m. will be made the following work
day.
Final Mechanical: When all mechanical work is complete.
Rough Mechanical: Prior to Cover
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
red Insnections
Paee 2 of3
Status Issued
225 Fifth Street, Springfield' OR
541-726-3753 Phone
541-726-3676 Fax
541-7 26-37 69 Inspection Line
Building/C ombination Permit
PERMIT NO: COM2006-01053ISSUED: 0812412006
APPLIED: 08/1512006
EXPIRESz 0212412007
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.nrur. that all required inspections are requested at the proper time, that each address is readable from the
street, tt uitt . 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
ffi."ih
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
200 Amps or less
201 Amps to 400 AmPS
401 Amps to 600 AmPs
601 Amps to 1000 Amps
Over 1000 Amps/Volts
Reconnect OnlY
One Circuit
Each Additional Circuit or with
Service or Feeder Permit
Pump or irrigation
Sign/Outline Lighting
Limited EnergyResidential
Limited Energy/Commercial
10% Administrative Fee
TOTAL
zoN t r;n-
INITIALS
DATE
SOURCE
$s0.00
$ 63.00
$ 7s.00
$ 125.00
$ r 63.00
s37s.00
$ 50.00
ELDSPB'N
225 FIF-rH STREET . SPRINGFIELD,Of.gT4TT I PH:(541)726-3753 'FAx: (541)726-3689
PERMIT APPLICATION
City Job
1.
---_3, COfr'IPLETEFEESCHEDULEBELOTI' .:
A. 'Nerv Residential - Single or fi'Iuiti-Family per drvelling unit'
LEGAL DESCzuPTION
o 7o>
JOB DE
Permits are ble and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 daYs...
B. Services or [eeders'- Installation. Alterations oi Relocation:
,,
Electrical Contractor
Address
"7 a
ciry a be--cirle-f,t Ph,"" 993- ?y6A
Supervisor License Number
Expiration Date /o^ ol -D7
Constr. Contr. Number /57 1s 7
Expiration Date 7- ts * d g
Signafure of Supervising Electrician
Owners N
Address
O\YNER TALLATION
The installation is being made on Properry I own which
is not intended for sale, lease or rent.
Owners Signarure
C.
I
lnstallation, Alteration or Relocation t
200 Amps or less $ 50.00
201 Amps to 400 AmPs $ 69.00
401 Amps to 600 AmPs s 100.00
New Nteration or Extension Per Panel
Over 600 Amps or 1000 Volts see "B" above.
/ $ 43.00 9s,
s 3.00 5
E. i\{iscelialeous (Sei'r'ice/feedei 1ot included) -Each InStallation
$ 50.00
$ 50.00
$ 25.00
$ 4s,00
s.b Y
Inspection Request: 726-37 69
Shared Drive(T:)/Building Fonns/Electrical Pennit Application I -06.doc
$ 106.00
$ 19.00
2,o - -s VIMKNUTU UH IS ABAI\DON ET
Minimum Electric Permit Inspection Fee is $45.00 * Surcharges &
--4:o o
--66--:;f
4-
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
Cit' of Springfield Official Receipt
Dc-/opment Services DePartment
Public Works Department
RECEIPT#: 2200600000000001189 Date: 0812412006 1l:08:0lAM
Job/Journal Number
coM2006-01053
coM2006-01053
coM2006-01053
coM2006-010s3
coM2006-01053
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 5%o Technology Fee
+ 8% State Surcharge
+ l0o/o Administrative Fee
Amount Due
43.00
3.00
2.30
3.68
4.60
Item Total:$s6.s8
Payments:
Type of Payment Received By
Check Number
Batch Number Number How Received Amount PaidPaid By
CreditCard C. PERKINS ELECT njm 021382 In Person
Payment Total:
$56.5 8
-ss6-s-B.
cReceint I Page I of I 812412006
gFs<loFl&L.o
Authorizatron
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: COM2006-01053ISSUED: 08i15/2006APPLIED: 08/1512006
EXPIRES: 0211512007
VALUE:
SITE ADDRESS: 1228 35th ST
ASSESSOR'S PARCEL NO.: 1702303409702
Springfield TYPE OF WORK: Mechanical Only
TYPE OF New
PROJECT DESCRIPTION: Heat Pump and Air Handler.ZFD UNDE
TH'S PER USE:Residential
Phone
541-747-7445
B THIS PE
WORKE ,F THE
Owner:
Address:
Contractor Type
Mechanical
SCOTT MERRILYN E
1228 35TH ST
SPRINGFIELD OR 97478
ne Number:541-726-5072
Contractor
MARSHALLS INC
License
25790
Expiration Date
12t23t2009
CONTRACTOR INFORMATION
)RMATION
# 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 lmprovements:
Storm Sewer Available:
Special Instruction:
Notes:
# ofStories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
oh of Lot Coverage:
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Load:
I REQUIRED PARKING
v
Total:
Handicapped:
Compact:
Sidewalk Type:
Downspouts/Drains:
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
PUBLIC IMPROVEMENTS
Description Type of Construction
Page 1 of2
Value Date Calculated
lJy i8o n AY PEBIOO.
nla
Valuation Description
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-7 26-37 69 Inspection Line
FIELD
Building/Combination Permit
PERMIT NO: COM2006-01053ISSUED: 08/15/2006APPLIED: 08/1512006
EXPIRESz 0211512007
VALUE:
Fee Description
-Mechanical Issuance Fee-
+ l0oh Administrative Fee
+ 57o Technology Fee
+ 87o 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
$r0.00
$4.50
$2.25
$3.60
$8.00
$12.00
$2s.00
$65.35
Receipt Number
2200600000000001 144
2200600000000001 144
2200600000000001 144
2200600000000001 144
2200600000000001 144
2200600000000001 144
2200600000000001 144
8n5106
8/1s/06
8nst06
8/r5/06
8/15/06
8/15/06
8/15/06
Plan Reviews
To Request an inspection call the 24 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.
Final Mechanical: When all mechanical work is complete.
Rough Mechanical: Prior to Cover
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 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.
)-/--
-. 21 I2--- - -i7z-o-=---
-
Owner or Contractors Signature
Pase 2 oI 2
Date
f/;-a6
uaFt*t D
r ees raro I
225 Fifth Street
Sp','ingfield, Oregon 97 477
541-726-3759 Phone
C:'v of Springfield Official Receipt
\ , elopment Services Department
Public Works Department
RECEIPT#: 2200600000000001144 Date: 08/f5/2006 l:10:13PM
Job/Journal Number
coM2006-01053
coM2006-01053
coM2006-01053
coM2006-01053
coM2006-0 r 053
coM2006-0 r 053
coM2006-0 r 053
Description
Heat Pump
-Mechanical Issuance Fee-
Air Handling Unit Up to 10,000
Minimum/Adjustment Mechanical
+ 57o Technology Fee
+ 8% State Surcharge
+ 10Yo Administrative Fee
Amount Due
12.00
10.00
8.00
2s.00
2.25
3.60
4.50
Item Total:$65.35
Payments:
Type of Payment Paid By
CheckNumber Authortzatron
Received By Batch Number Number How Received Amount Paid
Check MARSHALL'S dddk l 9368 In Person
Payment Total:
$65.3 5
$65.35
cReceint I Page I of I 811512006