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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&ltloFl&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