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Home My WebLink AboutPermit Mechanical 2005-07-27F SPRIN Building/Combination Permit PERMIT NO: COM2005-00925ISSUED: 0712712005APPLIED: 07/1812005 EXPIRESz 0112712006 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-7 26-37 69 Inspection Line SITE ADDRESS: 573 S 41ST PL ASSESSOR'S PARCEL NO.: 1702323304600 PROJECT DESCRIPTION: Install heat pump and air handler Springfield TYPE OF WORK: Heating System TYPE OF USE: New PhoneNumber: 541-741-0631 Expiration Date 08/31/200s Residential Phone 541-683-2590 Owner: Address: Contractor Type Mechanical HEATHER ENLUND s73 S 41ST PL SPRINGFIELD OR 97478 Contractor License ASSOCIATED HEATING & AIR CONDITIO 106275 CONTRACTOR INFORMATION # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: o/o 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: REQUIRED PARKING Total: Handicapped: Compact: R-3 VN nla ION: Oregon law requlres you b sttfl'iiiiftq$yJhe orego n Uti I ity -.e ntor. Thb'se rules are set forthr dlgltrenernffi f4inUAB 952-001. : .,i i ,,.a-.y oittain copies of the rules by | ,: r.tfi'.!r. (lrJote: the telephone' ti,i iire Cregon Utility Notification rule tification $ Per Sq Ft or multiplier Square Footage or Bid Amount 'INFORMATION Description Type of Construction Page I of3 Value Date Calculated F ivlt I tD :tl F0R JI Valuation Description i 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: COM2005-00925ISSUED: 0712712005APPLIEDz 0711812005 EXPIRESz 0112712006 VALUE: Fee Description -Mechanical Issuance Fee- + l0o/o Administrative Fee + 7oh State Surcharge Air Handling Unit Up to 10,000 Heat Pump Minimum/Adj ustment Mechanical + l0o/o Administrative Fee + 7o/o State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Total Amount Paid Total Value of Project Date PaidAmount Paid $10.00 $4.50 $3.1s $8.00 $r2.00 $2s.00 $4.60 $3.22 $43.00 $3.00 $116.47 Receipt Number 1200500000000001051 r200s00000000001051 1200500000000001051 1200500000000001051 1200500000000001051 1200500000000001051 3200500000000000453 3200s00000000000453 3200s00000000000453 3200s000000000004s3 7t20105 7t20t0s 7t20t05 7t20t0s 7t20t0s 7t20t05 7t27t05 7t27tvs 7t27t05 7l27lus tr'ees 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. Renrrired Insnecf Paee 2 of 3 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: COM2005-00925ISSUED: 0712712005APPLIED: 07/1812005 EXPIRESz 0112712006 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 Springlield 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 Paee 3 of3 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone City of Springfield Oflicial Receipt _ evelopment Services Department Public Works Department RECEIPT #: 3200500000000000453 Date: 0712712005 8:12:46AM Job/Journal Number coM2005-00925 coM200s-00925 coM200s-00925 coM2005-0092s Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 7Yo State Surcharge + lUYo Administrative Fee Amount Due 43.00 3.00 3.22 4.60 Item Total:$s3.82 Payments: Type of Payment Paid By CheckNumber Authorzatron Received By Batch Number Number How Received Amount Paid CreditCard CROW VALLEY ELECTRIC lkw 0001 066036 In Person $53.82 PaymentTotat: ffi 7/27/2005 Page I of I atrreanlc 225 FIFTH STREET . SPRINGFIELD, Ox-97477 o PH:(541)726-3753 o FAX: ELECTRICAL PERMIT APPI,ICATI ON CityJobNumber M Date 7-ac-q ?ootog I 3. 573 S.4r* LEGAL DESCRIPTION /7 oa 3a 33 A. Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspeuded for 180 days. ) Electrical Contractor Address pnone Ab/-t/387 Supervisor License Number q7 4{5 Expiration Date t 0'/- 07 Constr. Confr. Number 1qErcy' Expiration ort" /E- B- d{ Signature of sing Electrician OWNER INSTALLATION The installation is being made on propeffy I own which is not intended for sale, lease or rent. 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 7%o State Surcharge l0% Administrative Fee TOTAL olaoo JOB DESCRIPTION $106.00 $ 19.00 .t B. C. ss0.00 $ 63.00 $ 7s.00 $ 125.00 $163.00 $375.00 $ s0.00 City I Installation, Alteration or Relocation 200 Amps or less $ 50.00 201 Amps to 400 Amps S 69.00 401 Amps to 600 Amps $100.00 Over 600 Amps or 1000 Volts see "B" above. D. Branch Circuits New Alteration or Extension Per Panel One Circuit I Each Additional Circuit or with t Service or Feeder Permit $ 43.00 $ 3.00 3- 4a City ownersName //e**n"re Ent,rr-& Address 57a S. ltg ?t^r--E. Miscellaneous (Service/feeder not included) -Each Installation Phone 71t - b631 _ -t'i:rf --eC-008-I SlJeluao ,, ^ li'l11' ]*sllEii,., co,o aql rol-laqllJntl $ s0'00 ".- Sigrr/outli,",Li&ldl$ ,Jrr", aqggnrec $ 50.00 , Limitede1logyJR.etqflqdo AEu no^ .06002s.00 _i Limited e,n;fSXlQnrmffiO$ 169-ZSa Uvo E4s.00 Minimum Erec$if?@froqlhsp?rH0oBt€uPsiBl0)l+ Su rcharges Owners Signature: 3. zz l. t"o 53. 8zInspection Request: 726-3769 4. Shared Drive(T:/Building FormVElectrical Permit Applicarion l-03.doc o9 QrtCt rLt,orn.i fu*funP or Relocation: fuL , ONLY - il Buildin g/Co mbination Permit Status: Issued 225 Fifth Street, Springfield, OR 541:726-3753 Phone 541-726-3676Fax 541:7 2647 69 I nspection Line PERMIT NO: COM2005-00925ISSUED: 0712012005APPLEDz 0711812005EIGIRESz 0112012006 VALUE: SITE ADDRE$S: 573 S 41ST PL ASSESSOR'S PARCELNO.: 1702323304600 PROJECT DESCRIPTION: Install heat pump and air handler Springfield TYPE OF TYPE OF USE: Heating System New Owner: Address: Contractor TVpe Mechanical HEATHER ENLI]ND 573 S 41ST PL SPRINGFIELD OR 97478 Expiration Date 08/31/2005 Residential Phone 541-683-2590 Phone Number: S4l-741-0631 Contractor License ASSOCIATED HEATING & AIR CONDITIONIO6275 # of Unib: Primary Occupancy Group: Secondary Occupancy Ptimary Construction Type Smondary Construction # of Bedrooms: # of Stories: R-3 Height ON 6c. otiticatiol VN Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: N oAR 952 ca number ls l-Ce Dist:Frontyard Setbaclc Side l Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Storm SewerAvailable: Special Instruction: Notes: in # Street Trees Paved Drive Rqd: oh of Lot Coverage: Sidewalk Type: Downspouts/Drains REQUIRED PARIflNG Total: Handicapped: Compact: rtL $ Per Sq Ft or multiplier Square Footage or Bll Amount PUBLIC IMPROVEMENTS Description Type of Construction lof2 Value Date Calculated I,UILUTNG lIrl UXvnr rUNl PIRE lF THE r/ IIS PERMIT IS Valuation Descrintion Buildin g/Co mbin ation Permit Status: Issued 225 Fifth Street, Springfield, OR 541:726-3753 Phone 541-726-3676Fax S4l:7 26-37 69 Inspection Line PERMT NO: COM2005-00925ISSUED: 0712012005APPLIEDz 0711812005E)GIREST 0112012006 VALUE: Fee Description -Mechanical Issuance Fee- + l0oh Administrative Fee + 7%o State Surcharge Air Handling Unit Up to 10,000 Heat Pump Minimum/Adjustment Mechanical Total Amount Amount Paid $10.00 $4.s0 $3.1s $8.00 $12.00 $25.00 $62.6s Total Value of Project Date Paid 7t20t05 7t20t05 7t20t05 7t20t0s 7120t05 7t20t0s Receipt Nrrmber 1200s000000000010s1 1200500000000001051 1200s000000000010s1 1200500000000001051 1200500000000001051 12005000000000010s1 Plan Reviews To Request an inspection call the24 hour recording at 726-3769. All inspection requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. ffi By signaturer l state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certi$ that any and all work performed shatl be done in rcadance with the Ordinances of tlie City of SpringfieH and the Laws of the State of Oregon pertaining to the work described herein,, and that NO OCCUPAI\ICY will be made of any sfructure without permission of the Community Services l)ivision, 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 b located at the front of the property, and the approved set of plans will remain on the site cdlrstruction O/'^b Owner or Contractors Signature Date I L rll B eps rzrd I at times during 2of2 225 f ifth Street Springfiefd, Oregon 97 477 541:726-3759 Phone City of Springfield Oflicial Receipt velopment Services Department Public Works Department RECEIPT #: 1200500000000001051 Date: 0712012005 2:38:48PM Job/Journal Number coM200s-00925 coM2005-00925 coM2005-00925 coM2005-0092s coM200s-00925 coM2005-00925 Description + 7Yo State Surcharge + l0%o Administrative Fee Air Handling Unit Up to 10,000 Heat Pump Minimum/Adjustment Mechanical -Mechanical Issuance Fee- Amount Due 3.15 4.50 8.00 12.00 25.00 10.00 Item Total:$62.6s Payments: Tlpe of Paynent Paid By Received By Check Number Batch Number Authorization Number How Received Amount Paid Check ASSOCIATED HEATING djb l 3330 In Person Payment Total: $62.6s -s6r3,t Ir 7120/2005 lofl -t