HomeMy WebLinkAboutPermit 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