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Home My WebLink AboutPermit Mechanical 2006-04-28Status 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: COM2004-0137 6ISSUED: 0412812006APPLIED: I110512004EXPIRES: I110412006 VALUE: SITE ADDRESS: 626 S 44TH ST ASSESSOR'SPARCELNO.: 1802052102600 PROJECT DESCRIPTION: New Heatpump Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Alteration Residential Owner: Address: Contractor Type Electrical Mechanical Contractor CHRISTENSON ELECTRIC INC OWNER BERGSTROM RUSSELL D & LISA ANN 626 S 44TH ST SPRINGFIELD OR 97478 License 458 Expiration Date 0st0u2007 Phone 541-688-6121 )R 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: # of Stories: 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 .-',i REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: Downspouts/Drains: PUBLIC IMPROVEMENTS Notes: Page I of3 ne -33:2-2344). trutLutl\u t1\r t_rl(lvrA r rt,N_.] IR 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: COM2004-01376ISSUED: 0412812006APPLIED: I110512004EXPIRES: I110412006 VALUE: Description Type of Construction Fee Description -Mechanical Issuance Fee- + l0o/o Administrative Fee + 77o State Surcharge Air Handling Unit Up to 10,000 Heat Pump Minimum/Adjustment Mechanical + l0o/o Administrative 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 1200400000000001 579 1 200400000000001 579 1 200400000000001 579 r 200400000000001 579 1200400000000001579 I 200400000000001579 2200600000000000562 2200600000000000562 2200600000000000562 2200600000000000562 $ Per Sq Ft or multiplier Square Footage or Bid Amount Amount Paid s10.00 $4.50 $3.15 $8.00 $12.00 $25.00 $4.60 s3.68 $43.00 $3.00 $116.93 tu5t04 tu5t04 tu5t04 tu5t04 tu5t04 tu5t04 5t4t06 5t4t06 st4t06 5t4t06 Fees Pa 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. f,l pnrrired Insnpefinns Page 2 of3 Valuation Descrintion I 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: COM2004-0137 6ISSUED: 0412812006APPLIED: 1ll05/2004EXPIRES: 1110412006 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 LDL N r!^ cs o3 225 FIFTH STREET . SPRINGFIELD, OR 97477 o PH:(S4[)726-3753 o FAX: (541)726-3689 PERMIT City Job Date l. e LEGAL DESCRIPTION A. New Residential - Single or l\Iulti-Faruily per dwelling unit.tro> 05 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 Permits are and expire if work is $s0.00 Ii $ r 06.00 $ 19.00 not started within 180 days of issuance or if work is Suspended for 180 days. B. -) Electrical Contractor Address 9l D Phone $ 63.00 $ 75.00 s 1 2s.00 $ 1 63.00 $375.00 $ 50.00 $ 43.00 $ 3.00 eTll,l,. 200 Amps or less Constr. Contr. Number Expiration 0-) Nr LW Address pnone5Vl - 1\b OWNER TALLATION 1?.+l The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 Amps/Volts Reconnect Only C Installation, Alteration or Relocation 200 Amps or less $ 50.00 201 Amps to 400 Amps $ 69.00 Over 600 Amps or 1000 Volts see "B" above. D. Branch Circuits New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit I pm{br, frv- City l;8? 'b I >l Superr.isor License Number QoZ?s Tenrporar-v Services or Fceders Expiration Date ,0 E. Miscellaneous (Service/feeder not included) -E,ach Installation Pump or irrigation Sign/Outline Lighting Limited Energy/Residential Limited Energy/Commercial Minimum Electric Permit Inspection Fee is $45.00 * Surcharges 8% State Surcharge l0% Administrative Fee TOTAL $ 50.00 $ 50.00 $ 2s.00 $ 4s.00 oa) -LInspection Request: 72G37 69 VD' 4. Shared Drive(T:)/Building Forms/Electrical Permit Application l-06.doc CITY OF OREGON , CONTRACTOR INSTALLA'TION ONLYZ. 3. COMPLEITE, FEE Services or Feeders - tnstallation, Alterations or Relocation: fZr,ar--c I SUBTOTAL OFAfrOVE t4bt 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone C", of Springfield Official Receiptr velopment Services Department Public Works Department RECEIPT #: 2200600000000000562 Date: 0510412006 3:03:2ePM Job/Journal Number coM2004-01376 coM2004-01376 coM2004-01376 coM2004-01376 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 8% State Surcharge + ljoh Administrative Fee Amount Due 43.00 3.00 3.68 4.60 Item Total:$s4.2E Payments: Type of Payment Check Number Paid By Received By Batch Number Number How Received Amount Paid CreditCard CHRISTENSON ELECTRIC njm 004761 In Person Payment Total: $54.28 -ffi. cReceintl 5t412006 as'tuaoft*r,o Page I of I City of Springlield 225 Fifth Street, Springfield, OR97477 541-726-3759 Phone 541-726-3676Fax March 30,2006 BERGSTROM RUSSELL D & LISA ANN 626 S 44TH ST SPRINGFIELD OR 97478 Job Number: Location: coM2004-01376 626 S 44TH ST Project:New Heatpump Dear Permit Holder: The Springfield Building Safety Code Administrative Code provides that in order for a permit to remain valid, the work which has been authorized by the permit must begin within 180 days of the date of issuance, and an inspection must be requested at least every 180 days. According to our records, you obtained a permit for a project at 626 S 44TH ST which is set to expire on 5/512006. Our records indicate that you have not requested an inspection within the past five (5) months. This letter is written to notify you that your permit(s) will be expiring shortly. If you are ready to request an inspection for your project, please phone the inspection line at 541-726-3769. If you do not request an inspection prior to the expiration date, your permit(s) will expire and additional permit fees will be required in order to complete your project. If you have any questions, please feel free to phone me at 541-726-3790 Sincerely, Lisa Hopper Building Safety Supervisor Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541 -7 26-37 69 Inspection Line Building/C ombination Permit PERMIT NO: COM2004-01376ISSUED: l,ll05l200iAPPLIED: 11/0512004EXPIRES: 05/05t2006 VALUE: SITE ADDRESS: 626 S44TH ST ASSESSOR'S PARCEL NO.: 1802052102600 PROJECT DESCRIPTION: New Heatpump Owner: BERGSTROM RUSSELL D & LISA ANN Address: 626 S 44TH ST SPRINGFIELD OR 97478 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Alteration Residential License Expiration Date PhoneContractor Type Mechanical Contractor OWNER # 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: 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:nla $ Per Sq Ft or multiplier Square Footage or Bid Amount Sidewalk Type: Downspouts/Drains: REQUIRED PARIflNG Total: Handicapped: Compact: Total Value of Project DEVELOPMENT INFORMATION PUBLIC IMPROVEMENTS Valuation Descrintion Description Type of Construction Page Value Date Calculated t utl-t-rll\(, 11\ r uKlYrry..l 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: COM2004-0137 6ISSUED: 11/05/2005APPLIED: l110512004 EXPIRES: 05/0512006 VALUE: Fee Description -Mechanical Issuance Fee- + l0%o Administrative Fee + 77o State Surcharge Air Handling Unit Up to 10,000 Heat Pump Minimum/Adj ustment Mechanical Total Amount Paid Amount Paid $10.00 $4.s0 $3.15 $8.00 $12.00 $2s.00 $62.65 Date Paid tu5t04 tu5t04 tu5t04 tu5t04 ru5t04 tust04 Receipt Number r20040000000000r579 1200400000000001579 1200400000000001s79 1200400000000001s79 1200400000000001s79 1200400000000001579 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. 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.' 1oq or Contractors Date Pase? of2 rai Kequlreo InsDecuons 225Fiftt> Street Springfield, Oregon 97 477 541-726-3759 Phone ^ity of Springfield Official Receipt evelopment Services Department Public Works Department RECEIPT #: 1200400000000001579 Date: 1110512004 12:05:55PM Job/Journal Number coM2004-01376 coM2004-01376 coM2004-01376 coM2004-01376 coM2004-01376 coM2004-01376 Description Air Handling Unit Up to 10,000 Heat Pump Minimum/Adjustment Mechanical -Mechanical Issuance Fee- + 7Yo State Surcharge + l0% Administrative Fee Amount Due 8.00 12.00 25.00 10.00 3.15 4.50 Item Total:$62.65 Payments: Type ofPayment Paid By Check Number . Authorization Received By Batch Number Number How Received Amount Paid Check LISA A BERGSTROM dlm t473 In Person Payment Total: $62.65 $62.6s 1v512004 Page I of I $FBlI,lCFlEl.D