HomeMy WebLinkAboutPermit Mechanical 2003-1-10
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspeetion Line
.
. CITY OF SPRINGFIELD C
Building/Combination Permit
PERMIT NO: COM2003-00020
ISSUED: 01/10/2003
APPLIED: 01/10/2003
EXPIRES: 07/1012003
VALUE:
SITE ADDRESS: 929 NORTH RIDGE AVE
ASSESSOR'S PARCEL NO.: 1703261204325
Springfield TYPE OF
Heating System
PROJECT DESCRIPTION: Install heat pump
TYPE OF USE: Addition
Owner: DONALD FROSLAND
Address: 929 NORTHRlDGE AVE SPRINGFIELD OR 97477
Contractor
RONALD H OTTOSEN
DONALD FROSLAND
BUILDING INFORMATION I
# of Stories: Lot Size:
Height of Sq Ft 1st Floor:
Type of Heat: Sq Ft 2nd Floor:
Water Type: Sq Ft Basement:
R~Type: Sq Ft Garage/Carport
&..1!lP~~'\Path: Sq Ft Other:
,,~ ~<;- 1m pervious Surface Area:
.(, ,,~:\. '" 0.. _
,L':':~_"'~ ,,< ::\
~'t<}''''\U;;WMENT INFORMATION I -:lIO~ #- ~ .
~ ((,) .~";l <'.~. ~'lJc, ~.::s ~,OROOUlRED PARKING
~v '\" ~:v ~ 0 <o'lJ ~~ ~
Front yard Setback: S~ 'N<8:' ~~ Overlay Dist: ....'lJt:$: ,,'lies ~'lJ Ql,:>'li~h~
Side 1 Setback: ~~. #' ..:::::.~ ~ 'N' # Street Trees # lJ 0C,'If -#' 0 <If'!8,dg,gpped:
Side 2 Setback: ^'\" o~q;. '1~~ <'. ~~<-~f;S Paved Drive Rqd: o~ ~OS' ....~:5:00 '&.OS' ~~"ct:
~'V !=:l"' ~"('~" ~" 'lies 0'0 &0 ~~ O....~ ~
Rearyard Setback: '\~ ~~f;S ~~"V ~ % of Lot Coverage: .O~ ~/li ~0:5:0~ .,,0"':5:0'lJ ~o ~.
Solar Setbacks: ,,"00 .~ 0..<:::; 'V O~. ~p ~. ~t)~ c.O~ 0~.~-::\ "rI'
"j''''' .." ,'<''<1. .'If)lil J.'" "<'0 .~ ~~ fl.
~ IPUBLlC IMPRO'{Q1-wt,si>~t)~ ~~0"~~<:;-~"J"JV
~- 0 ",."iIlV g;.. p,<:' n,..../li..(hr::J
,~.~c.'If Ql(,;) ~~~oe~K>(.ype:
~ ~ 4.0 ~ OS' '-e>
~o O'!:). .~~Q,iV!WoutslDrains
'-$'!:)OJ ~ 'sl (l'
G CJ!$'
<:;-'S
Contractor Type
Mechanical
Owner
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy
JTrimary Construetion Type
Secondary Construction
# of Bedrooms:
SETBACKS
S tree t
Storm Sewer Available:
Special Instruction:
Notes:
Desc ription
I CONTRACTOR INFORMATION I
License
140770
Expiration Date
02/08/2004
Phone
541-736-3940
I Vak~{(I'[)escril\ltion I
111111111. I
Type of Constrnction
Date Calculated
$ Per Sq Ft
Square Footage
Value
1 of 2
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
54 I -726-3676 Fax
541-726-3769 Inspeetion Line
Fee Description
-Mechanical Issuance Fe.....
+ 10% Administrative Fee
+ 7% State Surcharge
Air Handling Unit Up to 10,000
Heat Pump
Minimum/Adjustment Mechanical
Total Amount
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2003-00020
ISSUED: 01/10/2003
APPLIED: 01/10/2003
EXPIRES: 07/10/2003
VALUE:
Total Value of projeet
I Fees Paid I
Amount Paid
Date
Receipt Number
$10.00
$4.50
$3.15
$8.00
$12.00
$25.00
1/10/03
1/10/03
1/10/03
1/10/03
1/10/03
1/10/03
1200200000000000526
1200200000000000526
1200200000000000526
1200200000000000526
1200200000000000526
1200200000000000526
$62.65
I Plan Reviews I
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.
I >>"(l<ir..rlln.n....Hnn..
'Irlf'''I~
1 Rough Mechanical: Prior to Cover
2 Final Mechanical: When all mechanical work is complete.
By signature, I state and agree, that I have carefully examined tbe completed application and do hereby certity that all
information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance
with tbe Ordinances ofthe City of Springfield and the Laws of the State of Oregon pertaining to the work described
herein, and tbat NO OCCUPANCY will be made of any structure without permission of the Community Services Division,
Building Safety. I further certity tbat 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 'tbat the permit card is located at the front of the property, and the approved set of plans will remain on the site
at all tim. s during ~u~p'
f1 '--r>. 7.. . C- ....... 1 J tn/,tz:r
'---"" - - . I /
Owner or Contractors Signature Date
2 of 2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Line I terns:
Job/Journal Number
COM2003,00020
COM2003-00020
COM2003-00020
COM2003-00020
COM2003-00020
COM2003-00020
Payments:
Tl'Pe o(Paymeot
Check
Paid By
Receipt #: 1200200000000000526
Date: 01110/2003
Description
Air Handling Unit Up to 10,000
Heat Pump
Minimum! Adjustment Mechanical
-Mechanical Issuance Fee-
+ 7% State Surcharge
+ 10% Administrative Fee
Received By
Check Number Conli rm No
RON OTTOSEN
djb
Page I of I
..
1/10/2003
.
2:03: 13PNl
City of Springfield
Development Services Department
Public Works Department
Official Receipt
Line Item Total:
.
Amount Paid
8.00
12.00
25.00
10.00
3.15
4.50
$62.65
.
Amount Paid
62.65
$62.65
How Received
In Person
Payment Total:
cReceipt.rpt
'i
;.... ~;~. ", "':~ CITY OF SLJNGFIEED~c bIffiGON: ,7 '. ':',:'.:
, , " ) ,~./
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
ELECTRICAL PERMIT APPLICATION
1. I LOCATION OF INSTALLATION
---32. ~ ,. i'l"v'1:"'....:r\.1' c
LEGAL DESCRIPTION A. I Now Rt~~~~9single or Multi-Family per dwelling nnil.
. r \\\001'.... \anou
/7D'] 2h/ Z. O1l3Z-) .....I8l1l:v~il'Ii~luded
?fO\aC. eQ.u\lB
JOB OESCRIPTION \o\lO",,~g 00". ~o\' I 0 sq. ft. or
"ill. ..~o
II I 0 -l-, J 20~\~g \
~() i",,<~ Roolo""~\~:Ik\~i
Permits are non-t.lansferable and expire if work is Each act'd Home or
not started within 180 days of issuance or iiJs\ll" . IS S;g~"\'" odular Dwelling Scrvice or $50.00
Suspended for 180 days. I',,\1l0';2.O Feeder
2. I CONTRACTOR INSTALLATION ONLY I B.I Services or Feeders - Installation, Alterations or Relocation:
Electrical Contractor [201, J ;;;;t c..fh [
City Job Number (..{)wtzao;, -(;:>002- 0
Date
Address
21S-!'-
oil ~
S;I-.
City
1i1Al~
Phone ,t'tt -.J Y7Y
Supervisor License Number tf 7 'I C; J
Expiration Date /0-1 - 6 I.f
Constr. Contr. Number / tf t / r.j 9
Expiration Date tJ - Z r - () '(-
Signature of Supervising Electrician
~
~-
City S,pr;7"dd-- Phone
OWNER INSTALLATION
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:
Inspcction Request: 726-3769
/;~ ~OO'3
( ,/,Z
3. I COMPLETE FEE SCHEDULE BELOW
$106.00
. or
$ 19.00
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
60 I Amps to 1000 Amps
Over 1000 AmpsNolts
Reconnect Only
$ 63.00
$ 75.00
$125.00
$163.00
$375.00
$ 50.00
c. I Temporary Services or Feeders
Installation, Alteration or Relocation
200 Amps or less
20 I Amps to 400 Amps
40 I Amps to 600 Amps
$ 50.00
$ 69.00
$100.00
Over_600 Amps or 1000 VoIls see "B" above.
D I" I -I--i'~iJ''1. la!::lVlllavvl'Q'~uu",~yvU\V
, '.nc I IrcUl s h 0 . .
. . I e rogon~'
l'fuMfiMtIiulQQkqrt~tfmil!.'!Jl'st~fb sel forth
j(j)/W,woUii2-001-0010 Ihrough OA~52..$)411100
OOSJj)i\\f<li!i<m!!)CVSMiwoti#ies of tflFj rul~s b\l
Sel)'~Rr?Qlff1<!jl~IlI!'i'!~Nole: Ih.::. ;.:X~,ur'fe3.00
~ro3''''M''''' Ulr:;ly Notific&':;':'.-, I
E. I Miscel'l'!lffiml<&e~~cluded) -Eaeh Installation
_43 00
.100
Pump or irrigation $ 50.00
~m?~i!'e Lighting $ 50.00
A'me~1 'fJ~r~\'fi*:~t!XPIRE Ie T\.l~ '^'~~KOO
\Tf~~ ,l~/6\lll'Jff{cj'!lJIS pflum 1<: ~rn.oo
Mini"L'l9tAH!l!:Httro'I@fitlijl~il4\IQiJ~blffif4S19o + Surchargcs
4.1 MiBitllfA1tbFtXltLlh I
7% State Surcharge l.f b
10% Administrative Fee "3' Z L
TOTAL '160
Shared Drivc(T:)IBuilding FnrmslElecmcal Pennit APPIT/;,,-:??o/I!-
I
/j
.
. CITY 01< ~t'Kl1'lGFIELD-
Building/Combination Permit
PERMIT NO: COM2003-00020
ISSUED: 0111512003
APPLIED: 0111012003
EXPIRES: 07/15/2003
VALUE:
Status: Issued
225 Fifth Street, Springfield, OR
54 I -726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 929 NORTH RIDGE AVE
ASSESSOR'S PARCEL NO.: 1703261204325
Springfield TYPE OF
Heating System
TYPE OF USE: Addition
PROJECT DESCRIPTION: Install heat pump
Owner: DONALD FROSLAND
Address: 929 NORTHRlDGE AVE SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Mechanical
Owner
Contractor
DAVID ROBERT LAWLER
RONALD H OTTOSEN
DONALD FROSLAND
I BUILDING INFORMATION I
License
146149
140770
Expiration Date
09125/2004
02108/2004
Phone
54 I -46 I -9409
541-736-3940
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy
Primary Construction Type
Secondary Construction
# of Bedrooms:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport:
Sq Ft Other: t
I \ t::l\llION:Oregon lm"peWiolf~sNmc.? Area:
,~ "_"",,/,..,,('\.,,oon UtllltV
I DEVELOPMENT INFORMATi@~~,7~;.Those rules are set fo~n
.OAR 952-001-0010 through <RE'QofRE?Al ARKING
In .' nI the rules 'r1Y
Overlay Dist:J090. You may obtain copies ToJfiJhhone
# Street Trees calling the center. (Note: th!JiaHlI1c~>>tuI:
Paved Drive Rq4(jmberforthe Oregon Utilit~t~h\YY"f:..1 .1
., . 1-800-332-2344).
% of Lot Coverage: Center IS
# of Stories:
Height of
Type of Heat:
Water Type:
Range Type:
Energy Patb:
SETBACKS
Froutyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Stree t
Storm Sewer Available:
Special Instruction:
IPUBLlC IMPROVEMENTS I
NOTlCfSidewalk Type' ORK
THIS P~MIT SHALL t~PIRE IF THE W
AUTHOfil2~l'J"6~l(J~R~ PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 1 60 DAY PERIOD.
Notes:
1 of 3
.
. CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2003-00020
ISSUED: 01/1512003
APPLIED: 01/10/2003
EXPIRES: 07/1512003
VALUE:
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descriotion I
Desc riptiou
Type of Construction
$ Per Sq Ft
Square Footage
Value
Date Calculated
Total Value of Project
I Fees Paid I
Fee Description Amount Paid Date Receipt N urn ber
-Mechanical Issuance Fe..... $10.00 1/10/03 1200200000000000526
+ 10% Administrative Fee $4.50 1/10/03 1200200000000000526
+ 7% State Surcharge $3.15 1/10/03 1200200000000000526
Air Handling Unit Up to 10,000 $8.00 1/10/03 1200200000000000526
Heat Pump $12.00 1/10/03 1200200000000000526
Minimum/Adjustment Mechanical $25.00 1/10/03 1200200000000000526
+ 10% Administrative Fee $4.60 1/15/03 1200200000000000561
+ 7% State Surcharge $3.22 1115/03 1200200000000000561
Add, Alter, Extend Circ $43.00 1/15/03 1200200000000000561
Add, Alter, Extend Circ Ea Add $3.00 1/15/03 1200200000000000561
Total Amount $1l6.47
I PIan Reviews I
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.
L.Rl'ouirl'd l\WU'dinns I
1 Rough Mechanical: Prior to Cover
2 Final Mechanical: When all mechanical work is complete.
3 Rough Electric: Prior to Cover
4 Final Electric: When all electrical work is complete.
2 of 3
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2003-00020
ISSUED: 01115/2003
APPLIED: 01/10/2003
EXPIRES: 07/15/2003
VALUE:
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
By signature, I state and agree, that I have carefuUy examined the completed application and do hereby certifY that all
information hereon is true and correct, and I furtber certify that any and all work performed shall be done in accordance
with the Ordinances of the City of Springfield and tbe Laws of the State of Oregon pertaining to tbe work described
berein, and that NO OCCUP ANCY will be made of any structore without permission of tbe Community Services Division,
Building Safety. I furtber 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 tbe 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
3 of 3
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Line Items:
Job/Journal Number
COM2003-00020
COM2003-00020
COM2003-00020
COM2003-00020
Payments:
T)pe of Payment
Check
Paid By
Description
Add, Alter, Extend Cire
Receipt #: 1200200000000000561
Date: 01115/2003
Add, Alter, Extend Circ Ea Add
+ 7% State Surcharge
+ 10% Administrative Fee
RON OTTOSEN
Received By
Cbeck Number Confino No
djb
Page I of 1
1/15/2003
2:46:18PM
..
City of Springfield
Development Services Department
Public Works Department
Official Receipt
.
Amount Paid
43.00
3.00
3.22
4.60
Line Item Total:
$53.82
How Received
Amount Paid
In Person
53.82
$53.82
.
Pavment Total:
cReceiptrpt