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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