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Home My WebLink AboutPermit Mechanical 2003-6-27 . . "'~JIPf..@J~D~~l~(,., ^', :'. \ ~,I .", .,',,,,' ,,' ""'" '..,., '...,,'~., .1.' '." ' , j 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(S41)726-3753 . tt~Oifo~,\QiMii;J~ submitted has the following ELECTRICAL PERMIT APPliCATION zoning, and does not require specific land use ~ ' approval. \ ~,t:> City Job Number C.Oj.+\Z,C03-oos:::,3. Date 0<::' Z bO~ ' '-Vvc.. Zoning I. ,).OCATION OFINS1'1L0Tj()N' ." : " 3.'Cd.Mj:LE?'E~ SCI:EI:Jc-:.:; 3IJ~:;;~-. IIr;Xij"3 1'-{' ..., IJ e. I> Authorized Signature ~I - ^ () -tl!/C..(.I)r..... LEGAL DESCRIPTION I7bJZ6tZ . \ t,' " -. ", ' -.. .~"} . -~~- '. . ~ "','. 0'-13/)' JOB DESCRJPTlON _A j (< ffJ><lvl.," (bt / '{:AT 7t/1/(f Permits are non~transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. A. New Residcntial '::Single'or MultiCFamily per d~vcll'ing unit., - . _ k . r .." . 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 $106.00 $ 19,00 $50.00 . , -.- "P' ...;. ~. 2. ,'CONJRAf:1'ORINSTALLAT~ON ON":'!', , B. Services or Feeder~_- Ins!,~l/ation,.Alleralions or Relocation: Electrical Contractor k5' t{e,! Cu: f (N,.,({..f7<:.. 200 Amps or less $ 63.00 20] Amps to 400 Amps $ 75,00 Address (P. 0, POlL ,:zf/C;:J3 401 Amps to 600 Amps $125.00 60 I Amps to 1000 Amps $163.00 City Eu O'~ Phone bJ't '-623 (, Over 1000 Amps/VoIL' $375.00 J Reconnect Only $ 50.00 Expiration Date ::5 t.!97 5 I ~II It, </ I ' 10rr~7 Supervisor License Number ConstT. Contr. Number Expiration Date J .:J.../3,)/0.3 I Signature of Supervising Electrician ,p, J/ ,A~ Ownel" Name 13 0 i!J Ice e jp,e. /') _ ~Q-.*" u ' Address . '-f C(;;l. Iv 6 f:<-~~ ~J"'" City S /6- D (A~_~~W VI-J7().(, f./ . ~~~$ <t".. OWNER INSTAL' ,.f{;;~~ ,,$> . ~~~.~'" ,. The installation ~"g~8..~ on property I own )'Ihich is not intel1d~.s...~~ Ib~e or rent. ': ~. -~ \:)~ ~~ ~~. ',- " 0~~.~~~\:5,~ ~~ . ~<:) :;,~'Y'~ ~<() :A q, ",,' . """.:~....~\:5 ~_ ~~ ,_ ~ 'fJ ~. ~.. ~\:5i' Inspectio:fiiequest: 726-3769 c. .T.e~por~ry ,Ser"ic~~ or ~ceders. 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 Volts see "B" above, D. Branch Circuits New Alteration or Extension Per Panel One Circuit . Each Additional CirCuit or with Service or Feeder-Pell1lit., $ 43,00 $ 3.00 '-13 -.h " I ..1.. E. .Misce~atieous (Service/feeder not included) -Each Installation' ~. '. ~... .. - .-+\-....." . , " ,.' - PUIJlP or irrigation" $ 50.00 J- Sign/Outline Lighting . $ 50.00 , -. , .-" J' ..' Limited Energy/~esiilentlaI $ 25,00 . "" - Limited Energy/Commercial $ 45.00 'Minimum Electri; perinit Inspection Fee is $45.00 + Snrcharges " ..' t.; 4.- siJ,niVTAL OF ABOVE , .7% State Surcharge " " 10% Administrative Fee lI7 ":JL/3 II ?O ") 7 J.3 TOTAL Shared Drive(T:YBuildillg Forms/Elcctricnl Pc..Tmit Applicattun 1-o3.doc . . CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2003-00SS3 ISSUED: 06/26/2003 APPLIED: 06/26/2003 EXPIRES: 12/26/2003 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 942 NORTHRIDGE AVE ASSESSOR'S PARCEL NO.: 1703261204315 Springfield TYPE OF WORK: Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: Install air handler and heat pump Owner: KEEFER ROBERT W & CHRISTINA Address: 942 NORTHRIDGE AVE SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type Electrical Owner Contractor KS ELECTRIC KEEFER ROBERT W & CHRISTINA BUILDING INFORMATION I License 70889 Expiration Date 12/30/2004 Phone 541-686-6236 # of Buildings: Primary Oecupaney Group: Secondary Oecupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: VN # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: R-3 , DEVELOPMENT INFORMATION I ,\.,' ,"'1 .~ \.' , ..v,,'.J \.1'\ ~ver~~~ Dist: Total: , ,..l~Ov'~ ..#StreeLTrees Rqd: HandIcapped: ".'.:" ,..l ~ Pav~d Dr-ive Rqd: Compa.~t: ~l' ",,-\'\: .'" ...' ._. 'dr'. (".'" ~'t-- -' c-' .;'.. ',' ,% of Lot €overage: ~\:j ;\ )'..1'~ "",. t"'. .. (',r"',.',," ,\'(-.X, ~\) ,)' ,~' "r .," .(. ,,,: .\'\ ,S ~ " ,;,\"::..:,~: ,/;:, '\WUBLic IMPROVEMENTS I \.. X,iS'~S ~x,~~~\) '(-0' " . ,'" ,,~~. ~, ~\~\,: ~ ~V\ _'.~\:j Street Improvements:' ,,:,".' .,. ,'" ,.' ..~'. ,-< ":>ld",walk T.vpe: \U ",.' . ~'~ ,." (" ~\'v" ~\ \ J~\)V ",'C' Storm Sewer Avail~bl~:\,,' '" .,\ .," ,",' , " ~~ S <:?X,<<' ~x,\)D~J\~Y/Drains: SpecIal Instruction: .,' , .' ,. ,J' ' ,\Y--\ ~Y--\)<<' ~"x'\) <:?x,~ ..::; , ' " ' C' ",'-> .t..~~ \)~ Notes: "", ,,\)\~ \ 't,~ "'~ SETBACKS REQUIRED PARKING Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbaeks: Pa2e 1 of2 . . \...l1 l' OF SnOl'1ld<I~LU Status Issued Building/Combination Permit PERMIT NO: COM2003-00SS3 ISSUED: 06/26/2003 APPLIED: 06/26/2003 EXPIRES: 12/26/2003 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descriotion I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project L.Ff'f'S p",ilU Fee Description + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Paid Date Paid Receipt Number $4.90 $3.43 $43.00 $6.00 6/26/03 6/26/03 6/26/03 6/26/03 1200200000000001650 1200200000000001650 1200200000000001650 1200200000000001650 Total Amount Paid $57.33 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 Rf'ouired Insnef'tions I 1 Rough Electric: Prior to Cover 2 Final Electric: When all electrical work Is complete. By signature, I state and agree, that I have carefully examined the eompleted application and do hereby certify that all information hereon is true and correct, and I further eertify 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 Pa!!e 2 of2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2003-00553 COM2003-00553 C0M2003-00553 COM2003-00553 Payments: Type of Payment Check . . , ii.., Receipt #: 1200200000000001650 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Paid By KS ELECTRIC Received By djb Check Number Batch Number Authorization Number City of Springfield Official Receipt Development Services Department Public Works Department Date: 06/26/2003 1:19:S3PM Amount Paid 43.00 6.00 3.43 4.90 $57.33 Item Total: How Received In Person Payment Total: Amount Paid $57.33 $57.33 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-00553 ISSUED: 06/26/2003 APPLIED: 06/26/2003 EXPIRES: 12/27/2003 VALUE: SITE ADDRESS: 942 NORTHRlDGE AVE ASSESSOR'S PARCEL NO.: 1703261204315 Springfield TYPE OF WORK: Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: Install air handler and heat pump Owner: KEEFER ROBERT W & CHRISTINA Address: 942 NORTHRlDGE AVE SPRINGFIELD OR 97477 Contractor Type Electrieal Mechanical Owner I CONTRACTOR INFORMATION' Contractor KS ELECTRIC COMFORT FLOW KEEFER ROBERT W & CHRISTINA I BUILDING INFORMATION I # of Buildings: Primary Oecupaney Group: Seeondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: SETBACKS Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: License 70889 460 Expiration Date 12130/2004 06/27/2003 Phone 541-686-6236 541-726-0100 # of Stories: Lot Size: R-3 Height of Structure Sq Ft 1st Floor: Type of Heat: Sq Ft 2nd Floor: VN Water Type: Sq Ft Basement: Range Type: Sq Ft Garage/Carport Energy Path: Sq Ft Other: A. I' 'J Ilul~:un;YOlllaW leql.!!1P"","yi.o!!s:~urface Area: ~ . ... ,. .". ...,... -- _1'"'' ......,. "V lIle '-J1....!:fVI I VtllllY I DEVELOPMENT INFORMATION,te rulps am set l'ort 1,1 O:\h Ht>'~.U01-001(1 th:oUl'1i1 n.ilFl "S~!?,I!~RED PARKING Over.l~y)Distbu m:-':~' o~~;",:n C~pi2S O( th~ nTotal:j~ # Street;Tr~es,'~q<!.:C3nt8r. (Nots: the tel:JOhHandicapped: PavedlRr;i,~!';~q~;i ::18 OiZoOn Utili'" ~!o!if'':~!!ll1pact: ~ " % of Lot Coverage!eriS 1-800-332-2344). I PUBLIC IMPROVEMENTS I Sidewalk Type: Downspoutsmrains: NonCE: THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZEO UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Paee 1 of3 . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspeetion Line I Valuation Descriotion I Deserlption $ Per Sq Ft or multiplier Square Footage or Bid Amount Tvpe of Construetion Total Value of Project Fpp. P~W Fee DescrIption + 10% Admiuistrative Fee + 7% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add -Mechanicsllssuance Fee- + 100/0 Administrative Fee + 7% State Surcharge Air Handling Unit Up to 10,000 Heat Pump Minimum/Adjustment Mechanical Amount Paid Date Paid $4.90 $3.43 $43.00 $6,00 $10.00 $4,50 $3.15 $8.00 $12.00 $25.00 6/26/03 6/26/03 6/26/03 6/26/03 6/27/03 6/27/03 6127/03 6/27/03 6/27/03 6/27/03 Total Amount Paid $1l9,98 I Plan Reviews I . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-00553 ISSUED: 06/26/2003 APPLIED: 06/26/2003 EXPIRES: 12/27/2003 VALUE: Value Date Calculated Receipt Number 1200200000000001650 1200200000000001650 1200200000000001650 1200200000000001650 1200200000000001658 1200200000000001658 1200200000000001658 1200200000000001658 1200200000000001658 1200200000000001658 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 ]?p(1lnirlp.,-I Inli''1p"p1nl"\.I 1 Rough Electric: Prior to Cover 2 Final Electric: When all electrieal work is complete. 3 Rough Mechanical: Prior to Cover 4 Final Mechanical: When all mechanical work is complete. Paee 2 of3 . . CITY OF SPRll~u!'lJ!,LD Building/Combination Permit PERMIT NO: COM2003-00553 ISSUED: 06/26/2003 APPLIED: 06/26/2003 EXPIRES: 12/2712003 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 carefully examined the eompleted applieation 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 aceordance 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 eontractors 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 :~~5;;;.u D"~ /2 7 /03 Paee 3 00 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2003-00553 COM2003-00553 COM2003-00553 COM2003-00553 COM2003-00553 COM2003-00553 Payments: Type of Payment Check iZ.::,~~! ~"b~~ Receipt #: 1200200000000001658 Description + 7% State Surcharge + 10% Administrative Fee Air Handling Unit Up to 10,000 Heat Pump Minimum! Adjustment Mechanical -Mechanical Issuance F ee- Paid By COMFORT FLOW Received By djb <":heck Number Batch Number Authorization Number City of Springfield Official Receipt Development Services Department ... Public Works Department Date: 06/27/2003 1l:47:00AM ~ Amount Paid 3.15 4.50 8.00 12.00 25.00 10.00 $62.65 Item Total: How Received In Person Payment Total: Amount PaId . $62.65 $62.65 .