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Home My WebLink AboutPermit Electrical 2003-6-10 225 FlITH STREET. SPRlNGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 I. LOCATION OF INSTALLATION 3920 Pinyon 51. LEGAL DESCRIPTION 1'60'(.06('-1 o '7 tD I JOB DESCRIPTION Heal pump w/handler Permits are non-tnmsferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor JB ELECTRIC. INC. Address 4685 Isabelle 51. City Euaene. OR 97402 Phone 541.6~7.5770 Supervisor License Number 38728 Expiration Date 10/1/03 Constr Contr. Number 37587C cea 104929 Expiration Date 10/1/03 3/14/04 Signature 0 Owners Name ' Ron Fent Address same City .Sorinafield. OR 97478 Phone 747-2237 _ OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent Owners Signature: JB Job # _03-362 ELECTRICAL PERMITeLlCA T10N City Job Number _ C0M2003-00423 LOV1.1 ZOO 3 - 00 LfZ3 3. COMPLETE FEE SCHEDULE BELOW A. New Residential-Single or ~ s \M 10\\0...inll Multi-Family per dwellin2.!lJ!\l. sUb"'i\\egec~'c laod use S . rndwl....an...'og ptO\ \ tequlle S emce ....."T~ does nO I? zoOIOg. ~od Items 1J;)' ~ 0 um app,o.a, / /0./ 20olog to 1000 sq. ft.. or less 106.00 Each additional5@lhe -- e ____ sq. ft or portion "u{lLea Slgna\lU f.v\ thereof $19.00 $ Each Manufd Home or Modular Dwelling Service or Feeder $50.00 $ _ '0\)\.::1 B. Services or Feeders . ' 'u.\lll"'~ ') U\\\W~ " Installation, Alteratjoris <PrOI3\lO\\ ._\ """ .,v" he ,s~ 0'\ Relocation:\U" ..I h"~" \",.; ,\'~. . r?'\) v\~. ~ev \..11 ,\\.. \' ,-'" .. '0 \ . . ' \ 'J-ooll '\~o('c \ " "1\ "11\3"" ~..' '200Iiiliipsor,less",'O\II$\ ::, 'i(\:: '. ~"c $63.00 $ ,o\\C\i~,I,(ainJ{s'\i~.400~P'~:('~\?~' _ ,e".'''' ..\011$75.00 $ N\"'\\~'W.'ampJ!?,690'am~s,\ \\0..\:.... "I(\\\\~ $125.00 $ \<\ U:60Iamps'io'10!l(l1Un~siJ~ \,\\'...~r .~,. $163.00 $ ~,., " .,1.. ""0 \ ;,)0"'Ov. er,IOoo amps/volts ~ r<\'3" . . $375.00 $ \\\\'.J ",\'_1" ".-:"' 'RecoDDeCtOnly,\ \' ,-' $50.00 $ n\h.'\\.!..... C?;',\.- C. Temporary Services or Feeders 200 amps or less $50.00 $ 20 I amps to 400 amps $69.00 $ Over 40 I to 600 amps $100.00 $ Over 600 amps or 1000 volts s~Q~" $ B above ~ W 1\\t. n')'t . t.)I,~\\\ ?-~'i ,';) ~$1.l\~~$i~IiCt\~\. \\\'~ ~t: \ \) fQ'i\ i\\\S ~t: ~(e. ~~'I>.,&~~n Per Panel ~W\,)~\ Q~ \'2> WI~'%li\\\)\)' $43.00 $ 43.00 c,~ \ dditional Circuit or with Service J>; or Feeder Permit 2 $3.00 $ 6.00 E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $50.00 $ Sign/Outline Lighting_ $50.00 $ Limited EnergylRes $25.00 $ Limited Energy/Comm $45.00 $ 5. SUBTOTAL OF ABOVE MINlIlUM $<500 $ 49,00 7% State Surcharge $ 3.43 10% Administrative Fee $ 4.90 TOTAL $ 57,33 v"" . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-00423 ISSUED: OS/29/2003 APPLIED: OS/29/2003 EXPIRES: 12/04/2003 VALUE: . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3920 PINYON ST ASSESSOR'S PARCEL NO.: 1802061409801 Springfield TYPE OF WORK: Heating System PROJECT DESCRIPTION: Install heat pump and air handler TYPE OF USE: Residential Owner: FENT RONNIE D & LINDA J Address: 3920 PINYON ST SPRINGFIELD OR 97478 I CONTRACTOR INFORMATION I Contractor License JB ELECTRIC 104929 MARS HALLS INC 25790 FENT RONNIE D & LINDA J _,; ,lr'lll.~ I BUlLDlNGIIIlo/,OR'\\1Atmlll' ~01\C~:. .~\\ S~p.\...'" ;\.\\~ i~~:{'~ f()~ # of Buildings: \'0 ?'t.?I" \l~~~tdn~~~Q~'t.v Primary Occupancy Group: \~,:\\\~?ll't.Q Q~IiY~rueture Secondary Occupancy Group: JI.'v ~t.~C't.Q f Heat: Primary Construction Type CQ ?l() QJI.~? ater Type: Secondary Construction Type: JI.~~ Range Type: # of Bedrooms: Energy Path: Contractor Type Electrical Mechanical Owner New Expiration Date 03/14/2004 12/23/2003 Phone 541-687-5770 541-747-7445 Lot Size: Sq Ft Ist Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: I DEVELOPMENT INFORMATION I eS'10\l\0 REQUIRED PARKING 'eC\\l11 \.l\iliW Overlay Dist;.. ,,6g0';\ 1a.1N I o{egO(\ \ol't Total: # StreetITreesRqd:,d t)'/\ne les a.{e set QO,Handicapped: rO. \ t:". ""iJ'~ {\l 9~?' ,Paveil Drive Rqd: 1nOSo ... Op.B ;)" t.Compact: \,,\\0\.... ''': = r,e(\te{. nIOI.l~". {IlleS. % of.Lot,Coverage:)~(\\ ?\€S 0\ \\'ICl ho(\e NO\\I'~- gS?--I.lU' . ",i(\ CO e \oIC?" . {\ In OJ.\f\ .,.. ma.'i ob\' IlI.ln\0'. \\'1 .,n\i\iCa,\\O I PUBUle'.i'MiR0VEME~;r;;~1~0(\ U~~:2344). { IV' .. . 800''3. .. (\\lll1bO CO(\\6{ \5 " Sidewalk Type: DownspoutslDrains: SETBACKS Frontyard Setback: Side I Setback: Side 2 Sethack: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Pa2e I 00 . . CITY OF SPKlJ'IlJFIELD Building/Combination Permit Status Issued PERMIT NO: COM2003-00423 ISSUED: OS/29/2003 APPLIED: OS/29/2003 EXPIRES: 12/04/2003 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descriotion I Description Tvpe of Construction S Per Sq Ft Square Footaee Value Date Calculated Total Value of Project ~ Fpp<. l:iiILI Fee Description Amount Paid Date Paid Receipt Number -Mechanical Issuance Fee- SIO.OO 5/29/03 1200200000000001354 + 10% Administrative Fee $4.50 5/29/03 1200200000000001354 + 7% State Surcharge $3.15 5/29/03 1200200000000001354 Air Handling Unit Up to 10,000 $8.00 5/29/03 1200200000000001354 Heat Pump $12.00 5/29/03 1200200000000001354 Minimum/Adjustment Mechanical $25.00 5/29/03 1200200000000001354 + 100.10 Administrative Fee S4.90 6/4/03 1200200000000001436 + 7% State Surcharge S3.43 6/4/03 1200200000000001436 Add, Alter, Extend Cire $43.00 6/4/03 1200200000000001436 Add, Alter, Extend Circ Ea Add $6.00 6/4/03 1200200000000001436 Total Amount Paid S1I9.98 I Plan Reviews , 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 Rpnwrpt! Tn<nections I I 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. Paee 2 of3 . . CITY OF ~rKll~GFIELD ' Building/Combination Permit PERMIT NO: COM2003-00423 ISSUED: OS/29/2003 APPLIED: OS/29/2003 EXPIRES: 12/04/2003 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 carefully examined the completed application and do hereby certify that nil information hereon is true and correct, and I further certify that any and all work performed shall be done in accordancc with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work dcscribcd hercin, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safcty. 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 Pal!e 3 of3 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2003-00423 COM2003-00423 COM2003-00423 COM2003-00423 Payments: Type or Payment Check 6/4/2003 City of Springfield Development Services Department' Public Works Department. Official Receipt; Receipt #: 1200200000000001436 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Paid By JB ELECTRIC INC 2:03:16PM Date: 06/04/2003 Amount Paid Item Total: 43.00 6.00 3.43 4.90 $57.33 Received By Check Number Confirm No djb 57.33 $57.33 How Received In Person Payment Total: Amount Paid Page 1 ofl . . cR.eceipt.rpt . .' CITY OF ~rKll~lJl'1ELD . Building/Combination Permit PERMIT NO: COM2003-00423 ISSUED: OS/29/2003 APPLIED: OS/29/2003 EXPIRES: 11/29/2003 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3920 PINYON ST ASSESSOR'S PARCEL NO.: 1802061409801 Springfield TYPE OF WORK: Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: Install heat pump and air handler Owner: FENT RONNIE D & LINDA J Address: 3920 PINYON ST SPRINGFIELD OR 97478 ,0 ....'> --'.....\. ...c;,'" \.\'-"'f.('\'\" , CONTRACTOR INRORM}\T!ONrt\' . ~\V O,v-,*'" f:?,'?v ~0""'Q' Contractor f;::<lf >$'0 ~0""License~ o~~xpiration Date MARSHALLS INC ~0~0 o'Q~ ~i"\) 'iS7fO~ 0~~ ,pO' 12123/2003 FENT RONNIE D & L1ND~.)) .o,e; -<:~O'A\O>!j ..<lP 0 t>'~ ,,~'v , BUILDlNC'INF.ORMAT.I(')N'I:\ ,~~,. Av \'>' V ~.' "-~ ~- v n!l- ~'~ ,,<:> "I:). & \. 0<:- "-~v , ''$::.O ,#,of Stofles.: ~,0 0<:$ !:l'" R-3 ,0 ~PHe~ht1ltStr'lictUr'eA~P __,0 ~..... I!)V _.~ K'''' " ,,- 0 1'rpe ~!;H~#:. ~,,,,, '0$' ...l-Wat~r T,ype:^~e; t"..V ,.'1} ,-;.I r~ v Range.,Type:' ,,' Energy Path: Phone 541-747-7445 Contractor Type Mechanical Owner # of Buildings: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: VN Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Bascment: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: SETBACKS I DEVELOPMENT INFORMATION I ';0~~ '\~~ ~S ~'V~QUlRED PARKING Overlay Dist: f(..(* ~'\ '\ f(.. Total: # Street Trees Rqd: ~~'\'!o <:?~<:(I. &;.'V ~I\S Handicapped: Paved Drive Rqd: -x.~"" '\~ ~'V'V~ Compact: % of~(G~e~~?~~\)~~ ~'Q~ ~~\S <:?~~~~~.(\ 'V~~'V\)' I PUBLIC IM~:WV~Ii.~{- ~" .... '\ G. Sidewalk Typc: ~~--. Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: . Storm Sewer Available: Special Instruction: DownspoutslDrains: Notes: I Valuation Descriotion I Description Tvpe of Construction $ Per Sq Ft Square Footaee Value Date Calculated Paeelof2 . . CITY OF SPRINul'l1!,LD Building/Combination Permit PERMIT NO: COM2003-00423 ISSUED: OS/29/2003 APPLIED: OS/29/2003 EXPIRES: 11/29/2003 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees Pair! I Fee Description -Mechanical Issuance Fe..... + 10% Administrative Fee + 7% State Surcharge Air Handling Unit Up to 10,000 Heat Pump Minimum/Adjustment Mechanical Amount Paid Date Paid $10.00 $4.50 $3.15 $8.00 $12.00 $25.00 5/29/03 5/29/03 5/29/03 5/29/03 5/29/03 5/29/03 Receipt Number 1200200000000001354 1200200000000001354 1200200000000001354 1200200000000001354 1200200000000001354 1200200000000001354 Total Amount Paid $62.65 I Plan Reviews , 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 Relluirer!Tnsnedio'UJ I 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 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 ofthe property, and the approved set of plans will remain on the site at all times during construction. lL~1t~ 'l2f/<?? Owner or Contractors Signature Date Pace 2 of2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2003-00423 COM2003-00423 COM2003-00423 COM2003-00423 COM2003-00423 COM2003-00423 Payments: Type of Payment Check 5/29/2003 City of Springfield Development Services Department t Public Works Department, Official Receipt ( Receipt #: 1200200000000001354 Description Air Handling Unit Up to 10,000 Heat Pump Minimwn/ Adjustment Mechanical + 7% State Surcharge + 10% Administrative Fee -Mechanical Issuance Fee- Paid By MARSHALLS INC 11:33:19AM Received By djb Date: OS/2912003 Amount Paid Item Total: 8.00 12.00 25.00 3.15 4.50 10.00 $62.65 Check Number Confirm No How Received In Person Payment Total: Amount Paid 62.65 $62.65 Pagelofl . . cReceipLrpt J