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HomeMy WebLinkAboutPermit Mechanical 2003-7-9 ~~"'~~r#~~~~'Bi: ,,'. j, 1 I' Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2003:.00580 ISSUED: 07/09/2003 APPLIED: 07/03/2003 EXPIRES: 01/09/2004 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I~T-; ~.,; i .' li\! ( j, (-,{lO, 11.'lW ,eOUlie3 "Ou t, SITE ADDRESS;)W rulel&033lV:IRd:FNIAI1~flregon Utility Springfield ASSESSO~{SJftA.RGEmN0~':1ter70i31~407600) are set for in OAR 952-00'1-0010 through OAR 952-0C PROJECT g~~~~e;!iI~.~'l c1.!l~!~H hl;.a)iB1!mp jins!airlhan'dler r.allino the center. (Note: the telephone Owner', ....".......hc.. fl"H" tho Oref'10n IIWit\! Notification. T~FT'DON~Ci>'R '8i IaRREN'M Address: 4033 VIRGINIJ\EAV:El-fSpmNGFtitiJj'OR 97478 TYPE OF WORK: Heating System TYPE OF USE: New Residential . fI lI"b.....1l '"',.. ~ Contractor Type Electrical Mechanical Owner I CONTRA@C'FORiJNFORMAlI.QKlpIRE IF THE WORK I nl\) rcnlVlI1 v' Ir.LL ~" Contractor AUTHORIZED IJjjI~n~eTHISE~Bi\1~tib1tt)9Jte JB ELECTRIC COMMENCED i01i.9li9 ABANDONij3h&W304 MARSHALLS INC ANY 180 DAY fSW.OOD. 12/23/2003 TAFT DONALD R & KARREN M I BUILDING INFORMATION I' Phone 541-687-5770 541-747-7445 # of Buildings: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-3 # 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: Vlhr SETBACKS I DEVELOPMENT IN FORMA TION I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Downspouts/Drains: Notes: Paee 1 of3 ,_q,e~il!l~~J~~ .... ~1 j Status Issued 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 $ Per Sq Ft or multiplier Square Footage or Bid Amount Total Value of Project ~ Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge Air Handling Unit Up to 10,000 Heat Pump Minimum/Adjustment Mechanical + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Paid Date Paid $10.00 $4.50 $3.15 $8.00 $12.00 $25.00 $4.60 $3.22 $43.00 $3.00 7/3/03 7/3/03 7/3/03 7/3/03 7/3/03 7/3/03 7/9/03 7/9/03 7/9/03 7/9/03 Total Amount Paid $116.47 I Plan Reviews' CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2003-00580 ISSUED: 07/09/2003 APPLIED: 07/0312003 EXPIRES: 01/09/2004 VALUE: Value Date Calculated Receipt Number 1200200000000001709 1200200000000001709 1200200000000001709 1200200000000001709 1200200000000001709 1200200000000001709 2200200000000001214 2200200000000001214 2200200000000001214 2200200000000001214 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. lJeouiredJnsnections' 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. Pal!:e 2 of3 -_~,~~IJ~L~I'~,,""_<,,, . I, ii ~ J~,,-..~ CITY OF SPRINGFIELD' , Building/Combination Permit Status Issued PERMIT NO: COM2003-00580 ISSUED: 07/0912003 APPLIED: 07/03/2003 EXPIRES: 01/09/2004 VALUE: 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 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 dmes dUU c:nstruction. k~HL/~' 7~~ ,(/ L Owner or Contracto~ Signature ' Date Pae:e 3 of 3 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2003-00580 COM2003-00580 COM2003-00580 COM2003-00580 Payments: Type of Payment Check Paid By JB ELECTRIC Receipt #: 2200200000000001214 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Received By nJrn Check Number Batch Number Authorization Number 012717 City of Springfield Official Receipt. Development Services Department Public Works Department . , Date: 07/09/2003 3:00:51PM Amount Paid Item Total: 43.00 3.00 3.22 4.60 $53.82 How Received In Person Payment Total: Amount Paid $53.82 $53.82 , 225 F'IFTH STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 1. LOCATION OF INSTALLATION 4033 Virginia Avenue LEGAL DESCRIPTION " '7/ ~ ....... '\ . /"7 0 ~ C5 I tfL( U t'G/ U U ELECTRICAL PERMIT ~LICATION City Job Number(~ty) ~ fJO 6 -lXJ~~\{\9 "as \"e 0 use 3. COMPLETE FEE SCHEDULE BELOW su'o~\\\e~eC\\IC \a{\ . eC\ as rtu\te S '. . 'g ?to'\ 0\ te", A. New Residential-Single Ol'\\\c)'-:JI{\o dOeS {\ ~ ~ ~ . ~,,~~.~v -0/ Multi-FamilYz,B,eID'8' . %.~lling unit. ~-\ \ .J.n>lI.tO" '{\<;\ Service Incluli'\JU: 1..0{\1 s st Sum ute 'DaW . (\{\a.\ d '31", ."O(\z,e p..u' JOB DESCRIPTION 1000 sq. ft.. or less 2 Ton 10 KW Heat Pump and outdoor plug Each additional 500 . sq. ft or PI?!1ion Permits are rGJ-tr~ri~feta1Sie'lin:d\eXpire'211V ibYull":-: yOI ' thereof NOnCE: $19.00 $ - . . TOilOWr.l!:(.\':'~)GI"'i.li~,-Jb ,~~ ..,r,1 atiilt1bC'tln ~. Ifwork1sfnot~~~t!eQ~tliifl'I'8I!ra~~S ytheOregon UtiihV EachM tOJjtJfTItI[9nT SHALL EXPIR~ I ofissuan~~9tjifF<1h?iS rtfsp'en'dt~dlf6t)Se rules are set fa:, Modular JWr~iQ}AJZED UNDER THIS t F T~E WORK 180 days'o~~P.R 952-001-0010 through OAR 952-00 Service <t~NCED OR In . fj PER~~o.@ N~T :~;"v.au ,may obtain copies of the rU/8S l'. ANY 180 DA u r\ AlvuuNED FOR 2. CONTRAe'F~~IiNSmAnll.6.1IJ~~RJ:%Ye telephdheServtces or ~eeders . Y PERIOD. nwnoer for the OreQon Utility N t'1' t' InstallatIOn, AlteratIOns or Electrical Contractor;pJB:ElEGTRIC\~INC._ _I: O. I Ica Jon Relocation: - .~,. "..1:':;' - .':'" . '';'':,,!.~ }. Address 4685 Isabelle St. City Euaene. OR 97402 Phone 541.687.5770. Supervisor License Number 3872S Expiration Date 10/1/04 Constr Contr. Number 37587C CCB 104929 Expiration Date 10/1103 3/14/04 Si-=(/U .j. Owners lame Dan & Karen Taft Address 4033 Vinrinia Avenue City Sorinafield. OR Phone OWNER INSTALLATION 746-1484 The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: JB Job # 03-47. $106.00 $ 200 amps or less $63.00 $ 201 amps to 400 amps $75.00 $ 401 amps to 600 amps $125.00 $ 601 amps to 1000 amps $163.00 $ Over 1000 amps/volts $375.00 $ Reconnect Only $50.00 $ C. Temporary Services or Feeders 200 amps or less $50.00 $ 201 amps to 400 amps $69.00 $ Over 401 to 600 amps $100.00 $ Over 600 amps or 1000 volts see B above $ D. Branch Circuits New, Alteration or Extension Per Panel One Circuit $43.00 $ 43.00 Each Additional Circuit or with Service or Feeder Permit $3.00 $ 3.00 E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $50.00 $ Sign/Outline Lighting $50.00 $ Limited Energy/Res $25.00 $ Limited Energy/Cornm $45.00 $ 5. SUBTOTAL OF ABOVE MINIMUM $45.00 $ 46.00 7% State Surcharge $ 3.22 10% Administrative Fee $ 4.60 TOTAL $ 53.82