HomeMy WebLinkAboutPermit Mechanical 2003-7-9
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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
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Contractor Type
Electrical
Mechanical
Owner
I CONTRA@C'FORiJNFORMAlI.QKlpIRE IF THE WORK
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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
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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
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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.
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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
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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