HomeMy WebLinkAboutPermit Mechanical 2007-8-30
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-01265
ISSUED: 08/27/2007
APPLIED: 08/27/2007
EXPIRES: 02/29/2000
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 3570 CHEROKEE DR
ASSESSOR'S PARCEL NO.: 1802062105500
Springfield
TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Heat pump & air handler
Owner: FIERLING ROXANNE P KONKEL
Address: 3570 CHEROKEE DR
SPRINGFIELD OR 97478
Phone Number: 541-746-0136
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Mechanical
Contractor
C PERKINS ELECTRIC INC
MARSHALLS INC
License
159537
25790
Expiration Date
04/15/2008
12/23/2009
Phone
541-895-4466
541-747-7445
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure:
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION 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:
Street Improvements:
l'lD;ggti!.er Available:
SPH~ajPl!RM"t~A
AUTHORIZED UND~~ ~~~~~ IF THE WORK
fZ~~Ng~~ gE~:~~BANOl:E~/~6~ NOT
I PUBLIC IMPROVEMENTS I
All c:NTION: Or8gim'laWrYOl:*ires you,t,o
follow rules adowed by the Ore~on Utlhtyh
Notification CentE<<.oTtfm%I$W!~set fort
in OAR 9::'2-001-0010 throl!gh OAR 952-001-
0090. You may obt&in copies of the rules by
calling the center. (I\Jot8:,t,~e telep'ho~e
number for the Oregon Utllny Notlflcatlon
Center is 1-800-332-2344).
Pa2e 1 of3
..........
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Description I
Description
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Tvpe of Construction
Total Value of Project
~
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Air Handling Unit Up to 10,000
Heat Pump
Minimum/Adjustment Mechanical
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Amount Paid
Date Paid
$20.00
$5.00
$2.50
$4.00
$9.00
$14.00
$27.00
$5.60
$2.80
$4.48
$48.00
$8.00
8/27/07
8/27/07
8/27/07
8/27/07
8/27/07
8/27/07
8/27/07
8/30/07
8/30/07
8/30/07
8/30/07
8/30/07
Total Amount Paid
$150.38
I Plan Reviews I
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-01265
ISSUED: 08/27/2007
APPLIED: 08/2712007
EXPIRES: 02/29/2000
VALUE:
Value
Date Calculated
Receipt Number
3200700000000000570
3200700000000000570
3200700000000000570
3200700000000000570
3200700000000000570
3200700000000000570
3200700000000000570
3200700000000000587
3200700000000000587
3200700000000000587
3200700000000000587
3200700000000000587
To Request an inspection call the 24 hour recording at 726-3769. All inspections 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.
UeouiredJnSDections I
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Pa2e 2 of 3
CITY OF SPRINGFIELD'
Status
Issued
Building/Combination Permit
PERMIT NO: COM2007-01265
ISSUED: 08/27/2007
APPLIED: 08/27/2007
EXPIRES: 02/29/2000
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
times during construction.
Owner or Contractors Signature
Date
Pa2e 3 of3
ZON L~L.--
INITIALS- i\JjV\
DATE <<- / :::~ 0 ( t,-4
SOURCE frt p s ~.
51' I~?) 07
. r
225 FIFTH STREET 0 SPRINGFIELD, OR 97477 0 PH:(541)726-3753 0 FAX: (541)726-3689
ELECTRICAL PERMIT APPLICATION
City Job Number C;,- 0 Id~5 Date
Each Manufact'd Home or
Modular Dwelling Service or $50.00
Feeder
ATTENTlON:Ol'egon law requires you to
B. Se'~fO~tN~n~_~l~cm~ Relocation:
_. Notification Center. Those rules are set forth
L.1("'ehc::- 200 ~ARr9~01-0010thrOugh OAR 9~1J.
20 1 !QijQ.t<y~~btaln copies Of tne r!I'~.~
401 r Qd tel'. (Note:1tw'll:#~oJo' 0
~Wer ~ffifforegon Utility Notift rs~
601 Amps to ~&f1~ 1-800-332:2344}e $163.00
Over 1000 Amps/Volts $375.00
Reconnect Only $ 50,00
(l ~t(V~ !:"J!~
-7 - ~ Each Additional Circuit or with
n <\-->'"' I ~ Service or Feeder Permit
Owners Name '~ h (\g 1 ~ \J..Jb~ \ .l. r'Y""'G\
Address 6..'-::) 20 ~\~ u E. Miscellaneous (Service/feeder not included) -Each Installation
City~ Phone/~ -- O~(p
,.V
OWNER IN ALLA TION
1. LOCATION OF INSTALLATION:
35/0 ~1)VJ75
LEGAL DESCRlPTION:
\ iSa2- Fin ~ I (')<5&J4)
JOB DESCRlPTION:
\~ Cl ~\.(~yY'J.. 7") ^ ~ t\ ~
Permits are ~~nsfera~le and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
CONTRACTOR INSTALLATION ONLY
2.
,) ~ ,.J
//y
Electrical Contractor (-L-, r!./t!./;,p<J('
Addressn), ,t:{/>)(
City ~Ae4.) )df
//93
Phone
7;5 - '-It;/, t,.
Supervisor License Number ;2. 7 'l ().- 5.7
Expiration Date / IJ . - () I - 0 7
Constr, Contr. Number / r c; .- -) :>
~? /' . s ~) .r
Expiration Date Y' - /S - d ?T
Signature of Supervising Electrician
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:
Inspection Request: 726-3769
3. C01\-lPLETE FEE SCHEDULE BELOW
A. New Residential- Single or lVlulti-Family per dwelling unit.
Service Included
1000 sq, ft. or less
Each additional 500 sq. ft. or
portion thereof
$106.00
$ 19.00
C. Temporary Services or Feeders
1~~fr~\~~1A1teration or Relocation
2~'!t's~ti[IT SHAll EXPIRE IF THE WQ~~
2 dJHU~ ~ ER THIS I-'tKMIII5:s~to
4 ~6~D y~S ABANDuN~D fUij IO~OO
Over 600 Amps or l~ )~QJl1ts see "B" above. ..
D. Branch Circuits
New Alteration or Extension Per Panel
i
d
..<;ct
$ e:tlO
"t
$~O
16, [)1J
tOO
One Circuit
Pump or irrigation $ 50,00
Sign/Outline Lighting $ 50,00
Limited Energy/Residential $ 25,00
Limited Energy/Commercial $ 45,00
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
4. SUBTOTAL OF ABOVE
0--0
<3&
;,J. . ~
L../ .z/ ~
...:5. t.... t.)
8% State Surcharge
10% Administrative Fee
5% Technology Fee
TOTALSh edD' (T)IB'ld' F lEI' ,~.ct, ~
ar nve: UI mg onTIS ectncal PenTIIt Application 8-06.doc
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2007-01265
COM2007-0 1265
COM2007-01265
COM2007-01265
COM2007 -01265
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
3200700000000000587
Date: 08/30/2007
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
C. PERKINS ELECTRIC
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
NJM 022025 Phone
Payment Total:
Page I of I
8:25:18AM
Amount Due
48.00
8.00
2.80
4.48
5.60
$68.88
Amount Paid
$68.88
$68.88
8/30/2007