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Home My WebLink AboutPermit Mechanical 2007-8-29 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-00646 ISSUED: 08/29/2007 APPLIED: 05/04/2007 EXPIRES: 02/29/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 833 KELLY BLVD ASSESSOR'S PARCEL NO.: 1703352211800 Springfield TYPE OF WORK: Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: Install heat pump and air handler Owner: MARTIN BRANDT Address: 833 KELLY BLVD SPRINGFIELD OR 97477 Phone Number: 541-954-4371 I CONTRACTOR INFORMATION I Contractor Type Electrical Mechanical Contractor C PERKINS ELECTRIC MARSHALLS INC License 159537 25790 Expiration Date 04/15/2008 12/23/2009 Phone 541-895-4466 541-747-7445 BUILDING INFORMATION I VB # 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: # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-3 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: Notes: NOTICE: K THIS PERMIT SHAll EXPIRE IF THE WOR AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. }'!TENTln",. nrcr""' I...,.. ~';!i'j~:: ft.;.. t~ I PUBLIC IMPRQ~t~rFJ~~doPted by the Oregon Utility .,1, ~. . nter, .Those rlJt~s are set forth in OAR 952-001-0~\1mWb-gtY~~R 952-001- 0090., You may ob~Mf1iAAoo~SJles b calling the center. (Nofe: the telephone Y number for the Oregon Utility Notification Center is 1-800-332-2344). Street Improvements: Storm Sewer Available: Special Instruction: Pa2e 1 of 3 . , ._~PAING~IG:a..D ;! 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 Penalty Fee - BWOP Electrical Amount Paid Date Paid $10.00 $4.50 $2.25 $3.60 $8.00 $12.00 $25.00 $9.80 $4.90 $3.92 $43.00 $6.00 $49.00 5/10/07 5/10/07 5/1 0/07 5/10/07 5/10/07 5/10/07 5/10/07 8/29/07 8129/07 8/29/07 8/29/07 8/29/07 8/29/07 Total Amount Paid $181.97 I Plan Reviews I CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: COM2007-00646 ISSUED: 08/29/2007 APPLIED: 05/04/2007 EXPIRES: 02/29/2008 VALUE: Value Date Calculated Receipt Number 1200700000000000554 1200700000000000554 1200700000000000554 1200700000000000554 1200700000000000554 1200700000000000554 1200700000000000554 2200700000000001358 2200700000000001358 2200700000000001358 2200700000000001358 2200700000000001358 2200700000000001358 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. L..JleouiredJnSDections I Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Final Electric: When all electrical work is complete. Rough Electric: Prior to Cover Pa2e 2 of3 Status Issued CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: COM2007-00646 ISSUED: 08/29/2007 APPLIED: 05/04/2007 EXPIRES: 02/29/2008 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 ofany 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. ot:::c~nat:::Q ~-:1.-~~~rJ / Date Pa2e 3 of 3 i25 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2007-00646 COM2007-00646 COM2007-00646 COM2007 -00646 COM2007-00646 COM2007-00646 Payments: Type of Payment CreditCard cReceintl RECEIPT #: 2200700000000001358 Date: 08/29/2007 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Penalty Fee - BWOP Electrical + 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 Ikw 0734] 0 0734] 0 In Person Payment Total: Page I of] 9:05:17AM Amount Due 43,00 6.00 49.00 4.90 3.92 9,80 $116.62 Amount Paid $116.62 $116.62 8/29/2007 ZON U~ INITIALS NM DATE ?{17.,~1/o'-' SOURCE ('V\ ~~;e.. 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 · FAX: (541)726-3689 200 Amps or less $ 50.00 201 Amps to 400 Amps $ 69.00 401 Amps to 600 Amps $100.00 fjJli~~~~JO,or 1000 Volts see "B" above. . ~ .~g'iltL@J3~Ij;on laWrs in d~/~10n CeT)A~r. l~ by th.e g:es You to 0090: \f^~I!UDr 0 =8tP~mgs afi CDl'Wlity c~. ~~iffl!i'ib~' throUgh OAR e.:.~et fottIt .$ 43.00 ~ - nu a~t!a.@d:iS.q . . ~~h f07iJ2-001. - eBfcf~$he ~r RtfiI: the tel e rU/Slbr- $. 3.00 (",. - Owners Name 13V"~ enter is 1_lon Utility Not:ho~a . -"_ Address ~ ~~ ~ \ ~ E. Miscellaneous ~~J/8eIi~lude~) -~ach Installation City ~:V\1 f\ .....t ~ Phone Cf5 4 - 4?> 7lf Pump or irrigation $ 50.00 .;, ,~;: Sign/Outline Lighting $ 50.00 o~~t :~~t~~~~~!~L ~XPIRE iF THE \ /f~T L~m~ted Energy/Residenti~l$ 25.00 The m.s,tf1Jl~tI?9)~~e~g'~~ildt:Rn f>c'Ff:t~'eFf.h?\t.;1f\Yg1~~;;.~ L1m1ted Energy/Commercial $ 45.00 1S not mtegJ~~ ~ltlSirle~ 19~}~srArml\JJON\::~ ;:.,~; . .,;: Minimum Electric Permit Inspection Fee is $45.00 + Surcharges \ ( 18u ;JAY ;;J;::;::lfn--" .!,.;,j , <;,? . Owners Signature: · ,,,' .Ivl). 4. Sl,lBTOTAL OF ABOVE 4<1. - 8% State Surcharge :3. <t "2.- 10% Administrative Fee ~-\-. q 0 5% Technology Fee 2,.. 4' ELECTRICAL PERMIT APPLICATION City Job Number ~V\\. 'laV'1- (J7)f.J, ~ . 1. LOCATION OF INSTALLATION: tWl(,; ~~3 LEGAL DESCRIPTION:, \ 1 o? ~? 2-2.. \, ~OO JOB DESCRIPTION: ~ ~.~Ior/hr~ Permits are non-transferab{e and expire if word is not started within 180 days of issuance or if work is Suspended for 180 days. CONTRACTOR INSTALLATION ONLY 2. Electrical Contractor I it ,~{!.K/u (' LI ~~c Address!?!), ..M/)X / I G City (!/l.e4u Jdf Phone %75 - '-/ '14 t.- Supervisor License Number ;2.. 7 'l ().- 5.1 Expiration Date / IJ ,- LlI - 0 7 Constr. Contr. Number /rc; .--'")~ .? /' ,'::>...) ,;- Y-/S-dl?' Expiration Date Signature of Supervising Electrician {!kll / -F?~~ Inspection Request: 726-3769 Date ~-a~-o'1 . 3. COMPLETE FEE SCHEDULE BELOlV A. New Residential- Single or Multi-Family per dwelling unit. 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 B. Services or Feeders - Installation, Alterations or Relocation: 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 Amps/Volts Reconnect Only $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 C. Temporary Services or Feeders Installation, Alteration or Relocation TOTAL (Pb.;t'1 Shared Dnve(T:)/Building Fonns/Electncal Permit Application 8.06.doc OO~ S .{pro pamn...1a8 ~:: .::=:v~ tJ\'lM1-~ ~ \ '''' l\S-<<J-'1D Ou>c.aS "::".fOO9OJ..,if".""Gt ~b\ \ '#.\1--0 V(1 -'~r'" 8O'SL $ .,;i", fOOt-OJ.. ::.., If IOZ' ~..~";'~~~~:~;~~~-,. Jg~~~2~~~ -........:1 -S&P...ag~ .JO~ ~.JIJlIIPOW S!3pDA.D" y - _.~JOdiIp.. ...... (Il!IP8JSJQII .10 ...", ..... PJ:h!Pl1l8W'I-:I SJ]f,IOaJl alpha pIIB~aJ8Sft1RDd ..&~ r:'~\t 'J)\. J\ NOUcuG'JM\'I &Of . "1VOWl \J~- f ~) f\1.(1; . '-"Y'n- a4 ~~ :i,:'~~i ~\::':~;;;~(~,a:~~~'~~~'~~!:":: -.: - ~tIJ ".., if ,.; .acpDDN qor AiO .NQy.,"iJ~' iddY.LlH.W!J.d i. "..n.~'Ui ~........~~. ~110~. .--g....SZZ Au~ 27 07 09:56a Wend::! Perkins ..., -1 () 9<>> n LI gsA KJ a J!e!.E.. ..h~. Jl_OJ: 'IV.J.O.I. ~~!u!wpV%01 ai."......".:...._%8 L'::::;':;:Y~iii~;~;~~~:~'~F':~~' " I~-) S:h aa~~+.., .lo,,'" st-.. U4IIr-'r......JIIII.Dd:lf ',' '1/4, '''-'''F'D'll OO-~ $ OIrg'; s 80.~ $ OO'OS $ P'!'.....--"uJGl.-.~ P'Q!ID!'I lll!l"""'l'P"'afAt--:. ~ . <!.: ' , !.: .& ~I aIJ!IIIIOID3!s U~.1D cIamcI 1l~i~:;~~:~~~;~~5'~~~:~:;-~~~~'" "3 ~-..-~.IOO:J!AmS 1p!&.1D~~"~":!:' QO . fh oo-aos I pIIVd-"\l~. LlC..IO......~= i::':: ':~j: ';;,.::;'::.';:}.,'f(' '.=' '~::..k::::'~~;:~:'~~&:;~~~t~::~;~~~...i.:- 'U ~.&as.A_I>>8iayoiri.J:lA() OO"OOIS sialy0Q9 OJ sdIBy I_ wes sdaav...OIsdmy lot ~ S SSlII.JO sdaly om: ~""...-.v........-.. OO"E S '.:.:'.-- i:'.~:~.'.~::.~~~:~i: ";) -. . -. '". ,". ..." ..... . W1b. 'Iill ~ 1Il;l c~ l:, 1J.O!IIOd JD lJ iJs _ (udO!I!pp8 .......:1 .. .lJ "bs 0001 tJiIPDPhI. q.t.DS ;~*p:~a~h{'~~~~~'~+.~.~N':' -y 00"61 S 00"901$ .:::,::::.::At~"._A.,;.,~:ii~i?t.l.~:.'~.,,~g;t::: "f: [.O-{;-[,. ~ ~~ aplQ 541-895-4366 p. 1 _ ~~\J "V"~ (i9LE~ ~...." ..,dall - . , , . . ,. ,'1I'!s SIIIIIM() -.au:uJO__. ~.q 1NP'~I.i~ _ ~ 1pp[4I.UMO I ~ IIO~ B8!aq IIf 1IU!I1lftIIPU! ~ NOLo..,'....-: ....l.SNllIHNMO \1 L ~\1 - ,,~'O aDOIfcI ' dU Jri. \;:l.fID \J!'\~ ~\'d)\. le,x.c.~- .........r' ':.\ \AJ\ '\.1)'~, amBN SIaUal() ~N 'IIf! -:... "Id ~"-rasJO~ 1 ~ ~ 0- <;, \ -\10 QIII(I~~"-a Jri~1 L~' -rnM.\I".....:.~'''~ LO -\0-0\ ~1IO!JIU!Iha S-GLb"Z J3llIDDN~J~A~ ~.,......i,.;..;".I..~..~.IlI" . - n -r'J( . Cl' -;-. I c',. - '-' r - r r-. 1 . -; I . .\..t_):jQU ) J.=1.:1:.-- "",,1 cr'''- '" / ,;: ' . I . I