HomeMy WebLinkAboutPermit Mechanical 2003-08-26Building/Combination Permit
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
PERMIT NO: COM2003-00800ISSUED: 0812612003APPLIED: 08/2012003EXPIRES: 0212612004
VALUE:
SITE ADDRESS: 288 MILL ST
ASSESSORTS PARCELNO.: 1703353201200
Springlield TYPE OF WORIft Heating System
TYPE OF USE: Addition Commercial
PROJECT DESCRIPTION: Install split system air conditioner
Owner: ISLAND pARKDEVELOpMENT LLC
Address: 2295 COBURG RD STE 200 PO BOX 7009 EUGENE OR 97401
Contractor Tvpe
Electrical
Mechanical
Contractor
BUILDERS ELECTRIC INC
COMFORT FLOW
License
4296
460
Expiration Date
12n0t2003
06t2712005
Phone
541485-0922
541-726-0100
]TOR INFORMATION
m
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
SETBACKS
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
# of Stories:Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
VN Ft Basement:
Ft Garage/Carport
Ft Other:
1$
o(
i9
u.s{
t0s
Surface Area:
REQUIRED PARI(NG
Total:
Handicapped:
Compact:
\t \s
PUBLIC IMPROVEMENTS
Notes:
Paee I of3
ffi
Range Type:
Energy {$o
$Q
Building/Combination Permit
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fa'x
541-7 26-37 69 Inspection Line
PERMIT NO: COM2003-00800ISSUED: 0812612003
APPLIED: 08/2012003
EXPIREST 0212612004
VALUE:
Description Tvpe of Construction
Fee Description
+ l0o Administrative Fee
+ 7Yo State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
-Mechanical Issuance Fee-
+ l0oh Administrative Fee
+ 77o State Surcharge
Appliance Not Listed
Minimum/Adj ustment Mechanical
Total Amount Paid
Total Value of Project
Date Paid
Value Date Calculated
Receipt Number
2200200000000001413
2200200000000001413
220020000000000r413
220020000000000r413
1200200000000002026
1200200000000002026
r200200000000002026
1200200000000002026
1200200000000002026
Amount Paid
$4.90
$3.43
$43.00
$6.00
$r0.00
$4.50
$3.15
$9.00
$36.00
$119.98
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
8t20t03
8t20t03
8t20t03
8t20t03
8t26t03
8t26t03
8t26t03
8t26t03
8t26t03
Plan Reviews
To Request an inspection call the 24 hour recording at 726-3769. All inspection requested before 7:00 a.m.
wilt be made the same working day, inspections requested after 7:00 a.m. will be made the following work
day.
I Rough Mechanical: Prior to Cover
2 Final Mechanical: When all mechanical work is complete.
Reorrired fnsnections
Paee 2 of3
Valuation Description
Bees Paid I
Building/C ombination Permit
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
PERMIT NO: COM2003-00800ISSUED: 0812612003APPLIEDz 0812012003EXPIRES: 0212612004
VALUE:
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 Date
Paee 3 of3
T
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Departmenf
Public Works Department
#: 1200200000000002026 Date: 0812612003
coM2003-00800
coM2003-00800
coM2003-00800
coM2003-00800
coM2003-00800
+ 7Yo State Surcharge
+ l0% Adminishative Fee
Appliance Not Listed
Minimum/Adj ustnent Mechanical
-Mechanical Issuance Fee-
3.r5
4.50
9.00
36.00
10.00
Item Total:$62.65
Type of Payment Paid By Received By Batch Number Authorization Number How Received Amount Paid
Check COMFORT FLOW djb In Person
Payment Total:
$62.6s
$62.65
)
Building/Combination Permit
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
PERMIT NO: COM2003-00800ISSUED: 0812012003APPLIED: 08/20/2003
EXPIRESz 0212012004
VALUE:
SITE ADDRESS: 288 MILL ST
ASSESSOR'SPARCELNO.: 1703353201200
Al-f Ei\ iiu.ri,.:uregrJi itav\ |equtrLs VUir;.,_
PRorE qE ilUq$ ge$rl gh r e$u getf, Ure it dsr+tliftfi
Springlield TYPE OF WORK:
TYPE OF USE:
Owner: ISLAND pARK DEVELOpMENT LLC
Address: 2295 COBURG RD STE 200 PO BOX 7009 EUGENE OR 97401
nurnberforthe Oregon Utility N
Center is 1-800-332-
Contractor Tvpe Contractor
Electrical BUILDERS ELECTRIC INC
License
4296
Expiration Date
12tr0t2003
Phone
s41485-0922
EXPI
PERMIT IS NOT
OR IS ABAND Lot Size:
RE IF THE WO
+ orstttliJi0tliZE-D
Heighffrl$&iitbli"; U
rype {[$atSU DAt
UNDER THtS
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
SETBACKS
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
$ Per Sq Ft
or multiplier
Water Type:
Range Type:
Energy Path:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
o/o of Lot Coverage:
PERIOO
Square Footage
or Bid Amount
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
Sidewalk Type:
Downspouts/Drains:
REQUIRED PARI(NG
Total:
Handicapped:
Compact:
Total Yalue of Project
Page I of2
PUBLIC IMPROVEMENTS
Description Type of Construction Yalue Date Calculated
r}.1
Valuation Description I
Building/Combination Permit
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
PERMIT NO: COM2003-00800ISSUED: 0812012003APPLIED: 08/2012003
EXPIRESz 0212012004
VALUE:
Fees Paid
Fee Description
+ l0o/o Administrative Fee
+ 7Yo State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Total Amount Paid
Amount Paid Date Paid
8t20t03
8t20t03
8t20lo3
8t20t03
$4.90
$3.43
$43.00
$6.00
Receipt Number
220020000000000r413
2200200000000001413
2200200000000001413
2200200000000001413
$s7.33
Plan Reviews
To Request an inspection call the24 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.
Reou
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
construction.
Owner or Contractors
*J St rk^71S {fu*
Pase2 of2
T-
/{d
225 FIF'I'H STREE'I . SPRINGFIELD, OR97477 ' PII:(541)726-3753 ' FAX:
City Job
I'IiR]I[I'T
,A
APPLICATION
-M'07) Dut.
3 COIWT'LE'I'L: l;EE
AE dl
I-lr(iAL I)ESCRI I' I ION
les
6ihone l].
cation
l, L zoo anPYJfgg'
drvelling unit.
$ 106.00
$ 19.00
$s0.00
$ (r3.00
K
A. Ncw llesideutial-Singleor.l\Iulti-Familtr' per
Service Included
I 000 sq. ft. or less
Each additional 500 sq. ft. or
pofiion thereof
Each Manufact'd I.Iome or
Modular l)rvellitrg Service or
Feeder
G5 32o/ 2m
j(.)DESCRIPTION su'f 4,{,ou tu
Pcrnrits are no
not started \QddlfiYl
SrrspendetlifilrilsO )1-0010 th
if n'ork is UtilitY
r",ilqaA{*set for
iougn OAR 95
Ni LJI'i
2-00
Iu
2. '1.
Elect ilca
calling
lCoa{ffiqrs1
e center
n
Address lCi", 1:
Phone {(ri' L,(i l'l
I:xp
consrr. Clontr. Number 4.)'l U'
Expiration Date
Supervising Illectrician
Owners Name -TSbndv
Addres
ciry Phone q
C
OWNER INSTALLA'IION
'l'he installation is being made on property I own which
is not intetrded for sale, lease or rent.
Orvncrs Signature
lcrtirld,r-\
20 I Anrps to 400 Arnps $ 7-5.00
401 Anrps lo (r00 Arnps $ 125.00
6nter ls
(r0l Anrps to 1000 Arups $ l(r3-00
City Over l0P0 Amps/\oJtq ,,
Reconnect Only
Supervisor License Nurnbcr 32'lC) s C. Teutpornrl' Services or Iieedet's
iration Date lL., I L /
c :i r $375.00'-:-).
-
$ 50.00
lnslallalion. Alleraliorr or ltclocation
200 Amps or less $ 50.00
201 Anrps to 400 Arnps $ 69.00
401 Amps to 600 Aurps $ 100.00
Nerv Alteration or Extcnsion Per Panel
3 Or er 600 Aurps or 1000 \/olts see "B" abovc.
D. llranch Circuits
't',4,3'@
!:*i*iTH::::;'.",1,"1,"'*"n a $300 Q.oc
ZC/-li. I\liscellale6rrs (se6,ice/feetler not inclutlccl) -Each lltstallation
Pump or inigation
Sign/Outline Lighting
t-imited Energy/Residential
Linrited Energy/Comttrercial
I\Iininrum lllectric Perlnit Inspection Fee is $45.00 * Surcharges
].',.4. ST,IBTOTALOFABOVE .. .'
79'o State Sulchargc
I 09,'n Adrninistrative Fee
1'O'TAL
$ s0.00
$ 50.00
$ 25.00
$ 4s.00
4r 6a
57" 3a
Il
o
Inspection Request: 726-37(t9
Sharcd Drivc(T: )/Building Form's/Elcctrical Pcmrit Appl ication l -03.doc
nas
o*'
/7e
225 Fifth Street
Springlield, Oregon 97 477
541-726-3759 Phone
City of Springfield Oflicial Receipt
Development Services I)epartment
Public Works Department
Receipt #: 220020000000000 I 4 I 3 Date: 0812012003 l0:21:22Alvl
coM2003-00800
coM2003-00800
coM2003-00800
coM2003-00800
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 7%o State Surcharge
+ l0% Administrative Fee
43.00
6.00
3.43
4.90
Item Total:ss733-
Type ofPayment Paid By Received By Batch Number Authorization Number How Received Amount Paid
CreditCard BUILDER'S ELECTRIC njm 000149 01075 l In Person
Payment Total:
$57.33
$57.33