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HomeMy WebLinkAboutPermit Mechanical 2005-06-14CITY OF SPRINGFIEL Building/Co mbin ation Permit Status: Issued 225 Fifth Street, Springfield, OR 541:7263753 Phone 541-726-3676Fax 541:7 26-37 69 Inspection Line PERMIT NO: COM2005-00717ISSUED: 0611412005 APPLIED: 06/13/2005E)PIRESz 1211412005 VALUE: SITE ADDRESS: 1875 MOHAWKBLVD ASSESSORS PARCELNO.: 17032s1300702 Springfield TYPE OF TYPE OF USE: Heating System Repair PROJECT DESCRIPTION: Replace hvac / heatpump attic mount Contractor TVpe Electrical Mechanical Contractor MNBELECTRIC INC J CO ENTERPRISES INC Expiration Date tutgt2006 09t09t2005 Commercial Phone 541-510-95s6 541-689-1667 ' Owner: Address: VILLAGE INN SPRINGFIELD, LLC 1111 MAIN ST STE 7OO VANCOTIVER WA 98660 License t62t9t 1s6807 # of Unib: Primary Occupancy Group: Secondary Occupancy Primary Construction Type Secondary Construction # of Bedrooms: Frontyard Setbaclc Side l Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Storm Sewer Available: Special Instruction: VN # ofStories: Height of Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Overlay Dist: # Street Trees Paved Drive Rqd: %o ofLot Coverage: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load:n/a REQUIRED PARJ(NG Total: Handicapped: Compact: Sidewalk Type: DownspoutVDrains DEVELOPMENT INFORMATI( PUBLIC IMPROVEMENTS Notes: l of 3 \ L(-,I\ I I(AL T UK TNI UT(]VTA T TUNI t uILLrll\lJ rNI (,r(]vrA._t 42Nl Status: Issued 225 Fifth Street, Springfield, OR 541:72G3753 Phone 541-726-3676Fax 541:1 26-37 69 I nspe ction Line PRINGFIELD Buildin g/Co mbinatio n Permit PERMIT NO: COM2005-007 17ISSUED: 0611412005APPLIED: 06/13/2005E)GIRESt 1211412005 VALUE: Description Type of Construction Fee Description -Mechanical Issuance Fee- + l0Yo Administrative Fee + 7%o State Surcharge Heat Pump Minimum/Adj ustment Mechanical + l0o/o Administrative Fee + loh State Surcharge Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 200 amps or less Total Amount Total Value of Project Date Paid 6n3t05 6n3t05 6lt3l05 6n3tos 6n3tos 6n4t05 6n4t05 6n4t05 6n4tos Value Date Calculated Receipt Number r200500000000000821 120050000000000082r 1200s00000000000821 1200s00000000000821 1200s00000000000821 1200500000000000832 1200s00000000000832 1200500000000000832 1200500000000000832 $ Per Sq Ft or multiplier Square Footage or Bful Amount Amount Paid $10.00 $4.s0 $3.15 $12.00 $33.00 $6.60 $4.62 $3.00 $63.00 $139.87 Fees Paid Plan Reviews To Request an inspection call the24 hour recording at 7263769. AII inspection requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. 2 of 3 Valuation Description I l(eoureo rnsDecuons I Status: Issued 225 Fifth Street, Springfield, OR 541:726-3753 Phone 541-726-3676Fa'x 541:7 26-37 69 Inspe ction Line Buildin g/Co mbination Permit PERMIT NO: COM2005-007 17ISSUED: 0611412005APPLED: 06/13/2005E)PIRES: 1211412005 VALUE: By signaturer l state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPAIICY will be made of any structure without permission of the Community Services Division, Building Safety. I further certi$ 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 b located at the front of the property, and the approved set of plans will remain on the site at all times during constructioru Owner or Contractors Signature Date 3 of 3 225 FIFTH STREET o SPRINGFIELD, OR97477 o PH:(541)726-3753 r FAX: (541 ELECTRICAL APPLICATION Date JOB DESCRIPTION Permits are non-transferable and expire if work is '" not started within 180 days of issuance or if work is Suspended for 180 days. Service Included 1000 sq. ft. orless Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder Sigrr/Outline Lighting sci\ or NI ulti-Family per drvelling unit. $106.00 $ 19.00 $s0.00 $ 7s.00 $125.00 $163.00 $375.00 $ 50.00 $ 43.00 $ 3.00 $ 50.00 l.3. ""fib'5ffiib oo-\o4- D. ) Electrical Contractor Address rtre.c Supervisor License Number lrzls Expiration Date /0^o 7 Constr. Contr. Numb ", / b ) \qt Expiration Date *ob Electrician Owners Name Address B. Services or Feeders - Installation,Alterations or Relocation: $ 63.00 lo3.C'aT. City /l-11 Feetlers Installation, Alteration or Relocation 200 Amps or less $ 50.00 201 Amps to 400 Amps $ 69.00 401 Amps to 600 Amps $100.00 Over 600 or 1000 Volts see "B" above. New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with I Service or Feeder Permit 3.P E. Nliscellaneous (Service/feeder not included) -Each lnstallatiott Pump or irrigation $ 50.00 owNER INSTALLATION ATTENTTON, Or"olJfrl5d EnergvlResidential $ 25'00 City Owners Signature: Inspection Request: is not intended for sale, lease or rent. Minimum Electric Permit Inspection Fee is $45.00 * Surcharges 4.oD rdf'fiiit$th?#,i;,L'. *fl9640tsr2bg4fve Fee TOTAL do q$8. U cenlet Shared Driv(T:)/Building Forms/Electrical Permit Application l -03.doc City Job Number , .a\€ A. Ncw Residential - 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 C. Temporary Services or I o<) 4ounl*pu- '4< #iJci fOrthe Center is 't 225Bifth Street Springfield, Ore gon 97 477 541-726-3759 Phone City of Springfield Oflicial Receipt velopment Services Department Public Works Department RECEIPT#: 1200500000000000832 Date: 0611412005 9:08:56AM ) i I Job/Journal Number coM2005-00717 coM2005-00717 coM2005-00717 coM2005-00717 Description Perm Serv/Fdr 200 amps or less Add, Alter, Extend Circ Ea Add + 7o/o State Surcharge + l0% Administrative Fee Amount Due 63.00 3.00 4.62 6.60 Item Total:$77.22 Payments: ffie of Payment unecKNumDer Aumonzatlon Paid By Received By Batch Nt'mber Number How Received Amount Paid CreditCard MNB ELECTRIC Ih 014694 Phone $77.22 PaymentTotalz ffi I l( \ { 611412005 lofl rFmxixrr3&a! F PRINGFIELD Building/Combination Permit Status: Issued 225 Fifth Street, Springfield, OR 541:726-3753 Phone 541-726-3676Fax 541:7 26.37 69 I nspe ction Line PERMIT NO: COM2005-00717ISSUED: 0611312005APPLIED: 06/13/2005E)PIRESz 1211312005 VALUE: SITE ADDRESS: 1875 MOIIAWK BLVD ASSESSORTS PARCEL NO.: 1703251300702 Springfield TYPE OF TYPE OF USE: Heating System Repair PROJECT DESCRIPTION: Replace hvac / heatpump attic mount Contractor TVpe Mechanical Contractor J CO ENTERPRISES INC Expiration Date 09t091200s Commercial Phone 541-689-1667 : Owner: Address: \ILLAGE INN SPRINGFIELD, LLC 1111 MAIN ST STE 7OO VANCOTIVER WA 98660 License 1s6807 CONTRACTOR INFORMATION BUILDIN( # of Unib: Primary Occupancy Group: Secondary Occupancy Primary Construction Type Secondary Construction # of Bedrooms:Notificati, in OAR 9 calling' number Frontlard Setback: Side l Setback: Side 2 Setback: Rearyard Setback: Solar Setbac}s: Street Storm Sewer Available: Special Instruction: Notes: # of Stories: Height of # Street Trees Paved Drive Rqd: o/o of Lot Coverage: you to Utility set lorth 952-001- of the rules bY n/a Dist: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: Oreg on Center. 152-001-001 Center is 1 REQUIRED PARKING Total: Handicapped: Compact: $ Per Sq Ft or multiplier Square Footage or Birl Amount PUBLIC IMPROVEMENTS Description Tvpe of Construction lof2 Value Date Calculated I follow ENCED OR IS ABANDONED FOR }O DAY PERIOD. Sidewalk Type: DownspoutMDrains Valuation Descriotion I F SPRINGFIELD Buildin g/Co mbination Permit Status: Issued 225 Fifth Street, Springfield OR 541:126-3753 Phone 541-726-3676Fax 541:7 26-37 69 I ns pe ction Lin e PERMIT NO: COM2005-00717ISSUED: 0611312005APPLIED: 06/13/2005E)PIRESz 1211312005 VALUE: Fee Description -Mechanical Issuance Fee- + l0Yo Administrative Fee + 1Vo State Surcharge Heat Pump Minimum/Adj ustment Mechanical Total Amount Amount Paid Total Value of Project Date Paid 6n3t0s 6n3t0s 6fi3t05 6/13/05 6lt3t05 Receipt Number 1200500000000000821 r200s00000000000821 1200500000000000821 1200500000000000821 1200s00000000000821 $10.00 $4.s0 $3.15 $12.00 $33.00 $62.65 tr'ees Pa 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. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. at By signaturerl 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 accondance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the wuk described herein, and that NO OCCT PANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certiff 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 the permit card is located at the front of the property, and the approved set of plans will remain on the site e. /3-S Owner or Contractors Signature 2of2 Date l(eoured Inspectrons I 225 Fifth Street Springfield, Ore gon 97 477 541-726-3759 Phone Qity of Springfield Official Receipt :velopment Services Department Public Works Department RECEIPT#: 1200500000000000821 Date: 0611312005 10:45:45AM Job/Journal Number coM2005-00717 coM2005-00717 coM2005-00717 coM2005-00717 coM2005-00717 Description + l0% Administrative Fee -Mechanical Issuance Fee- Heat Pump Minimum/Adjustment Mechanical + 7o/o State Surcharge Amount Due 4.50 10.00 12.00 33.00 3. l5 Item Total:$62.6s Payments: Tlpe of Payment Paid By LnecKNumDer Aumortzauon Received By Batch Number Number How Received Amount Paid CreditCard ROGER TILLER djb 088287 In Person Payment Total: $62.65 -562"6-f I 6lt3/2005 lofl t:lmIrl I Y -o s $.r "''(n7oGS\ rrr(t' -J o tUc tliS (ko^7.x1 .+... €. /o,^ o* zgwyr-i^l U;llo*1^^ r,/?Zj )?*.*k tUn +^tjfl"ctl.oK Qttr'?)) 4<s ,fr 6:1 e'<-*- Foim'4a Name: SYSTEMS G ENERAL 1317.9 or 1 form 4b and equipment with The Portions of the building that qualify: The pecs show in the h/,,'/c-r Portions of the or to 1 controls tn 131 be ofshallcapable 5 the shut Sftil new system ts being components of an insulation.) The Section This Unitary Air-Source Heat Pur-.' program a prouuct HeYfil,f?rry Air'source Heat Pump Today's Date OilfitZOOS OT:ZO:41pM . Created Date: Last Modified Date: atStatus: ActiveObsolete: NoManufacturer: AMERTCAN STANDARD, tNC Page I ofl CoOe lla )n /o,o 6.tr Data management 8 lnternet services are provlded by lntertek ARI Reference Number: ARI Program: ARI Type: Trade/Brand Name: NAECA Designation: Outdoor Model Number: lndoor Unit(s): Ventilation Rate: Product Performance Ratings ARI Rating Cooling Capacity (Btuh): SEER Rating (Cooting): Heat Pump Only High Temp 47- F Heating Capacity (Btuh): Region lV HSPF Rating: Low Temp 17- F Heating Capacity (Btuh): Sound Rating ARI Sound Rating (dB): Footnotes 327974 HP HRCU-A-CB Heritage '11 Yes 246H1048A1 TWE060C/D15 48500 10.25 46500 7.5 26000 ERI htto://www.ariorimenet.ors/ari-oros/direct.nsf/dff726a4b30725e385256bbc004c0 6661e472... 6llo/2005 Ir