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