HomeMy WebLinkAboutPermit Mechanical 2006-11-03Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541 -7 26-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2006-01416ISSUED: 1110312006APPLIED: 11/0312006
EXPIRES: 05/0312007
VALUE:
SITE ADDRESS: 1360 MOHAWK BLVD
ASSESSOR'S PARCEL NO.: 1703253310000
PROJECT DESCRIPTION: Replace make up air duct fu
Heating System
may
License
12772
169s47
othroug
Note
h OAR
z-zsa*1'
'iiy
ication
Commercial
Owner:
Address:
Contractor Type
Electrical
Mechanical
HICKAM RICHARD A & E DIANE
972 MCKENZIE CREST DR
SPRINGFIELD OR 97477
calltnE
cent
the Oreg
Contractor
ALERT ELECTRIC INC
MARTIN CASTLEMAN LLC
Expiration Date
05t2212007
04t07t2008
Phone
54t-747-2213
54t-736-3438
CONTRACTOR INFORMATION
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
overtav Dist: AUTH0RIZED UNDER THIS
ii;;;;i f...' nffTUMENCED 0R lS ABAN
Paved Drive Rqdfi[rlY 180 DAY PER|OD.
Yo ofLot Coverage:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
SHALL EXPIR
Compact:
nla
Sidewalk Type:
Downspouts/Drains:
Notes:
Pase 1 of3
Springfield TYPE OF
-001
the
11 U ll,Lrll\ tJ rN I Urtlvl.q, ll!-rlll
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541 -7 26-37 69 Inspection Line
FIELD
Building/Combination Permit
PERMIT NO: COM2006-01416ISSUED: 1110312006APPLIED: 1110312006EXPIRES: 05/0312007
VALUE:
Description Tvpe of Construction
Fee Description
-Mechanical Issuance Fee-
+ l0o Administrative Fee
+ 57o Technology Fee
+ 87o State Surcharge
Furnace - Unit Heater
Minimu m/Adjustment Mechanical
+ l0o Administrative Fee
+ 57o Technology Fee
+ 87o State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Total Amount Paid
Total Value of Project
Date Paid
tu3t06
tu3t06
tu3t06
tu3t06
tu3l06
tu3/06
tu8t06
I l/8/06
tu8t06
I 1/8/06
tu8t06
Value Date Calculated
Receipt Number
120060000000000r601
1200600000000001601
I 200600000000001601
120060000000000r601
1200600000000001601
1200600000000001601
3200600000000000575
3200600000000000s7s
3200600000000000575
3200600000000000575
3200600000000000575
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Amount Paid
$10.00
$4.s0
$2.25
$3.60
$12.00
$33.00
$s.20
$2.60
$4.16
$43.00
$9.00
$r29.31
Plan Reviews
SUB Review lu03t2006 tU03/2006 APP JF
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.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Renuired Insnecf'
Paee 2 of3
I
Valuation Description I
B'ees Prid I
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541 -7 26-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2006-01416ISSUED: 1110312006APPLIED: 11/0312006EXPIRES: 05/0312007
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 Contractors Signature Date
Page 3 of3
I
nrlild tr6c Car'..,,'\
trl<lob
{
225 FIFTH STREET o SPRINGFIELD, OR 97477 t PH:(541)726-3753 o FAX: (541)726-3689
E LECTRI CAL P ERM I T AP P LI CATI ON
Ciry Job Number (ArazDob - D ttttto Date
3.
LEGAL DESCRIPTION A.
\1 (h z< 7o \ow ,c
JOB DESCRIPTION
Each additional 500 sq. ft. or
portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
+ (htl;rh
$106.00
$ 19.00
$s0.00
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. or less
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
TI
200
20t
401
Each Additional Circuit or with
Service or Feeder Permit
I B. Seryices or Feeders - Installation, Alterations or Relocation:2
Electrical 4 c
City
Address I?fO J .sr
-fr pnone 747-z-ztz
Supervisor License Number b3-s
Expiration out" \O-\41
Constr. Contr. Number L
Expiration Date
Signature ofSupervisi ng Electrician
Name
a
t
Address
ffntt'uHnE lF THE woRK
$ 63.00
$ 7s.00
$125.00
$ 163.00
$37s.00
$ s0.00
C
D.
or
(qP,,UND
tliEss0R r
ER Tl-l{s+E+l4
rs ABAltDoftE{rffi,
Tqsh0r
Over 600 Amps or 1000 Volts see
Br:rnch Circuits
"B" above,
City
OWNER INSTALLATION
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:
tP"t$**JAe:Qbrt{
6 $ 3.oo
E. Miscellaneous (Service/feeder not included) -Each lnstallltion
SUBTOTAL OFABOI,'E 52,oo
New Alteration or Extension Per Panel
oneCircuit / So:.oo
Sx stut. Surcharge
10% Administrative Fee
5?o ActL kuTO'TAL
4rc-q,@
A.tb
6,?b-bInspection Request: 726-37 69
4
Shared Drive(T)/Building Forms/Electrical Permit Application l-03.doc
I'EESCTTETIULE BELOW
s-'22ry!
Pump or irrigation $ 50.00
Limited Energy/Residential $ 25.00
Limited Energy/Commercial $ 45.00
Minimum Electric Permit Inspection Fee is $45.00 * Surcharges
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
Cir- of Springfield Official Receipt
L ;lopment Services Department
Public Works Department
RECEIPT #: 3200600000000000575 Date: 1110812006 e:32:03AM
Job/Journal Number
coM2006-01416
coM2006-01416
coM2006-01416
coM2006-01416
coM2006-01416
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 8% State Surcharge
+ l0%o Administrative Fee
Amount Due
43.00
9.00
2.60
4.16
5.20
Item Total:s63.96
Payments:
Type of Payment Paid By
Check Number
Received By Batch Number
Authorization
Number How Received Amount Paid
CreditCard STEVEN J. HATLEBERG ddk 008801 In Person
Payment Total:
$63.e6
-$6-3;t6''
cReceintl Page I of I tv812006
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37 69 Inspection Line
FIELD
Building/Combination Permit
PERMIT NO: COM2006-01416ISSUED: 1110312006APPLIED: 11/0312006EXPIRES: 05/0312007
VALUE:
SITE ADDRESS: 1360 MOHAWK BLVD Springfield TYPE OF WORK: Heating System
ASSESSOR'S PARCEL NO.: 1703253310000
TYPE OF USE: Repair
PROJECT DESCRIPTION: Replace make up air duct furnace. Furnace only
Expiration Date
04t0712008
Commercial
Phone
541-736-3438
Owner:
Address
Contractor Type
Mechanical
HICKAM RICHARD A & E DIANE
972 MCKENZIE CREST DR
SPRINGFIELD OR 97477
Contractor
MARTIN CASTLEMAN LLC
License
169547
CONTRACTOR I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
#of TlON;Oregon law req tl.J
dopted by the r:
Lnter. Those ru
2-001-0010 through
u may obtain copies
Energy Path:
Sprinkled Building: nla Occupant Load:
Overlay Dist:
# Street Trees Rqd:
I,r[f#H*]l;.,
THIS PERMIT SHALL EXPIRE IF T
REQUIRED PARKING
Total:
Handicapped:
Compact:
ANY 180 DAY PERIO f
Bsu"D,.qilFPrFgR
PERMIT IS NOT
Downspouts/Drains:
$ Per Sq Ft
or multiplier
Square Footage
or Bid AmountDescription Type of Construction
Paee I of 2
Value Date Calculated
I,U ILL'IL\U II\T ('I(LYIA I ITJI\ I
Valuation Description I
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-7 26-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2006-01416ISSUED: 1110312006APPLIED: l1l0312006
EXPIRES: 05/0312007
VALUE:
Fee Description
-Mechanical Issuance Fee-
+ l0"h Administrative Fee
+ 57o Technology Fee
+ 8olo State Surcharge
Furnace - Unit Heater
Minimum/Adjustment Mechanical
Total Amount Paid
Amount Paid
Total Value of Project
Date Paid
tU3t06
tu3t06
tu3t06
tu3l06
tu3t06
tt/3t06
Receipt Number
1200600000000001601
120060000000000160r
1200600000000001 601
r20060000000000r601
1200600000000001601
1200600000000001601
$r0.00
$4.50
$2.25
$3.60
$12.00
$33.00
$6s.3s
Fees Paid
Plan Reviews
SUB Review lu03t2006 1u03t2006 APP JF
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.
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 Communify 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
// J- de
Owner or Contractors Signature
Pase 2 of 2
Date
Keourred lnspectrons I
( of Springfield Official Receipt
Development Services Department
Public Works Department
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
RECEIPT #: 1200600000000001601 Date: 1110312006 10:58:l2AM
Job/Journal Number
coM2006-01416
coM2006-01416
coM2006-01416
coM2006-01416
coM2006-01416
coM2006-01416
Description
+ 5% Technology Fee
+ 8% State Surcharge
+ 10Yo Administrative Fee
Furnace - Unit Heater
Minimum/Adj ustment Mechan ical
-Mechanical Issuance Fee-
Amount Due
2.25
3.60
4.50
12,00
33.00
r 0.00
Item Total:$65.35
Payments:
Type of Payment Paid By
CheckNumber Authortzatton
Received By Batch Number Number How Received Amount Paid
CreditCard CLIMATE CONTROL
HEATING
djb 003274 ln Person
Payment Total:
$65.3 s
$6s.3s
cReceintl Page I of I 111312006
SPRINGFIELD UTI LITY BOARD
ENERGY&(;ONSERVA]T()NSERVTCES 223AStreel,SuiteB,Springfield,OR9T4TT Residentiol 541 .746.0963 Commerciol 541 .744.2264 tox541 .744.3654
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