HomeMy WebLinkAboutPermit Mechanical 2004-09-24Status 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: COM2004-01183ISSUED: 0912412004
APPLIEDT 0912412004
EXPIRESz 0312412005
VALUE:
SITE ADDRESS: 2457 OTTO ST
ASSESSOR'S PARCEL NO.: 1703244400900
PROJECT DESCRIPTION: Install heat pump and air handler
Springlield TYPE OF WORK: Heating System
TYPE OF USE: New Residential
Owner: WAGENBLAST GREG W & 6AIL S
Address: 2457 OTTO ST SPRINGFIELD OR 97477 you to
Contractor Type
Mechanical
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Contractor
HOME COMFORT HEATING &
Phone
541-345-2838
R-3
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Vo ofl,ot Coverage:
Center
Square Footage
or Bid Amount
REQUIRED PARI(NG
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
nla Occupant Load:
VIhr
REITl HE WO
PERMIT
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
$ Per Sq Ft
or multiplier
D0I\ED tQBt"r,
Sidewalk Type:
Downspouts/Drains
Handicapped:
Compact:
PUBLIC IMPROVEMENTS
Description Type of Construction
Total Value of Project
Value Date Calculated
-'?r!L
the
ruleB
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: COM2004-01183ISSUED: 0912412004APPLIEDz 0912412004
EXPIRESz 0312412005
VALUE:
Fee Description
-Mechanical Issuance Fee-
+ l0oh Administrative Fee
+ 7Yo State Surcharge
Air Handling Unit Up to 10,000
Heat Pump
Minimum/Adj ustment Mechanical
+ l0/o Administrative Fee
+ 7Yo State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Total Amount Paid
Amount Paid
$10.00
$4.s0
$3.15
$8.00
$12.00
$25.00
$4.60
$3.22
$43.00
$3.00
$116.47
Date Paid
9t24t04
9t24104
9t24t04
9t24t04
9t24t04
9t24t04
9t29t04
9t29t04
9t29t04
9t29104
Receipt Number
1200400000000001385
120040000000000r385
1200400000000001385
1200400000000001385
1200400000000001385
1200400000000001385
r20040000000000141 I
1200400000000001411
120040000000000141 I
120040000000000141 I
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.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Reouired Insnect
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
Pase2 of2
Date
Fees ratd
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
Fity of Springfield Official Receipt
rvelopment Services Department
Public Works Department
RECEIPT#: 1200400000000001411 Date: 0912912004 3:01:11PM
Job/Journal Number
coM2004-01183
coM2004-01183
coM2004-01183
coM2004-01183
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 7%o State Surcharge
+ l0% Adminishative Fee
Amount Due
43.00
3.00
3.22
4.60
Item Total:$s3.82
Payments:
Type ofPayment Paid By
Check Number
Received By Batch Number
Authorization
Number How Received Amount Paid
CreditCard DAVID LAWLER djb 029126 In Person
Payment Total:
$53.82
-sffi
9/2912004 Page I of I
{ltrB${cFr3.o
225 FIFTH STREET . SPRINGFIELD, OR97477 ' PH:(541)726-3753 'F
ELECTRICAL
City Job Number
3.
Date
JOB DESCRIPTION
Permits are non-transferable and if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
2.
Electrical Contractor
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
s 19.00
s50.00
s 50.00
s s0.00
a
-Dl-0
B.
c.
AUTH
COM
ANY
E.
C.8
City E)IMXL -g(/t/
Address
0
Supervisor License Number
Expiration Date
Phone
l LTL\S
I abny 201 Amps to 400 Amps s 69.00
401 Amps to 600 AmPs $ 100.00
Expiration Date *t4-+=Over 600
Signature of Supervising Electrician D
Constr. Contr. Number
qr/--'
Owners
Phone
OWNERINS TION
The installation is being made on properry I own which
is not intended for sale, iease or rent.
Owners Signature:
Installation, Alteration or Relocation
Enqqgdmmrffier
W;ruit orwith
s 43.00
s 3.00Service or Feeder Permit
City Pump or irrigation
Sigr/Outline Lighting
7Yo State 9urcharge
l0% Administrative Fee
TOTAL
LimitedEnergyiResidential
-
$25.00
Limited Energy/Commercial S 45'00
IVlinimum Electric Permit Inspection Fee is $45-00 + Surchargesoa
I
Inspection Request: 726-37 69
4.
Shared Drive(T:/Building Forms/Electrical Permit Application 1{3.doc
Oregon
,l
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: COM2004-01183ISSUED: 0912412004
APPLIEDz 0912412004
EXPIREST 0312412005
VALUE:
SITE ADDRESS: 2457 OTTO ST
ASSESSORTS PARCEL NO.: 1703244400900
PROJECT DESCRIPTION: Install heat pump and air handler
Springfield TYPE OF WORJ(: Heating System
TYPE OF USE: New Residential
Owner: WAGENBLAST GREG W & GAIL S
Address: 2457 OTTO ST SPRINGFIELD OR 97477
Contractor Type
Mechanical
Contractor
HOME COMFORT HEATING & AIR
License
84164
Expiration Date
06t25t2007
Phone
541-345-2838
INFORMATION
# of Units:
Primary Occupancy
Secondary Occupancy
Primary Construction Type
Secondary Construction
\S
Type:
Type:
Energy Path:
Sprinkled Building:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
o/o of Lot Coverage:
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
# of Bedrooms:
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
rs0
nla
ilt
PARKING
\(1
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
DEVELOPMENT INFORMATION
Description Type of Construction
Total Value of Project
Value Date Calculated
't'rJ{
Valuation Descrintion I
F
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: COM2004-01183ISSUED: 0912412004APPLIEDz 0912412004
EXPIRESz 0312412005
VALUE:
Fee Description
-Mechanical Issuance Fee-
+ lOVo Administrative Fee
+ 1Vo State Surcharge
Air Handling Unit Up to 10,000
Heat Pump
Minimum/Adjustment Mechanical
Total Amount Paid
Amount Paid
$10.00
$4.s0
$3.1s
$8.00
$12.00
$25.00
$62.65
Date Paid
9t24t04
9t24t04
9t24t04
9t24t04
9t24t04
9t24t04
Receipt Number
1200400000000001385
120040000000000138s
120040000000000138s
1200400000000001385
120040000000000138s
120040000000000138s
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. wiII be made the following work
day.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
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
times during construction.
DateOwner or
Pase2 of2
r( ees raro I
225Rifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
4ity of Springfield Official Receipt
evelopment Services Department
Public Works Department
RECEIPT #: 120040000000000138s Date: 0912412004 10:16:45AM
Job/Journal Number
coM2004-01183
coM2004-01183
coM2004-01183
coM2004-01183
coM2004-01183
coM2004-01183
Description
+ loh State Surcharge
+ l0% Administrative Fee
Air Handling Unit Up to 10,000
Heat Pump
Minimum/Adj ustment Mechanical
-Mechanical Issuance Fee-
Amount Due
3.15
4.s0
8.00
12.00
25.00
10.00
Item Total:$62.6s
Payments:
Type of Payment Paid By Received By
Check Number
Batch Number
Authorization
Number How Received Amount Paid
Check HOME COMFORT djb 12277 In Person
Payment Total:
$62-6s
-562i-t
9t2412004 Page I of I