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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