The URL can be used to link to this page

Home My WebLink AboutPermit Mechanical 2004-06-24F Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line Building/C ombination Permit PERMIT NO: COM2004-00657ISSIIED: 0612412004APPLIED: 0610412004EXPIRES: 1212412004 VALUE: SITE ADDRESS: 3340 RALEIGHWOOD AVE ASSESSOR'S PARCEL NO.: 1703221205300 PROJECT DESCRIPTION: Install gas furnace and air conditioning OwNCT: KARTHER RICHARD C TE Address: 3340 RALEIGHWOOD AVE SPRINGFIELD OR 97477 Springfield TYPE OF WORJ(: Heating System TYPE OF USE: New Residential PhoneNumber: 541-726-1712 Contractor Tvpe Electrical Mechanical Contractor ROBS ELECTRIC INC COMFORT FLOW Expiration Date 08n4t200s 06t2712005 Phone s{t-686-s444 541-726-0100 License 156678 460 CONTRACTOR INFORMATION m # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: l$tbact: # ofStories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: o/o of Lot Coverage: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARJ(NG Total: Handicapped: Compact:LL EXPI REIFT R-3 HE WORK ts No't vN nla HA ER lHIS PERMIT R IS ABAN DONED r0R 0 ANY 18 Street Improvements: Storm Sewer Available: Special Instruction: Notes: ru1€0 adopted bY the Oregon UtilitY rules are set lorth hOAR gh oAB 952-001- 0000.}bt' of the rules bY calling tP center'(Note :the telePhone nunberlor the Orego lity Notificationn uti is 1-800-332 -2344\. $ Per Sq Ft or multiplier Square Footage or Bid Amount DEVELOPMENT INFORMATION Description Tvpe of Construction Pase I of3 Value Date Calculated Valuation Description I Building/C ombination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2004-00657ISSUED: 0612412004APPLIEDz 0610412004 EXPIRESz 1212412004 VALUE: tr'ees Paid Fee Description -Mechanical Issuance Fee- + l0Yo Administrative Fee + 7o/o State Surcharge Air Handling Unit Up to 10,000 Appliance Vent Furnace - up to 100,000 btu Gas Outlets 1-4 Minimum/Adj ustment Mechanical + l0o/o Administrative Fee + 7%o State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Total Amount Paid Amount Paid Total Value of Project Date Paid 6t4t04 6t4t04 6t4t04 6t4t04 6t4t04 6t4t04 6t4t04 6t4t04 6t24t04 6t24t04 6t24t04 6t24t04 Receipt Number 1200400000000000851 1200400000000000851 1200400000000000851 1200400000000000851 1200400000000000851 1200400000000000851 12004000000000008s1 12004000000000008s1 2200400000000000841 2200400000000000841 2200400000000000841 2200400000000000841 $10.00 $4.s0 $3.15 $8.00 $6.00 $12.00 $4.00 $1s.00 $4.60 $3.22 $43.00 $3.00 $116.47 Plan Reviews To Request an inspection call the 24 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. Gas Seryice: After line is installed and line has been connected to a minimum of one appliance including required testing. Presure test done at this point. 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. Pase 2 of3 Keoulred lnsnecttons Building/Combination Permit Status Issued 225 Fifth Street, Springlield, OR 541-726-3753 Phone 541-726-3676Eax 541-7 26-37 69 Inspection Line PERMIT NO: COM2004-00657ISSUED: 0612412004APPLIEDz 0610412004 EXPIRESz 1212412004 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 Pase 3 of3 225fifth Street Springfield, Oregon 97 477 541-726-3759 Phone eity of Springfield Official Receipt ,velopment Services Department Public Works Department RECEIPT #: 2200400000000000841 Date: 0612412004 7220:52.LM Job/Journal Number coM2004-00657 coM2004-006s7 coM2004-006s7 coM2004-006s7 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 7o/o State Surcharge + l0% Administrative Fee Amount Due 43.00 3.00 3.22 4.60 Item Total:$53.82 Payments: Type of Payment Paid By Received By Batch Number Number How Received Amount Paid CreditCard ROBS ELECTRIC llh 00420 024191 Phone $53.82 Paymenttotat: ffi 6/24t2004 Page I of I rlXiTXG.D 1. DESCRIPTION DESCRIPTION Permits are non-transfera not started within 180 days Suspended for 180 days. 7 Electrical Contractor Address in OAR 952{01-00 225 FIr',"IH STRIET . SPRINGFIELD, OF.97477 . PH:(541)726'3753 ' ELECTRICAL City Job Number Date -Authorized Signature 3. A. Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof aro sst rorflt 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 Amps/Volts Reconnect Only c. D s106.00 s 19.00 s50.00 $ 63.00 s 75.00 s125.00 $ 163.00 - $37s.00 $ s0.00 City Ztrynt --cr Supervisor License Number Expiration Date o Constr. Contr. Number Phone 4 Installation, Alteration or Relocation 201 Amps to 400 Amps S 69.00 401 Amos to 600 AmPs Sl00'00 Over 600 or 1000 Volts see "B" above.Expiration Date S ignature of Supervising Electrician zz>PanelNew Alteration or Extension Per One Circuit Each Additional Circuit or with Service or Feeder Perrnit Pump or irrigation Sigr/Outline Lighting Limited Energy/Res idential s 43.00 $ 3.00 s 50.00 s 50.00 s 25.00 Owners Name E. City Phone OWNER The installation is being *"a. [[0Td0E] I own which Limited Energv/commercial $ 45'00 .-.---- is not intended for sale, lease o]ffi.pERMlT SHALL EXpffif,{FfitfieWtl3ftermit Inspection Fee is $45.00 * Surcharges AUTHORIZED UNDER THI Owners Signature:COMMENCED OR IS AB ANY 180 DAY PERIOD.7Yo State Surcharge 10% Administrative Fee TOTALInsoection Reouest: 7 26-37 69 W l@(l.0.54<rrJ Shared Drive(T:/Building FormVElectrical Permit Application I{3.doc or or I 4z/uC 2 4zt U,Nru 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: COM2004-00657ISSUED: 0610412004APPLIED: 06/0412004EXPIRES: 1210412004 VALUE: SITE ADDRESS: 3340 RALEIGHWOOD AVE ASSESSOR'S PARCEL NO.: 1703221205300 PROJECT DESCRIPTION: Install gas furnace and air conditioning OwneT: KARTHERRICHARD C TE Address: 3340 RALEIGIIWOOD AyE SPRINGFIELD OR 97477 Springfield TYPE OF WORK: Heating System TYPE OF USE: New Residential Contractor Type Mechanical Contractor COMFORT FLOW R-3 VN \(\ Expiration Date 06127t2005 Phone s4t-726-0100 rrj \o'l \st \t qSSnacl' \s Nut # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: $e Square Footage or Bid Amount Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load:nla Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: o/o of Lot Coverage: REQUIRED PARI(NG Total: Handicapped: 1 1 Type: $ Per Sq Ft or multiplier CONTRACTOR INFORMATION Description Type of Construction Total Value of Project Value Date Calculated oR 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: COM2004-00657ISSUED: 0610412004APPLIED: 06/0412004 EXPIRESz 1210412004 VALUE: f,'ees Paid Fee Description -Mechanical Issuance Fee- + l0oh Administrative Fee + 7%o State Surcharge Air Handling Unit Up to 10,000 Appliance Vent Furnace - up to 100,000 btu Gas Outlets l-4 Minimum/Adj ustment Mechanical Total Amount Paid Amount Paid $10.00 $4.s0 $3.1s $8.00 $6.00 $12.00 $4.00 $1s.00 $62.65 Date Paid 6t4t04 6t4t04 614104 6t4104 6t4t04 6t4t04 6t4t04 6t4t04 Receipt Number 12004000000000008s1 12004000000000008s1 12004000000000008s1 1200400000000000851 1200400000000000851 1200400000000000851 12004000000000008s1 12004000000000008s1 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. I Gas Service: After line is installed and line has been connected to a minimum of one appliance including required testing. Presure test done at this point. 2 Rough Mechanical: Prior to Cover 3 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 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 Signature Paee2 of2 Date L Keourreo InsDecuons I 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone iity of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 1200400000000000851 Date: 0610412004 10:00:46AM Job/Journal Number coM2004-00657 coM2004-00657 coM2004-00657 coM2004-00657 coM2004-00657 coM2004-00657 coM2004-00657 coM2004-00657 Description + 7Yo State Surcharge + l0% Administrative Fee Furnace - up to 100,000 btu Air Handling Unit Up to 10,000 Appliance Vent Gas Outlets l-4 Minimum/Adj ustment Mechanical -Mechanical Issuance Fee- Amount Due 3. 1s 4.50 12.00 8.00 6.00 4.00 15.00 10.00 Item Total:$62.6s Payments: Type of Payment Paid By ehEkNumber Authorization Received By Batch Number Number How Received Amount Paid Check COMFORT FLOW djb 260t0 In Person $62.65 Payment totat: -56ffi 6/4/2004 Page I of I 'nru-