HomeMy WebLinkAboutPermit Mechanical 2005-06-27Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-726-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2005-00794ISSUED: 0612712005
APPLIEDT 0612312005EXPIRES: 1212912005
VALUE:
SITE ADDRESS: 102 WOODLANE DR
ASSESSOR'S PARCEL NO.: 1703262201800
PROJECT DESCRIPTION: Install heat pump and air handler
Springfield TYPE OF WORI(: Heating System
TYPE OF USE: New
Owner:
Address:
Contractor Type
Electrical
Mechanical
STEPHANIE KING
102 WOODLANE DR
SPRINGFIELD OR 97477
Expiration Date
12n3t2005
03t25t2006
Residential
Phone
s4t-461-0387
541-672-9510
PhoneNumber: 541-741-0499
Contractor
MAGELECTRIC INC
PACIFIC AIR COMFORT INC
License
149834
39237
CONTRACTOR INFORMATION
# 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:
# of Stories:
Height of Structure
Type of Ileat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
Vo oflot Coverage:
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
R-3
\rN
nla
Street Improvements:
Storm Sewer Available:
Special Instruction:
ATTENTION:Oregon tavv requtres you toNotes: follow rulcc adopt6o oy the oregon Utility
Notification Center. Those rules are set forth
in OAR 952-001-00I0 through OAR 952-001
0090. You may obtain copies of the rules bi
calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center is 1 -800-332-2944).
REQUIRED PARIilNG
Total:
Handicapped:
Compact:
Sidewalk Type:
I)ownspouts/Drains:
NOTIGE:
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 1BO DAY PERIOD.
DEVELOPMENT
PUBLIC IMPROVEMENTS
Paee I of3
\rlj
l, U ll-IrlN rJ lI\ [ (rl(JvlS f f!|N_]
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: COM2005-00794ISSUED: 0612712005
APPLIEDz 06123/2005
EXPIRESz 1212912005
VALUE:
Description Tvpe of Construction
Fee Description
+ l0oh Administrative Fee
+ 7o/o State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
-Mechanical Issuance Fee-
+ 10o Administrative Fee
+ 7oh Stzte Surcharge
Air Handling Unit Up to 10,000
Heat Pump
Minimum/Adj ustment Mechanical
Total Amount Paid
Total Value of Project
Date Paid
6t27tls
6127lvs
6t27t05
6t27t05
6t28t0s
6t28t05
6t28t0s
6128t05
6128t05
6t28t0s
Value Date Calculated
Receipt Number
2200500000000000839
2200s00000000000839
2200500000000000839
2200500000000000839
2200s00000000000844
2200500000000000844
2200500000000000844
2200500000000000844
2200s00000000000844
2200500000000000844
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Amount Paid
$4.60
$3.22
$43.00
$3.00
$10.00
$4.s0
$3.15
$8.00
$12.00
$2s.00
$116.47
Eces Pqid
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.
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.
Reorrired fnsneetions
Page 2 of3
T}.l
Valuation Descriotion ]
Status Issued
225 Fifth Street, Springfield, OR
54l-726-3753 Phone
541-726-3676Fax
541-726-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2005-00794ISSUED: 061271200sAPPLIEDz 0612312005EXPIRESz 1212912005
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
cD, !trflEt r[
D EV ELO P M ENT SE RV ! CES DE PAHTM E f\IT 225 FIFTH STREET
SPRINGFIELD, OR 97477
(541) 726_375s
FAX (541) 726-3659
www. ci. sp ri ngf i el d. o r. u sJwrc29,2005
Pacific Air Comfort
4680 Main Street
Springfield, Oregon 97478
Enclosed is a copy of the mechanical permit for the installation of a heat pump and air
handler to be installed at 102 Woodlane Drive, Springfield, Oregon.
When you obtained your permits, we assigned an incorrect job number to it. The correct
and existing job number for this project is COM2005-00V94. Please refer to this number
when requesting an inspection or information about the project. I am enclosing a copy of
the permit for you to keep for your records.
Thank you, and if you have any questions, please feel free to phone me at 726-3790
Sincerely,
Lisa Hopper
Building Safety Supervisor
cc: John Pearson
Encl
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: CO
ISSUED:
APPLIED:
EXPIRES:
VALUE:
06t28t200s
12t28t2005
SITE ADDRESS: 102 WOODLANE DR
ASSESSOR'S PARCEL NO.: 1703262201800
PROJECT DESCRIPTION: Install2 ton heat pump and air handler.
Springfield TYPE OF WORK: Mechanical Only
TYPE OF USE: Alteration Residential
- Owner:
Address:
Owner:
Address:
Contractor Type
Mechanical
KING SPENCER W
102 WOODLANE DR
SPRINGFIELD OR 97477
KING STEPHANIE L
102 WOODLANE DR
SPRINGFIELD OR 97477
Contractor
PACIFIC AIR INC
License
39237
Expiration Date
03t2st2006
Phone
541-672-9510
.\
# 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:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range
Energy
# Street
Paved Drive
oh of Lot Coverage:
Floor:
FIoor:
Other:
Load:
REQUIRED PARI(NG
Total:
Handicapped:
Compact:
Sidewalk Type:
Downspouts/Drains:
Notes:
Paee 1 of2
tle
1O
\o1
'19
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: COM2005-00811ISSUED: 0612812005APPLIED; 0612812005EXPIRESz 1212812005
VALUE:
Description Type of Construction
Fee Description
-Mechanical Issuance Fee-
+ l0oh Administrative Fee
+ 1Yo State Surcharge
Heat Pump
Minimum/Adj ustment Mechanical
Total Amount Paid
Total Value of Project
Date Paid
6t28t0s
6t28105
6t28t05
6t28t0s
6t28t05
Value Date Calculated
Receipt Number
2200s00000000000844
2200500000000000844
2200500000000000844
2200500000000000844
2200500000000000844
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Amount Paid
$10.00
$4.s0
$3.15
$12.00
$33.00
$62.65
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.
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 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
construction.
G'ffi
Owner or Contractors Signature
Pase 2 of 2
Date
Valuation Description I
hees l-errl I
[equlreofnsDectrons I
225Fifth Street
Sprin-gfield, Oregon 97 477
541-726-3759 Phone
r=:+y of Springlield Official Receipt
.-.ivelopment Services Department
Public Works Department
RECEIPT #: 2200500000000000844 Date: 0612812005 11:05:48AM
Job/Journal Number
coM2005-00811
coM2005-0081I
coM2005-0081I
coM2005-00811
coM2005-00811
Description
Heat Pump
Minimum/Adjustment Mechanical
-Mechanical Issuance Fee-
+ 7Yo State Surcharge
+ l0% Administrative Fee
Amount Due
12.00
33.00
10.00
3.15
4.50
ltem Total:$62.65
Payments:
Type ofPayment Paid By
Check Number
Received BY Batch Number
Authorization
Number How Received Amount Paid
Check PACIFIC AIR COMFORT, INC. jmP 10564 In Person $62.65
PaymentTotat: ffi
6t281200s Page I of I
ifw&
)
:
The foltowing
/.zoning. ahd
oproval.
225 FIFTH STREET . SPRINGFIELD, OR 97477 o PH:(541)726-3753 r FAX: (s4lffi,{-f,ffi
PERMIT APPLICATION
Cify Job N v Date
3.
LEGAL DESCRIPTION A.s,Service Included
1000 sq. ft. or less
Each additional 500 sq. ft. or
thereof
for the
201 Amps to 400 Cggfur is 1
401 Amps to 600 Amps
601 Amps to 1000 Amps
Over 1000 Amps/Volts
Reconnect Only
Pump or irrigation
Si grrlOutline Lighting
Limited Energy/Residenti al
Limited Energy/Commercial
7o/o State Surcharge
10% Administrative Fee
TOTAL
s r 06.00
$ 19.00
.00
$163.00
$37s.00
$ s0.00
$ s0.00
$ s0.00
$ 25.00
$ 45.00
$ 43.00 4-<. o'r
@
$ 3.00 cr
JOB
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
,
Electrical Contractor
Address
City lr,<Ol^l-Phone 4tot-rs87-c-
Supervisor License Number n7qzs C.
Expiration Date io -l-O /
Constr. Contr. Number /{?tsl
Expiration Date laqs-6
Signature of Electrician D.
Owners Name
racn rvrafiiarcF'Hfi"?{t"pt"gon law requires yo{l to
M";;i;;fffi1il;U$ifrIAf re d by the oreson pf lily
Feederi r, ii-: n Center. Those+ujesardS*f?ortL
B.
200 Amps or less
the center. (Note: the
Iustallation, Alteration or Relocation_
,
200 Amps or less $ 50.Q0
201 Amps to 400 Amps $ 69.00
401 Amps to 600 Amps $100.00
Over 600 or 1000 Volts see "8" above.
New Alteration or Extension Per Panel
One Circuit /
Each Additional Circuit or with
Service or Feeder Permit
E.Address
City Phone -C)
OWNER ALLATION
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature
Minimum Electric Permit Inspection Fee is $45.00 + Surchargesg)
3e>--V,r*
ry3.Y?
CITY OF SPRINGFIELD, OREGON
Inspection Request: 72G37 69
4.
Shared Drive(T:/Building FormVElectrical Permit Application l-03.doc
l.LOCATIAN COMPLETE FEE
Nerv
land use
BELOW
\
- Single oi Multi-Family per dwelling unit.
Services or Feeders
(Service/feeder
-
not included) -Each lnstallation
ITY
Building/Combination Permit
Status Issued
225 Fifth Street, Springlield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
PERMIT NO: COM2005-00794ISSUED: 0612712005APPLIED: 0612312005
EXPIRESz 1212712005
VALUE:
SITE ADDRESS: r02 WOODLANE DR
ASSESSORfS PARCEL NO.: 1703262201800
PROJECT DESCRIPTION: Install heat pump and air handler
Springlield TYPE OF WORK: Heating System
TYPE OF USE: New
Owner:
Address:
STEPHANIE KING
102 WOODLANE DR
SPRINGFIELD OR 97477
Expiration Date
t2113t2005
03125t2006
Residential
Phone
541-461-0387
s4t-672-9510
PhoneNumber: 541-741-0499
Contractor Type
Electrical
Mechanical
Contractor
MAG ELECTRIC INC
PACIFIC AIR COMFORT INC
License
149834
39237
CONTRACTOR INFORMATION
# 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:
# ofStories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
Yo ofLot Coverage:
R-3
VN
nla
REQUIRED PARI(NG
Total:
Handicapped:
Compact:
Sidewalk Type:
Downspouts/Drains:
DEVELOPMENT INFORMATIO
PUBLIC IMPROVEMENTS
Notes:
Paee I of3
L
IrUllJtrlL\ (, rlrI (r-FIJvrA r llJN I
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
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: COM2005-00794ISSUED: 0612712005
APPLIEDT 06123/2005
EXPIRESz 1212712005
VALUE:
Description Type of Construction
Fee Description
+ l0Yo Administrative Fee
+ 77o State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Total Amount Paid
Total Value of Project
Date Paid
6t27t05
6t27tus
6t27t05
6t27t05
Value Date Calculated
Receipt Number
2200500000000000839
2200500000000000839
2200500000000000839
2200500000000000839
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Amount Paid
$4.60
93.22
$43.00
$3.00
$s3.82
tr'pps Pnid
Plan Reviews
To Request an inspection call the24 hour recording at 726-3769. 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
Final Electric: When all electrical work is complete.
Reouired Insnections
Paee 2 of 3
Valuation Descriotion I
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 2637 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2005-00794ISSUED: 0612712005APPLIEDz 0612312005EXPIREST 1212712005
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
lity of Springfield Official Receipt
evelopment Services Department
Public Works Department
RECEIPT #: 2200500000000000839 Date: 0612712005 3:15:44PM
Job/Journal Number
coM2005-00794
coM200s-00794
coM2005-00794
coM2005-00794
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ l0% Administrative Fee
+ 7Yo State Surcharge
Amount Due
43.00
3.00
4.60
3.22
Item Total:$s3.82
Payments:
Type of Payment Paid By
CheckNumber Authorization
Received By Batch Number Number How Received Amount Paid
CreditCard LISA GRAY nJm 095258 Phone $s3.82
Payment Total:$s3.82
6t2712005 Page I of I