HomeMy WebLinkAboutPermit Mechanical 2005-11-10Building/Combination Permit
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
S4l-7 26-37 69 Inspection Line
PERMIT NO: COM2005-01558ISSUED: llll0l2005
APPLIEDz lll02/2005EXPIRES: 05/1012006
VALUE:
vt
SITE ADDRESS: 222 6thst
ASSESSOR'SPARCELNO.: 1703353100700
PROJECT DESCRIPTION: Replace hvac unit
$lr'Yffi,Heating System
dt{ &Sf R rvht$filALL ExP I RE d6J,m#0 R
AUTHOBIZED UNDER THIS PERMIT IS NO
Springfield TYPE
TYPE
MME OR IS ABANDONED FOR
541-726-t961-' Owner:
Address:
SPRINGFIELD
222 6TH ST
SPRINGFIELD
INV
oR 97477
Contractor Type
Electrical
Mechanical
Contractor
C PERKINS ELECTRIC INC
MARSHALLS INC
License
159537
2s790
Expiration Date
04n512008
12t23t2005
Phone
54r-89s4466
s4t-747-7445
# 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:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
Yo ofl.,ot Coverage:
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:nla
REQUIRED PARJSNG
Total:
Handicapped:
Compact:
Sidewalk Type:
Downspouts/Drains:
," Notes:
Page I of3
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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: COM2005-01558ISSUED: llll0l2005APPLIEDz 1110212005
EXPIRES: 05/1012006
VALUE:
Description Tvpe of Construction
Fee Description
+ 1006 Administrative Fee
+ 77o State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
-Mechanical Issuance Fee-
+ l0o/o Administrative Fee
+ lYo State Surcharge
Heat Pump
Minimum/Adj ustment Mechanical
Total Amount Paid
Total Value of Project
Date Paid
Value Date Calculated
Receipt Number
1200500000000001679
1200500000000001679
1200500000000001679
1200500000000001679
2200500000000001s6s
2200500000000001565
2200s00000000001s6s
2200500000000001565
2200500000000001565
$ 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
$12.00
$33.00
$116.47
tU4t05
tu4l0s
tu4t05
tu4t05
11/10/05
11/10/05
1ll10/05
r1/10/05
r1il0l05
Fees Paid
Plan Reviews
SUB Review l1l08/2005 r1108/2005 APP JF
To Request an inspection call the24 hour recording at 726-3769. AII inspection requested before 7:00 a.m.
wilt be made the same working day, inspections requested after 7:00 a.m. will be made the following work
day.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Page 2 of3
Valuation Descrintion I
Reourred lnsDecttons I
\
Status fssued
:2.1llrlh Streer, Springfietd, oR
s4l-726-3753 phone
541-726i676Fax
547-7 26-37 G9 Inspection Line
Building/Combinafion Permit
PERMIT NO:
ISSUED:
APPLIED:
EXPIRES:
VALUE:
coM200s_01ss8
17/10/200s
tu02t200s
05n0/2006
By signature, I state and agree,that I have carefully examined the completed application and do hereby certify that a[information hereon is true and correct, and I further certify that any and all work shall be done in accordance withthe Ordinances of the City ofSpringfield and the Laws of the State of
performed
Oregon pertaining to the work described herein, andthat NO OCCUP ANCY will be made of any structure without permission of the Community Services Division, Building SafetyI 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 thestreet, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at alltimes during construction.
O.-02
Owner or Contractors Signature Date
Pase 3 of 3
225Fifth Street
Springfield, Oregon 97 47 7
541-726-3759 Phone
City of Springfield Official Receipt
\evelopment Services Department
Public Works DePartment
RECEIPT #: 2200500000000001565 Date: 11/10/2005 1:48:57PM
,i:,*
Job/Journal Number
coM2005-01558
coM2005-01558
qoM2005-015s8
qpM20o5-015s8
cbM2oos-ol5s8
qPM200s-01063
cpM200s-01063
coM2005-01063
coM2005-01063
coM200s-01063
coM2005-01578
coM2005-01578
coM2005-01s78
coM2005-01578
coM2005-01578
Description
+ 7oh Stzte Surcharge
+ l}Yo Administrative Fee
Heat Pump
Minimum/Adjustment Mechanical
-Mechanical Issuance Fee-
+ 7oh State Surcharge
+ llYo Administrative Fee
Heat Pump
Minimum/Adjustment Mechanical
-Mechanical Issuance Fee-
+ 7Yo State Surcharge
+ l}oh Administrative Fee
Pellet Stove/Insert
Minimum/Adj ustment Mechanical
-Mechanical Issuance Fee-
Amount Due
3. l5
4.50
12.00
33.00
10.00
3.15
4.50
12.00
33.00
10.00
3.15
4.50
30.00
1s.00
10.00
Item Total:$lE7.9s
Type of PaYment Paid BY Received By Batch Number Number How Received Amount Paid
f Check NJM
NJM
NJM
18924
18924
18924
$62.6s
$62.65
$62.6s
MARSHALL'S INC.
MARSHALL'S INC
MARSHALL'S
In Person
In Person
In Person
Payment Total:$187.9s
.lflU.lournal Number
coM200s-01s58
coM2005-01s58
coM2005-01558
coM200s-01558
coM200s-015s8
coM2005-01063
coM2005-01063
coM2005-01063
coM2005-01063
&uzoos-otoor
coM200s-01578
coM200s-01s78
coM2005-01s78
cpM20os-01s78
cbruzoos-otszg
It
ri,
Description
+ 7o/o State Surcharge
+ l|Yo Administrative Fee
Heat Pump
Minimum/Adjustrnent Mechanical
-Mechanical Issuance Fee-
+ 7% State Surcharge
+ l}Yo Administrative Fee
Heat Pump
Minimum/Adj ustment Mechanical
-Mechanical Issuance Fee-
+ 7o/o State Surcharge
+ l|Yo Administrative Fee
Pellet Stove/Insert
Minimum/Adj ustment Mechanical
-Mechanical Issuance Fee-
Amount Due
3. l5
4.50
12.00
33.00
10.00
3.15
4.50
12.00
33.00
10.00
3.15
4.50
30.00
15.00
10.00
ltem Total:$187.95
Check Number AuthorizationPfvments:
T$ie orrayment Received By Batch Number Number How Received Amount PaidPaid By
Check
Check
Check
NJM
NJM
NJM
18924
t8924
18924
$62.6s
$62.6s
$62.6s
MARSHALL'S INC.
MARSHALL'S INC.
MARSHALL'S
In Person
In Person
In Person
Payment Total:
);
tvt0l200s Page I of2
$187.9s
RECETPT". 2200500000000001565 Date: llll0l2005 1:48:57PM
Job/Journal Number
cbM2oo5-01558
coM2005-01558
coM2005-01558
,r' COM2005-01558' coM2005-01558
ibr'azoos-otoo:
c'buzoos-otoor
Qpuzoos-otoos
d0Nazoos-otoog
cbtr,tzoos-otoor
coM2005-01578
coM2005-01578
coM2005-01578
coM2005-01578
coM200s-01578
Description
+ 7oA State Surcharge
+ l0% Adminishative Fee
Heat Pump
Minimum/Adjustment Mechanical
-Mechanical Issuance Fee-
+ 7oh State Surcharge
+ l0% Administrative Fee
Heat Pump
Minimum/Adjustment Mechanical
-Mechanical Issuance Fee-
+ 7Yo State Surcharge
+ l0% Administrative Fee
Pellet StoveAnsert
Minimum/Adjustment Mechanical
-Mechanical Issuance Fee-
Amount Due
3. l5
4.50
12.00
33.00
10.00
3.15
4.50
12.00
33.00
10.00
3.15
4.50
30.00
15.00
10.00
Item Total:$187.9s
of Payment Paid BY Received By Batch Number Number How Received Amount Paid
Check
NJM
NJM
NJM
18924
18924
t8924
$62.65
$62.6s
$62.65Check
MARSHALL'S INC.
MARSHALL'S INC.
MARSHALL'S
In Person
In Person
In Person
Payment Total:$r87.9s
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11n012005 PaEe2 ofZ