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Home My WebLink AboutPermit Mechanical 2004-07-14Status 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: COM2004-00870ISSUED: 0711412004APPLIED: 0711312004 EXPIREST 0111412005 VALUE: SITE ADDRESS: 2184 llTH ST ASSESSOR'SPARCELNO.: 1703261106400 TYPE OF USE: New PROJECT DESCRIPTION: Install duel fuel system - heat pump and gas furnace KING ELIZABETH 2184ITTH ST SPRINGFIELD OR 97477 Springfield TYPE OF WORK: Heating System Phone Number: 541-747-7252Owner: Address: Expiration Date 08n4t2005 06t2st2007 Residential Phone 541-686-5444 541-345-2838 Contractor Type Electrical Mechanical Contractor ROBS ELECTRIC INC HOME COMFORT HEATING & AIR License 156678 84164 CONTRACTOR INFORMATION # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: 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 lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: R-3 VN nla Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Sidewalk Tvoe: 'rH*us*IutrtRprne rF THE woRK REQUIRED PARIflNG Total: Handicapped: Compact: NOT THIS AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 1 $ Per Sq Ft or multiplier Square Footage of Bid Amount DEVELOPMENT INFORMATION Description Type of Construction Pase I of3 Value Date Calculated LiIqJ ItUlIJIrll\tr l1\I (J,F(JYIA I1.111\ I 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: COM2004-00870ISSUED: 0711412004APPLIED: 0711312004 EXPIRESz 0111412005 VALUE: Fees Peid Fee Description -Mechanical Issuance Fee- + l0oh Administrative Fee + llYo Administrative Fee + 7o/o State Surcharge + 7%o State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Appliance Vent Furnace - up to 100,000 btu Gas Outlets l-4 Heat Pump Minimum/Adj ustment Mechanical Total Amount Paid Amount Paid $10.00 $4.s0 $4.60 $3.15 $3.22 $43.00 $3.00 $6.00 $12.00 $4.00 $12.00 $11.00 $116.47 Total Value of Project Date Paid 7t14t04 7n4t04 7n4t04 7n4t04 7n4t04 7n4t04 7fi4t04 7n4t04 7n4t04 7n4t04 7n4t04 7n4t04 Receipt Number 2200400000000000922 2200400000000000922 2200400000000000930 2200400000000000922 2200400000000000930 2200400000000000930 2200400000000000930 2200400000000000922 2200400000000000922 2200400000000000922 2200400000000000922 2200400000000000922 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. Reorrired Insnections Paee 2 of3 L LI 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: COM2004-00870ISSUED: 0711412004APPLIEDz 0711312004 EXPIRESz 0111412005 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 T 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone --'y of Springlield Official Receipt -evelopment Services Department Public Works Department RECEIPT #: 2200400000000000930 Date: 0711412004 2:54:36PM Job/Journal Number coM2004-00870 coM2004-00870 coM2004-00870 coM2004-00870 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 7o/o State Surcharge + ljY, Administrative Fee Amount Due 43.00 3.00 3.22 4.60 Item Total:$s3.82 Payments: Type of Payment Paid By Received By Check Number Batch Number Authorization Number How Received Amount Paid CreditCard ROBS ELECTRIC llh 000440 014123 Phone Pavment Total: $53.82 -$m 71t412004 Page I of I ,llltflNaFtSl-l' 225 FIFTH STREET . SPRNGFIELD, OF.97477 . PII:(541)726-3153 r FAX: Ciry Job Number Permits are not started within 180 days ofissuance Suspended for 180 daYs. 1 Electrical Coutractor Address Ciry Supervisor License Number ExpirationDate 0 Constr. Contr. Number r 200 Amps or less 201 Amps to 400 AmPs 401 Amps to 600 AmPs 601 Amps to 1000 AmPs 200 Amps or less 201 Amps to 400 AmPs TION: Oreg on r#$p' d 0 u may obtain 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 E. Pump or irrigation S i g:r/Outtine Li ghting 7Yo State Surcharge 10% Administrative Fee TOTAL s 106.00 s 19.00 s50.00 $ 63.00 $ 75.00 $125.00 $ I 63.00 - $375.00 $ s0.00 Volts see "B" above. \r and expire kis ts B. Expiration Date -l L+ Sigoature of Supervising Electrician irr OAR Per Panel I bP a@V/-s 43.00 Owners Name Address City r.( r)'ri-nL,ei fcr the Oregon a or with t $ 3.oo OWNER DISTALLATION The installation is being made on proPefly I own which is not intended for sale, lease or rent. Owners Signature: LimitedEnergyiResidential - $25'00 Limited Energy/Commercial S 45'00 Nlinimum Electric Permit Inspection Fee is $45.00 lL Surcharges s s0.00 s 50.00 N4. \o .o(, Inspection Request: 726-37 69 t@ Shared Drive(T:)iBuilding Forms/Electrical Pemit Application 1{3'doc Phone a9 1 PERMIT w0RtF- ts N0t- Alteration or Relocation s 50.00 s 69.00 s 100.00 180 0 I Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541 -7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2004-00870ISSUED: 0711412004APPLIEDz 0711312004EXPIRES: 0111412005 VALUE: SITE ADDRESS: 2184 llTH ST Springfield TYPE OF WORI(: Heating System ASSESSOR'SPARCELNO.: 1703261106400 TYPE OF USE: New Residential PROJECT DESCRIPTION: Install duel fuel system - heat pump and gas furnace Owner: KING ELIZABETH Address: 2184llTH ST SPRINGFIELD OR 97477 PhoneNumber: 541-747-7252 Contractor Type Mechanical Contractor HOME COMFORT HEATING & AIR License 84164 Expiration Date 0612st2007 Phone s41-345-2838 ]TOR INFORMATION # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: # of Stories: Height of Structure Type of Heat: Water 'Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: o/o oILot Coverage: 1$ Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: R-3 YN nla {s.o PARJflNG $ Per Sq Ft or multiplier Square Footage or Bid AmountDescription Type of Construction Total Value of Project Value Date Calculated L} ItUIL[[r\ (, I-t\ I UI(IYTA t r!21] | Vatuatiou Deseripliqn l 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: COM2004-00870ISSUED: 0711412004APPLIEDz 0711312004 EXPIRESz 0111412005 VALUE: Fee Description -Mechanical Issuance Fee- + l0o Administrative Fee + 1Vo State Surcharge Appliance Vent Furnace - up to 100,000 btu Gas Outlets 1-4 Heat Pump Minimum/Adj ustment Mechanical Total Amount Paid Amount Paid Date Paid 7n4t04 7n4t04 7n4t04 7n4t04 7n4t04 7t14t04 7fi4t04 7n4t04 $10.00 $4.50 $3.15 $6.00 $12.00 $4.00 $12.00 $11.00 Receipt Number 2200400000000000922 2200400000000000922 2200400000000000922 2200400000000000922 2200400000000000922 2200400000000000922 2200400000000000922 2200400000000000922 $62.6s 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. Reouired Insnections 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 Pase2 of2 Date 'o \r F ees rfltfl I Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. CITY OF NGFIELD, OREGON 'z-t3-o 225 FIFTH STREEI . SPRINGFIELD,OR 97477 o PH:(sail 726-3753 r FA)L (54 7r726-36A9 FIFEtR;&tr,sffi3_*3, Alte",*ion D.v" E"t*g is @ 6t) s tr) Ctty Job Number coM2rp4_ 6c)g-?0 LOCATION OF PROPOSED WORK:I ASSESSORS MAP: TAX LoT:10 'L6 \\ o 6+00 PHoNE: 2?? - ?2-< a / ADDRESS: .S&vvr C q ST ZIP:. DESCRIMION OF WORK: NEW: - REMODEL:- ADDITIOIT-- DEMOLISH: OTHER VALUE: NAME ADDPJSS PHONE ARCHITECT: MH $'rr CONTRACTOR,S NAME ADDRESS CONST. CONTRACTOR#EXPIRES PHONE 8 e ELECTNCAL: ITEM Fixtures Residential Bath(s) No- Sanitary Sewer FI. Water FI. Storm Sewer Ft. Plumbing Permit Administrative Fee State Surcharge Total flumbing Fees Total Mechanical Permits Total Plumbing Permits Total Miscellaneous Permits TOTAL TEE ..{iJ hrF{t Furnace Exhaust Hood Vent Fan No. Wood Stove/lnsert/Fireplace Unit Mechanical Permit State Issuance Administrative Fee State Surcharge Total Mechanical Permit Fees Demolition State Issuance Administrative Fee State Surcharge Total Miscellaneous Permits @) tu PBuxar&bfug, tart CITY: 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone -^'y of Springfield Official Receipt - rvelopment Services Department Public Works Department RECEIPT #: 2200400000000000922 Date: 0711412004 10:15:43AM Job/Journal Number coM2004-00870 coM2004-00870 coM2004-00870 coM2004-00870 coM2004-00870 coM2004-00870 coM2004-00870 coM2004-00870 Description + 7Yo State Surcharge + l0% Administrative Fee Furnace - up to 100,000 btu Appliance Vent Gas Outlets 1-4 Heat Pump Minimum/Adjustment Mechanical -Mechanical Issuance Fee- Amount Due 3.15 4.50 12.00 6.00 4.00 12.00 I1.00 10.00 Item Total:$62.65 Payments: Type of Payment Paid By Received By Check Number Batch Number Authorization Number How Received Amount Paid Check HOME COMFORT jmp In Person Payment Total: $62.6s -m6r 0l 105 I 7n412004 Page I of I ryt