HomeMy WebLinkAboutPermit Mechanical 2006-07-31Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541 -726-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2006-00956ISSUED: 0713112006
APPLIED: 0712812006
EXPIRESz 0411112007
VALUE:
SITE ADDRESS: 2164 ITTH ST
ASSESSOR'S PARCEL NO.: 1703252107900
PROJECT DESCRIPTION: New furnace and heat pump
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Phone Number: 541-988-1034
Expiration Date
09/01/2008
0312512010
Residential
Phone
541-74t-2236
541-672-95r0
Owner:
Address:
J ALAN BROWN
2164 ITTH ST
SPRINGFIELD OR 97477
Contractor Type
Electrical
Mechanical
Contractor
C & S ELECTRIC
PACIFIC AIR COMFORT INC
License
3849
39237
# 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 ImproYements:
Storm Sewer Available
Special Instruction:
# ofStories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
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
Center
Sidewalk Type:
Downspouts/Drains:
F,'S ruiirrirr SHALL EXPIRE lF THE W0RK
,\Ir iiILrriIi[[I UNDER THIS PERMIT IS NOT
,,f,,'11,;1EN0En CR IS ABAND0NED F0R
,l'.J:- i -', ,, i ,'ER|0D.
Notes:
Page I of3
t3
tsuILDIN1i !l\!_llt(luA r ruN.,l
Overlay Dist:
# Street
Paved Drive
oh of Lot
q.:r!1rr,"
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2006-00956ISSUED: 07/3112006
APPLIED: 0712812006
EXPIREST 0411112007
VALUE:
Description Type of Construction
Fee Description
-Mechanical Issuance Fee-
+ l0o/o Administrative Fee
+ 8olo State Surcharge
Furnace - up to 100,000 btu
Heat Pump
Minimum/Adjustment Mechanical
+ l0o/o Administrative Fee
+ 57o Technology Fee
+ 87o State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Total Amount Paid
Total Value of Project
Date Paid
Value Date Calculated
Receipt Number
2200600000000001076
2200600000000001 076
2200600000000001076
2200600000000001076
2200600000000001076
2200600000000001076
2200600000000001423
2200600000000001423
2200600000000001423
2200600000000001423
2200600000000001423
Amount Paid
$10.00
$4.s0
$3.60
$12.00
$12.00
$21.00
$4.90
$2.45
$3.92
$43.00
$6.00
$123.37
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
7t3y06
7/3U06
7t3u06
7t3!06
7t3u06
7/3u06
l0/1 1/06
r0/r 1/06
t0nu06
r 0/1 1/06
r0nu06
tr'ees Pa
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 Insnecfions
Page 2 of3
Yaluation Descrintion I
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-7 26-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2006-00956ISSUED: 0713112006APPLIED: 0712812006
EXPIRESz 0411112007
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
rl,' ii..
LiXLto-t.)--?.c;'ot
N NA.f",t{5/€rrl G.
225 FTFTH STREET o SPRINGFIELD, OR.97477 o PH:(541)726-3753 r FAX: (541)726-3689
r;i-.r!'{ 'i'lilcrl Ilrifilt'i I'r"{ Ptilrl]l ?'I oN
City Job Number
l. I ( t{ '.1 I Ii}If {}l;'I]\'.9'r:trI-.{.,1'l'I{)l\r
Date /o _ // -aoDb
3. t)t.J 1I l' Ll; !' ti f.li E S{-IIJlir}I 1I. I:i ItrL'I- O I t
-
A. l,cu llesidc'atirl - Sirrgle or I'lulti-Ftinilr' pul' rliitllirrt rirtil
Service Included
/04 /y+A Snzaaf
LEGAL DESCRI.
703 a5 a
PTION
/o1?ot>/
(3)(^), * s #traa
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
Each Manufact'd Home or
r is 1-800-33
Over 1000 AmpsA/olts
Reconnect Only
C. T'r'lu1)rrritt'.r' Scrr.iees oI' lil'('(lrrs
Installif bT ltf ratlon or Relocatlon
JOB DESCRIPTION $ 106.00
$ 19.00
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work ls
Suspended for 180 days.
Z. r-t rr". 1'1r.4{.'t { )Il lr\,'5-?',tI-I--t'/ I{r,\i {)-\rtl'
.,".,n.,, contractor C i S Eldl ir,
Address
Supervisor License Number
DExpiration Date
Constr. Contr. Number
Expiration Date
Signature of Supervising Electrician
e
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:
L
,n ^"1Lll-zzAL
601 Amps to 1000 Sa#e :00 _
$375.00
$ 50.00
SHALL EXPtRffi
UNDER THISPER
oue, o&pMl$5Nq6e 96,64a9ilffi0 FoB
D. BrtailY'i[8&oAY PERI0D
New Alteratlon or Extension Per Panel
13?lffiI,$fffi*r*
oo, o,SJT#eBEEp.
C
Orvners Y
Addr"r, C7 7# ,>f@- E. \lisctllrtti,oris (Serviccilcedcr nol includrrl) -Iirrlr Insi:rll:rtion
Phone Prlmp or irrigation $ 50.00
Limited Energy/Residential $ 25.00
Limited Energy/Commercial $ 45.00
I\'linlmum Electric Permlt Inspection Fee ls $45.00 * Surcharges
OWNER INSTALLATION
One Circuit
Each Additional Circuit or with
Service or Feeder Permit
4' :b'i"ffiLor'fft''Ii
8% State Surcharge
10% Administrative Fee
TOTAL
/ , or.oo 49
e $ 3.oo
nq Ct'
3.{)
/-l 0oG6-rtInspection Request: 726-3769
Shared Drive(T:)/Building Forms/Electrical Permit Applicarion l -06.doc
l,l
center.
the
I
RF-_
201 Amps edm$,th€
401 Ampq-fgffidtrfor
225 Fifth Street
Sp:ingfield, Oregon 97 477
541-726-3759 Phone
C:' of Springfield Official Receipt
L-, elopment Services Department
Public Works Department
RECEIPT #: 2200600000000001423 Date: 1011112006 10:57:30AM
Job/Journal Number
coM2006-009s6
coM2006-00956
coM2006-00956
coM2006-00956
coM2006-00956
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 5olo Technology Fee
+ 8% State Surcharge
+ l}Yo Administrative Fee
Amount Due
43.00
6.00
2.45
3.92
4.90
Item Total:$60.27
Paymentsl
Type of Payment Paid By
Check Number
Received By Batch Number
Authorization
Number How Received Amount Paid
CreditCard C & S ELECTRIC njm 319534 ln Person
Payment Total:
$60.27
-56-0z
cReceint I Page 1 of I t0nt/2006
*FrnilffiB
Status Issued
225 Fifth Street, SPringfield' OR
541-726-3753 Phone
541-726-3676 Fax
541 -726-37 69 InsPection Line
SITE ADDRESS: 2164 1TTH ST
ASSESSOR'SPARCELNO.: 1703252107900
PROJECT DESCRIPTION: New furnace and heat pump
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
PhoneNumber: 541-988-1034
Building/Combination Permit
PERMIT NO: COM2006-00956ISSUED: 0713112006
APPLIED- 0712812006
EXPIRES: 0l/3112007
VALUE:
Residential
Owner:
Address;
J ALAN BROWN
2164 ITTH ST
SPRINGFIELD OR 97477
Contractor Tvpe
Mechanical
Contractor
PACIFIC AIR COMFORT INC
License
39237
Expiration Date
0312512010
Phone
s4t-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:
Notes:
Building:nla
R-3
VN
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GarageiCarport
Sq Ft Other:
Occupant Load:Sprinkled
$ Per Sq Ft
or multiplier
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
oh of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Sidewalk Type:
Downspouts/Drains:
Square Footage
or Bid Amount
PUBL
Description Tvpe of Construction
Page I of 2
Value Date Calculated
I'UILDING INI UK1VTA T IUI\ I
Valuation Description I
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2006-00956ISSUED: 0713112006
APPLIEDz 0712812006
EXPIRES: 01/3112007
VALUE:
Fee Description
-Mechanical Issuance Fee-
+ l0oh Administrative Fee
+ 87o State Surcharge
Furnace - up to 100,000 btu
Heat Pump
Minimum/Adj ustment Mechanical
Total Amount Paid
Amount Paid
Total Value of Project
Date Paid
7t3u06
7t3y06
7t3u06
7t3u06
7t3U06
7t3u06
Receipt Number
2200600000000001076
2200600000000001 076
2200600000000001076
2200600000000001076
2200600000000001076
2200600000000001076
$10.00
$4.50
$3.60
$12.00
$12.00
$21.00
$63.10
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.
Reorr
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.
,,,"'/,-/a fuJ
Owner or Contractors Signature
Paee 2 oI 2
Date
]iees Parrl I
225 Fifth Street
Springfihd, Oregon 97 477
54I-726-3759 Phone
C;+', of Springfield Official Receipt
L- elopment Services Department
Public Works Department
RECEIPT #: 2200600000000001076 Date: 0713112006 11:38:38AM
Job/Journal Number
coM2006-00956
coM2006-00956
coM2006-00956
coM2006-00956
coM2006-00956
coM2006-00956
Description
+ 8%o State Surcharge
+ l\Yo Administrative Fee
Furnace - up to 100,000 btu
Heat Pump
Minimum/Adj ustment Mechanical
-Mechanical Issuance Fee-
Amount Due
3.60
4.50
12.00
12.00
21.00
10.00
Item Total:$63. I 0
Payments:
Type of Payment Paid By
UheckNumber Authortzatton
Received By Batch Number Number How Received Amount Paid
Check PACIFIC AIR COMFORT,INC. ddk 12812 In Person
Payment Total:
$63. I 0
-$63.-id'
cReceint I Page I of I 713t 12006