HomeMy WebLinkAboutPermit Mechanical 2005-12-21Status 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: COM2005-01754ISSUED: 1212112005
APPLIEDz 1212012005
EXPIRESz 0612712006
VALUE:
SITEADDR"ESS: 2420 ITTHST
ASSESSOR'S PARCEL NO.: 1703243400324
PROJECT DESCRIPTION: Install furnace and AC
Springfield TYPE OF WORJ(: Heating System
TYPE OF USE: New
PhoneNumber: 541-513-2742
Expiration Date
04nst2008
10t22t2007
Residential
Phone
541-895-4466
54r-726-7654
I owner:
Address:
MANUEL BALESTERI
2420 ITTH ST
SPRINGFIELD OR 97477
Contractor Type
Electrical
Mechanical
# 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 fnstruction:
Contractor
C PERICNS ELECTRIC INC
EUGENE HEATING & COOLING
License
1s9537
149452
trre (d
1o
,-Nt'
ioswY
1on9
.^"1\QN
nla
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
o/o of Lot Coverage:
REQUIRED PARJilNG
Total:
Handicapped:
Compact:
Sidewalk Type:
*$ffiw*$m.xpNotes:
Page I of3
a!aS Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
l-rJr\ l r(AL l lJr( r l\ r (,]]ql!z.I__j
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: COM2005-01754ISSUED: 1212112005
APPLIEDz 1212012005
EXPIRESz 0612712006
VALUE:
Description Tvpe of Construction
Fee Description
-Mechanical Issuance Fee-
+ l0/o Administrative Fee
+ 77o State Surcharge
Boiler/Comp Up To 100,000 btu
Furnace - up to 100,000 btu
Minimum/Adj ustment Mechanical
+ l0o Administrative Fee
+ 7Yo 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
1200500000000001848
1200s00000000001848
1200s00000000001848
r200s0000000000r848
1200500000000001848
120050000000000r848
2200500000000001755
2200500000000001755
220050000000000r755
2200s00000000001755
Amount Paid
$10.00
$4.50
$3.15
$12.00
$12.00
$21.00
$4.60
$3.22
$43.00
$3.00
$116.47
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
t2l2u05
t2t2u05
t2t2u05
t2tzu05
t2t2u05
t2t2u05
12t27t05
12t27t05
12t27t05
12t27105
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.
Reouired fnsnecfions
Paee 2 of3
Valuation Descrintion I
Ilees rard 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: COM2005-01754ISSUED: 1212112005
APPLIEDz 1212012005
EXPIRESz 0612712006
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
225 Fifth Street
Springfield, Oregon 97 477
541-'126-3759 Phone
-ity of Springfield Official Receipt
---./evelopment Services Department
Public Works Department
RECEIPT #: 2200500000000001755 Date: 1212712005 4:05:41PM
Job/Journal Number
coM2005-01754
coM2005-01754
coM2005-01754
coM2005-01754
Description
+ 7Yo State Surcharge
+ l0%o Administrative Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Amount Due
3.22
4.60
43.00
3.00
Item Total:$53.82
Payments:
Tvpe of Payment Paid By
CheckNumber Authorization
Received By Batch Number Number How Received Amount Paid
CreditCard C PERKINS ELECTRIC djb 326716 In Person $53.82
Payment Total :
-553.-ET
I
.rr
L
t2/271200s Page I of I
rumilrn
225 FIFTH STREET . SPRINGFIELD, OR 97477 ' PH:(541)726-3753
E LE CTRI CAL P ERM IT AP PLI CATI ON
City Job Number (9 t
I. I,OCATION OF INS'TALIA'ruON 3.
notS
ZLI l"rL {T
LEGAL DESCRIPTION
t2o3 "-q 3 r{ooSZ\
JOB DESCzuPTIONAJJ Z C-tf<-lyt'
Permits are non-transferable and expire if work is
not started \Yithin 180 days of issuance or if work is
Suspended for 180 daYs.
,...:'.
2. coN'tRAcroR TNSTALT-ATr0N oNLY
Electrical Contractor
Address ?o Rox //73
City erlo t ) / Phone /?l ^ y/4 4
Constr. Contr. Number s ?5 ? 7
?
Owners Name teS (
Address zq,b I s
City >Pr=\Phone .z7tz
OWNER INSTALLATION
The installation is being made on property I own which
is not intended for sale, lease or rent.
Services or Feeders - Installation, Alterations or Relocation:
200 Amps or less
201 Amps to 400 AmPs
401 Amps to 600 AmPs
601 Amps to 1000 AmPs
Over 1000 AmPs/Volts
Reconnect OnlY
drvelling uniLA.
AN
Minimum
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
$106.00
s 19.00
$50.00
B.
$ 63.00
$ 75.00
$125.00
$ 163.00
$375.00
$ s0.00
Supervisor License Number J?70- S
Expiration Date /a a/- a7
Expiration Date - /s -49
Si gnature of Supervising Electrician
on
ted
$ 50.00
ALL EXPIRETFTHE !ffiBfi
THIS P-EFMIT 6 n06
BANmNED-FWs.oo
n Fee is S;t5.00 + Surcharges
Owners Signature:4. SUBTOTAL OTI ABOW v L
7% State Surcharge
t0% Administrative Fee
TOTAL 8t
Inspection Request: 726-37 69
Shared Drive(T:)/Building Forms/Electrical Penrrit Application l-03.doc
. FAX:
zoninO
C-. ?.r!,u, Elffi"
C. Tenrporary'' Services o1 Feeders ,,
Installation' Alteration or Relocation
200 Arnps or less $ 50'00
201 Amps to 400 AmPs S 69'00
401 Amps to 600 AmPs $100'00
Over 600 Amps or 1000 Volts see "B" above'
D. Branch Circuits
New Alteration or Ertension Per Panel ,/ , or.oo |.13
OneCircuit I !
-_-Each Additional Circuit or with -f
Service or Feeder Permit I $ 3'00 )
E. Nliscellaneous (Service/feeder not includetl) -Each Installation
3zz
tl60
sj
Status: Issued
225 Fifth Street, Springfield OR
541426a753 Phone
541-7263676Fax
541:7 26-37 69 I ns pe ction Lin e
Buitding/Co mbin ation Permit
PERNtrT NO: COM2005-017 54ISSUED: 1212112005
APPLIEDz 1212012005E)GIRESz 0612112006
VALUE:
SITE ADDRESS: 242017TH ST
ASSESSOR'S PARCEL NO.: 1703243400324
PROJECT DESCRIPTION: Install furnace and AC
Springfield TYPE OF
TYPEOF USE:
Heating System
New Residential
Phone
541-895-4466
541-726-7654
' Owner:
Address:
MANUEL BALESTERI
2420 ITTIIST
SPRINGFIELD OR 97477
Phone Number: 541-513-2742
Contractor TYpe
Electrical
Mechanical
Contractor
C PERIilNS ELECTRIC INC
EUGENE HEATING & COOLING
License
1s9537
149452
Expiration Date
04n5t2008
10t22t2007
)R INFORMATION
equires you to
lollow ES
Lot Size:
Sidewalk Type:
Downspouts/Drains
p v
# of Unib:
Primary Occupancy Group:
Secondary Occupancy
Primary Construction Type
Secondary Construction
# of Bedrooms:
Frontyard Setback:
Side l Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street
Storm Sewer Available:
Special Instruction:
R-3
YN
nter. Those ru
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Fit Garage/Carport
nla
Sq Ft Other:
Occupant Load:
ter. (
e Oregon UtilitY Notif
Overlay Dist:
# Street Trees
Paved Drive Rqd:
o/o of Lot Coverage:
REQUIRED PARI(NG
Total:
Handicapped:
Compact:
H*f$t*wffiiln.r
DEVELOPMENT INFORMATION
PUBLIC IMPROVEMENTS
Notes:
1of 3
ITUIL.I-rII\(r rN.[ UIUY!f!! r.!!|1'!
F PRIN
Buildin g/Co mbination Permit
PERMIT NOr COM200S-01754ISSUED: 1212112005APPLIED: 121201200sE)PIRESz 0612112006
VALUE:
Status: Issued
225 Fifth Street, Springfield, OR
541:7264753 Phone
541-726-3676Fax
541:7 26-37 69 I nspe ction Line
Description Type of Construction
Fee Description
-Mechanical Issuance Fee-
+ l0o Administrative Fee
+ lVo State Surcharge
Boiler/Comp Up To 100,000 btu
Furnace - up to 100,000 btu
Minimum/Adj ustment Mechanical
Total Amount
Total Value of Project
DaG Paid
t2t2u05
12t21t05
t2t2u05
t2t2u0s
t2t2u0s
t2t2u0s
Value Date Calculated
Receipt Number
1200500000000001848
1200500000000001848
1200s00000000001848
1200500000000001848
1200s00000000001848
1200s00000000001848
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Amount Paid
$10.00
$4.s0
$3.15
$12.00
$r2.00
$21.00
$62.6s
Plan Reviews
To Request an inspection call the24 hour recording at 7263769. AII inspection requested before 7:00
a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following
work day.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
2of3
Valuation Description I
r ees raro I
t(eourreo InsDecnons I
OF SPRIN
Building/Combination Permit
PERMIT NO: COM2005-01754ISSUED: 1212112005APPLIED: 1212012005E)GIRESz 0612112006
VALUE:
Status: Issued
225 Fifth Street, Springfield, OR
541:726-3753 Phone
541-726-3676Fax
541:7 26-37 69 I nspe ction Line
By signaturer l state and agree, that I have carefully examined the completed applicdion and do hereby certify that all
information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance
with the Ordinances of the City of SpringfieH and the Laws of the State of Oregon pertaining to the work described herein,
and that NO OCCUPAI\CY will be made of any structure without permission of the Community Services Division,
Building Safety. I further certi$ 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 atl required inspections are requested at the proper time, that each address is readable from
the streel that the permit card is located at the front of the property, and the approved set of plans will remain on the site
at during construction
I z -zr- sS
Owner or Contractors Signature Date
3 of 3
L3LI
225 Fifth Street
Springfield, Oregon 97 477
541:726-3759 Phone
^ity of Springfield Official Receipt
,-,evelopment Services Department
Public Works Department
RBCEIPT#: 1200s00000000001848 Date: 1212112005 10:23:05AM
Job/Journal Number
coM2005-017s4
coM2005-01754
coM2005-0r7s4
coM2005-01754
coM2005-01754
coM2005-0r7s4
Description
+ 7Yo State Surcharge
+ l0%o Administrative Fee
Furnace - up to 100,000 btu
Boiler/Comp Up To 100,000 btu
Minimum/Adj ustment Mechanical
-Mechanical Issuance Fee-
Amount Due
3. l5
4.50
12.00
12.00
21.00
10.00
Item Total:$62.6s
Payments:
Tlpe of Payment Paid By Received By
CTectrNunEa
Batch Number
ffi
Number How Received Amount Paid
CreditCard FIRST CALL HEATING djb 050195 In Person
Payment Total:
$62.6s
-$6-2"6-f
;
li-
:f
.t
ll
I
t2t2U2005 lofl
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