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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 attrltlaD