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Home My WebLink AboutPermit Mechanical 2003-10-14Building/Combination permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 phone 541-726-3676Fax 541-7 26-37 69 Inspection Line SITE ADDRESS: 2466 t7TIflpL ASSESSORTS pARCELNO.: 1703243400337 PROJECT DESCRIpTION: Install heating system Owner: THOMAS HENSEAddress: 2466 tTT}dpL SPRINGFIELD OR 97477 P^E_RMIT NO: COM2003-01048ISSUED: tO/14/2003APPLTED; 10t14t2003EXPIRES: 04fi7t2004 VALUE: Springfield TypE OF WORK: Heating System TypE OF USE: New License 156678 460 Expiration Date 08n4t2005 Contractor Tvpe Electrical Mechanical Contractor ROBS ELECTRIC INC COMFORT FLOW Residential Phone s4t-686-5444 541-726-0100 # of Buildings: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: SETBACKS Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: %o ofLot Coverage: REQUIRED PARKING Total: Handicapped: Compact: $l ORK E PUBLIC IMPROVEMENTS Notes: Page 1 of3 Floor: Floor: Ft Garage/Carport Sq Ft Other: Impervious Surface Area: tot'' tor the is1 R-3 YN the n F' Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-726-37 69 Inspection Line PERMIT NO: COM2003-01048ISSUED: 1011412003APPLIEDz 1011412003EXPIRESz 0411712004 VALUE: Description Type of Construction Total Amount Paid Total Value of Project Date Paid t0lt4t03 t0n4t03 t0n4t03 t0n4t03 10fi7t03 t0/17t03 t0n7l03 10fi7t03 t0n7t03 l0lt7t03 Value Date Calculated Receipt Number 2200200000000001659 2200200000000001659 22002000000000016s9 22002000000000016s9 1200200000000002338 1200200000000002338 1200200000000002338 1200200000000002338 1200200000000002338 1200200000000002338 $ 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 $8.00 $12.00 $2s.00 $116.47 tr'pps Peid 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. I Rough Electric: Prior to Cover 2 Final Electric: When all electrical work is complete. 3 Rough Mechanical: Prior to Cover 4 Final Mechanical: When all mechanical work is complete. Renrrired fnsnecfinns Paee 2 of3 I Valuation Descriotion I Fee Description + 10Yo Administrative Fee + lYo State Surcharge Addo Alter, Extend Circ Add, Alter, Extend Circ Ea Add -Mechanical Issuance Fee- + l0o/o Administrative Fee + lYo State Surcharge Air Handling Unit Up to 10,000 Heat Pump Minimum/Adj ustment Mechanical Building/Combination Permit Status Issued 225 Fifth Street, Springlield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2003-01048ISSUED: 1011412003APPLIEDz 1011412003EXPIRES: 0411712004 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 Springlield 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. {or r?r 03 or Signature Date Pase 3 of 3 225 Fifth Street { Springfield, Oregon 97 477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department 2:18:1 coM2003-01048 coM2003-01048 coM2003-01048 coM2003-01048 coM2003-01048 coM2003-01048 + 7oh State Surcharge + l}oh Administrative Fee Air Handling Unit Up to 10,000 Heat Pump Minimum/Adj ustment Mechanical -Mechanical Issuance Fee- 3.15 4.s0 8.00 12.00 25.00 10.00 Item Total:$62.65 Type of Payment Paid By Received By Batch Number Authorization Number How Received Amount Paid Check COMFORT FLOV/djb In Person Payment Total: $62.6s $62.6s 225 FIFTII STREET . SPRINGFIELD, OR97477 . E LE CTRI CAL P E RM IT AP P LI CATI ON Ciry Job Number ( Date I Z 17 +'- € LEGAL DESCRIPTION lTo3zLl3Ll oo337 JOB DESCRIPTION 4 NA z c-,rt**;*S Pernrits are non-transferable and expire ifrvork is not started tvithin 180 days of issuance or if rvork is Suspended for 180 days. 7 Electrical Contractor Address 6,4D726-3689t1I;i;'ii&il;'proiect as submitted has the 'ollowing.,,,",;;t, ;;;-;es not reguire specific land use .irt:,roval LD€- PIl: (541)726-3753 . FAX: 3. B. Zoning aui, rv t ri.€tl SignatUre A. Ciry 6tauo C9C-51q:1 Scrvice Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder 200 Amps or less 201 Amps to 400 Amps 40r 601 Over I sH4 UND EB $ r 06.00 s 19.00 ss0.00 Phone s 63.00 s 75.00 s r25.00 $ 163.00 $37s.00 s 50.00 s 69.00 s r00.00 d /VCEO Supen isor License Number QF / 7 / {t C. Expiration Date o-o/-D Constr. Contr. Number Expiration Date (-0{- Signature of Supervising Electrician Vt^ Over 600 or 1000 Volts see "B" above. D. Nerv One 113 E. ris r-g Utitity h so.oo Limited Energy/Residential $ 25.00 Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection F'ee is $45.00 * Surcharges Installation, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps Pump or iniga&mrto Sign/Outline Lighting 1Yo State Surcharge l0% Administrative Fee TOTAL Owners Name Address Z City S Owners Signature: tt, eL S€ Phone OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or renl LlL 3zz 16o 53 KzInspection Request: 726-3769 4. Shared DrivdT:)/Building Forms/Electrical permit Application I {3.doc IGGG Building/Combination Permit Status Issued 225 f ifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541 -7 26-37 69 Inspection Line PERMIT NO: COM2003-01048ISSUED: 1011412003APPLIED. 10n4t2003 EXPIRESz 0411412004 VALUE: SITE ADDRESS: 2466L7TIJPL ASSESSOR'S PARCEL NO.: 1703243400337 PROJECT DESCRIPTION: Install heating system Owner: THOMAS HENSE Address: 2466 ITTHPL SPRINGFIELD OR 97477 Springfield TYPE OF WORK: Heating System TYPE OF USE: New Residential Contractor Type Electrical Contractor ROBS ELECTRIC INC Expiration Date 08n4t200s Phone 541-686-5444 License 156678 CONTRACTOR INFORMATION BUILDIN( # of Buildings: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-3 SETBACKS Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: VN Dist: # Street Trees Rqd: Paved Drive Rqd: oh of Lot Coverage: {o$ s \e Square Footage or Bid Amount REQUIRED PARJilNG ,$e $ Per Sq Ft or multiplier Total Value of Project Page 1 of 2 Description Type of Construction Value Date Calculated \ Valuation Description o 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: COM2003-01048ISSUED: 10|1.412003 APPLIED: 10/14/2003 EXPIRESz 0411412004 VALUE: ['ees Fee Description + l0o/o Administrative Fee + 7Yo Stzte Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Paid $4.60 $3.22 $43.00 $3.00 Date Paid t0n4t03 t0n4to3 r0fi4t03 t0/14t03 Receipt Number 22002000000000016s9 2200200000000001659 22002000000000016s9 220020000000000r6s9 Total Amount Paid $s3.82 To Request an inspection call the24 hour recording at 726-3769. All inspection requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. I Rough Electric: Prior to Cover 2 Final Electric: When all electrical work is complete. By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature Date Reouired Insnect Pase2 of2 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone City'bf Springfield Official Receipt Development Services Department Public Works Department #z Date: coM2003-01048 coM2003-01048 coM2003-01048 coM2003-01048 + 7%o State Surcharge + lloh Administrative Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add 3.22 4.60 43.00 3.00 Item Total:$s3T2- Payments: Type of Payment Paid BY Received By Batch Number Authorization Number How Received Amount Paid Check Number CreditCard ROBS ELECTRIC DJB 000194 014198 In Person Payment Total: $53.82 $s3.82