HomeMy WebLinkAboutPermit Mechanical 2005-09-22OF SPRIN
Buitdin g/Co mbination Permit
Status: Issued
225 Ftfth Street, Springfield, OR
541:726-3753 Phone
541-726-3676Fa'x
541:7 26-37 69 Inspection Line
PERMITNO: COM2005-01171ISSUED: 0912212005
APPLIEDz 0812912005
E)PIREST 0312212006
VALUE:
SITE ADDRESS: 2720 20TH ST
ASSESSOR'S PARCEL NO.: 1703244204000
PROJECT DESCRIPTION: Install Heat Pump and Air Handler
Springfield TYPE OF
TYPEOF USE:
Heating System
New
Owner:
Address:
KAREN CARPENTER
2720?OTIJ STREET
SPRINGFIELD OR 97477
Oregon law re
10 through
tln c
quires
oAR 952
es are set forth
Residential
541-682-5r02
-001_
Expirationl
ote: the teirephone
trfication
''Date Phone
08tr4t2007 541-686-5444
06t27t2007 541-726-0100
Contractor TVpe
Electrical
Mechanical
Contractor
ROBS ELECTRIC INC
COMFORT FLOW
License
1s6678
460
# of Units:
Primary Occupancy Group:
Secondary Occupancy
Prim ary 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
VN
# of Stories:
Height of
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled
Overlay Dist:
# Street Trees
Paved Drive Rqd:
oh ofLot Coverage:
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:nla
REQUIRED PARI(NG
Total:
Handicapped:
Compact:
Sidewalk Type:
DownspoutVDrains
DEVELOPMENT I NFORMATION
PUBLIC IMPROVEMENTS
Notes:
1of 3
T ffi
on(;enter. T
Status: Issued
225 Fifth Street, Springfield, OR
541:726-3753 Phone
541-726-3676Fax
541:7 26-37 69 Inspe ction Line
Buitdin g/Co mbination Permit
PERMIT NO: COM2005-01171ISSUED: 0912212005APPLIEDz 0812912005E)?IRESz 0312212006
VALUE:
Valuation Description
Descrbtion Type of Construction
Fee Description
+ l0o/o Administrative Fee
+ 7oh State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
-Mechanical Issuance Fee-
+ l0o/o Administrative Fee
+ 7o/o State Surcharge
Air Handling Unit Up to 10,000
Heat Pump
Minimum/Adjustment Mechanical
+ l0%o Administrative Fee
+ 7Yo State Surcharge
Add, Alter, Extend Circ
- Minimum/Adjustment Electrical
Total Amount
Total Value of Project
Date Paid
8t29t0s
8t29t05
8t29t0s
8t29t05
8/31/05
8/31/05
8/31/05
8/31/05
8/31/05
8/31/05
9t22t05
9t22t05
9l22l0s
9t22t05
Value Date Calculated
Receipt Number
3200500000000000526
3200s00000000000526
3200500000000000526
3200s00000000000526
r200500000000001276
1200s00000000001276
r200s0000000000r276
1200500000000001276
r200500000000001276
1200s00000000001276
1200500000000001376
r 200500000000001376
1 200s00000000001376
r200s00000000001376
$ Per Sq Ft
or muftiplier
Square Footage
orBful Amount
Amount Paid
$4.60
$3.22
$43.00
$3.00
$10.00
$4.s0
$3.1s
$8.00
$12.00
$2s.00
$4.s0
$3.1s
$43.00
$2.00
$169.12
Fees
Plan Reviews
To Request an inspection call the24 hour recording at 726-3769. AII inspection requested before 7:00
a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following
work day.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Final Electric: When all electrical work is complete.
nsnections
2of3
*-:
CITY OF SPRIN
Status: Issued
225 Fifth Street, Springfield, OR
541:72G3753 Phone
541-726-36768ax
541:7 2G37 69 Inspe ction Line
Building/Co mbination Permit
PERMIT NO: COM2005-01171ISSUED: 0912212005APPLIEDz 0812912005E)GIRESz 0312212006
VALUE:
Rough Electric: Prior to Cover
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and I further certi$ 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 liom
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
3 of 3
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
City of Springfield Official Receipt
;velopment Services Department
Public Works Department
RECEIPT#: 1200500000000001376 Date: 0912212005 8:32:18AM
Job/Journal Number
coM200s-01l7l
coM2005-01l7l
coM2005-01l7l
coM2005-01l7l
Description
Add, Alter, Extend Circ
Minimum/Adjustment Electrical
+ l%o State Surcharge
+ l0% Administrative Fee
Amount Due
43.00
2.00
3.l5
4.50
Item Total:$s2.6s
Payments:
Type of Payment Paid By Received By
ChectrNumber
Batch Nunber
A-uftorization
Number How Received Amount Paid
Check GROUNDED ELECTRIC nJm I 185 In Person $52.65
Payment Total:
-Sffi
9122/200s lofl
a*tnararLD
Buildin g/Co mbination Permit
Status: Issued
225 Fifth Street, Springfield, OR
541:126-3753 Phone
541-726-3676Fax
541:7 26-37 69 I nspe ction Line
PERMIT NO: COM2005-01171ISSUED: 0812912005APPLIED: 0812912005
E)GIRESz 0212812006
VALUE:
SITE ADDRESS: 2720 20TH ST
ASSESSOR'S PARCEL NO.: 1703244204000
PROJECT DESCRIPTION: Install Heat Pump and Air Handler
Springfield TYPE OF
TYPE OF USE:
Heating System
New
- Owner:
Address:
Contractor Tvpe
Electrical
Mechanical
Contractor
ROBS ELECTRIC INC
COMFORT FLOW
Expiration Date
08t14t2007
06t27t2007
Residential
Phone
541-686-5444
541-726-0100
KAREN CARPENTER
2720zOTIt STREET
SPRINGFIELD OR 97477
PhoneNumber: 541-682-5102
License
156678
460
TION
# of Units:
Primary Occupancy Group:
Secondary Occupancy
Primary Construction Type
Secondary Construction
# of Bedrooms:
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setrack:
Solar Setbacks:
Street
Storm Sewer Available:
Special Instruction:
AIIE #
R-3 Height
Notifi
,"N in OA
0090.
calling
NU
rrwJSU
Overlay Dist:
# Street Trees
Paved Drive Rqd:
Yo ofLot Coverage:
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
B
REQUIRED PARKING
Total:
Handicapped:
Compact:
t\! I
UI\JDER
0RtSr
' Sidewalk Type:
DownspoutVDrains
Notes:
l of 3
l,U I I .Lrlt\U lt\t' (rKIYtA I r(r1\
Status: Issued
225 Fifth Street, Springfield, OR
541:126-3753 Phone
541-726-3676Fax
54lJ 26-37 69 I ns pe ction Line
BuildinglCombination Permit
PERMIT NO: COM2005-01171ISSUED: 0812912005APPLIEDz 0812912005E)GIRESz 0212812006
VALUE:
Description Type of Construction
Fee Descriptbn
+ l0o/o Administrative Fee
+ TVoState Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
-Mechanical Issuance Fee-
+ l0Yo Administrative Fee
+ 7Vo State Surcharge
Air Handling Unit Up to 10,000
Heat Pump
Minimum/Adj ustment Mechanical
Total Amount
Total Value of Project
Date Paid
8t29t05
8t29t05
8t29tos
8t29tos
8/31/05
8/31/05
8/31/05
8/31/0s
8/31/0s
8/31/05
Value Date Calculated
Receipt Number
3200s00000000000526
3200500000000000s26
3200500000000000526
3200s00000000000526
1200s00000000001276
1200s00000000001276
1200500000000001276
1200500000000001276
1200s00000000001276
1200500000000001276
$ Per Sq Ft
or muftiplier
Square Footage
or Bid Amount
Amount Paid
$4.60
$3.22
$43.00
$3.00
$10.00
$4.s0
$3.1s
$8.00
$r2.00
$25.00
$1r6.47
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 Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Reouired Insnections
2of3
Yaluatioalcseuptrou l
rees raro I
F
Buildin g/Co mbinatio n Permit
Status: Issued
225 Fifth Street, Springfield, OR
541:726-3753 Phone
541-72636768ax
S4l:7 2647 69 Ins pe ction Line
PERMIT NO: COM2005-01171ISSUED: 081291200s
APPLIEDz 0812912005E)PIRESz 0212812006
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 SpringfieH and the Laws of the State of Oregon pertaining to the work described herein,
and that NO OCC[ PAIICY will be made of any structure without permission of the Community Services Division,
Building Safety. I further certiff 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
atqli{mes during
permit card is
Owner or Contractors Signature
at the front of the property, and the approved set of plans will remain on the site
%/zr fcr,
D^tJ
3 of 3
225 Fifth Street
Springfield, Ore gon 97 477
541-726-3759 Phone
- 'T of Springfield Official Receipt
rzevelopment Services Department
Public Works Department
RECEIPT#: 1200500000000001276 Date:09/31/2005 2:01:39PM
Job/Journal Number
coM2005-01171
coM2005-01171
coM2005-01171
coM2005-01171
ccM200s-01171
coM2005-01l7l
Description
+ 1Yo State Surcharge
+ l0% Administrative Fee
Air Handling Unit Up to 10,000
Heat Pump
Minimum/Adj ustment Mechanical
-Mechanical Issuance Fee-
Amount Due
3. t5
4.s0
8.00
12.00
25.00
10.00
Item Total:$62.65
Payments:
Tlpe of Payment Paid By Received By
CfeckNumber
Batch Number
Auttorization
Number How Received Amount Paid
Check COMFORT FLOW djb 3 1057 In Person $62.65
Payment totat:
-56ffi
It
'(
,1
,l
813U2005 I of I
sP*ll{ltllELo
't
22SFIFTHSTREET . SPRINGFIELD, ORg7477 c PH:(541)726'3753 o FAX: (s4t)726-3689
ELECTRICAL TION
Date
City Job Number
1.3.
JOB DESCRIPTION
*
Permits are and expire if work is
not started within 180 daYs
Suspended for 180 daYs.
of issuance or if work is
,
Electrical Contractor P.ub's '/r, i
Service Included
1000 sq. ft. or less
Each additional500 sq. ft' or
portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
200 Amps or less
201 Amps to 400 AmPs
401 Amps to 600 AmPs
601 Amps to 1000 AmPs
Over 1000 AmpsA/olts
Reconnect OnlY
les set
TohStateSurcharge i
l0% Administrative Fee
TOTAL
drvelling unit.
$s0.00
$ 63.00
$ 75.00
s125.00
$163.00
$375.00
47!D
E|,
Address N, 0 {ox 7t Lr
pnone 6q
Signature of Supervising Electrician
DX@
C O NT RACT O R IN S T ALI,ATTON ONI Y B. Services or Feeders - Installation, Alterations or Relocation:
f zloz
City En)o^e-$ s0.00
Supervisor License Number {7t/y s C. Temporarl'services or Feerlers
Expiration Date lo-i-o Installation, Alteration or Relocation
200 Amps or less $ 50'00
201 Amps to 400 AmPs $ 69'00
Constr. Contr. Number t5e[7r
401 Amps to 600 AmPs $100.00
Expiration Date 8-t -LA01,/
I Ltt-{'/'t't
Over 600 Amps or 1000 Volts see "B" above,
2-/ ?New Alteration or Extension Per Panel
onecircuit I $43'oo
Each Additional Circuit or with I -
Service or Feeder Permii t $ 3'00
E.}Iiscellaneous(Service/feedernotinctuded)_Eachlnstallation
a
Owners Name
Address
City
OWNERINST
The installation is
is not intended for
Owners
Pump or irrigation
Sign/Outline Lighting
ATTENTION: Orego n lAftaocil&Ag8oridsrtial
on propeffI iSsah&ide n te r
Bffiffirddlt&rciatfollow rules adopt
or rent. in OAR 952-001-dflUnnm a
a
Inspection Reouest: 726-3769
\o(\o'SA-l Shared Drive(T:)/Building Forms/Electrical Permit Application I 43'doc
COMPLETE FEE
Nerv Residential - Single or
"\thTBH4%e
$106.00
$ 19.00
a)
$ s0.00
s s0.00
$ 2s.00
$ 45.00
Fee is $45.00 * Surcharges
calling the
number for the
is1
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
CITY
Building/C
PERMIT NO:
ISSUED:
APPLIED:
EXPIRES:
VALUE:
Permit
17,
08129t2005
08t29t2005
02t28t2006
SITE ADDRESS: 2720 20TH ST Springfield TYPE OF WORI(: Electrical Work Only
ASSESSOR'S PARCEL NO.: 1703244204000
TYPE OF USE: Addition Residential
PROJECT DESCRIPTION: Two Circuits for Heat Pump and Air Handler
PhoneNumber: 541-682-5102Owner:
Address:
Contractor Tvpe
Electrical
KAREN CARPENTER
27202OTIJ STREET
SPRINGFIELD OR 97477
Contractor
ROBS ELECTRIC INC
License
156678
Expiration Date
08n4t2007
Phone
541-686-5444
CONTRACTOR INFORMATION
I{ATION
# 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:
# 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:nla
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Sidewalk Type:
Downspouts/Drains:
REQUIRED PARI(NG
Total:
Handicapped:
Compact:
nne
number for the O
Center is
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
DEVELOPMENT INFORMATION
PUBLIC IMPROVEMENTS
Description Type of Construction
Page I of2
Value Date Calculated
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
^ 541-726-3769 Inspection Line
Building/Combination Permit
PERMIT NO: COM2005-01171ISSUED: 0812912005APPLIED: 0812912005EXPIRES: 0212812006
VALUE:
Fee Description
+ l0Vo Administrative Fee
+ 1Vo Stzte Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Total Amount Paid
Amount Paid
Total Value of Project
Date Paid
8129t05
8t29t05
8t29tos
8t29tos
$4.60
$3.22
$43.00
$3.00
$s3.82
Fees Paid
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 Electric: Prior to Cover
Final Electric: When all electrical work is complete.
By signaturer l 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 propertyo and the approved set of plans will remain on the site at all
times during construction.
Owner or Contractors Signature
Pase2 of2
Date
Receipt Number
3200s00000000000s26
3200500000000000526
3200500000000000526
3200s00000000000526
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
City of Springfield Official Receipt
evelopment Services Department
Public Works Department
RECEIPT #: 3200500000000000526 Date: 0812912005 3:02:02PM
Job/Journal Number
coM2005-01l7l
coM2005-01l7l
coM2005-01l7l
coM2005-01l7l
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 7%o State Surcharge
+ l0o/o Administrative Fee
Amount Due
43.00
3.00
3.22
4.60
Item Total:$53.82
Payments:
Type of Payment Paid By
CheckNumber Authorization
Received By Batch Number Number How Received Amount Paid
CreditCard ROBS ELECTRIC llh 062788 Phone $53.82
Payment Total:
-5s37
,(
8/29t2005 Page I of I
atrllafED
22SFIFIESTREET . SPRINGFIELD, OR 97477 o PE:(541)726-3753 r FAX:
PERMTTAPPLICATION Date
City Job
LEGAL DESCRIPTION
JOB DESCRIPTION
Permits are non-transferable and erpire if work is
i not started within f E0 days of issuance or if work is
Suspended for 1E0 daYs.
2.
Expiration Date o
Const. Cont Number
Expiration Date e
Signau:re of Supenrising Electician
Electical Coatractor WRZtcg ' 44
Amps
200 Amps
201Amps d14ti0'nter is 1
Address 401 Amps to 600 Amps
601 Amps to 1000 Amps
Over 1000 Arnp#olts
Reconnect Only
Supervisor License Number 3 :.SA 5 c.
City > { Phorc ,^-(-897
Date ?,n Z,&sr$e$-." .
Serwice Included
1000 so. ft. or less $105.00
Each additional 500 sq. ft. or
the center
r the Ore
0-332-
s125.00
$163.00
s375.00
Installationo Alteration or Relocation
200 Amps or less $ 50.00
-
201 Amps to 400 Anps S 69.00
401 Amps to 600 Amps 5100.00
Over 600 or 1000 Volts see "B" above.
z
/_a -os a 4 aA,O f 6a?)
A.
B.
D.
E.
New Alteration or Ertension Per Panel
One Circuit /
Each Additional Circuit or with
Service or Feeder Permit
s 43.00
$ 3.00
s 50.00
s 50.00
$ 2s.00
s 45.00
*/.2- C}t
Owners
Address r
PhoorQ!'o -0{5{
OWNERINSTALLATION
The installation is being made on Properfy I own which
is not intended for sale, lease or renl
Owners Signahre:
Pump or inigation
Sign/Outline Lighting
Limited Energy/Residential
Limited Energy/Commercial
Minimum Electric Permit Inspection Fee is 345.00 +
7%Stzte Surcharge
10% Administrative Fee
TOTAL
3. i {
.50
Inspection Request 726-37 69
4.
Sharcd Drive(T: YBuildin g FormVElectricat Permit APPlication I -03.doc
5
1.
Each by theModular
Feeder Center.
3.