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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.