HomeMy WebLinkAboutPermit Mechanical 2005-01-12Status Issued
225 Fifth Street, SPringfield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 InsPection Line
SITEADDRESS: 685 21ST ST
ASSESSOR'S PARCELNO.: 1703361210300
PROJECT DESCRIPTION: Heat pump and air handler
B uildin g/Com bin ation Permit
PERMIT NO: COM2004-01536ISSUED: 0111212005
APPLIEDz 1211512004
EXPIRESt 0711212005
VALUE:
Springfield TYPE OF WORI(: Heating
1aw req''lires
TYPE OF USE:New
e set tor
Residential
cen'ter' Tho AR 952-001-
Owner:
Address:
Contractor TYPe
Electrical
Mechanical
Contractor
ROBS ELECTRIC INC
COMFORT FLOW
Expiration Date
08/14l2005
0612712005
135
Phone
541-686-5444
541-726-0100
ALAN GULLO
68521STST SPRINGFIELD OR 97477
N OAR 95?.'obta Phone N
the
center (Note otitication
lsl
0090 You may D
License
156678
460
# 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 Instruction:
Notes:
# 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
Ft
R-3
\rN
UNriIIU
REQUIRED PARKING
Total:
Handicapped:
Compact:
Sidewalk Type:
Downspouts/Drains
$ Per Sq Ff
or multiplier
Square Footage
or Bid Amount
Description Type of Construction
Paee 1 of2
Value Datu Calculatei!
System
ru!
n util
toi\c"r
nla
Status Issued
31: Ilfrh Street, Springfield, OR541-726-3753 phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
Fee Description
-Mechanical Issuance Fee_
+ l0yo Administrative Fee
+ 7Yo State Surcharse
Air Handling Unit U"p to tO,OOO
Heat Pump
Milimum/Adjustment Mechanicat+ l0yo Administrative Fee+ 7%o State Surcharse
Add, Alter, Extend 6irc
Add, Alter, Extend Circ Ea Add
Total Amount paid
To Request an ins
will be made the s
day.
Building/Combination Permit
PERMIT NO
ISSUED:
APPLIED:
EXPIRES:
VALUE:
: COM2004-01536
0u12t2005
t2/15t2004
07n2t2005
Total Value of project
Receipt Number
1200500000000000021
r200s00000000000021
120050000000000002r
120050000000000002r
r20050000000000002r
r200500000000000021
r2005000000000000s3
r200s000000000000s3
r200s000000000000s3
r200s000000000000s3
$rr6.47
rpection caII the 24 hour recording at 726-3769. All inspection req uested before 7:00 a.m.ame working day,inspections req uested after 7:00 a.m. wiII bem ade the following work
Amount paid
$r0.00
$4.s0
$3.1s
$8.00
$12.00
$2s.00
$4.60
$3.22
$43.00
$3.00
Date Paid
t/5t05
t/5t0s
u5/05
7/st05
1t5t0s
t/5/05
ut2t05
1/12/05
t/12t05
t/12/05
Rough Mechanical: prior to Cover
Final Mechanical: When all mechanical work is complete.
Rough Electric: prior to Cover
Final Electric: When all electrical work is complete.
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that allinformation hereon is true and correct, and I further certify that any and all wort< perrormed shall be done in accordance withthe Ordinances of the City of Springfield and the Laws of ihe State Lf oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety.I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the
street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all
times during construction.
Owner or Contractors Signature
Page 2 of2
Date
\ - t2-* oS r-f v---
SPNINCFISLD rity of Springfield Official Receipt
,velopment Services Department
Public Works Department
225 f ifth Street
Springfield, Oregon 97477
541-726-3759 Phone
RECEIPT #: 1200500000000000053 Date: 0111212005 2:51:33PM
Job/Journal Number
coM2004-01536
coM2004-01536
coM2004-01536
coM2004-01536
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 7Yo State Surcharge
+ l0% Administrative Fee
Amount Due
43.00
3.00
3.22
4.60
Item Total:$s3.82
Payments:
Type of Payment Paid By
CheckNumber Authorization
Received By Batch Number Number How Received Amount Paid
CreditCard DAVID LAWLER/ROB'S
ELECTRIC
nJm 052324 Phone
Payment Total:
$s3.82
$s3.82
t/r2t200s Page I of I
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-7 26-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2004-01S36ISSUED: 01/05/2005APPLIEDz t2tt1t}004EXPIRBS: 07t05t2005
VALUE:
SITE ADDRESS: 685 21ST ST
ASSESSOR'S PARCEL NO.: 1703361210300
PROJECT DESCRIPTION: Heat pump and air handler
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New Residential
Owner:
Address:
ALAN GULLO
685 2IST ST SPRINGFIELD OR 97477
PhoneNumber: 541-995-1135
Contractor Type
Mechanical
Contractor
COMFORT FLOW
Expiration Date
0612712005
Phone
541-726-0100460
)R INFORMATION
# 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 Instruction:
Notes:
Sidewalk Type:
Downspouts/Drains:
R-3
VN
# of Stories:
Height of Structure
Type
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
o/o of Lot Coverage:
Lot Size:
Notilicatiqt
Oregon law
adoPted bythe
Center.Those rul6
401 0through
obtain dUpies ol
Center is
REQUIRED PARIflNG
Total:
Handicapped:
Compact:
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Total Value of Project
PUBLIC IMPROVEMENTS
Description Type of Construction
,,
Value Date Calculated
D
License
l, U lLl-rll\ tr r1\ I' Ul:{JYr.q:l .t!2fl
Valuation Description I
F
Building/Combination Permit
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541 -7 26-37 69 Inspection Line
PERMIT NO: COM2004-01536ISSUED: 01/05/2005APPLIEDz 1211512004EXPIRESz 0710512005
VALUE:
tr'ees Paid
Fee Description
-Mechanical Issuance Fee-
+ l0o/o Administrative Fee
+ 7oh State Surcharge
Air Handling Unit Up to 10,000
Heat Pump
Minimum/Adj ustment Mechanical
Total Amount Paid
Amount Paid
$10.00
$4.50
$3.1s
$8.00
$12.00
$2s.00
$62.6s
Date Paid
u5t05
U5t05
1/5/05
u5t05
1/5/05
u5t05
Receipt Number
1200s00000000000021
r200s00000000000021
1200s00000000000021
r200500000000000021
1200s00000000000021
1200s00000000000021
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.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical 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
during construction.
t/5r o5
Signature Date
Paee2 of2
+LLl
Kequlreo lnsDectrons I
225 Fifth Street
Springl, -ld, Oregon 97477
541-726-3759 Phone
Ctty of Springfield Official Receipt
r,elopment Services Department
Public Works Department
RECEIPT#: 1200500000000000021 Date:01/05/2005 10:05:52AM
Job/Journal Number
coM2004-01536
coM2004-01536
coM2004-01536
coM2004-01536
coM2004-01536
coM2004-01536
Description
+ 7%o State Surcharge
+ ljYo Administrative Fee
Air Handling Unit Up to 10,000
Heat Pump
Minimum/Adj ustment Mechanical
-Mechanical Issuance Fee-
Amount Due
3. l5
4.50
8.00
12.00
25.00
10.00
ti62.65
Payments:
Type of Payment Paid By
CheckNumber Authorization
Received By Batch Number Number How Received Amount Paid
Check coMFoRT FLOW HEATTNG djb 28077 In Person
Payment Total:
$62.65
-S62^6-f
y5l200s Page I of I
TPTIT{GFITLO
Item Total: