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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: