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Home My WebLink AboutPermit Mechanical 2005-04-26Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Flx 541-7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2005-00485ISSUED: 0412612005 APPLIEDz 0412612005 EXPIRESz 1012612005 VALUE: SITE ADDRESS: 258023RD ST ASSESSOR'S PARCEL NO.: 1703244200100 PROJECT DESCRIPTION: Install heat pump and air handler Springfield TYPE OF WORK: Heating System TYPE OF USE: New PhoneNumber: 541-747-2218Owner: Address: Contractor Type Electrical Mechanical Contractor ROBS ELECTRIC INC COMFORT FLOW Expiration Date 08n4t2005 06t27t2005 Residential Phone s4t-686-s444 541-726-0100 RIIONDA DERRICKSON 2580 23RD ST SPRINGFIELD OR 97477 License 156678 460 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: R-3 law requlres You to adopted by the O Utility Those rules 40l0through obtain copies of the center.(Note: the forthe Oregon Utility VN Sprinkled nufinnpr Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: o/o of Lot Coverage: Load: REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: Downspouts/Drains: DEVELOPMENT INFORMATION PUBLIC IMPROVEMENTS Notes: Page 1 of3 a L(JI\(,TUYIAII('I\ I may I Building/C ombination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2005-00485ISSUED: 0412612005APPLIEDz 04126/2005EXPIRES: 1012612005 YALUE: Description Tvpe of Construction Fee Description -Mechanical Issuance Fee- + l0o/o Administrative Fee + l0Yo Administrative Fee + 7Vo State Surcharge + 7o/o Staje Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Air Handling Unit Up to 10,000 Heat Pump Minimum/Adj ustment Mechanical Total Amount Paid Total Value of Project Date Paid Value Date Calculated Receipt Number 1200500000000000514 1200500000000000s14 1200500000000000s09 1200500000000000s14 1200500000000000509 1200s00000000000509 r200500000000000s09 1200500000000000514 1200500000000000s14 r200s00000000000514 $ Per Sq Ft or multiplier Square Footage or Bid Amount Amount Paid $10.00 $4.s0 $4.60 $3.rs $3.22 $43.00 $3.00 $8.00 $12.00 $2s.00 4t26t05 4t26t05 4t26t05 4t26t05 4t26t05 4t26t0s 4t26t05 4t26t05 4t26t05 4t26t05 $116.47 tr'pps Peid 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 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. Reorrired fnsnections Page 2 of3 Valuation Descrintion I G 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: COM2005-00485ISSUED: 0412612005APPLIEDz 0412612005 EXPIRESz 1012612005 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 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 7-e€-o) Signature Date I or Pase 3 of3 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone City of Springfield Official Receipt __ :velopment Services Department Public Works Department RECEIPT #: 1200500000000000s14 Date: 0412612005 2:13:3ePM Jrb/Journal Number coM2005-0048s coM2005-00485 coM2005-00485 coM2005-00485 coM2005-00485 coM2005-00485 Description + 7o/o State Surcharge + l0o/o 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 Item Total:$62.6s Payments: Type of Payment Paid By Check Number Received By Batch Number Authorization Number How Received Amount Paid Check COMFORT FLOW djb In Person Payment Total: $62.6s -$6-ffi 29600 4/26t200s Page I ofl 225 FIFTH STREET . SPRINGFIELD' oR97477 o PH:(541)726-3753 r FAX: (541)726-3689 E LECT RI CAL PE RM IT APPLI CATI ON Date 4-?6 -6fCity Job Number Lo*tzoo g.- d,6\tJ- ZS 8O L3e t?o3 ZqqL c:ror(>o JOB DESCRIPTION *srsrtht{iFl&Lb ATTENfiOM Orcgonletrrucp ht Youto Each Manufact'd L 1{O}g0a-a3+o} Modular Dwelling Feeder $50.00 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsAy'olts Reconnect Only 1 3. A. z L Oci,\ Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. 2. Electrical Contractor Address ?,O.Bz)x 2kll Ciq E^+AA-pnon" w.!,:5499 Supervisor License Number Expiration Date Constr. Contr. Number Expiration Date Signature of Supervising Electrician 7,* Owners Name pfioad* \or.a."-Lt- Address City OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Installation, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps Over 600 or 1000 Volts see "B" above. B. C. D. $ 50.00 $ 69.00 $100.00 New Alteration or Extension Per Panel oneCircuit I $43.00 Each Additional Circuit or with Service or Feeder Permit $ 3'00 V3 ffi E. SPF'\Phone 2q - ZZt/ Pump or irrigation $ s0.00 Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 7o/o State Surcharge l0% Administrative Fee TOTAL Sign/Outline Lighting Limited Energy/Residential $ 50.00 $ 25.00 qL 32L Llbo 538LInspection Request: 126-37 69 4. Shared Drive(T:)/Building Forms/Electrical Permit Application l-03.doc I CITY OF OREGON LEGAL DESCRIPTION New 4u k .CO TALI.AWON ONLY &CATIAN OF frVS::TALI,AHO]V .rl4"{-s l1Lo(o1V FEE.SCXEDULE BELOW or Relocafion.. E RiZI U llranch Circuits IlIi scell ane s tis.{Serv.,iCe/feede r not included) -Each lnstallation SUBTATAL OTESOVN Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-7 26-37 69 Inspection Line OFS Building/C ombination Permit PERMIT NO: COM2005-00485ISSUED: 0412612005APPLIEDz 0412612005EXPIRES: 1012612005 VALUE: SITEADDRESS: 258023RDST ASSESSOR'S PARCEL NO.: 1703244200100 PROJECT DESCRIPTION: Install heat pump and air handler Springfield TYPE OF WORK: Heating System TYPE OF USE: New Phone Number: 541-747-2218Owner: Address: Contractor Type Electrical Mechanical Contractor ROBS ELECTRIC INC COMFORT FLOW Expiration Date 0811412005 061271200s Residential Phone s4t-686-5444 541-726-0100 RHONDA DERRICKSON 2580 23RD ST SPRINGFIELD OR 97477 License 156678 460 BUILDIN( # 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: # of Stories: Height of Structure Type of Heat: Water Type: RangeType: oh of Lot Coverage: law requires you to Oreg on Utility Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: R-3 VN ATTEN follow r les are S{orth by Sidewalk Type: Downspouts/Drains: REQUIRED PARKING Total: Handicapped: Compact: PUBLIC IMPROVEMENTS Notes: Paee I of3 (-(,l\tl(ALl(rl( 0090. You numlle# telePhone Notilication TICE: THIS PERMIT SHALL EXPIRE IF THE WORK AUIHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 1BO DAY PERIOD. Building/C ombination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2005-00485ISSUED: 0412612005APPLIEDz 0412612005 EXPIRESz 1012612005 VALUE: Description Tvpe of Construction Fee Descrintion + l0o/o Administrative Fee + lYo State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Total Amount Paid Total Value of Project Date Paid 4t26t0s 4t26t05 4t26t05 4t26t0s Value Date Calculated Receipt Number 1200500000000000509 1200500000000000s09 1200500000000000s09 r200500000000000s09 $ Per Sq Ft or multiplier Square Footage or Bid Amount Amount Paid $4.60 $3.22 $43.00 $3.00 $53.82 tr'pps Peid 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 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. Reorrired fnsnections Paee 2 of 3 Valuation Deseriplion 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: COM2005-00485ISSUED: 0412612005APPLIEDz 0412612005 EXPIRESz 1012612005 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 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 Page 3 of 3 rll 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone City of Springlield Official Receipt :velopment Services Department Public Works Department RECEIPT #: 1200s00000000000509 Date: 0412612005 1:0e:46PM Job/Journal Number coM2005-00485 coM2005-00485 coM2005-00485 c3M2005-00485 Description + lYo State Surcharge + l0% Administrative Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Due 3.22 4.60 43.00 3.00 Item Total:$s3.82 Plyments: T',pe of Payment Paid By Check Number Received By Batch Number Authorization Number [Iow Received Amount Paid CreditCard DAVID LAWLER djb 068555 In Person $53.82 Payment Totat: -5SBT t{ 4/261200s Page I of I