HomeMy WebLinkAboutPermit Mechanical 2005-08-19Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2005-01000ISSUED: 0811912005APPLIEDz 0712712005
EXPIRESz 0211912006
VALUE:
SITE ADDRESS: 405 24TII ST
ASSESSOR'S PARCEL NO.: 1703361410700
PROJECT DESCRIPTION: Install heat pump and air handler
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
PhoneNumber: 541-746-0283
Contractor Type
Electrical
Mechanical
Contractor
ROBS ELECTRIC INC
COMFORT FLOW
Expiration Date
08n4t2007
0612712007
Residential
Phone
541-686-5444
541-726-0100
Owner:
Address:
JULTE PEARCY
405 24TH 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 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:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
R-3
YN
nla
REQUIRED PARKING
Total:
Ilandicapped:
Compact:
A$ffretfiEreEv@gon law requires you Jo
-:l;rfi HH'B#,JiS'|.X:1-,8:X%i:Jij['.
in Op.n e52'001-0010 through OAR 952-001-
OOgl. Vlu nray obtain copies of the rules by
Ca]1ilrtl the cenr'er' (Note: theteiephone
;;;;t ior the oregon Utility Notitication
Certter is 1 -800-332-2344)'RE IF THE WORK
J PERfulIT IS NOT
'IUONED FOR
/ PTHIUU
Notes:
Pase 1 of 3
w m
BUILTING ll\rl2rlYLSJ
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
oh of Lot Coverage:
EtltoFtELD
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2005-01000ISSUED: 081191200sAPPLIEDz 0712712005
EXPIRESz 0211912006
VALUE:
Description Type of Construction
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
+ l0o/o Administrative Fee
+ 1Vo State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Total Amount Paid
Total Value of Project
Date Paid
7l28l0s
7t28t05
7t28t05
7t28t05
7t28t05
7t28t05
8/19/0s
8/19/05
8/19/0s
8/19/05
Value Date Calculated
Receipt Number
1200500000000001107
1200500000000001107
1200500000000001107
1200s00000000001107
1200500000000001107
1200500000000001107
2200500000000001127
2200s00000000001127
2200500000000001127
2200500000000001127
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Amount Paid
$10.00
$4.50
$3.1s
$8.00
$12.00
$2s.00
$4.60
$3.22
$43.00
$3.00
$1r6.47
tr'ees Pnid
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.
Renrrired fnsneefinns
Paee 2 of3
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541 -7 26-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2005-01000ISSUED: 08119t200sAPPLIED: 07t27t2005EXPIRES: 02fi9t2006
VALUE:
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 woik perrormed shall be done in accordance withthe Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, andthat NO OCCUPAIICY 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 thestreet, 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
Pase 3 of3
r:lattD
L]
225 FIFTH STREET . SPRINGFIELD, OF.97477 o PII:(541)726'3753 o FAX: (54r)726'3689
ELECTRICAL APPLICATTON
Date Z- /a - o_f
City Job Number O/Ooo
1.LOCAT'ION OF INSTALIATION 3. COMPLETE FEE SCHEDALE BELOW
2/o5 .?+4--&rr-*
LEGAL DESCRIPTION
/7.o Service Included
1000 sq. ft. or less
Each additional 500 sq- ft. or
portion ttrereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
o
JOB DESCRIPTION
a-42'*-
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 daYs.
I
Electrical Contractor J E/",fr, i (^
Address N, 0 €,x /t Lr
Lnl pnone f,q t Itt'{'/'t'1
C O NT RACTOR lNSlHI I.AT I O N O N LY ServicesorFeeders-Installation,NterationsorRelocation:B.
200 Amps or less
201 AmPs to 400 AmPs
2 401 Amps to 600 AmPs
601 AmPs to 1000 AmPs
Over 1000 AmPs/Volts
Reconnect OnlY
$106.00
s 19.00
$50.00
$ 63.00
s 75.00
$ 125.00
$163.00
$375.00
s s0.00
?zlo
17ly s C. Temporarl'Serl'ices or Feeders
Expiration Date o"-t-o Installation, Alteration or Relocation
200 Amps or less S 50'00
201 Amps to 400 Amps $ 69'00
401 Amps to 600 AmPs $100'00Constr. Contr. Number t5L67r
Expiration Date 8 - l'/ -Loo'1
City 4-PlL
Signature of Supervising Electrician
v-
Owners
Address
Name
Over 600 Amps or 1000 Volts see "B" above'
D. Branch Circuits
{s-New Alteration or Extension Per Panel
OneCircuit / $43'00
Each Additional Circuit or with sd$=,Service or Feeder Permit
E.
City
OWNERINST
The installation 60H&Edffit B/EibhTHE W0
is not intended for fffftltlorn ruts PERMITI\&$Qtrn Etectric Permit Inspection Fee is $45.00 * Surcharges
Owners S ED OR IS ABAN 'q"'
7%o State Surcharge
10% Administrative Fee
TOTAL 52. {>
ANY 180 D
OMME
Inspection Request: 726-37 69
Shared Drive(T:)/Building Forms/Electrical Permit Application I -03'doc
ii
Supervisor License Number
Limited
$ 45.00
oNED F0ol.
"*ro ri or iiow
PERIOD"
Status: Issued
225 Fifth Stree! SPringfield' OR
541:726-3753 Phone
541-726-3676 Fax
541-7 26-37 69 InsPection Line
SITE ADDRESS: 405 24TH ST
ASSESSOR'S PARCEL NO.: 1703361410700
PROJECT DESCRIPTION: Install heat pump and air handler
Buitdin g/C ombination Permit
PERMIT NO: COM2005-01000ISSUED: 0712812005
APPLIED: 0712712005
EXPIRES: 01/2812006
VALUE:
Springfield TYPE OF
TYPE OF USE:
Heating System
New Residential
Lber: 541-746-0283Owner:
Address:
JULIE PEARCY
405 24TH ST
SPRINGFIELD OR 97477
: Oregon law re
of tne rutes
Contractor Type
Mechanical
Contractor
COMFORT FLOW er tor the
# of Stories:
Height of
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled
Overlay Dist:
# Street Trees
Paved Drive Rqd:
"h of Lot Coverage:
e Phone
541-726-0100
# of Units:
Prim ary Occupancy GrouP:
Secondary OccuPancY
Prim ary Construction TYPe
Secondary Construction
# of Bedrooms:
Frontyard Setback
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Sohr Setbacks:
Street
Storm Sewer Available:
Special lnstruction:
Notes:
R-3
VN
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Carage/CarPort
Sq Ft Other:
Occupant Load:nla
Sidewalk Type:
Downspouts/Drains
REQUIRED PARKING
Total:
Handicapped:
Compact:
$ Per Sq Ft
or m ultiplier
Square Footage
or Bkl Amount
IONIN
Desc rirrtion Tvpe of Construction
lof2
Value Date Calculated
rules
0090 the
the
ll v
Ait'i"lio'Dnv Prntoo'
LD
Status: Issued
225 Fifth Streef Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37 69 Inspection Line
Buildin g/C ombin ation Permit
PERMIT NO: COM2005-01000ISSUED: 0712812005
APPLIEDz 0712712005
EXPIRESz 0112812006
VALUE:
Fee Description
-Mechanical Issuance Fee-
+ l0o/o Administrative Fee
+ 77o State Surcharge
Air Handling Unit Up to 10,000
Heat Pump
MinimumiAdj ustment Mechanical
Total Amount
Total Value of Project
Date Paid Receipt Number
1200s00000000001 107
I 200s0000000000r 107
r200500000000001 107
1200s00000000001 107
l 200500000000001 107
1200500000000001 107
Amount Paid
$10.00
$4.s0
$3.rs
$8.00
$r2.00
$25.00
$62.65
7t28t05
7t28t0s
7t28t0s
7t28t05
7t28t05
7t28t0s
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 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 certiff that all
informafion 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 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
the street, that the permit card is
required inspections are requested at the proper time, that each address is readable from
of the property, and the approved set of plans will remain on the site
during cons
A (1'.1
Owner or Contractors re
at the front
2of2
Date
Keourred Insnectlons I
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
&Fr&rrr(iFt&i-D r:ty of Springfield Official Receipt
-velopment Services DePartment
Public Works Department
RECEIPT#: 1200500000000001107 Date: 0712812005 2:16:0lPM
.Iob/Journal Number
coM2005-01000
coM2005-01000
coM2005-01000
coM2005-01000
coM2005-01000
coM2005-01000
Description
+ 7Yo St^te Surcharge
+ ljYo Administrative Fee
Air Handling Unit Up to 10,000
Heat Pump
Minimum/Adjustrnent Mechanical
-Mechanical Issuance Fee-
Amount Due
3.15
4.50
8.00
12.00
2s.00
10.00
Item Total:$62.65
Payments:
Type of Pa1'ment Paid By Received 81'
Check Number
Batch Number Number How Received Amount Paid
Check COMFORT FLOW djb 30686 In Person $62.65
Payment Total:
-$6-67
7128t2005 lofl