HomeMy WebLinkAboutPermit Mechanical 2003-11-03Status 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: COM2003-01103ISSUED: 1110312003APPLIED: 10i3012003EXPIRES: 0510412004
VALUE:
SITE ADDRESS: 433 S 32ND ST
ASSESSOR'S PARCEL NO.: 1702313402811
PROJECT DESCRIPTION: Install heat pump and air handler
Springfield TYPE OF WORI(: Heating System
TYPE OF USE: New Residential
Owner: DOUG ABRAMSON
Address: 433 S 32ND ST SPRINGFIELD OR 97478
PhoneNumber: 541-744-1957
Contractor Type
Electrical
Mechanical
Contractor
ROBS ELECTRIC INC
HOME COMFORT HEATING & AIR
License
1s6678
84164
Expiration Date
08fi4t2005
0612512007
Phone
541-686-5444
541-345-2838
TRACTOR INFORMATION
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
SETBACKS
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
Coverage
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
Type:
REQUIRED PARIilNG
Total:
Handicapped:
Compact:
\'t0*
\SNU'
R-3
VN
0s
Notes:
Page I of3
I'UILI-'II\U TNI'U NYTA:L.+:SJ
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CITY F
Building/C ombination Permit
PERMIT NO: COM2003-01103ISSUED: 1110312003APPLIED: 10/3012003EXPIRES: 05/0412004
VALUE:
Status Issued
225Eifth Street, Springfield, OR
541-726-3753 Phone
541-726-36768ax
541-7 26-37 69 Inspection Line
Description Tvpe 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
+ 7o/o State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Total Amount Paid
Total Value of Project
Date Paid
Value Date Calculated
Receipt Number
2200200000000001710
2200200000000001710
2200200000000001710
2200200000000001710
2200200000000001710
2200200000000001710
120020000000000241s
1200200000000002415
1200200000000002415
120020000000000241s
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Amount Paid
$10.00
$4.50
$3.rs
$8.00
$12.00
$25.00
$4.60
$3.22
$43.00
$3.00
$116.47
11/3/03
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tu3t03
tU3t03
tu3t03
tu3t03
tU4t03
tLt4t03
tu4t03
ry4t03
Plan Reviews
To Request an inspection caII 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.
1 Rough Mechanical: Prior to Cover
2 Final Mechanical: When all mechanical work is complete.
3 Rough Electric: Prior to Cover
4 Final Electric: When all electrical work is complete.
Paee 2 of3
Valuation Descrintion I
Hees Pnid I
Keourre(I lnsnectrons
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-36768ax
541-7 26-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2003-01103ISSUED: 1110312003APPLIED: 10/3012003
EXPIRES: 05/0412004
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
Pase 3 of3
225 Fifth Street t
Springfield, Oregon 97 477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Receipt #z 120020000000000241 5 Date: 1110412003 8:15:19AM
Job/Journal Number Description
coM2003-01103
coM2003-01103
coM2003-01103
coM2003-01103
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 7o/o State Surcharge
+ ljYo Administrative Fee
43.00
3.00
3.22
4.60
Item Total:$53.82
Payments:
Type of Payment Paid By Received By
Check Number
Batch Number AuthorizationNumber llowReceived Amount Paid
CreditCard ROBS ELECTRIC djb 00021 I 004495 In Person
Payment Total:
$s3.82
$s3.82
(
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: COM2003-01103ISSUED: 1110312003APPLIED: 10i3012003
EXPIRES: 05/0312004
VALUE:
SITE ADDRESS: 433 S 32ND ST
ASSESSOR'S PARCEL NO.: 1702313402811
PROJECT DESCRIPTION: Install heat pump and air handler
Owner: DOUG ABRAMSON
Address: 433 S 32ND ST SPRINGFIELD OR 97478
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New Residential
PhoneNumber: 541-744-1957
Contractor Type
Mechanical
Contractor
HOME COMFORT HEATING & AIR
License
84164
Expiration Date
06t25t2007
Phone
54r-34s-2838
CONTRACTOR INFORMATION
tu
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
SETBACKS
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
R-3
VN
# of Stories:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
o/" of Lot Coverage:
1
Size:
lst Floor:
2nd Floor:
Basement:
Garage/Carport
Sq Ft Other:
Impervious Surface Area:
REQUIRED PARIilNG
Total:
Handicapped:
Compact:
ORK
1HE
r0R
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Total Value of Project
Pase 1 of2
Description Type of Construction Value Date Calculated
C
\\\S
\80
Valuation Description I
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: COM2003-01103ISSUED: 1110312003APPLIED: 10/3012003
EXPIRES: 05/0312004
VALUE:
Amount Paid Date Paid Receipt Number
2200200000000001710
2200200000000001710
2200200000000001710
2200200000000001710
220020000000000r710
2200200000000001710
Fee Description
-Mechanical Issuance Fee-
+ l0o/o Administrative Fee
+ 7o/o State Surcharge
Air Handling Unit Up to 10,000
Heat Pump
Minimum/Adjustment Mechanical
Total Amount Paid
$10.00
$4.50
$3.15
$8.00
$12.00
$25.00
tu3t03
tu3t03
tu3t03
tu3t03
tu3t03
tu3t03
$62.65
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.
1 Rough Mechanical: Prior to Cover
2 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
times during construction.
//-23-23Z
Ownei or Contractors Signature
Pase 2 of 2
Date
f5.
11eesiiuq l
t(equrreo lnsDectrons I
225 Fifth Street 'r
Springfield, Oregon 97 477
541-726-3759 Phone
Ciff of Springfield Official Receipt
Development Services Department
Public Works Department
Receipt #: 2200200000000001 71 0 Date:tu03t2003 9:13:34AM
coM2003-01103
coM2003-01103
coM2003-01103
coM2003-01103
coM2003-01103
. coM2003-01103
+ lYo State Surcharge
+ lUY, Administrative Fee
Air Handling Unit Up to 10,000
Heat Pump
Minimum/Adj ustment Mechanical
-Mechanical Issuance Fee-
3.15
4.50
8.00
t2.00
25.00
10.00
Item Total:$62.6s
Type of Payment Paid By Received By Batch Number Authorization Number [Iow Received Amount Paid
Check HOME COMFORT djb In Person
Payment Total:
$62.6s
-$6ffif
325FIFTHSTREET. SPRINGFIELD;OR97477 O PH:(541)726-3753 'FAX:(541)726-3689
TION
City Job Number Date I oq
3.
LEGAL DESCzuPTION A.
Y#.*
JOB DESCRIPTION
t
Service Included
1000 sq. ft. or less
Each additional 500 sq. ft. or
thereof
Manufact'd Home or
Modular Dwelling Service or
Feeder
200 Amps or less
20I Amps to 400 Amps
401 Amps to 600 Amps
601Amps
Over 1000
to 1000
\N
{c,e
s 106.00
$ r9.00
$50.00
s 63.00
s 75.00
r25.00
163.00
5.00
s 50.00
s 69.00
s r 00.00
Panel
\s 43.00
s 3.00
Permits are non-transfera expire if
not started rvithin 180 days
Suspended for 180 days.
nce or if u'ork is
.,
Electrical Contractor
Address )55 n ((\
B.
D.
E.
20r
401
City
.tt
€trconn Ph"." GSkSqqq-,-) -
Supen isor License Number
Expiration out" l0 -O( -O q
@, 17/yr
I
Constr. Contr. Number
Expiration Date
Signature of Supervising Electrician
f - I /.-o-r-to 600 Amps
Over 600 or 1000 Volts see "B" above.
%L Nerv Alteration or Extension Per
One Circuit
Each Additional Circuit or with
Service or Feeder Permit
$$
o
City
Owners Name
Phone
OWI{ER ALLATION
The installation is being made on property I own
is not intended for sale, lease or renl
Owners Signature:
Pump or irrigation
Sign/Outline
lo/o Stzte Surcharge
l0% Administrative Fee
TOTAL
s 50.00
s s0.00
s 2s.00
$ 45.00
Inspection Fee is $45.00 * Surcharges
a
lnspection Request: 726-3769
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