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Home My WebLink AboutPermit Mechanical 2004-03-25'!' GFIELD Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax S4l -7 26-37 69 Inspection Line PERMIT NO: COM2004-00328ISSUED: 0312512004APPLIEDz 0312412004 EXPIREST 0912612004 VALUE: SITE ADDRESS: 928 SHELLEY ST Springfietd TYPE OF WORI(: Heating System ASSESSOR'SPARCELNO.: 1703270000905 TYPE OF USE: New Commercial PROJECT DESCRIPTION: New 4 ton roof top hvac unit with ductwork and gas piping Owner: A MCKAy INVESTMENT CO Address: 2350 OAKMONT WAY STE 204 EUGENE OR 97401 PhoneNumber: 541-485-4711 Contractor Type Electrical Mechanical Contractor JB ELECTRIC COMFORT FLOW Expiration Date 03114t2008 06t27t2005 Phone 541-687-5770 54t-726-0100 License 104929 460 # of Units: 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: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Trees Rqd: . Paved Drive Rqd: oh of Lot Coverage: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: VN a REQUIRED PARKING Total: Handicapped: Compact: AfiENTION:OfU ttji o* i, r "' "*rffiffi;#,"ft g1 {otification Center' ;;;iil;-oot -oor o thrqqg'r' oAn-s-s2-oo bb6:vou t*v obtain copia's of tftb rules i ""-.liring-,he center' (Note: the tele-phone ;;#, ioitn" oregon Utilitv Notification A ^ n4 n..,^ . -o-nn-q3 2 -23A4). PUBLIC IMPROVEMENTS Notes: Page I of3 T s LVi\ r ML r un r r\ r \rslljlf_!:f.lll -rt Ullrl-rlt\ tr ll\-tt (rKlYlA I l(r1\ | 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: COM2004-00328ISSUED: 0312512004APPLIEDz 0312412004 EXPIRESz 0912612004 VALUE: Description Tvpe of Construction Fee Description -Mechanical Issuance Fee- + llYo Administrative Fee + 77o State Surcharge Air Handling Unit Up to 10,000 Furnace - up to 100,000 btu Gas Outlets 1-4 Minimum/Adj ustment Mechanical + l[Yo Administrative Fee + 7%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 3200400000000000016 3200400000000000016 3200400000000000016 3200400000000000016 3200400000000000016 3200400000000000016 3200400000000000016 2200400000000000289 2200400000000000289 2200400000000000289 2200400000000000289 Amount Paid $10.00 $4.s0 $3.1s $8.00 $12.00 $4.00 $21.00 $4.60 $3.22 $43.00 $3.00 $116.47 $ Per Sq Ft or multiplier Square Footage or Bid Amount 3t24t04 3t24t04 3t24104 3t24t04 3t24t04 3124t04 3t24t04 3126t04 3t26t04 3t26t04 3t26/04 f,'ees Paid Plan Reviews Revised Plan Review - SU 0312512004 03t25t2004 APP DH 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. 3 Rough Gas: After line is installed and required testing and capped if not attached to an appliance. 4 Rough Mechanical: Prior to Cover I Final Gas: When all gas work is complete. 2 Final Mechanical: When all mechanical work is complete. 5 Rough Electric: Prior to Cover 6 Final Electric: When all electrical work is complete. Rpnrrirpd fnsnpefinns Paee 2 of3 Valuation Deseription 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: COM2004-00328ISSUED: 0312512004APPLIEDz 0312412004 EXPIRESz 0912612004 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 witl 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 of3 **r 225 Fift r Street Springfield, Oregon 97 477 541-726-3759 Phone City of Springfield Officia; Receipt Development Services Department Public Works Department Receipt # : 2200400000000000289 Date: 0312612004 9207:29{]NI coM2004-00328 coM2004-00328 coM2004-00328 coM2004-00328 Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 1oh State Surcharge + l0o/o Administrative Fee 43.00 3.00 3.22 4.60 Item Total:$53.82 Type of Payment Paid By Received By Batch Number Authorization Number How Received Amount Paid Check JB ELECTRIC INC djb 14026 In Person Payment Total: $53.82 $s3.82 k225 FIFTE STREET . SPRINGFIELD, OR 97477 o PH:(541 PERMIT APPLICATION City Job Number -aJ|il out" IO}CA?rION OF TNSTEITATIOIV 3. LEGAL DESCRIPTION l-/ 03 )a Oooo o5 approval 200 Amps or less 201 Amps to 400 Amps Only New Alteration or Extension Per One Circuit Each Additional Circuit or with Service or Feeder Permit hasquirespecific I the followino ,and use Aaol -l-oo U ni./-T Permffs are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. 2. CoNTRACAIIR TNSTAT'IATION ONLY 3 -a?- A.New Residential - Single or Multi-Family per dwelling unit. Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder $106.00 $ r9.00 $50.00 B.Scnices or Fecders - Installation, Alterations or Relocetion: \VV c,6- Oc'Ow Plretreotfptt{4qgn auoqd a I or{t Addrepu eloN) 'ieluec aql ulllec u 600 Panel $ 63.00 $ 75.00 $ 43.00 $ 3.00 00-296 gyg qonolql 0 t00- t crel t6.96 €?{Ql aso LuPil6',Jtr Air t rtn uoEercl 6'UI^Ei-FalooP oi nort soJlnbai Mel uo6olo: 10 )lUr D. ro 600 Ai{0$llrr $125.00 'r , $163.00 $375.00 $ 50.00 NOIINSILV Super')isor License Number SBte-3 C. Temporary Services or Feeders Expiration Date tc- t-(31 Constr. Contr. Number i O'J q 2 q 3-rq.oB s Installation, Alteration or Relocation 200 Amps or less $ 50.00 201 Amps to 400 Amps $ 69.00 401 Amps to 600 Amps $100.00 Over 600 Amps or 1000 Volts see "B" above. Brrnch Circuits Expiration Date Signature of Electrician OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature 4, SABT{ITALAFASOVS 7oh State Surcharge l0% Administrative Fee TOTAL 1a. ito 3.8 ?- r-u I Owners Name c Tyl/ _ Address o City &tun" ? )qo/Pump or irrigation Sigr/Outline Lighting nruE.lWiscellaneous (Servicc/feeder not included) -Each Irstallation $ 50.00 $ s0.00 Limited EnergylResidential $ 25.00 Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges Inspection Request: 72G3769 53.s2 JOB DESCRIPTION L/-2 8c/-. 3.@ Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-7 26-37 69 Inspection Line Building/C ombination Permit PERMIT NO: COM2004-00328ISSUED: 0312512004APPLIEDz 0312412004 EXPIREST 0912512004 VALUE: SITEADDRESS: 92SSHELLEYST ASSESSOR'S PARCEL NO.: 1703270000905 TYPE OF USE: New PROJECT DESCRIPTION: New 4 ton roof top hvac unit with ductwork and gas piping Owner: A MCKAy INVESTMENT CO Address: 2350 OAKMONT WAY STE 204 EUGENE OR 97401 Contractor Type Mechanical Contractor COMFORT FLOW Expiration Date 06t27t2005 Commercial Phone 541-726-0100 Springfield TYPE OF WORK: Heating System PhoneNumber: 541-485-4711 License 460 CONTRACTOR INFORMATION # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water Type: \Q Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: VN SETBACKS Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: PARIflNG s C $ Per Sq Ft or multiplier Square Footage or Bid Amount Total Value of Project Pase I of2 @*vE Description Type of Construction Value Date Calculated i1 C\I -ttUtLLrlL\(, Il\ I LrI(lYlA I l(J1\ | v Dist: Valuation Description I Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541 -7 26-37 69 Inspection Line GFIELD Building/C ombination Permit PERMIT NO: COM2004-00328ISSUED: 0312512004APPLIEDz 0312412004 EXPIRESz 0912512004 VALUE: Fee Description -Mechanical Issuance Fee- + l0Yo Administrative Fee + 77o State Surcharge Air Handling Unit Up to 10,000 Furnace - up to 100,000 btu Gas Outlets 1-4 Minimum/Adj ustment Mechanical Total Amount Paid Amount Paid $10.00 $4.50 $3.15 $8.00 $12.00 $4.00 $21.00 $62.65 Date Paid 3t24t04 3t24t04 3t24t04 3t24t04 3t24t04 3t24t04 3t24t04 Receipt Number 3200400000000000016 3200400000000000016 3200400000000000016 3200400000000000016 3200400000000000016 3200400000000000016 3200400000000000016 Plan Reviews Revised Plan Review - SU 0312512004 0312512004 APP DH To Request an inspection call the24 hour recording at 726-3769. All inspection requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. I Rough Gas: After line is installed and required testing and capped if not attached to an appliance. 2 Rough Mechanical: Prior to Cover 3 Final Gas: When all gas work is complete. 4 Final Mechanical: When all mechanical work is complete. By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. 3t zsr o\ Owner Signature Pase2 of2 Date rr. t( pps rard I Kequrreo InsDectrons 's$rs&'gh, f*s1*aI*t, 225 FWf'n STREET . SPRINGFIELD, OR 97 47 7 . PH:(54 l)7 26-3753 . FAX:G4D726-3689 PERiviiT WCX.KSHEET City Job Number CoN\ Z-@Q.CP 3 za LOCATION OF PROPOSED WORK:qlg it.c-tta1 5t ASSESSORS MAP: TAX Lort l1o9z7eoagos PFIONE:4ts: qTtt ADDRESS: ECITY: I? L35 o OkAy^or1 I t^t L STATE: O(L ZIP:1t4o DESCRIMION Of WORIC NExJ LI--ror.'L rlv*a unlt k NEW: - REMODEL:- ADDITIOIT_- DEMOLISH: oTHEru ve,Iun: NAME ADDRESS PHONE ARCHITECT: CONTRACTOR'S NAME ADDRESS CONST. CONTRACTOR#EXPIRES PHONE GENERAL: uz' p*cnervrcar' C"-,{ort Ft"*, Hc$^g ELECTNCAL: TTE(UT Main Garage Carport Total Val+e Building Permit Fee Administrative Fee State Surcharge Total Fee Furnace Exhaust Hood Vent Fan No. Wood Stove/lnsert/Fireplace Unit Atr Un.I Mechanical Permit - State Issuance Administrative tee State Surcharge Total Mechanical Permit Fees SQ.IT X$/SQ.IT.= VALUE r g,u. "; rqrx>- q@ tz-'oo tq"D z\ 'oo L 1,g3 4.go 5-5,qa - 3. r.5 ITE/VI Fixtures Residential Bath(s) No. Sanitary Sewer .8. . 'Water FI. Storm Sewer FI. Plumbing Permit Administrative Fee State Surcharge Total Plumbing tees Demolition State Issuance Administrative fee State Surcharge Total Miscellaneous Permits FEE 'f Pmws 12101 .$4t.sa' bz.b E 225,rifth Street Springfield, Oregon 97 477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Receipt #: 3200400000000000016 Date: 0312412004 3:01:42PM coM2004-00328 coM2004-00328 coM2004-00328 coM2004-00328 coM2004-00328 coM2004-00328 coM2004-00328 Gas Outlets l-4 Furnace - up to 100,000 btu Air Handling Unit Up to 10,000 Minimum/Adj ustment Mechanical -Mechanical Issuance Fee- + 7Yo State Surcharge + l0%o Administrative Fee Item Total:$62.65 4.00 12.00 8.00 21.00 10.00 3.15 4.50 Type of Payment Paid By Received By Batch Number Authorization Number How Received Amount Paid Check COMFORT FLOW HEATING CO. jmp 25297 In Person Payment Total: $62.6s $62.65