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Home My WebLink AboutPermit Mechanical 2005-08-31F Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-726-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2005-00454ISSUED: 08/31/2005APPLIEDz 0412012005 EXPIRESz 0212812006 VALUE: SITE ADDRESS: 190 37TH ST ASSESSOR'S PARCEL NO.: 1702314202700 PROJECT DESCRIPTION: Heat pump and air handler Springfield TYPE OFWORK: Heating System TYPE oii usdi r'''jvt$:' Yor-t to '', , .,r _i,,; l€ Uregcn Utlilty :.,i. rliil' J'i rrt:e i-Ules are Set fOfth Residential 541-607-2780 Phone 54t-726-1677 541-683-2590 Owner: Address: Contractor Type Electrical Mechanical MARK BROOKS 190 37TH ST SPRINGFIELD OR 97477 bu may obtain copi ils Contractor License MCDIARMID CONTROLS INC 77023 ASSOCIATED HEATING & AIR CONDITIO 106275 calling the center. (Note: the telephone number for the Ore n Utilit Notification Expiration Date 10t24t2006 08/31/2005 CONTRACTOR # 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: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: Yo ofLot Coverage: Lot Size: Sq Ft lst Floor:R-3 VN K Sq Sq nn nla Occupant Load: Sidewalk Type: Downspouts/Drains: REQUIRED PARKING Total: Handicapped: Compact: Notes: Page 1 of 3 l, ull-url\ L; rN.r ultll4.{ I 1!2N_l Building/Combination Permit Status Issued 225Eifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2005-00454ISSUED: 08/31/2005APPLIED: 0412012005 EXPIRESz 0212812006 VALUE: Plan Reviews Description TvPe of Construction Fee Description -Mechanical Issuance Fee- + l0o Administrative Fee + 7o/o State Surcharge Air Handling Unit UP to 10'000 Heat Pump Minimum/Adj ustment Mechanical + l0o/o Administrative Fee + 7oh Stzte Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Total Value of Project Date Paid Value Date Calculated Receipt Number 2200500000000000514 2200500000000000514 2200500000000000514 2200s00000000000514 2200500000000000514 22005000000000005r4 2200500000000001188 2200s00000000001188 2200500000000001188 2200500000000001188 $ Per Sq Ft or multiplier Square Footage or Bid Amount Amount Paid $10.00 $4.s0 $3.1s $8.00 $12.00 $2s.00 $4.60 $3.22 $43.00 $3.00 4t29105 4t29t05 4t29105 4t29105 4t29105 4t29t05 8/31/05 8/31/05 8/31/05 8/31/05 Total Amount Paid $116.47 To Request an insPection call the 24 hour recording at726-3769'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' Fees Paid Pase 2 of3 -ru t3 Yaluation Descrintion I 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: COM2005-00454ISSUED: 08/31/2005APPLIED: 04t20t2005EXPIRES: 02t28t2006 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 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 wilt 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. dsr I SN /1,r Signature Date Page 3 of3 225Fifth Street Springfield, Oregon 97477 541-726-3759 Phone rrty of Springlield Official Receipt -. rvelopment Services Department Public Works Department RECEIPT#: 2200s00000000001188 Date:08/31/2005 2:31:52PM Job/Journal Number coM2005-00454 coM200s-004s4 coM2005-00454 coM2005-00454 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + lYo State Surcharge + l0o/o Administrative Fee Amount Due 43.00 3.00 3.22 4.60 Item Total:$53.82 Payments: Type ofPayment Paid By unecKI\umDer Authonzatron Received By Batch Number Number How Received Amount Paid CreditCard JEFF BROOKS nJm 616291 Phone Payment Total: $s3.82 -ffi J 8/31/2005 Page I of 1 *p.ntl{{lPteL& L2SFIFTHSTREET . SPRINGFIELD, OR97477 o PH:(541)726-3753 oFAX: (s4t)726'3689 PERMIT APPLICATION City Job Date 3 A. \orfaD JOB Permits are non-transferable and expire if work is ' not started within 180 days of issuance or if work is Suspended for 180 daYs. 1 Electrical Contractor llrzbta,on*l ,errho/s Address 7 Service Included 1000 sq. ft. or less Each additional500 sq. ft. or portion thereof Each Manufact'd Home or s106.00 $ 19.00 you to ModularDwelling $esssp$o bv Feeder on law requires the Oreoon sroi00 otification Center. Th ose rules a B. City Ea."/+,<- Phone 54/-7Zt '16 z7 Supervisor License Number zg@5 Expiration Date o -l-o'7 Const. Conff. Number 77/74, Expiration Date /o-71-OL of Supervising Elecrician Owners Nr Phone ->1&o OWNER ALLATION The installation is being made on properry I own which is not intended for sale, lease or rent' Owners Signature: zoo,q.-t$[i,19[h e center. (N ote : th e tel epbeno zo I n#,t$ffof X"lBg o res o n UflryT-otitqd.urt ;; i ;;; i" uffi .fidr,,is 1 -800-s3zzl64).$ 125.00 60t Amps to 1000 AmPs $163.00 Over 1000 AmpsA/olts $375'00 Reconnect Only $ 50'00 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 or 1000 Volts see "B" above. ,rru vqt C. D. New Alteration or Extension Per Panel one Circuit i/ $ 43'oo 3:S,*TJl::::,"f":H:i'*'* I $300 4s (3 E. Pump or irrigation Sigrr/Outline Lighting Limited EnergY/Residential Limited EnergY/Commercial Minimum Electric Permit Inspection Fee is $45.00 * Surcharges OD 4. -?-a?% State Surcharge 10% Administrative Fee TOTAL o s -r InsPection Request: 12G31 69 Shared DrivdT:)/Building Forms/Electrical Permit Applicatioo 1-03'doc i:':: $ s0.00 $ 25.00 $ 45.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-36768ax 541-7 26-37 69 Inspection Line B uilding/ C o mb in ati o n p e r mit PERMIT NO: COM2005-00454ISSUED: 0412912005APPLIED: 0412012005 EXPIREST 1012912005 VALUE: SITE ADDRESS: 190 37TH ST ASSESSOR'S PARCEL NO.: 1702314202700 A PROJECT DESCRIPTION: Heat pump and air handlLr )u may obtain c opies of (Note: the telephone regon Utili N Residential 541-607-2780 Phone 541-683-2590 Owner: Address: MARK BROOKS 190 37TH ST SPRINGFIELD OR 97477 lriing the center. number for the O Contractor TyPe Mechanical Contractor ASSOCIATED License HEATING & AIR CONDITIO 106275 Expiration Date 08/31/2005 # 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: Range Type: Energy Path: Sprinkled Building: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: o/o of Lot Coverage: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/CarPort Sq Ft Other: Occupant Load: R.3 VN rEt nla Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Sidewalk TyPe: Downspouts/Drains: REQUIRED PARKING Total: Handicapped: Compact: $ Per Sq Ft or multiplier Square Footage or Bid Amount alua Description TYPe of Construction Pase 1 of2 Value Date Calculated -E m Building/Combination Permit Status Issued 225 Fiflth Street, Springlield, OR 541-726-3753 Phone 541-726-3676Fax 541 -7 26-37 69 Inspection Line PERMIT NO: COM2005-00454ISSUED: 0412912005APPLIED: 0412012005EXPIRES: 101291200s VALUE: Fee Description -Mechanical Issuance Fee- + llYo 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 $25.00 $62.65 Total Value of Project Date Paid 4t29t0s 4t29t0s 4t29t0s 4t29t0s 4t29t0s 4t29t0s Receipt Number 2200500000000000514 2200500000000000514 22005000000000005r4 2200500000000000514 2200500000000000514 2200500000000000s14 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 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 0wner or Contrectors Signature Pase 2 of 2 Date q-L?o r ees rard I Keourreo lnsDectrons I 5( 225Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone City of Springfield Official Receipt .:velopment Services Department Public Works Department RECEIPT#: 2200500000000000s14 Date:04/29/2005 7:29:47PM Job/Journal Number coM2005-00454 coM2005-00454 coM2005-00454 coM200s-00454 coM2005-004s4 coM2005-00454 Description + 7Yo State Surcharge + l0%o Administrative Fee Air Handling Unit Up to 10,000 Heat PumP Minimum/Adj ustment Mechanical -Mechanical Issuance Fee- Amount Due 3.l s 4.50 8.00 12.00 25.00 10.00 Item Total:$62.6s Payments: Type ofPayment Check Number Batch Number Authorization Number How Received Amount Paid Paid By Received By ASSOCIATED HEATING & njm 12959 In Person $62.6s Check NC Payment Total:$62.6s 41291200s Page I of I alrnlltart&D