HomeMy WebLinkAboutPermit Mechanical 2006-09-12.tlHatlllrr
Status Issued
225Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-126-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2006-01149ISSUED: 0911212006
APPLIED: 09/0512006EXPIRES: 03112/2007
VALUE:
SITE ADDRESS: 443 S 37TH PL
ASSESSOR'S PARCEL NO.: 1702314301101
PROJECT DESCRIPTION: Install heat pump and air handler
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Owner:
Address:
Contractor Type
Electrical
Mechanical
JAMES FOSTER
443 S 37TH PL
SPRINGFIELD OR 97478
Contractor h\ \e\\
# 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 Improyements:
Storm Sewer Available:
Special Instruction:
,o
\6
of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
$
Paved Rqd:
o/o of Lot Coverage:
PhoneNumber: 541-726-6832
Date
tutgt2006
06t2s/2007
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Load:
REQUIRED PARKING
Total:
Ilandicapped:
Compact:
\o
\r
Sidewalk Type:
Downspouts/Drains:
Residential
Phone
541-726-8601
541-345-2838
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Notes:
Page 1 of3
Status Issued
225Fitth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37 69 Inspection Line
Buitding/C ombination Permit
PERMIT NO: COM2006-01149ISSUED: 0911212006APPLIED: 0910512006
EXPIRESz 0311212007
VALUE:
Description Tvpe of Construction
Fee Description
+ l0o/o Administrative Fee
+ 57o Technology Fee
+ 87o State Surcharge
Add, Alter, Extend Circ
Minimum/Adj ustment Electrical
-Mechanical Issuance Fee-
+ l0o/o Administrative Fee
+ 57o Technology Fee
+ 87o State Surcharge
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
220060000000000r269
220060000000000r269
220060000000000r269
2200600000000001269
2200600000000001269
3200600000000000529
3200600000000000529
3200600000000000s29
3200600000000000529
3200600000000000s29
3200600000000000529
3200600000000000529
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Amount Paid
$4.s0
$2.25
$3.60
$43.00
$2.00
$10.00
$4.50
s2.25
$3.60
$8.00
$12.00
$2s.00
9^2/06
9n2t06
9n2t06
9n2t06
9n2t06
r0/10/06
r0/10/06
10t10t06
10/r0/06
10/10/06
t0n0t06
r0/10/06
$120.70
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.
Paee 2 of 3
I
Valuation DeseriBtiot l
Fees rard I
Reouired lnsnections I
Status Issued
225Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3616 Fax
541 -7 26-37 69 Inspection Line
Buitding/C ombination Permit
PERMIT NO: COM2006-01149ISSUED: 0911212006APPLIED: 0910512006
EXPIRESz 0311212007
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.
b-to.-26
Owner or Contractors Signature Date
Pase 3 of3
G
Iifth Street
-S
p rin gfi eld, O re go n 97 47 7
341-726-3159 Phone
Ch, of Springfietd Official ReceiPt
\ elopment Services DePartment
Public Works Department
RECEIPT #: 3200600000000000529 Date: 1011012006 e:46:56AM
Job/Journal Number
coM2006-01149
coM2006-01149
coM2006-01149
coM2006-01149
coM2006-01149
coM2006-01149
coM2006-01149
Description
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Air Handling Unit Up to 10,000
Heat Pump
M in imum/Adj usfment Mechan ical
-Mechanical Issuance Fee-
Amount Due
2.25
3.60
4.s0
8.00
12.00
25.00
r 0.00
Item Total:$65.3s
Payments:
Type of Payment Paid By Received By
Check Number
Batch Number
Authorization
Number How Received Amount Paid
CreditCard JEFFREY ELLING djb 086454 In Person
Payment Total:
$65.3s
-$6-5F
cReceint I Page I of I
t0110/2006
t*nriadtfiilr"$
kpe
APFItt6FIS -CIv
225 FIFTH STREET . SPRINGFIELD, OR 97477 o PHz(541)12G3753 . FAX: (541)72G3689
ELECTRICAL CATION
City Job Number
I. I,/CATTONOFINSTAI.I.ATION
\1$\
Zte.{t1<,
LEGAL
JOB
Permits are non-transferable and if work
not started within 180 days of issuance or if work is
qr,
Due q -l)-eock
3. @MPLETE FEE SCIIEDUIE BELOW
A. New Rsidcntial - Singh or [tuld-Frmily pcr dwclling unlt.
Scrvice 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
$ 19.00
Suspended for 180 days
2. @NTRACTCIR INSTALLATTON ONLY B. Selvices or Feeders - Installatlon, Alterations or Relocation:
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
601 Amps to 1000 Amps
Over 1000 Amp#olts
Reconnect Only
Pump or irrigation
Sign/Outline Lighting
Limited Energ/Residential
$50.00
$ 63.00
$ 7s.00
$r25.00
$163.00
$375.00
$ s0.00
$ s0.00
$ 50.00
$ 25.00
$ 45.00
Fee
Electrical Contractor
Address
a
,*""7)(p'8@t[
W
Supervisor License Number +<7q s-C. Tcmporrry Scrvices or Feeders
/o 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 "8" above.
D. Brsnch Circuits.-.:
liew Aheration or Ertension Per Panel
onecircuit \ $43.00
Each Additional Circuit or with
Service or Feeder Permit $ 3'00
City 5a4l
Expiration Date
?st esdhst
7_do'5>1C-
vnonel)rfub837s
Constr. Contr. NumberCcB+ tQat ql
Expiration Date
Signature of
OWNER INSTALLATION
E. Miscellancous (Service/feeder not included) -Each lnstallation
4.bP
* Surcharges
4'bP
-_LM-
City
The installation is being made on property I own which Limited Energl/Commercial
is not intended for sale, Isase or rent. Minimum Electric Permit Inspection
Owners Signature:SUBTOTALOFABOVEj jl
8% State Surcharge
l0% Administrative Fee
rul-fif, YloInspection Request: 72637 69
q88.\BoD
Sharcd Driv(T:/Building Forms/Electrical Permit l-06.doc
['l]'\'o[:RIN( il:lI:l,l). OItl:( iON l
Building/Combination Permit
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-126-3676 Fax
541 -726-37 69 Inspection Line
PERMIT NO: COM2006-01149ISSUED: 0911212006APPLIED: 09/0512006
EXPIRES: 0311212007
VALUE:
SITE ADDRESS: 443 S 37TH PL
ASSESSOR'S PARCEL NO.: 1702314301101
PROJECT DESCRIPTION: Installl heat pump and air handler
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Phone Number: 541-726-6832
Expiration Date
tut9l2006
06t25t2007
Residential
Phone
541-726-8601
54r-345-2838
Owner:
Address:
Contractor Type
Electrical
Mechanical
JAMES FOSTER
4,13 S 37TH PL
SPRINGFIELD OR 97478
Contractor
MNB ELECTRIC INC
HOME COMFORT HEATING & AIR
License
t62t9t
84164
CONTRACTOR INFORMATION
# 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:
oh 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
nla
REQUIRED PARKING
Total:
Handicapped:
Compact:
Sidewalk Type:
Downspouts/Drains:
PUBLIC IMPROVEMENTS
Notes:
Paee I of3
ilh
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Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37 69 I nspection Line
Buildin g/Combination Permit
PERMIT NO: COM2006-01 149ISSUED: 0911212006APPLIED: 09/0512006
EXPIRESz 0311212007
VALUE:
Description Tvpe of Construction
Fee Description
+ l0'h Administrative Fee
+ 57o Technology Fee
+ 8olo State Surcharge
Add, Alter, Extend Circ
Minimum/Adj ustment Electrical
Total Amount Paid
Total Value of Project
Date Paid
Value Date Calculated
Receipt Number
2200600000000001 269
2200600000000001 269
2200600000000001 269
220060000000000 l 269
2200600000000001269
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Amount Paid
$55.35
$4.50
$2.25
$3.60
$43.00
$2.00
9fiz106
9n2t06
9n2106
9n2t06
9n2106
Fees Paid
Plan Reviews
To Request an inspection call the 24 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.
Renrrirpd Insnecfinns
Paee 2 of3
Valuation DescriBtior I
Al}g}ttl.}FI*Ll,
Status Issued
225 Fifth Sfreet, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541 -1 26-37 69 I nspection Line
Building/Combination Permit
PERMIT NO: COM2006-01 149ISSUED: 0911212006APPLIED: 09/0512006
EXPIRES: 0311212007
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 of3
il
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
C' of Springfield Official ReceiPt
L elopment Services Department
Public Works Department
RECEIPT #: 2200600000000001269 Date: 0911212006 2:35:35PM
Job/Journal Number
coM2006-01r49
coM2006-01149
coM2006-0il49
coM2006-0r t49
coM2006-01149
Description
Add, Alter, Extend Circ
M inimum/Adj ustment Electrical
+ 5% Technology Fee
+ 8% State Surcharge
+ ljYo Administrative Fee
Amount Due
43.00
2.00
2.25
3.60
4.50
Item Total:$55.3s
Payments:
Type of Payment Paid By
Check Number
Received By Batch Number
Authorization
Number How Received Amount Paid
CreditCard MNB ELECTRIC ilh 274072 Phone
Payment Total:
$55.35
555.J5
cReceint I Page I of I 9n2t2006