HomeMy WebLinkAboutPermit Mechanical 2005-12-19Status 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: COM2005-01748ISSUED: 1211912005
APPLIEDz 1211912005
EXPIRES: 0611912006
VALUE:
SITE ADDRESS: 1035 S 45TH ST
ASSESSOR'S PARCEL NO.: 1802052405806
PROJECT DESCRIPTION: Install heat pump and furnace
Springfield TYPE OF WORJ(: Heating System
TYPE OF USE: New
NOTI
Expiration Date
1011212006
12n8,t2007
Residential
-746-1705
Phone
541-689-4708
541-461-4821
Owner:
Address:
Contractor Type
Electrical
Mechanical
JOANNE HOLCOMB
1035 S 45TH ST
SPRINGFIELD OR 97478
THIS PERMIT
AUTH ORIZED
SHALL
UNDER
r0D
Contractor
FINLEY ELECTRIC
COMMERCIAL AIR INC
License
161748
110075
# 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
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq to
R-3
\rN
o nla
n
ho se rules
ho PARJ(ING
sot
Compact:
Sidewalk Type:
Downspouts/Drains:
PUBLIC IMPROVEMENTS
Notes:
Pase I of3
THtS
l,UlLlrll\(r lI\I t IUYll!!!!y|1l l
Building/Combination Permit
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-1 26-37 69 Inspection Line
PERMIT NO: COM2005-01748ISSUED: 1211912005APPLIEDz 1211912005
EXPIRES: 0611912006
VALUE:
Description Type of Construction
Fee Description
-Mechanical Issuance Fee-
+ l0Yo Administrative Fee
+ 7oh State Surcharge
Furnace - up to 100,000 btu
Heat Pump
Minimum/Adj ustment Mechanical
+ l0o/o Administrative Fee
+ 8%o State Surcharge
Add, Alter, Extend Circ
Minimum/Adj ustment Electrical
Total Amount Paid
Total Value of Project
Date Paid
Value Date Calculated
Receipt Number
120050000000000182r
1200500000000001821
1200s00000000001821
1200s0000000000182r
1200500000000001821
1200500000000001821
2200600000000000062
2200600000000000062
2200600000000000062
2200600000000000062
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
t2n9t05
t2n9t05
t2n9l0s
12n9105
t2n9t05
t2n9t05
ut2t06
ut2t06
ut2t06
ut2t06
t'
Amount Paid
$10.00
$4.s0
$3.1s
$12.00
$12.00
$21.00
$4.s0
$3.60
$43.00
$2.00
$115.75
tr'ees 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.
Paee 2 of3
Valuation Deseriplion l
l(eourred InsDectrons
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: COM2005-01748ISSUED: l2ll9l2001APPLIED: 1211912005
EXPIRESz 0611912006
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 of 3
T r\i
225 Fifth Street
Springfield, Oregon 97 477
'541-726-3759 Phone
nity of Springlield Official Receipt
:velopment Services Department
Public Works Department
RECEIPT #: 2200600000000000062 Date: 0111212006 3:04:40PM
Job/Journal Number
coM2005-0r748
coM2005-01748
coM200s-01748
coM2005-01748
Description
Add, Alter, Extend Circ
Minimum/Adjustment Electrical
+ 8% State Surcharge
+ l0Yo Administrative Fee
Amount Due
43.00
2.00
3.60
4.50
Item Total:$s3.10
Payments:
Type of Payment Paid By
CheckNumber Authorization
Received By Batch Number Number How Received Amount Paid
CreditCard MICHAEL D FINLEY ddk 7l2l8D In Person 553.10
Payment Total:
-SffiId'
;
'l
ol
.,
t/12t2006 Page I of I
Imo
I
CITY OF PRIN
Buildin g/Co mbination Permit
Status: Issued
225 Fifth Street, Springfield' OR
541:726-3753 Phone
541-726-3676Fax
541 -7 26-37 69 I nspe ction Line
PERMIT NO: COM2005-01748ISSUED: 1211912005
APPLIED: 1211912005E}PIRESt 0611912006
VALUE:
ON
SITE ADDRESS: 1035 S 45TH ST
ASSESSOR'S PARCEL NO.: 1802052405806
PROJECT DESCRIPTION: Install heat pump and furnace
Springfield TYPE OF
TYPEOF USE:
Heating System
New
- Owner:
Address:
Contractor Tvpe
Mechanical
You ma
the center'(Note
litY Notitica Expiration Date
12n8t2007
Residential
Phone
541461482t
JOAI\INE HOLCOMB
1035 S 45TH ST
SPRINGFIELD
Notit
to
lrty
forth
Phone Number: 541-746-1705
les adoPte
ON: Oreg on law req
dbYtheO
uires You
regon ut
n
in OAR 952
the telePh License
one
C
on Uti
# of Unib:
Primary Occupancy Group:
Secondary Occupancy
Primary Construction Type
Secondary Construction
# of Bedrooms:
Frontyard Setbaclc
Side l Setback:
Side 2 Setback:
Rearyard Sefrack:
Solar Setbaclis:
Street
Storm Sewer Available:
Special Instruction:
Notes:
R-3
VN
# of Stories:
Height of
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled
110075
nla
r0R
Square Footage
or Bid Amount
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
IHIS
Aul
Sidewalk Type:
DownspoutVDrains
REQUIRED PARKING
Total:
Handicapped:
Compact:
$ Per Sq Ft
or multiplier
DEVELOPMENT INFORMATION
PUBLIC IMPROVEMENTS
Descripthn Tvpe of Construction
lof2
Value Date Calculated
\
6 NOT
Valuation Description I
t
B uildin g/ C o mbin atio n p er mit
Status: Issued
225 Fifth Street, Springfield, OR
5411264753 Phone
541-726-3676F.ax
" 541:7264769 Inspection Line
PERMIT NO: COM2005-017 48ISSUED: 1211912005APPLED: 1211912005E)PIRESz 0611912006
VALUE:
Fee Description
-Mechanical Issuance Fee-
+ l0oh Administrative Fee
+ 7oh State Surcharge
Furnace - up to 100'000 btu
Heat Pump
Minimum/Adj ustment Mechanical
Total Amount
Total Value of Project
Date Paid Receipt Number
1200500000000001821
1200500000000001821
1200500000000001821
1200500000000001821
1200500000000001821
1200500000000001821
Amount Paid
$r0.00
$4.s0
$3.1s
$12.00
$12.00
$21.00
$62.6s
t2n9t05
12fi9t05
t2n9t05
12fi9t05
12fi9105
t2n9t05
Plan Reviews
To Request an inspection call the24 hour recording at 726'3769, Nl
a.m. will be made the same working day, inspections requested after
inspection requested before 7:00
7:00 a.m. will be made the following
work day.
By signaturerl state and agree, that I havecarefully examined the completed apnlication and do hereby certify that all
information hereon is trueland correct, and r furthlr certiff that any "oo
,tt.ooit performed shall be done in accordance
with the ordinances of the city of springfield and the Laws of the st"t" or or"gon pertaining to the work described herein'
and that No occuplNCv ,rin n" made of any structure without permission oi the community Services Division'
Building Safety. I turther certiff that onry coniractors ano emptoyles wtro are in compliance with oRS 701'005 will be used
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete'
on this Project.
I agree
the
at
Owner or
uired insPections are requested at the proPer time,that each address is readable from
front of the ProPerff,and the aPProved set of plans will remain on the site
that
Signature
2of2
Date
ry
I ees raro I
225 Fifth Street
S;rringiield, Ore gon 97 47 7
541-726-3759 Phone
_tty of Springfield Official Receipt
Development Services D epartment
Public Works Department
RECEIPT#: 1200500000000001821 Date: 1211912005 10:27:33AM
Job/Journal Number
coM2005-01748
coM2005-01748
coM2005-01748
coM2005-01748
coM200s-01748
coM2005-01748
Description
+ 1Yo State Surcharge
+ l0o/o Administrative Fee
Fumace - up to 100,000 btu
Heat Pump
Minimum/Adj ustment Mechanical
-Mechanical Issuance Fee-
Amount Due
3. l5
4.50
12.00
12.00
21.00
10.00
Item Total:$62.65
Payments:
Tlrpe of Payment Paid By
uheckNumber Autnorization
Received By Batch Number Number How Received Amount Paid
Check COMMERCIAL AIR INC djb 2390 In Person $62.65
Payment Total:
-$62i-t
,;
4
li
,,1
]I
',.
-t
I
r}t1912005
1of1
*pilr{oFrrr-D
225 FIFTH STREET . SPRINGFIELD, OF.g7477 o PII:(541)?26-3753 o FAX: (54 r)726-3689
APPLICATTON
Ciry Job Number 1
3.1.
L ft,
JOB DESCRIPTION
(,t tt
Permits are non-transferable and expire if work is
r not started within 180 days of issuance or if work is
Suspended for 180 daYs.
2.
Electrical Contractor
Service Included
1000 sq. ft or less
Each additional500 sq. ft. or
portion thereof
Each Manufact'd Home or
$106.00
$ 19.00
$f*p0
$ 63.00
$ 75.00
$125.00
$163.00
$37s.00
$ s0.00
$ 43.00
$ 3.00
4 7,a 0
L/
Ciry
Address
Ya" " /-Y?'4'7o (
Supervisor License Number Sio s 5 c.
Expiration Date io- /_ 2ao7
Constr. Contr. Number /t, l7 ry {
Expiration Date /o * /2- 2aoL Over 600
Signature of Supervising Electrician D.
Service or
MlI SHALL
200 PERIOD.
201 Amps to 400 AmPs
401 Amps to 600 AmPs
601 Amps to 1000 AmPs
Over 1000 Amps/Volts
Reconnect Only
New Alteration or Extension Per Panel
One Circuit /
Each Additional Circuit or with
Service or Feeder Perrnit
Installation, Alteration or Relocation
200 Amps or less $ 50.00
201 Amps to 400 Amps $ 69-00
401 Amps to 600 AmPS $100.00
or 1000 Volts see "B" above.
B.
E.
l
),Name \**ton',uOwners
Address 15
City >obl-* o" 1Vb - 11lo--n--r
OWNER INSTALLATION
The instaltation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:
Minimum Electric Permit Inspection Fee is $45.00 * Surcharges
LE,oc
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Residential
Limited Energy/Commercial
7o/o Stzte Surcharge
l0% Administrative Fee
TOTAL
$ 50.00
$ 50.00
$ 25.00
$ 4s.00
53 tc
Inspection Request: 726-3169
4.
Shared Drive(T: /Building Forms/Electrical Permit Application l -03'doc
DtBN,
Prt r<x 2qta
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