HomeMy WebLinkAboutPermit Mechanical 2005-04-12Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541 -7 26-37 69 Inspection Line
Building/C ombination Permit
PERMIT NO: COM2005-00376ISSUED: 0411212005APPLIED: 03/3112005EXPIRES: 1011212005
VALUE:
SITE ADDRESS: 2756 VIEWMONT AVE
ASSESSOR'SPARCELNO.: 1703244100108
PROJECT DESCRIPTION: Install ac and heat pump
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
PhoneNumber: 541-461-0100
Expiration Date
08n4t2005
06t27t2005
Residential
Phone
541-686-5444
541-726-0100
Owner:
Address:
BARBARA COLE
943 SAVILLE AVE
EUGENE OR 97404
Contractor
ROBS ELECTRIC INC
COMFORT FLOW
License
1s6678
460
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:
o/o oILot Coverage:
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
R-3
VN
nla
REQUIRED PARI(NG
Total:
llandicapped:
Compact:
Sidewalk Type:
Downspouts/Drains:
DEVELOPMENT INFORMATION
PUBLIC IMPROVEMENTS
Notes:
Pase I of3
{hJ
Contractor Type
Electrical
Mechanical
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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: COM2005-00376ISSUED: 0411212005APPLIED: 03/3112005
EXPIRESz 1011212005
VALUE:
Description Type of Construction
Fee Description
-Mechanical Issuance Fee-
+ l0o/o Administrative Fee
+ 7oh State Surcharge
Boiler/Comp 3-15 HP
Minimum/Adjustment Mechanical
+ l0oh Administrative Fee
+ 77o State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Total Amount Paid
Total Value of Project
Date Paid
3t3U0s
3/31/05
3/31/05
313u05
3t3u0s
4n2t05
4n2t05
4n2t05
4n2t05
Value Date Calculated
Receipt Number
1200s00000000000402
1200s00000000000402
1200500000000000402
1200500000000000402
1200s00000000000402
2200s00000000000420
2200500000000000420
2200500000000000420
2200s00000000000420
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Amount Paid
$10.00
$4.s0
$3.15
$22.00
$23.00
$4.60
$3.22
$43.00
$3.00
$116.47
tr'pes Pnid
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.
Paee 2 of3
Valuation Descriotion I
Keourre(l lnsnectrons 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: COM2005-00376ISSUED: 0411212005APPLIED: 03/3112005EXPIRES: 1011212005
YALUE:
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that alt
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 aII
times during construction.
Owner or Contractors Signature Date
Page 3 of3
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
City of Springfield Official Receipt
;velopment Services Department
Public Works Department
RECEIPT #: 2200500000000000420 Date: 0411212005 l0:50:51AM
Job/Journal Number
coM2005-00376
coM200s-00376
coM2005-00376
coM2005-00376
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 1Yo State Surcharge
+ l0% Administrative Fee
Amount Due
43.00
3.00
3.22
4.60
Item Total:$s3.E2
Payments:
Type of Payment Paid By
Check Number
Received By Batch Number
Authorization
Number How Received Amount Paid
CreditCard ROBS ELECTzuC llh 013059 Phone
Payment Total:$53.82
$53.82
411212005 Page I of I
AITIIXJD
225 FIFTH STREET . SPRINGFIELD, OR97477 o PHt(541)726-3753 r FAX
ELECTRICAL TION
City Job Number a
A.
,
$ 19.00
$50.00
$ 63.00
$ 7s.00
$ 125.00
$163.00
$37s.00
$ s0.00
$ 43.00
$ 3.00
not started within 180 days
Suspended for 180 days.
.,
Electrical Contractor
Address
City Phone
Supervisor License Number
Expiration Date
Constr. Contr. Number
Expiration Date
Signature of Supervising Electrician
DESCRIPTION
Permits are non-transferable expire if work is
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
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
601 Amps to 1000 Amps
Over 1000 Amps/Volts
Reconnect Only
Each Additional Circuit or with
Service or Feeder Permit
7o/o State Surcharge
l0% Administrative Fee
TOTAL
uance or if work is
B.
C.
D.
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.
,4/4 New Alteration or Extension Per Panel.
one Circuit I P
A
City
Owners
E.
Phone .0 Pump or irrigation $ s0.00
Sign/Outline Lighting $ 50.00
OWNER TION Limited Energy/Residential $ 25.00
The installation is being made on property I own which Limited Energy/Commercial $ 45.00
inimum Electric Permit Inspection Fee is $45.00 * Surchargesis not intendgflpffi 5ftti6i rent. M
egon law requires you to
Owners Signature:y tne Oregon Utiiitf.(p
in OA
hose rules are set forth
H 952-00r.
Inspection Request: 72G3769
Center
$s t('644T2344)
Y
Shared Drive(T:/Building Forms/Electrical Permit Application l-03 doc
CITY OF OREGON
unit.
l.3. COMPLETE
Resitlential - Single or
Seryices,or Feeders - lnstallation, Alteratiunr of R*loontion'l
hR6srut/
UI
(service/feeder not included) -Each Instaltaiion
.MTS?HjLI,AETONTONII'oo crrofi
sPntr{6FtIt-D
Building/Combination Permit
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
511 -7 26-37 69 Inspection Line
PERMIT NO: COM2005-00376ISSUED: 03t31t2005APPLIED: 03/31t2005EXPIRES: 09/30t2005
VALUE:
SITE ADDRESS: 2756 VIEWMONT AVE
ASSESSOR'S PARCEL NO.: 1703244100108
I'ROJECT DESCRIPTION: Install ac
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
PhoneNumber: 541-461-0100
rres you to
on Utility
Residential
C)rvncr:
Addrcss:
BARBARA COLE
9.I3 SAVILLE AVE
EUCENE OR 97404
Contractor Type
n I cc lr anical
Contractor
COMFORT FLOW
R-3
i ,ii:ation Center. T
r rJAR 952-001-0010
e rules a
AR
the telephone
lity Notification
Phone
541-726-0100
Date
# of Units:
Primary Occu pa ncy Group:
Scco ndary Occu pancy Group:
I'rinrary Construction Type
Sccondary Construction Type:
# ol'llcdroonrs:
# of Sto6enter is 1-800-g3Z-2A44,),
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building: nla
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
VN
lrontyard Sethack:
Sirlc I Sctbacl<:
Sirle 2 Sctback:
Rcurvard Sclbuck:
Solar Setbacks:
Strect Improvements:
Storm Sewer Available:
Spcciul Instruclion:
Nolcs:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
%o ofLot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
PERMIT S
HE WORK
/lll IS NOT
U
Sidewalk Type:
Downspouts/Drains:
$ Per Sq Ft
or multiplier
Square Footage
or Bid AmountDescription Tvpe of Construction Value Date Calculated
Lry #
HALL EXPI
IS ABANDO
rrDv DLLrrlylr-l\ I il\r(Jl(rvtA I tr_r.l\ r
Valuation Description I
Page I of2
RIHGFIEI O
Building/C ombination Permit
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Plrone
5-{l-726-3676 Fax
54 I -7 26-37 69 In spcction Line
PERMIT NO: COM2005-00376ISSUED: 03/31/2005APPLIED: 03/3112005EXPIRBS: 09/3012005
VALUE:
Fcc I)escriDtion
-l I cchanical I ssrrance Fee-
I I1)"/o Adnrirrrstrative Fee
* 7'lo Statc Surcharge
Boilc.r/Comp 3-15 HP
N I i rr irnum/Adj u stment Mechanical
Tot:'l .\mount Paid
Amount Paid
$10.00
$4.s0
$3.15
$22.00
$23.00
$62.65
Total Value of Project
Date Paid
3t3u0s
3t3u0s
3t3y05
3/31/0s
313u05
Receipt Number
1200500000000000402
1200s00000000000402
1200s00000000000402
1200500000000000402
1200s00000000000402
Plan Reviews
To .Lcquc'st ar inspection call the24 hour recording at 726-3769. Atl inspection requested before 7:00 a.m.
u lll bc matlc I lte same working day, inspections requested after 7:00 a.m. will be made the following work
tl:r'. .
Rough llcchanical: Prior to Cover
Final )r'.,e hanical: When all mechanical work is complete.
Reouired I
Rv s',tnrtttrc. I si 'le and agree, that I have carefully examined the completed application and do hereby certify that all
irr l i'rnation ltcr, 'tt is true and correct, and I further certify that any and all work performed shall be done in accordance with
l!:r'irrdinartr('' ' i'lheCity ofSpringfieldandtheLawsoftheStateofOregonpertainingtotheworkdescribedherein,and
l. ; , NO OC( ' l' \NCY will be made of any structure without permission of the Community Services Division, Building Safety.
I l'u rthcr ccrt i! ' t hat only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
I lrrrthcr agrct to ensure that all required inspections are requested at the proper time, that each address is readable from the
strt'ct, that thc Dcrmit card is located at the front of the property, and the approved set of plans will remain on the site at all
tirrrcs durirrl r' 'rrt ruction.
3-3 /-o5
Ol rrer or ont:':'('tt)rS Signature
Paee2 of2
Date
-l l---L tilI
Mrile, *rt'qL-
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
City of Springfield Official Receipt
velopment Services Department
Public Works Department
RECEIPT #: 1200s00000000000402 Date:03/31/2005 2:43:46PM
Job/Journal Number
coM2005-00376
coM2005-00376
coN,{2005-00376
coM2005-00376
cor\42005-00376
Description
+ 7o/o State Surcharge
+ l0% Administrative Fee
Boiler/Comp 3-15 HP
Minimum/Adj ustment Mechanical
-Mechanical Issuance Fee-
Amount Due
3. l5
4.50
22.00
23.00
10.00
Item Total:$62.65
Payrnents:
Type of Payment Paid By Received By
Check Number
Batch Number
Authorization
Number How Received Amount Paid
Chcck COMFORT FLOW djb 29279 In Person $62.65
Payment totat:
-Sffi
313y200s Page I of I
I