HomeMy WebLinkAboutPermit Mechanical 2004-09-09e
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
SITE ADDRESS: 2815 WAYSIDE LN
ASSESSOR'S PARCEL NO.: 1703224400500
PROJECT DESCRIPTION: Heat pump, air handler and
FIELD
Building/C ombination Permit
PERMIT NO: COM2004-01068ISSUED: 0910912004APPLIEDz 0812612004EXPIRES: 03/0912005
VALUE:
ATTiI'lTlCN. Omrton taw uires
H&nin€els"tsrtir
qh CAR 952-001-0 throu
0090. YqiypgbprigilE:ccp iA$eOf the rules bg.esidentiat
ductworko?lling the center. (l,J ote: the telephone
number for the Oreg on Util Notification
Owner:
Address:
BERRY PROPERTIES LLC
1257 CALVIN ST EUGENE OR 97401
Contractor Type
Electrical
Mechanical
Contractor
ROBS ELECTRIC INC
COMFORT FLOW
License
156678
460
Expiration Date
08n4t2005
Phone
541-686-5444
s41-726-0100
UU b AUANIJOIJED
Lot Size:
FOH
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
R-3
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building: nla
VN
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
oh of Lot Coverage:
Sidewalk Type:
Downspouts/Drains:
REQUIRED PARI(NG
Total:
Handicapped:
Compact:
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
CONTRACTOR INFORMATION
DEVELOPMENT INFORMATION
PUBLIC IMPROVEMENTS
Description Type of Construction
Page I of2
VaIue Date Calculated
\I L
Valuation Description I
UNDER TI-iIS PERfuIII IS NOr
F'
Building/Combination Permit
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541 -7 26-37 69 Inspection Line
PERMIT NO: COM2004-01068ISSUED: 0910912004
APPLIEDT 0812612004
EXPIRES: 03/0912005
VALUE:
Total Value of Project
Notifi cation Center. Those rules are set forth
in OAR 952-001-0010 flrrough OAR 952-001-
n&0$?idc u m;ry o DtaneoetpteNrofil/ee ru I es byFee Description
-Mechanical Issuance Fee-
+ l0o/o Administrative Fee
+ 7Yo State Surcharge
Air Handling Unit Up to 10,000
Heat Pump
Minimum/Adj ustment Mechanical
+ l0o/o Administrative Fee
+ 7o/o Stzte Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Total Amount Paid
Amount Paid
$10.00
$4.50
$3.15
$8.00
$12.00
$2s.00
$4.60
$3.22
$43.00
$3.00
$116.47
8/26t04
l
8t26t04
8t26t04
8t26t04
8t26t04
8t26t04
9t9t04
9t9t04
9t9t04
9t9t04
g the center.
er for the
Center is 1-8 270
1200400000000001270
1200400000000001270
1200400000000001270
3200400000000000239
3200400000000000239
3200400000000000239
NOTICE
Ttlis Ptl iI SHALL EXP
3200400000000000239
Plan itlUUtlru
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.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Reouired Insnections
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
Paee? oI2
Date
c
LL.l
r( ees ralo I
c.P
l/1---'
225 Fif{h Street
Springfield, Oregon 97 477
541-726-3759 Phone
City of Springfield Official Receipt
relopment Services Department
Public Works Department
RECEIPT #: 3200400000000000239 Date: 0910912004 e:56:07AM
Job/Journal Number
coM2004-01068
coM2004-0r068
coM2004-01068
coM2004-01068
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 7Yo 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
CheckNumber Authorization
Received By Batch Number Number How Received Amount Paid
CreditCard DAVID LAWLER/ROB'S
ELECT
njm 009203 Phone
Payment Total:
$s3.82
$s3.82
919t2004 Page I of I
ryt
22s FIFTH STREET . SPRINGFIELD, OF.g7477 ' PH:(541)726-3753 I FAX:
PEKMIT APPLICATTON q q a croCity Job )-doQ X Date
Qro
31.
LEGAL DESCRIPTION2'/a 5oo
JOB DESCRIPTION
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
)
Electrical Conmctor
Service Included
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
s 106.00
s 19.00
telePhone
Notification ss0.00
$ 63.00
s 75.00
s125.00
$ 163.00
-
s37s.00
$ 50.00
s 69.00
A.
B.
D
UtilttY
Each Manufact'd Home or
Iv{odular Dweiling Service
Feeder
or
Address
Supervisor License Number
Expiration Date
Constr. Contr. Number
NruqS
200 Amps or less
201 Amps to 400 AmPs
401 Amps to 600 AmPs
601 Amps to 1000 AmPs
Over 1000 AmpsA/ols
Reconnect Only
200 Amps or less
201 Amps to 400 AmPs
New Alteration or Extension Per
One Circuit
Each Additional Circuit or with
Service or Feeder Perrnit
Pump or irrigation
Sigr/Outline Lighting
Limited Energy/Residential
ZBZI
City Phone
c.
-Dl-Installation, Alteration or Relocation
Expiration Date
Signan-rre of Supervising Electrician
/.'<-'
401 Arnps to 600 AmPs Sl00'00
Over 600 or 1000 Volts see "B" above
,^"7 c?)
owners Nu-" 6gmr
Address \
OWNER DISTALLATION
The installation is being made on properly I own which
is not intended for saie, lease or rent.
Ow:rers Signarure:
Limited Energy/Commercial S 45'00
lllinimum Electric Permit Inspection Fee is $45.00 * Surcharges
("
TYoState Surcharge
l0% Administrative Fee
TOTAL
$ 43.00
/ s 3.oo 3.
s s0.00
$ 50.00
$ 25.00
6z
3.a^5s
_!, .r!.
City Phone
3
Inspection Request: 726-37 69
4.
Shared Drive(T:/Building FormVElectrical Permit Application 1-03'doc
Status Issued
225 Fifth Street, Springfield, OR
54l-726-3753 Phone
541-726-3676Fax
541 -7 26-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2004-01068ISSUED: 0812612004APPLIEDz 0812612004EXPIRESt 0212612005
VALUE:
Valuation
SITE ADDRESS: 2815 WAYSIDE LN
ASSESSOR'S PARCEL NO.: 1703224400500
PROJECT DESCRIPTION: Heat pump, air handler and duct work
Owner: BERRy pROpERTIES LLC
Address: 1257 CALVIN ST EUGENE OR 97401
Springfield TYPE OF WORJ(: Heating System
TYPE OF USE: New Residential
\o LicenseContractor Type
Mechanical
Contractor
COMFORT FLOW
Expiration Date
06t27t2005
Phone
s41-726-0100460
# of Units:
Primary Occupancy Group:
Secondary Occupancy
Primary Construction Type
Secondary Construction
# of Bedrooms:$'
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
\nQ
Building:nla
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
REQUIRED PARIilNG
Total:
Handicapped:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
o/o of Lot Coverage:
CONTRACTOR INFORMATION
PUBLIC IMPROVEMENTS
Description Type of Construction
Total Value of Project
Value Date Calculated
llt
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: COM2004-01068ISSUED: 0812612004
APPLIEDT 0812612004
EXPIREST 0212612005
VALUE:
tr'ees Pa
Fee Description
-Mechanical Issuance Fee-
+ l0%o Administrative Fee
+ 7oh State Surcharge
Air Handling Unit Up to 10,000
Heat Pump
Minimum/Adjustment Mechanical
Total Amount Paid
Amount Paid Date Paid
8t26t04
8t26t04
8126t04
8t26t04
8t26t04
8t26104
$10.00
$4.s0
$3.15
$8.00
$12.00
$25.00
Receipt Number
1200400000000001270
1200400000000001270
1200400000000001270
r200400000000001270
1200400000000001270
1200400000000001270
$62.6s
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.
ired Insnections
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 70f .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.
CI,^^L;-- lt zt,t oil
ffisignature
Pase2 oI2
Date
*'tIL'L.
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
o'ty of Springfield Official Receipt
rvelopment Services Department
Public Works Department
RECEIPT#: 120040000000000r270 Date: 0812612004 1:20:57PM
Job/Journal Number
coM2004-01068
coM2004-01068
coM2004-01068
coM2004-01068
coM2004-01068
coM2004-01068
Description
+ 7%o State Surcharge
+ l0% Administrative Fee
Air Handling Unit Up to 10,000
Heat Pump
Minimum/Adjustment Mechanical
-Mechanical Issuance Fee-
Amount Due
3.15
4.50
8.00
12.00
25.00
10.00
Item Total:$62.65
Payments:
Type of Payment Paid By
CheckNumber Authorization
Received By Batch Number Number How Received Amount Paid
Check COPMFORT FLOW djb 26945 In Person $62.65
Payment Total:
--S6IGF
8t26t2004 Page I of I
EI