HomeMy WebLinkAboutPermit Mechanical 2006-09-12Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541 -7 26-37 69 Inspection Line
Building/C ombination Permit
PERMIT NO: COM2006-01105ISSUED: 0911212006APPLIED: 08/2812006EXPIRES: 0311212007
VALUE:
SITE ADDRESS: 24ll lSTH ST
ASSESSOR'S PARCEL NO.: 1703243302100
PROJECT DESCRIPTION: Install heat pump and air handler
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
0wner:
Address:
Contractor Type
Electrical
Mechanical
Contractor
MNB ELECTRIC INC
COMFORT FLOW
Expiration Date
tut9t2006
0612712007
Residential
Phone
s4t-726-8601
s4l-726,0100
PhoneNumber: 541-736-8804JOSEPH PALANUK
24II 15TH ST
SPRINGFIELD OR 97477
License
t62t9t
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 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:
DEVELOPMENT INFORMATION
PUBLIC IMPROVEMENTS
Notes:
Paee I of3
I, U r LUrN U rN r ut(1Y!,q_!_!!llll
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541 -7 26-37 69 Inspection Line
CITY
Building/Combination Permit
PERMIT NO: COM2006-01105ISSUED: 0911212006APPLIED: 08/2812006
EXPIRES: 0311212007
VALUE:
Description Tvpe of Construction
Fee Description
-Mechanical Issuance Fee-
+ lD'h Administrative Fee
+ 57o Technology Fee
+ 8%o State Surcharge
Air Handling Unit Up to 10,000
Heat Pump
Minimum/Adjustment Mechanical
+ l0o/o Administrative Fee
+ 57o Technology Fee
+ 87o State Surcharge
Add, Alter, Extend Circ
Minimum/Adjustment Electrical
Total Amount Paid
Total Value of Project
Date Paid
Value Date Calculated
Receipt Number
12006000000000013s3
1200600000000001353
1200600000000001353
1200600000000001353
r200600000000001353
1200600000000001353
I 200600000000001353
2200600000000001268
2200600000000001268
2200600000000001 268
220060000000000 I 268
2200600000000001 268
Amount Paid
$10.00
$4.50
$2.25
$3.60
$8.00
$12.00
$25.00
$4.50
$2.25
$3.60
s43.00
$2.00
$120.70
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
8/30/06
8/30/06
8/30/06
8/30/06
8/30/06
8/30/06
8/30/06
9n2106
9n2t06
9nzt06
9n2t06
9n2106
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.
Reorrired Insnections
Paee 2 of3
xttra*3
ilh
Valuation Description I
B'pps Prid I
ITY
Building/Combination Permit
Status Issued
225 Fifth Street, Springfield' OR
541-726-3753 Phone
541-726-3676 Fax
541 -7 26-37 69 Inspection Line
PERMIT NO: COM2006-01105ISSUED: 0911212006
APPLIED: 08/2812006
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 hereino and
that NO OCCUpANCy will be made of any structure without permission of the Communify Services Division, Building Safety
I lurther 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
225 Fifth Street
Springfieldn Oregon 97 47 7
541-726-3759 Phone
City of Springfield Official Receipt
f rlopment Services Department
Public Works Department
RECEIPT #: 2200600000000001268 Date: 0911212006 2t2e:t5PM
Job/Journal Number
coM2006-01105
coM2006-01105
coM2006-01105
coM2006-0t r 05
coM2006-01 t 05
Description
Add, Alter, Extend Circ
M inimum/Adjustment Electrical
+ 5%o Technology Fee
+ 8% State Surcharge
+ 10Yo Administrative Fee
Amount Due
43.00
2.00
2.25
3.60
4.s0
Item Total:$55.35
Payments:
Type of Payment Paid By Received By
Check Number
Batch Number
Authorization
Number How Received Amount Paid
CreditCard MNB ELECTRIC llh 409028 Phone
Payment Total:
$55.3s
-ffi
cReceint I Page I of I
IF.[.[), OR[:(iONCI]-\'OF SPRI
tFrl ILD ZON l;,>L
INITIALS
DATE
SOURCE tr6225UFTIISTREf,T r SPRINGFILLD,ORvT4TT o PII:(541)726'3753 oFAX: (541)726-3689
ELECTRICAL TION
a Q-t 2-z{tcpCity Job Number
1. LOCATION OF
Date
3. COMPLETEFEESCHEDULEBELOW
A. New Residential - Single or lVlulti-Family per dwelling unit.
Service Included
1000 sq. ft. or less $106.00
Each additional 500 sq. ft. or
portion thereof $ 19.00
JOB
Address
City $$d Pno"e TAC:-?P/I
'i?tbuffi{4 a)s)
Permits are and if work is Each Manufact'd Home or
Modular Dwelling Service or
Feeder
not started within days of issuance or if work is $s0.00
Suspended for 180 days.
2. CONTRACTOR INSTALIATION ONLY B. Services or Feeders - Installation, Alterations or Relocation:
Electrical Contractor
Supervisor License Number C. Temporary Services or Feeders
Expiration Date
Constr. Contr. Number R6€3 ?C
CcB{*
Expiration Date
/bant
Signature of Supervisirtg Electrician
Owners
Address
City
OWNERINST
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:
Inspection Request: 726-3769
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
Pump or inigation
Sign/Outline Lighting
Limited Enerry/Residential
Limited Energy/Commercial
Minimum Electric Permit Inspection Fee
4. SUBTOTALOFABOVE:"..
8% State Surcharge
10% Administrative Fee
5% Technology Fee
TOTAL
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 o'B" above.
D. Branch Circuits
$ 63.00
$ 75.00
$125.00
$163.00
$375.00
$ 50.00
$ 43.00
$ 3.00
$ s0.00
$ 50.00
$ 25.00
45.00
New Alteration or Extension Per Panel ,One Circuit
Each Additional Circuit or with
Service or Feeder Permit
{-E. Miscellaneous (Service/feeder not included) -Each Installation
6)
S I'trr
Qt8.\su)
Shared Drive(T: /Building Forms/Electrical Permit Application 8-06.doc
lY\nB 8[ec'hio]Fne,
'fen s
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I)O
Building/Combination Permit
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541 -7 26-37 69 Inspection Line
PERMIT NO: COM2006-01 105ISSUED: 08/30/2006APPLIED: 08/2812006EXPIRES: 0212812007
VALUE:
SITE ADDRESS: 2411 l5TH ST
ASSESSOR'SPARCELNO.: 1703243302100
PROJECT DESCRIPTION: Install heat pump and air handler
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
PhoneNumber: 541-736-8804
License
Owner:
Address:
Contractor Type
Mechanical
Contractor
COMFORT FLOW
Expiration Date
0612712007
Residential
Phone
541-726-0100
JOSEPH PALANUK
24II 15TH ST
SPRINGFIELD OR 97477
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:
Notes:
# of Stories:
Height of Structure
Type of Heat:
Water Type;
Range Type:
Energy Path:
Sprinkled Building:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
"h of Lot 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
Sidewalk Type:
Downspouts/Drains:
REQUIRED PARKING
Total:
Handicapped:
Compact:
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
PUBLIC IMPROVEMENTS
Description Type of Construction
Page I of2
Value Date Calculated
t ulr-ulNu tNruKlYrry_.]
Valuation Description I
Status Issued
225 Fifth Street, Springfield' OR
541-726-3753 Phone
541-726-3676 Fax
541-7 26-37 69 Inspection Line
ITY
Buildin g/Combination Permit
PERMIT NO: COM2006-01 105ISSUED: 08/30/2006APPLIED: 08/2812006
EXPIRES: 0212812007
VALUE:
Fee Description
-Mechanical Issuance Fee-
+ lDoh Administrative Fee
+ 57o Technology Fee
+ 87o State Surcharge
Air Handling Unit Up to 10,000
Heat Pump
Minimum/Adj ustment Mechanical
Total Amount Paid
Amount Paid
Total Value of Project
Date Paid Receipt Number
l 2006000000000013s3
1200600000000001353
1200600000000001353
1200600000000001353
1200600000000001353
I 200600000000001353
1200600000000001353
$10.00
$4.50
$2.25
$3.60
$8.00
$12.00
$25.00
8/30/06
8/30/06
8/30/06
8/30/06
8/30/06
8/30/06
8/30/06
$6s.3s
n
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.
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 Cify 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 co
Own er or tractors ure
Page 2 of 2
Date
DA
h
r ees raro I
Reouired lnspecttons I