HomeMy WebLinkAboutPermit Mechanical 2005-11-29Building/C ombination 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: COM2005-01647ISSUED: 1112912005
APPLIEDz 1112812005
EXPIRESz 0512912006
VALUE:
SITE ADDRESS: 220 S 2ND ST
ASSESSOR'S PARCEL NO.: 1703353207600
PROJECT DESCRIPTION: Install tube heater and gas
Owner:
Address:
Contractor Type
Electrical
Mechanical
BEARD CHRISTOPHERP & MARCYL
POBox2792
EUGENE OR 97402
ing the center. (Not nenumber for the Oregon Utili ty Notification
Center is 1-90
call
Expiration Date
08120t2009
12n8t2005
Commercial
1-
Phone
541-747-2724
541461-4821
Contractor
BURRELL BROS ENTERPRISES INC
COMMERCIAL AIR INC
License
136446
CONTRACTOR INFORMATION
# of Stories: AUTH0RTZED UNDELITTSBERMIT ls
Heieht of Struct&oMMENCED 0R lS *gmnmroron
ryp-e of Heat: ANY 180 DAY PERI0&iFt 2nd Ftoor:
T SHALL EXPIRE IF THE WOR K
NOT# 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:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
oh of Lot Coverage:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:nla
REQUIRED PARKING
Total:
Handicapped:
Compact:
Sidewalk Type:
Downspouts/Drains:
)PMENT INFORMATION
PUBLIC IMPROVEMENTS
Notes:
Paee I of3
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Ea;x
541-7 26-37 69 Inspection Line
Buitding/Combination Permit
PERMIT NO: COM2005-0L647ISSUED: 1112912005
APPLIEDz 1112812005
EXPIRESz 0512912006
VALUE:
Description Tvpe of Construction
Fee Description
-Mechanical Issuance Fee-
+ lOVo Administrative Fee
+ l0o/o Administrative Fee
+ 7o/o State Surcharge
+ 77o State Surcharge
Add, Alter, Extend Circ
Furnace - Unit Heater
Gas Outlets 1-4
Minimum/Adj ustment Electrical
Minimum/Adj ustment Mechanical
Total Amount Paid
Total Value of Project
Date Paid
Value Date Calculated
Receipt Number
3200500000000000665
320050000000000066s
3200500000000000666
320050000000000066s
3200500000000000666
3200500000000000666
3200500000000000665
3200500000000000665
3200s00000000000666
3200s0000000000066s
Amount Paid
$10.00
$4.50
$4.s0
$3.15
$3.15
$43.00
$12.00
$4.00
$2.00
$29.00
$115.30
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
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Hees Pa
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.
Final Electric: When all electrical work is complete.
Rough Electric: Prior to Cover
R pnrrire,d f n snecfinns
Paee 2 of3
M
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: COM2005-01647ISSUED: 1112912005APPLIEDz 1112812005
EXPIRESz 0512912006
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
Paee 3 of3
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
^r1y of Springfield Oflicial Receipt
rvelopment Services Department
Public Works Department
RECEIPT #: 3200500000000000666 Date: 1112912005 t0:52z22trM
Job/Journal Number
coM2005-01647
coM2005-01647
coM2005-01647
coM2005-01647
Description
Add, Alter, Extend Circ
Minimum/Adjustment Electrical
+ lYo State Surcharge
+ l0% Administrative Fee
Amount Due
43.00
2.00
3.1 5
4.50
Item Total:$s2.6s
Payments:
Type of Payment Paid By
Check Number
Received By Batch Number
Authorization
Number How Received Amount Paid
CreditCard JOSHUA BURRELL njm 002948 In Person
Payment Total:
$52.6s
-Ss2i-fI
4
I
J
tU29/2005 Page I of I
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ll5 FTFTH STR-EET . sPRINGFIELD, OR 9747',7 . PH:(541)726-3753 ' FAX: (541)726-36
t:. L E C7' Rl C AL P E RM IT AP P LI CATI O N
Date tl- 2,q- 05'al( .*
C'r, Jc'b Num
.?Nff,'3
n(
A.
-:C il- DESCRIPTlON
I 1O 33_s sa o7a 0)Service Included
I 000 sq. ft. or less
Each additional 500 sq. ft, or
porrion thereof
Each Manufact'd Home or
Modulal Qwe lling Service or
Feeder
I-r3 DISCRIPTION $r0600
$ 1900Ltu
transferable and exPlre if work is
nor srarted x irhin I80 days of issuance or if work is
Suspended for 180 daYs'
NS
Eg-*tLS-t tie'l
r
Permrls arc'no
: l1!-i\
Lr L 200 Amps or less
201 Amps to 400 AmPs
401 Amps to 600 AmPs
601 Amps ro 1000 AmPs
Over I000 Amps/Volts
Reconnect OnlY
New AJterat
One Crcuit
7% State Surcharge
l0% Administrative Fee
TOTAL
l'li':1,
$50 00
$6300 ih
$ ?5 00
Do Bor t9)
h)nl+tru,lt rOL 9rq81
r$\\jT\-L-\
)-)::-, rjoj- Lrcense Number S C.
\s o Installation, Alteration or Relocation
200 Amps or less $5000
$ 69.00
$100 00
201 Amps
401 Amps I SHA
Over 600
D
f,tlY'fn &pt.a FOB
Each Additional Circuit or with
$ 41.00
$ 1.00ervice or Feeder Permit
Pump or inigation
Sign/Outline Lighting
Lim ited Energy/Residential
Limited Energy/Commercial
Minimum Electric Perrnit Inspection Fee is $45,00 * Surcharges
rf,tlail',n Dale
:.cl:-ai>
i Supervising El ran
t.
Ccntr Number
- $125 00
sl61 00
Sl75 (;/j
$5000
$ 50.00
$ 50.00
$2500
$ 4 5.00
bo5)r-zc-
Phone- rl',
U\\\EIt.\ST.{ILATION
lir ::rslrtjatrcn rs ber-ng made on properry I own which
s icr rntencjed for sale, lease or rent,
-)i'1)
4 6.?
3. t{n,5o5= Q5lir!ptc{rr.,rt Request: 176-3769 \)h hs Sbarcd DrivdT:/Buildi.og Forms/Electrical Permjt Applicatioc I 'Nl our
L(ill rUlU
B,
- ]:\
i: \:ir:tron D3le
.-,,':r::) \3:Ie )
-, ,':rar-s Sicnarure.
CITY
Building/C ombination Permit
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
S4l-7 26-37 69 Inspection Line
PERMIT NO: COM2005-01647ISSUED: 1112912005
APPLIEDz 1112812005
EXPIREST 0512912006
VALUE:
SITE ADDRESS: 220 S 2ND ST
ASSESSOR'S PARCEL NO.: 1703353207600
PROJECT DESCRIPTION: Install tube heater and gas supply line
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
TH IS PERMIIOwner:
Address:
Contractor Type
Mechanical
Contractor
COMMERCIAL AIR INC
Expiration Date
t2n8t2005
Commercial
Phone
5414614821
BEARD CHRISTOPHERP & MARCY L
POBox2792
EUGENE OR 97402
License
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:
Notes:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
%o ofLot Coverage:
REQTIIRED PARI(NG
Total:
Handicapped:
Compact:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
nlar\t lot-rto
$ Per Sq Ft
or multiplier
Sidewalk Type:
Downspouts/Drains:
Square Footage
or Bid Amount
PUBLIC IMPROVEMENTS
Description Type of Construction
Pase 1 of2
Value Date Calculated
SHALL
UNDER THIS
FOR
I'UILUINU TN!|r(rYTA r rUN-]
dopted bY tl gon
nter.lhose rtL
1-0010 throt
Valuation Description I
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: COM2005-01647ISSUED: 1112912005
APPLIED:. 1112812005
EXPIRESz 0512912006
VALUE:
Total Value of Project
Date Paid
Fee Description
-Mechanical Issuance Fee-
+ l0oh Administrative Fee
+ lYo State Surcharge
Furnace - Unit Heater
Gas Outlets 1-4
Minimum/Adjustment Mechanical
Total Amount Paid
Amount Paid
$10.00
$4.s0
$.rs
$12.00
$4.00
$29.00
$62.65
ty29t05
tu29tos
tu29t05
11t29t05
tu29l05
tu29los
Receipt Number
3200s00000000000665
3200s0000000000066s
3200s00000000000665
3200500000000000665
3200500000000000665
320050000000000066s
tr'ees Pe
Plan Reviews
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.
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 OCCUPAI\CY 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.
or
Pase2 of2
Date
//
I
Keourre(l lnsDectrons I
225 Fitth Street
Springfield, Oregon 97 477
541-726-3759 Phone
^rty of Springlield Oflicial Receipt
;velopment Services Department
Public Works Department
RECEIPT #: 3200500000000000665 Date: 1112912005 10:30:08AM
Job/Journal Number
coM2005-01647
coM2005-01647
coM2005-01647
coM2005-01647
coM2005-01647
coM2005-01647
Description
+ 7Yo State Surcharge
+ l0% Administrative Fee
Furnace - Unit Heater
Gas Outlets l-4
MinimumiAdj ustment Mechanical
-Mechanical Issuance Fee-
Amount Due
3. l5
4.50
12.00
4.00
29.00
10.00
Item Total:$62.65
Payments:
Type of Payment Paid By
CheckNumber Authorization
Received By Batch Number Number How Received Amount Paid
Check COMMERCIAL AIRINC ddk 2358 In Person
Payment Total:
$62.65
-562J-f
(
tt/29/2005 Page I of I
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