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HomeMy WebLinkAboutPermit Mechanical 2005-10-06Status Issued 225 Fifth Street, Springlield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line Building/C ombination Permit PERMIT NO: COM2005-00845ISSUED: 10/06/2005APPLIEDz 0710112005 EXPIRESz 0410612006 VALUE: SITE ADDRESS: 725 S 42ND ST ASSESSOR'S PARCEL NO.: 1802052108300 PROJECT DESCRIPTION: Install2 roof top IfVAC units Springfield TYPE OF WORK: Heating System TYPE OF USE: New Owner: Address: Contractor Type Electrical Mechanical SCHOOL DISTRICT #19 525 n/flLl ST SPRINGFIELD OR 97477 udililtg tne cgnter. Phone Number: 541-744-6375 -2344). Expiration Date 09t28t2006 06t25t2007 Commercial Phone 541-343-1681 541-345-2838 nurnber Contractor OREGON ELECTRIC SERVICE HOME COMFORT HEATING & AIR License 161518 84164 # 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: df#i#H'I,ii,, Range TffiUIH0RIZED Energy Phf,MMENCED # of Stories: Sprinkledilr[tf88:pAy Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: SHALT UNDER THI 0Ht PER Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: %o ofLot Coverage: REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: Downspouts/I)rains: DEVELOPMENT INFORMATION PUBLIC IMPROVEMENTS Notes: Pase I of3 t ul_t rrll\ u 11\ r' ul(.lvlA.!!!|l.u 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: COM2005-00845ISSUED: 10/06/2005APPLIEDz 0710112005 EXPIREST 0410612006 VALUE: Description Tvpe of Construction Fee Description -Mechanical Issuance Fee- + l0o/o Administrative Fee + 77o State Surcharge Heat Pump Minimum/Adj ustment Mechanical + l0o/o Administrative Fee + 7%o Stzte Surcharge Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 401 to 600 amps Total Amount Paid Total Value of Project Date Paid Value Date Calculated Receipt Number 1200500000000001184 1200500000000001r84 1200s00000000001184 1200500000000001184 1200500000000001184 3200500000000000s94 3200s00000000000594 3200500000000000594 3200500000000000594 $ Per Sq Ft or multiplier Square Footage or Bid Amount Amount Paid $10.00 $4.s0 $3.15 $24.00 $21.00 $13.40 $9.38 $9.00 $125.00 8/11/0s 8/11/05 8/ruos 8/11/0s 8/11/05 10/6/0s t0t6t05 r0t6t05 10/6/0s $2r9.43 tr'pes Peid Plan Reviews SUB Review 07n5t2005 07115t2005 APP JF 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. SUB Final: After all required energy inspections have been requested and approved. SUB Mechanical: Following City Rough Mechanical inspection approval and prior to any cover. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. f,lpnrrirpd f nsnecfinns Paee 2 of 3 Valuation Descrintion I PRIN Building/C ombination Permit Status Issued 225 Fifth Street Springfield, OR 541-726-3753 Phone 541-726-3676Fa.x 541 -7 26-37 69 Inspection Line PERMIT NO: COM2005-00845ISSUED: 1010612005APPLIEDz 07101,12005EXPIRESz 0410612006 VALUE: 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 all times during construction. &\ O/ oG[ot- N rr-^ Owner Contractors Signature Date Pase 3 of3 225 FIFTH STREET . SPRINGtrIELD, Op.g7477 . pH:(541)726_3753 o FAX: (54 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof ect as s not Zoning $ 106.00 as-oo8v.ilo $s 0.00 iliJirt oval N I o JOB DESCzuPTiON S*.r.^*-c Vn c- Permits are non-transferable expire if work is not started rvithin 180 days of issuance or if work is Suspended for 180 days. 7. Electrical Contractor z^ Address Phoo. sg3_:l-hkj_ /SQs -s C. Expiration Date Constr. Contr. Number I 6 /S I ( Exprarion Date 9 - .i}f -O4r_ o f S upervising Electrician D. Sc.l"oo I S t? Owners Name Address S S City S}FL 7yt1- L 37J-Phone oREGr|N Ft FnTBrc SESV|0E P.0.80x2237 I iiririii tictiiication i'i xxo;- s u'' $75 Each Manufact'd Home or Modular Dwelling Service or Feeder 200 Amps or iess 2ol Amps Geomie6-aoo- 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsA/olts Reconnect Only B. .00 .00 $ 125.00 $ r 63.00 $37s.00 $ 50.00 a Cir,v Supewisor License Number S rHls ABe lUGF.oo 401 Amps to $ i 00.00 Over 600 or 1000 Volts see "B" above. New Alteration or Extension per panel One Circuit $ 43.0U Each Additional Circuit or with Service or Feeder Permit -\ $ i.00 qb OWNER INSTALLATION The Lnstallation is being made on property I own which is not intended for saie, iease or rent. Ownen Signanre: E. Pump or irrigation $ 50.00 Limited Energy/Residential $ 25.00 Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 * surcharges 1Yo State Surcharge l0% Adminiskative Fee TOTAL t3 4.oo 3r )8Inspection Request: 726-37 69 Shared Drive(T:)/Building Forms/Electrical permit Application I _0 3. doc l:li*:"r,,,*o . LEGAL r s7l'. ,o83ao 3. Included I / .i llrll: r.:::::li:'r::: r,'; 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone City of Springfield Official Receipt :velopment Services Department Public Works Department RECEIPT #: 3200500000000000594 Date: 10/06/2005 e:05:02AM Job/Journal Number coM2005-00845 coM2005-00845 coM2005-00845 coM2005-00845 Description Perm Serv/Fdr 401 to 600 amps Add, Alter, Extend Circ Ea Add +7o StateSurcharge + l0% Administrative Fee Amount Due 125.00 9.00 9.38 13.40 Item Total:$156.78 Payments: Type ofPayment Paid By CheckNumber Authorization Received By Batch Number Number How Received Amount Paid Check OREGON ELECTzuC SERVICE njm 1903 l In Person $156.78 Payment Total: -5ffi8- ( I l t0/6/200s Page I of I ara5tEo Status: Issued 225 Fifth Street, Springfield, OR 541:726-3753 Phone 541-726-3676Fax 541:7 26-37 69 I nspe ction Line CITY OF SPRINGFIELD Building/Co mbin ation Permit PERMITNO: COM2005-00845ISSUED: 08/11/2005APPLEDt 0710112005E)?IREST 0211112006 VALUE: SITE ADDRESS: 725 S 42ND ST ASSESSORS PARCEL NO.: 18020s2108300 PROJECT DESCRIPTION: Install2 roof top HVAC units Springfield TYPE OF TYPE OF USE: Heating System New Commercial Owner: Address: SCHOOL DISTRICT #19 525 MILL ST SPRINGFIELD OR 97477 o( Contractor EIPU Mechanical Secondary Occupancy Primary Construction Type Secondary Construction # of Bedrooms: Frontlard Setbrck Side l Setback: Side 2 Setback: Rearyard Setback: Solar Setbacls: Street Storm Sewer Available: Special Instruction: to OAR sbz of the $ Per Sq Ft or muftiplier ru\e sby of Stories: Height of Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Overlay Dist: # Street Trees Paved Drive Rqd: oh 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: License Expiration Date Phone nla Notes: Sidewalk Type: Downspouts/Drains REQUIRED PARJ(NG Total: Handicapped: Compact: Square Footage or Bful AmountDescriptfun Tvpe of Construction lof2 Value Date Calculated I -.1 -! \AN bY the \$\ 'D t\ DONE r0RD\l\ T*Y'tEf-"oi, PER\ou Lr-tlvtll-t,rvrllN I ll\rur(lYrArrt,N ] Valuation Descriotion I Status: Issued 225 Fifth Street, Springfield, OR 541:726-3753 Phone 541-726-3676Fa,x 541:7 2647 69 Inspe ction Line OF SPRINGFIELD Buildin g/Co mbination Permit PERI\{IT NO: COM2005-00845ISSUED: 08/11/2005 APPLTEDz 0710112005E)GIRESz 0211112006 VALUE: Fee Description -Mechanical Issuance Fee- + l0Yo Administrative Fee + 7Yo State Surcharge Heat Pump Minimum/Adjustment Mechanical Total Amount Amount Paid $10.00 $4.s0 $3.rs $24.00 $21.00 $62.65 Total Value of Project Date Paid 8/11/05 8/11/05 8/11/05 8/11/05 8/11/05 Receipt Number 1200500000000001 184 1200500000000001184 1200500000000001184 1200500000000001184 1200500000000001184 Plan Reviews SUB Review 07n5t2005 07n5t2005 APP JF To Request an inspection call the24 hour recording at 726-3769. All inspection requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. SUB Final: After all required energy inspections have been requested and approved. SUB Mechanical: Following City Rough Mechanical inspection approval and prior to any cover. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. By signaturer l state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certi$ that any and all work performed shall be done in accordance with the Ordinances of the City of SpringfieH 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 during Reorrired fnsnections Owner or Contractors Signature 2of2 Date 9 -zz- a{ ffiJ tl ees raro 225 Fifth Street SpringnetA, Oregon 97 477 541-726-3759 Phone City of Springfield Official Receipt velopment Services Department Public Works Department RECEIPT#: 1200500000000001184 Date: 08/11/2005 2:15:57PM Job/Journal Number coM2005-00845 coM200s-0084s coM2005-0084s coM2005-00845 coM2005-00845 Amount Due 3.15 4.50 24.00 21.00 10.00 Item Total:$62.6s Payments: Tlpe of Payment unecKNumD€r Aumotrlzanon Paid By Received By Batch Number Number How Received Amount Paid Check HEADSTART OF LANE COUNTY djb 51621 In Person Payment Total: $62.65 $62.6s 811U2005 lofl tPnrHq'lBo Description + 7o/o State Surcharge + l0% Administrative Fee Heat Pump Minimum/Adjusfinent Mechanical -Mechanical Issuance Fee-