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-