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Home My WebLink AboutPermit Mechanical 2004-01-14 (2)OF SPRIN Building/Combination Permit PERMIT NO: COM2004-00047ISSUED: 0111412004APPLIEDz 0111412004 EXPIRESz 0812312004 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Frx 541-7 26-37 69 Inspection Line SITE ADDRESS: 2573 17TH ST Springfield TYPE OF WORI(: Heating System ASSESSOR'S PARCEL NO.: 1703243400128 TYPE OF USE: New Residential PROJECT DESCRIPTION: Install gas piping, heat pump and gas furnace Owner: EDWARD HEBERT Address: 2573 17TH ST SPRINGFIELD OR 97477 Phone Number: 541-746-2367 Contractor Type Electrical Mechanical Contractor ROBS ELECTRIC INC COMFORT FLOW Expiration Date 08/14l200s 06t27t2005 Phone 541-686-5444 541-726-0100 License 156678 460 CONTRACTOR INFORMATION BUILDING INFORMATION # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: SETBACKS 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: Overlay Dist: # Street Trees Rqd: 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: Impervious Surface Area: R-3 VN REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: Downspouts/Drains: NOTICE: THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 1BO DAY PERIOD. DEVELOPMENT INFORMATION PUBLIC IMPROVEMENTS Notes: Pase I of3 4:. Building/Combination Permit Status Issued 225Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2004-00047ISSUED: 0111412004APPLIEDz 0111412004 EXPIRESz 0812312004 VALUE: Description Type of Construction Fee Description -Mechanical Issuance Fee- + l0o/o Administrative Fee + 7oh State Surcharge Appliance Vent Furnace - up to 100,000 btu Gas Outlets 1-4 Heat Pump Minimum/Adj ustment Mechanical + llYo Administrative Fee + 77o State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Total Amount Paid Total Value of Project Date Paid y14t04 ut4t04 Ut4t04 Ut4t04 1n4t04 ut4t04 ut4t04 ut4t04 2t23t04 2t23t04 2t23t04 2t23t04 Value Date Calculated Receipt Number 1200400000000000048 1200400000000000048 1200400000000000048 r200400000000000048 1200400000000000048 1200400000000000048 1200400000000000048 1200400000000000048 2200400000000000166 2200400000000000166 2200400000000000166 2200400000000000166 $ Per Sq Ft or multiplier Square Footage or Bid Amount Amount Paid $10.00 $4.50 $3.1s $6.00 $12.00 $4.00 $12.00 $11.00 $4.60 $3.22 $43.00 $3.00 $116.47 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. 4 Rough Gas: After line is installed and required testing and capped if not attached to an appliance. I Rough Mechanical: Prior to Coyer 2 Final Gas: When all gas work is complete. 3 Final Mechanical: When all mechanical work is complete. 5 Rough Electric: Prior to Cover 6 Final Electric: When all electrical work is complete. Reouired Insnectinns Paee 2 of3 Valuation Descrintion I 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: COM2004-00047ISSUED: 0111412004 APPLTED| 0u14t2004EXPIRES: 08/2312004 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 Page 3 of3 225 FIFTH STREET . SPRINGFIELD, OR97477 . PI{:(541)726-3753 . FAX: TION Ciry Job Number Date 3. Permits are non-transferable and if not started rvithin 180 days of issuance or if Suspended for 180 days. 7 Electrical Contractor Address approval Service lncluded 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 Amps/Vols Reconnect Only Installation, \S or 1000 Volts see "B" above. Pump or irrigation Sign/Outline Lighting Limited Energy/Residential ru as submitted has the following not require specilic land use LTlrz- $ 106.00 $ r9.00 s50.00 s 63.00 s 75.00 s 125.00 s 163.00 s375.00 s s0.00 s s0.00 $ 69.00 s 100.00 Zoning ,\t\ LEGAL JOB DESCzuPTION %,.- A. t B. E. nlawr a city €r r(t e no ptone C865'l'll--U Supervisor License Number C. Expiration Date /o*ot _o Ll Constr. Contr. Number L 7g S\\ Expiration Date Signature of Supervising Electrician c Nerv Alteration or Extension Per Panel One Circuit I Each Additional Circuit or with , Service or Feeder Permit s 43.00 s 3.00 41cD-3P P Owners Name Address City OWNER INSTALLATION The installation is is not intended for Owners Signature: ,n""" Yilo.23[0-l s s0.00 s 50.00 s 25.00 s 45.00being made on property I sale, lease or rent.itffi,St'sbo follow rule s adopted lotification Center. Tho 1oAR 952 -001-0010 th Inspection a* r, *r, * ru."n".* lnspcction Request: 726-3769 maY obtain calling the center number {or the Oregon utilRftrldttfiodkme Fee TOTAI, 1n You rcopieA1] Note: {6b ^ -+n r ie { -g0n-a so k$lo'tf41 Shared Driv{T: /Building Fonns/Elecrrical Permit Appl ication I 43.doc ( &t;, ' 225 Fifth Street r. Springfield, Oregon 97 477 541-726-3759 Phone City of Springfield Official Receipt " Development Services Department Public Works DePartment *n COM2004-00047 Ad( Alier. Extend Circ 43.00 COM20&I-00047 Ad4 Alter, Extend Circ Ea Add 3.00 COM2004-00M7 + 7% Stat€ Surcharg€ 3.22 4.60coM2004-o0M7 + l0ol" Adminisifltive Fe" ,,". r_, -sEl3' Type of Payment Paid By Received By Batch Number Authorization Number How Received Amount Paid CreditCard ROBS ELECTRIC llh 000304 023471 Phone Payment Total: $s3.82 $53.82