HomeMy WebLinkAboutPermit Mechanical 2007-05-04r1
5 Building/Combination Permit
PERMIT NO: COM2007-00650ISSUED: 0510412007
APPLIED: 05/0412007
EXPIRES: 1110712007
VALUE:
c
Status Issued
225 Fifth Street, Springfield' OR
541-726-3753 Phone
541-726-3676 Fax
541 -7 26-37 69 Inspection Line
SITE ADDRESS: 950 ISTH ST
ASSESSOR'S PARCEL NO.: 1703362105600
PROJECT DESCRIPTION: Install split system
Springfield TYPE OF WORK; Heating System
TYPE OF USE: Alteration Residential
Owner:
Address:
Phone Number: 541-746-8135NIXON EMIL & PAULINE
950 N I8TH ST
SPRINGFIELD OR 97477
yOU trJ
Contractor Type
Electrical
Mechanical
Contractor
PACTFIC AIR
Oregon UtilitY
re s&{Piration Da
F 952-008/14t2007
les0B/25l2010
te Phone
s4r-686-5444
541-672-9510
Oregon ooa-D
telePhone
Notilicatiorten[\. Lot Size:# 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 lnstruction:
Height of Structure:
Type of Heat:
Water Type:
Range Type:
Energy Path:
sil{f$t$Euilding:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
0ccupant Load:
PERMIT lS NHTOUTRED PARKTNG
Total:
Handicapped:
Compact:
nla
o$&lX\lvSiNCED 0R ls ABAND0NED FOB
* alrlYeilfft&H68tRl0D
Paved Drive Rqd:
o/o of Lot Coverage:
Sidewalk Type:
Downspouts/Drains:
PUBLIC IMPROVEMENTS
Notes:
Pase I of3
rules adopted bY
ROBS E LECTRIC{dtgication Center'
-0010
LD
Status Issued
225 Fifth Street, Springlield, OR
541-726-3753 Phone
541-726-3676 Fax
541 -7 26-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2007-00650ISSUED: 0510412007APPLIED: 05/0412007
EXPIRESz 1110712007
VALUE:
Description Tvpe of Construction
Fee Description
-Mechanical Issuance Fee-
+ l0% Administrative Fee
+ 57o Technology Fee
+ 80 State Surcharge
Heat Pump
Minimum/Adjustment Mechanical
+ lloh Administrative Fee
+ 57o Technology Fee
+ 87o State Surcharge
Add, Alter, Extend Circ
Minimum/Adj ustment Electrical
Total Amount Paid
Total Value of Project
Date Paid
Value Date Calculated
Receipt Number
2200700000000000659
2200700000000000659
2200700000000000659
2200700000000000659
2200700000000000659
2200700000000000659
2200700000000000662
2200700000000000662
2200700000000000662
2200700000000000662
2200700000000000662
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Amount Paid
$10.00
$4.50
$2.25
$3.60
$12.00
$33.00
$4.s0
$2.25
$3.60
$43.00
s2.00
5t4/07
5t4t07
5t4t07
5t4t07
st4t07
5t4t07
5t7107
5t7t07
5t7t07
5t7t07
5t7/07
$120.70
Fees Pa
Plan Reviews
To Request an inspection call the 24 hour recording at 726-3769. AII inspections 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 Insnecfions
Paee 2 of3
Valuation Description I
OF SPRIN
Building/Combination Permit
Status Issued
225 Filth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-31 69 Inspection Line
PERMIT NO: COM2007-00650ISSUED: 0510412007APPLIED: 05/0412007EXPIRES: 1110712007
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 turther 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 Safefy.
I further certity that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I
lurther 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
I'!
City of Springfield
Phone: (54t) 746-8135
Supervising electrician's name: DAVID R LAWI-ER
Upon review and approval by your local jurisdiction, your
permit will be e-mailed or faxed within one business day,
with instructions on how to schedule your inspection.
NOTE: This Authorization To Begin Work expires within 180
days if a permit is not obtained.
The local building department may determine that an
Authorization To Begin Work is null and void if it does not
meet applicable land use laws and local ordinances.
Electrical Authorization To Begin Work
_ _ E-mailed To: robselectric@hotmail.com
Check on status of permit
By Phone : (541)7 26-37 53 or Em ail: perm itcenter@ci.sprin gfield.or.us
* City t0%
Receint # EC511013
51412007 3:20:56 PM
Fee,5Y;o Fee
t or 2 famity dwelling l-l n4ulti-tamity E Commercial / lndustrialX
Job address: 950 I STfl ST,lob no.: 4310
(iity/State/ZlP: SPRINGFIELD. OR 97477-4207
Suitei bldg./apt.no.:OR-126E exit at Mohawk Blvd & turn right - left
I 6th 5t - Ielt on I 5t - ngnt on I 6th 5t--()n. cer)tcnnrclrrolect name:
Cross street/directions to job site:
Lot no.:Subdivision:
'fax map/parcel no.: 1703362105600
lnstall l-2 ton gas
Name: Pauline Nrxon
!'ax:
Email:
El. lic. no.: 20-462C CCB lic.no.: 156678
Business Name: ROBS ELIrC'l RIC INC
Contact: Gena Baker
Address: PO BOX 2821
(lity/State/ZlP: IIUGIINIT OR 97402
Fax:54168654217Phone: 54 I 6865444
Email: 16[5slsctric@hotmail.com
Metro lic no.:City lic no.
Supervising electrician's lic. no.: 47445
Qty,Da.TotalDescription
aIillry uwcur
I,000 sq. ft. or less
Ea. addl 500 sq. ft. or portion
- Lrmited energy, residential
(with above sq. ft.)
- Limrted cnergy, multrlamily
200 amps or less
above ftresidential
alteration, A ND/OR relo
201 amps to 400 amps
401 amps to 599 amps
200 amps or less
201 amps to 400 amps
----.:-:-I ''
401 amps to 599 amps ___l
@
@
above service or feedcr fee.
I
each branch crrcuit. I
r, OR extens
$43 00 $43.00B. Fee for branch circuits
without servrce or feeder fee.
first branch circuit,
each addl branch crrcuit
Service reconnect only
Each manulactured or modular
dwelling, service and/or feeder
Pump or irrigation circle
Sign or outline lighting
energy panel, alteration, or
extension.
not offered onlinc at this jurrsdiction
Subtotal $43.00
or
Mrnimum fee used instead of Subtotal $4s 00
State Surcharge (8% ofpermit fee)$3.60
City Of Springfield fees *$6.7s
5TOTAL PERMIT FEE
This Authorization To Begin Work must be posted at the job site until replaced by a Permit.
sFslx$s$e
TYPE OFWORK
! New construction lil Addition/altcration/replacement
CATEGORY OF CONSTRUCT]ON
JOB SITE INFORMATION AND LOCATION
DESCRIPTION OF WORK
SITE CONTACT
CONTRACTOR
FEE SCHEDULE
TEMPORARY,,seiviees OB feeders in3trlldtion, alteration,
AND/OR relocation
ELECTRICAL PERMIT FEES
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
C'' ' of Springfield Official Receipt
L-- elopment Services Department
Public Works Department
RECEIPT #: 2200700000000000662 Date: 0510712007 8:25:4lAM
Job/Journal Number
croM2007-00650
coM2007-00650
coM2007-00650
coM2007-00650
coM2007-00650
Description
Add, Alter, Extend Circ
M inimum/Adj ustment Electrical
+ 5%o Technology Fee
+ 8% State Surcharge
+ 10Yo Administrative Fee
Amount Due
43.00
2.00
2.25
3.60
4.50
Item Total:$ss.35
Payments:
Type of Payment Paid By Received By
Check Number
Batch Number
Authorization
Number How Received Amount Paid
ONLINE CHGS ONLINE PERMIT CHGS ddk ONLINE Rob's
Electric
Online
Payment Total:
$5 5.3 5
$55.35
cReceint I Page I of I 5/712007
Building/Combination Permit
Status Issued
225 Filth Street, Springfield' OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37 69 Inspection Line
PERMIT NO: COM2007-00650ISSUED: 0510412007
APPLIED: 05/0412007
EXPIRESz 1110412007
VALUE:
SITE ADDRESS: 950 18TH ST
ASSESSOR'SPARCELNO.: 1703362105600
PROJECT DESCRIPTION: Install split system
Springfield TYPE OF WORK: Heating System
TYPE OF USE: Alteration Residential
Owner:
Address:
Contractor Type
Mechanical
NIXON EMIL & PAULINE
950 N ISTH ST
SPRINGFIELD OR 97477
Contractor
PACIFIC AIR COMFORT INC
License
39237
Expiration Date
03t25t2010
Phone
541-672-9510
TMATION
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
# of Stories:
Height of Structure:
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled
#
Paved
o/o of
NOTICE:
THIS PER
AUTHORI
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
gon la$l
Sidewalk Type:
Downspouts/Drain S:
MIT SHALL EXPIRE IF THE WOF (
ZED UNDER THIS PERMIT IS NrJ]
ANDONED FOR
PARKING
$ Per Sq Ft
or multiplier
ERIOD
Square Footage
or Bid Amount
PUBLIC IMPROVEMENTS
tr$,Valuatiort ton
Description Type of Construction
Pase I of2
Value Date Calculated
*:t
CUN IKA(-I t(l\
CITY OF SPRTNGFIELD
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: COM2007-00650ISSUED: 0510412007APPLIED: 05/0412007
EXPIRESz 1110412007
VALUE:
Fee Description
-Mechanical Issuance Fee-
+ lOoh Administrative Fee
+ 57o Technology Fee
+ 87o State Surcharge
Heat Pump
Minimum/Adj ustment Mechanical
Total Amount Paid
Amount Paid
Total Value of Project
Date Paid Receipt Number
2200700000000000659
2200700000000000659
2200700000000000659
2200700000000000659
22007000000000006s9
2200700000000000659
$r0.00
$4.50
$2.2s
$3.60
$12.00
$33.00
5t4t07
5t4/07
st4/07
5t4t07
st4/07
5t4t07
$65.35
['ees
Plan Reviews
To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00
a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following
work day.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
red Insnections
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
inlbrmation hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with
the Ordinances of the Cify of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety.
I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I
further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the
street, that the permit card is located at the front of the properfy, and the approved set of plans will remain on the site at all
times during construction.
Owner or Contractors Signature
Page 2 of 2
Date
,.&Iqh'ry*
City of Springfield
sF$fl*n$a
Metro lic no.:
Upon review and approval by your local jurisdiction, your
permit will be e-mailed or faxed within one business day,
with instructions on how to schedule your inspection.
NOTE: This Authorization To Begin Work expires within '180
days if a permit is not obtained.
The local building department may determine that an
Authorization To Begin Work is null and void if it does not
meet applicable land use laws and local ordinances.
.,^;chanical Authorization To Begin Work
E-mailed To: becki@pacificaircomfort.com
Check on status of Permit
By Phone : (541)726-37 53 or Email: permitcenter@ci.sprin gfield.or.us
Receipt # EC510999
5l4D007ll:25:47 AM
I 0% Local Admin Fee; 5% Local Fee;
Sl0 lssuance Fee
f] N.* construction Fl Addition/alteration/replacement
I or 2 family dwellrng l-l vutti-ramily T R..rrrory Building
Job no,: 5288 Job address: 950 I 8TH ST
ciry/state/zIP: SpRINGFIELD, OR 97477 -4207
Suite/bldg./apt.no.:
Project name: Pauline Nixon
Cross strcet/directions to job site
Lot no,:Subdivision:
Tax map/parcel no.: 1703362105600
Name: Steve Biersteker
Fax:Phone: (541 ) 342-5300
Email:caircomfort.com
CCB lic.no.: 39237
Business Name: PACIf IC AIR COMFORT INC
Contact: Becki McCormick
Address: PO BOX 790
ciry/stare/zlP: RoSEBURG, OR 97470
Faxt 54'16726934Phone: 54 I 67295 I 0
Email: becki@pacifi caircomfort.com
City lic no.
Ila.Tolal
Fumace- up to 100,000 BTU
Description
Furnace - above I 00,000 BTU
not oflered online at this jurisdictton
Duct alterations and additions
Gas heater unis/ in-wall, in-
duct, suspended, etc/
Vent, flue, liner for above
Air Conditroner
$ I 2.00 $ 12.00Heat Pump I
not offered online at this jurisdictronAir Handler
Water heater
Gas fireplace/inserVstove
Gas log/ log lighter
Gas clothes dryer
Gas stove/range
Pool or spa heater, kiln
Wood/pellet stove/insert
Wood fireplace
Chimney/l iner/fl ue/vent w/o
apnl iancc
Environmental exhaust AND ver
Range hood
Clothes dryer exhaust
Single-duct exhaust (bathrooms,
toilet compartments, util ity
rooms)
Attic/crawlspace fans
upto first 4 outlets(enter Qty=l)
each addrtional outlet
ME-CHAI\IIC'
Subtotal $ 12.00
$45.00Minimum fee used instead of Subtotal
$3.60State Surcharge (8% ofpermit fee)
$16 7sCity Of Springfield fees i
TOTAL PERMIT FEE $6s.3s
This Authorization To Begin Work must be posted at the job site until replaced by a Permit.
TYPE OF WORK
CATEGORY OF CONSTRUCTION
JOB SITE INFORMATION AND LOCATION
DESCRIPTION OF WORK
lnstall Split System
SITE CONTACT
CONTRACTOR
FEE SCHEDULE
Qty.
Heating/cooling appliances
Electric Furnace
Other fuel burning appliances
Fuel plping
225 Fifth Street
Springfield, 0regon 97 477
541-726-3759 Phone
C'' ' of Springfield Official Receipt
L-r elopment Services DePartment
Public Works DePartment
RECEIPT #: 2200700000000000659 Date: 0510412007 2:32:53PM
Job/Journal Number
coM2007-00650
coM2007-00650
coM2007-00650
coM2007-00650
coM2007-00650
coM2007-00650
Description
Heat Pump
M inimum/Adjustment Mechanical
-Mechanical Issuance Fee-
+ 5%o Technology Fee
+ 8olo State Surcharge
+ 10%o Administrative Fee
Amount Due
12.00
3 3.00
10.00
2.25
3.60
4.50
Item Total s6s.35
Payments:
Type of Payment Paid By Received By
Check Number
Batch Number Number How Received Amount Paid
ONLINE CHGS ONLINE PERMIT CHGS ddk ONLINE Pacific Air Online
Comfort Inc.
Payment Total:
$6s.3 5
$6s.35
c Receint I Page I of I s1412007
af'n$acFrrLo
Authorization