HomeMy WebLinkAboutPermit Mechanical 2004-09-10Status Issued
225Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-36768ax
S4l-7 26-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2004-01123ISSUED: 0911012004APPLIED: 09/1012004EXPIRES: 03/1012005
VALUE:
^r ral! l^n
SITE ADDRESS: 440 24TH ST
ASSESSORTSPARCELNO.: 1703361408500
Owner: ARCHIE LAWSON
Address: 440 24TH ST SPRINGFIELD OR 97477
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OF WORI(: Heating System
Expiration Date
08n4t2005
Aq salnt aiii
PROJECT DESCRIPTION: Heat pump, air handler and ductwork
Residential
Phone
s4l-686-5444
54t-726-0100
oi noA satlnbet me1 uooarO IlflOlANilJSVr: s41-741-31s8
Contractor Type
Electrical
Mechanical
Contractor
ROBS ELECTRIC INC
COMFORT FLOW
License
1s6678
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Ft THIS PERMIT IS NOT
# ofStories: Lot Size:
Height of Structure Sq Ft lst Floor:
Type ofHeat: Sq Ft 2nd Floor:
Water Type: Sq Ft Basement:
Range Type: Sq Ft Garage/Carport
Energy Path: Sq Ft Other:
Sprinkled Building: nla Occupant Load:
R-3
VN
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
Yo ofLot Coverage:
Sidewalk Type:
Downspouts/Drains:
REQUIRED PARKING
Total:
Handicapped:
Compact:
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
INT INFORMATION
PUBLIC IMPROVEMENTS
Description Type of Construction
Pase I of2
Yalue Date Calculated
L
Valuation Description I
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 2G37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2004-01123ISSUED: 0911012004APPLIED: 09/1012004EXPIRES: 03/1012005
VALUE:
Fee Description
-Mechanical Issuance Fee-
+ l0o/o Administrative Fee
+ l0o/o Administrative Fee
+ lVo State Surcharge
+ lYo State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Air Handling Unit Up to 10,000
Heat Pump
Minimurr/Adj ustment Mechanical
Total Amount Paid
Total Value of Project
Date PaidAmount Paid
$10.00
$4.50
$4.60
$3.1s
s3.22
$43.00
$3.00
$8.00
$12.00
$25.00
$116.47
Receipt Number
1200400000000001331
1200400000000001331
3200400000000000242
1200400000000001331
3200400000000000242
3200400000000000242
3200400000000000242
1200400000000001331
1200400000000001331
1200400000000001331
9n0t04
9tr0l04
9n0t04
9fiot04
9t10t04
9fiot04
9n0t04
9n0t04
9n0t04
9n0t04
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 Mechanieal: When all mechanical work is complete.
Final Electric: When all electrical work is complete.
Rough Electric: Prior to Cover
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
construction.
c(d---.,
Owner or Contractors
Pase 2 of 2
Date
ol D/v\=
r ees raro I
Keourreo lnsDecuons I
/-
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: COM2004-01123ISSUED: 0911012004APPLIED: 09/1012004EXPIRES: 03/1012005
VALUE:
SITE ADDR.ESS: 440 24TH ST
ASSESSOR'S PARCELNO.: 1703361408500
PROJECT DESCRIPTION: Heat pump, air handler and ductwork
Owner: ARCHIE LAWSON
Address: 440 24TH ST SPRINGFIELD OR 97477
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New Residential
PhoneNumber: 541-741-3158
LicenseContractor Type
Mechanical
# of Units:
Contractor
COMFORT FLOW
eSI
Expiration Date
061271200s
Phone
541-726-0100
Primary Occupancy Group:
Secondary Occupancy Group:e$
Primary Construction Type lq
Secondary Construction
# of Bedrooms:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
\e\.
!!'{
Path:
Sprinkled Building:nla
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:
Occupant Load:
REQUIRED PARIilNG
Total:
Handicapped:
Compact:
460
\t
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
PUBLIC IMPROVEMENTS
Description Type of Construction
Total Value of Project
Value Date Calculated
rL
L(JI\ I I(AL I UK T].\ -T UryJ
t_r_t1vt1L(rrNl[L\ t ll\r(I(YrArrur\ |
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: COM2004-01123ISSUED: 0911012004APPLIED: 09/1012004EXPIRES: 03/1012005
VALUE:
Fees Pa
Fee Description
-Mechanical Issuance Fee-
+ l0oh Administrative Fee
+ 7oh State Surcharge
Air Handling Unit Up to 10,000
Heat Pump
Minimum/Adj ustment Mechanical
Total Amount Paid
Amount Paid
$10.00
$4.50
$3.rs
$8.00
$12.00
$25.00
$62.65
Date Paid
9n0t04
9n0t04
9n0t04
9n0t04
9n0t04
9fi0104
Receipt Number
1200400000000001331
1200400000000001331
1200400000000001331
1200400000000001331
1200400000000001331
1200400000000001331
Plan Reviews
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.
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 Springlield 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.
1 to '.,tl
Signature Dateor
Pase 2 of 2
Keourreo lnsDecnons
225FIFTHSTREET . SPRINGFIELD, OR97477 . PII:(541)726-3753 oF af<*r
PERMIT APPLICATTON
City Job -C)u Date
1
LEGAL DESCRIPTION
[-z 3 3(e t+o x56?Service Included
1000 sq. ft. or less S106'00
Each additional 500 sq. ft. or
portion thereof $ 19'00
Esti copies of the rules by
Feeder Oregon Uti li,'illifiiffi'*
JOB DESCRIPTiON
C)[:
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 daYs.
z.
Electrical Contractor
7-lAd&ess 2A
B.
c.
D.
200 Amps or less
201 Amps to 400 AmPs
401 Amps to 600 AmPs
601 Amps to 1000 AmPs
Over 1000 AmPsA/olts
Reconnect Only
s 63.00
s 75.00
s125.00
s I63.00
$375.00
s 50.00Cityt3JPhone
Supervisor License Number
ExpirationDate
Constr. Contr. Number 5h 7R
D FOR
s s0.00
s 69.00
401 Amps to 600 AmPs s100.00
Over 600 or 1000 Volts see "B" above
n
I
Expiration Date
Signature of Supervising Electrician
4-z--
Owners Name
Address 2
City Phone
OWNER DISTALLATION
The installation is being made on properly I own which
is not intended for sale, lease or reut'
Owners Signature:
New Alteration or Extension Per
One Circuit
Each Additional Circuit or with
Service or Feeder Penuit
Panel
/sf
3.6t'
s 43.00
s 3.00
E.
Pump or irrigation $ 50'00
Sigu/Outline Lighting $ 50'00
LimitedEnergy/Residential
-
S25'00
Limited EnergyiCommercial S 45'00
Minimum Electric Permit Inspection Fee is $45'00 * Surcharges
ac
7Yo State Surcharge
10% Administrative Fee
TOTAL
3a)..
Inspection Request: 726-37 69
4.
Shared Drive(T:/Building Forms/Electrical Permit Application l-03 doc
IZED
Relocation
DAY PERIOD.
6J. gl.
DT
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
n:1y of Springfield Official Receipt
- tvelopment Services Department
Public Works Department
RECEIPT #: 3200400000000000242 Date: 0911012004 tt:24:29Atvt
Job/Journal Number
coM2004-01123
coM2004-01123
coM2004-01123
coM2004-01123
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 7Yo State Surcharge
+ l0% Adminishative Fee
Amount Due
43.00
3.00
3.22
4.60
Item Total:$53.82
Payments:
Type ofPayment Paid By
CheckNumber Authorization
Received By Batch Number Number How Received Amount Paid
CreditCard DAVID LAWLER/ROB'S
ELECT
njm 010061 In Person
Payment Total:
$s3.82
$s3.82
911012004 Page I of I
*FBll{6Fr&Lat
225 Fifth Street
Springfield, Oregon 97 477
54r-726-3759 Phone
r''ty of Springlield Oflicial Receipt
- -velopment Services Department
Public Works Department
RECEIPT #: 1200400000000001331 Date: 0911012004 9:25:29ANt
Job/Journal Number
coM2004-01123
coM2004-01123
coM2004-01123
coM2004-01123
coM2004-01123
coM2004-01123
Description
+ 7o/o State Surcharge
+ l0% Administrative Fee
Air Handling Unit Up to 10,000
Heat Pump
Minimum/Adjustment Mechanical
-Mechanical Issuance Fee-
Amount Due
3.15
4.50
8.00
12.00
25.00
10.00
Item Total:$62.6s
Payments:
Type ofPayment Paid By
Check Number
Received By Batch Number
Authorization
Number How Received Amount Paid
Check COMFORTFLOW djb In Person
Payment Total:
$62.6s
-562"6-f
27043
911012004 Page I of I
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