HomeMy WebLinkAboutBuilding Mechanical 2004-12-29Status Issued
225Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2004-01595ISSUED: 1212912004APPLIED: 1212912004EXPIRES: 06/3012005
VALUE:
SITE ADDRESS: 1280 31ST ST
ASSESSOR'S PARCEL NO.: 1702303402500
PROJECT DESCRIPTION: Replace air handler
Springfield TYPE OF WORK: Heating System
TYPE OF USE: Repair Residential
PhoneNumber: 541-554-3974Owner:
Address:
ROBERT EARLEY
PO BOX 433 SPRINGFIELD OR 97477
Contractor Type
Electrical
Mechanical
Contractor
MAG ELECTRIC INC
ASSOCIATED HEATING & AIR
License
149834
Expiration Date
t2fi3t2005
Phone
541-461-0387
s41-683-2590
CONTRACTOR INFORMATION
the Oregon Utit
hos e rules are set f orth
# 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:
R-3
VN
C(
A
XPIRE IF TH
1-0010 throug h oARgf,ft0n]'
btain coPie s of thC$rtrlhlhtoor:
center' (Note the telffrcffiRrd Floor:
the Oregon UtilitY Fjt:WtBasement:
Bu
Sq Ft Other:is 1-800-332 -2344 Ft Garage/Carport
Sprinkled Building:nla Occupant Load:
Energy
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
oh of
REQUIRED PARKING
Total:
Handicapped:
Compact:
H A
rt ELLL
ONED IOR
Type:
Downspouts/Drains:
nw
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
DEVELOPMENT INFORMATION
Description Type of Construction
Pase I of2
Value Date Calculated
Yaluation Description I
1
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: COM2004-01595ISSUED: 1212912004
APPLIEDz 1212912004
EXPIRES: 06/3012005
VALUE:
Fee Description
-Mechanical Issuance Fee-
+ l0o/o Administrative Fee
+ 7o/o Stal,e Surcharge
Air Handling Unit Up to 10,000
Minimum/Adjustment Mechanical
+ l0%o Administrative Fee
+ 1Vo State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Total Amount Paid
Amount Paid
Total Value of Project
Date Paid
12t29t04
12t29t04
12t29t04
12t29t04
12129104
12130104
12t30104
12t30t04
12t30t04
Receipt Number
1200400000000001803
1200400000000001803
1200400000000001803
120040000000000r803
1200400000000001803
2200400000000001556
22004000000000015s6
2200400000000001556
2200400000000001556
$10.00
$4.s0
$3.1s
$8.00
$37.00
$4.60
$3.22
$43.00
$3.00
$116.47
Fees Paid
Plan Reviews
To Request an inspection call the 24 hour recording at 726-3769. All inspection requested before 7:00 a.m.
will be made the same working day, inspections requested after 7:00 a.m. will be made the following work
day.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Reouired Insnections
By signature,I state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with
the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety.
I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the
street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all
times during construction.
Owner or Contractors Signature
Pase2 of2
Date
225 Fifth Street
Springfietd, Oregon 97 477
541-726-3759 Phone
'ity of Springfield Official Receipt
__ relopment Services Department
Public Works Department
RECEIPT #: 2200400000000001556 Date: 1213012004 11:16:59AM
JobiJournal Number
coM2004-01595
coM2004-01595
coM2004-01595
coM2004-01595
Description
+ 7Yo State Surcharge
+ l0% Administrative Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Amount Due
3.22
4.60
43.00
3.00
Item Total:$s3.82
Payments:
Type of Payment Paid By
CheckNumber Authorization
Received By Batch Number Number How Received Amount Paid
CreditCard LISA GRAY djb 613125 In Person $53.82
PaymentTotal: ...................,B37
12130t2004 Page I of I
sFNllraftxt-.|l
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-7 26-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2004-01595ISSUED: 1212912004
APPLIEDz 1212912004
EXPIRESz 0612912005
VALUE:
SITEADDRESS: 128031STST
ASSESSOR'SPARCELNO.: 1702303402500
PROJECT DESCRIPTION: Replace air handler
Owner: ROBERT EARLEy
Address: PO BOX 433 SPRINGFIELD OR 97477
Springlield TYPE OF WORI(: Heating System
TYPE OF USE: Repair Residential
PhoneNumber: 541-554-3974
Expiration Date
CONTRACTOR INFORMATION
Contractor Type
Mechanical
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
o/o oflot
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
Contractor
ASSOCIATED
License
t06275 HE
f.ffO fOn
nla
Phone
541-683-2590
D
COR-3 A
VN
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
REQUIRED PARI(NG
Total:
Handicapped:
Compact:
Total Value of Project
DEVELOPMENT INFORMATION
Description Type of Construction
I
Value Date Calculated
Valuation Description I
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: COM2004-01595ISSUED: 1212912004
APPLIEDz 1212912004
EXPIREST 0612912005
VALUE:
Fees Paid
Amount Paid
$10.00
$4.s0
$3.1s
$8.00
$37.00
$62.6s
Date Paid Receipt Number
1200400000000001803
1200400000000001803
r200400000000001803
1200400000000001803
1200400000000001803
Fee Description
-Mechanical Issuance Fee-
+ lOoh Administrative Fee
+ 7%o State Surcharge
Air Handling Unit Up to 10,000
Minimum/Adj ustment Mechanical
Total Amount Paid
12t29104
12t29t04
12t29t04
r2t29104
12t29104
PIan
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.
Reouired Insnections
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 OCCUPA|ICY 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.
/Z Z?
Owner or Contractors Signature Date
Pase2 of?
,'--!t
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
City of Springfield Official Receipt
r,elopment Services Department
Public Works Department
RECEIPT #: r200400000000001803 Date: 1212912004 11:48:5eAM
Job/Journal Number
coM2004-01595
coM2004-01595
coM2004-01595
coM2004-01595
coM2004-01595
Description
+ 7oA State Surcharge
+ l0% Administrative Fee
Air Handling Unit Up to 10,000
Minimum/Adjustment Mechanical
-Mechanical Issuance Fee-
Amount Due
3.l s
4.50
8.00
37.00
10.00
Item Total:$62.6s
Payments:
Type of Payment Paid By
CheckNumber Authorization
Received By Batch Number Number How Received Amount Paid
Check ASSOCIATED HEATING djb 12432 In Person
Payment Total:
$62.6s
-562^6-t
1212912004 Page I of I
AFEI]'OFIILO
Dec-lg-Ol O4z46P
225 FtrTIT STREET
SPRINGFIELD. ORFCONI 97477
INSPECTION REQIIEST: 726'3769
OFFICE: 776-3759
JOB \
Pentrits arc non-Irtlnslbrable and atpire
i[ rvork is nc[ startccl rvithin 180 days
ofissuance or ifrvork is suspended for
180 dayr.
LOCATION OF INSTALLI\TION
tZ 8O 3t 5t st
LEGAL DESCRIPTIONt?o?- 3031{o?-soo
i+r
tc
--, Citylotr
3: COMPLETE
A. Nerv
caliing the
Scnice
PERMTTAPPLICATION
ott-Dls?{
f.o
res
'gon
are set forth
oAR 952 -001-
(Note: th
of the ru les[
e h one
P -02
Sum
r06.
s 50.00 _
_ s 63.00 _
s 75.00 _
_$125.00 _.$163.00 -
_ $3?5.00_
s 50-fi)
Noi:
in Oi
0090
2. CONTRACTOR INSTALL.{TION ONLY
l'lU|l , rrHI
Nlmtcr. -la.:.
Constr Conr.
-Erpiration
.--. a.- :.."
nn* /2-"/3 i"&$]i*''
Supcnisirg Elcclriciao
?e;.Bo
sec
'E}" abore
.i: ..
D. Branch Citt$rs
Ncm' Alti:rmioa or Ertcnsion Fer Pard
-Eri:h insaltrtion
fi*ryorinigatior
$i$u0u0iteLiehting
Litnitd Energr/Res
LinritedEmg/Cotu
.i .j'-' - t
Orr"Clil,rrit -l-E{3.fi} q3
..
Eactr Additicmal Circnit or *ilh Service
orFeederPermir t $3.00 3
E lltisllairim (Scrvierfcsdcr not included)
7'
Licersc
Brpirarion
__ $su00
$69.00
__::_$loo.90
.. .OWNERINSIALLATION' '"-,
". .. me insrallationisbcingmadcoa.
, . :.'property I orrn whicft is aot iruend
" 'for sale, l€as'or rEoL
,t - -
. . : Olnens Sipaure:
r:
sJ0-00
85(}.00
$2s.00
${s.CIo
Itlinimtu Elcctric Pcrmitlnrpcction Fec is 5.15.00 * Surchargcs
tt6
4. SUBTOTALOIIABOVE' 7Vo Stnle Surchlrge
t O|o.fr" Artniinisr rath'c Fee
TOTAL
-3-lz'T
q60
93 aL
1000 or less
2lD anps or less
201 arnps to400 amp
401 anps to600 arilF' 601 anpatti'Ifi)Oarnps
prrcr l000asrdwlr
orts
Relocetiur