HomeMy WebLinkAboutPermit Mechanical 2005-09-01Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
Building/C ombination Permit
PERMIT NO: COM2005-01193ISSUED: 0910112005APPLIED: 08/3112005EXPIRES: 03/0112006
VALUE:
SITEADDRESS: 790S32NDPL
ASSESSOR'S PARCEL NO.: 1802062101300
PROJECT DESCRIPTION: Install heat pump and air handler
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
PhoneNumber: 54l-221-3232
Expiration Date
08fi4t2007
06t27t2007
Residential
Phone
541-686-5444
541-726-0100
Owner:
Address:
Contractor Type
Electrical
Mechanical
ROBERT BAIRD
27088 4TH ST
TULSA OK 74104
Contractor
ROBS ELECTRIC INC
COMFORT FLOW
License
ts6678
460
CONTRACTOR INFORMATION
# 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:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
o/o 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:
I
R-3
VN
nla
Sidewalk Type:
REQUIRED PARIilNG
Total:
Handicapped:
Compact:
arr r rrr r r drr?,*6
spo u ts/D rains :
, l.: ni,.;ri };[: 3 ; ?,H"s ["",,ffi l?
rn oAfl 952 00i 00,,1?::u
rule-s are set forth
oceo Y;;;;; ;;.,'"'ll:"n oAB e52-oo1 -
cailing the ce'ter.
n copies of the rules by
nunti.,et for the o,...(I^ol?' Jlte'teiephone
c.,,;;. ; ;%J#ii;,1;;,i cation
DEVELOPMENT INFORMATION
PUBLIC IMPROVEMENTS
. Notes:
Pase 1 of3
\{
.L U rL|,rN U rN I Ul(lYr.q.:lUN J
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: COM2005-01I93ISSUED: 09/01/2005APPLIED: 08/3112005EXPIRES: 03/0112006
VALUE:
Description Tvpe of Construction
Fee Description
-Mechanical Issuance Fee-
+ lOoh Administrative Fee
+ 77o State Surcharge
Air Handling Unit Up to 10,000
Heat Pump
Minimum/Adj ustment Mechanical
+ l0o/o Administrative Fee
+ 7o/o State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Total Amount Paid
Total Value of Project
Date Paid
Value Date Calculated
Receipt Number
1200500000000001277
1200500000000001277
1200500000000001277
1200s00000000001277
1200500000000001277
1200500000000001277
2200500000000001200
2200500000000001200
220050000000000r200
2200500000000001200
Amount Paid
$10.00
$4.50
$3.15
$8.00
$12.00
$2s.00
$4.60
$3.22
$43.00
$3.00
$116.47
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
8/31/0s
8/31/05
8/31/05
8/31/05
8/31/05
8/3Uos
9n|05
9nt05
91u05
9nt0s
tr'ees 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
Paee2 oI3
!
Valuation Descriotion 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: COM2005-01193ISSUED: 0910112005APPLIED: 08/3112005
EXPIRES: 03/0112006
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
Pase 3 of3
m
225 Fiftb Street
Springfield, Oregon 97 477
541-726-3759 Phone
rity of Springlield Official Receipt
:velopment Services Department
Public Works Department
RECEIPT #: 2200500000000001200 Date:09/01/2005 10:22:01AM
Job/Journal Number
coM2005-01193
coM2005-01193
coM2005-01193
coM2005-01193
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 7o/o State Surcharge
+ l0o/o Administrative Fee
Amount Due
43.00
3.00
3.22
4.60
Item Total:$53.82
Payments:
Type of Payment Paid By
CheckNumber Authorization
Received By Batch Number Number How Recelved Amount Paid
CreditCard ROBS ELECTRIC llh 000066 Phone $53.82
Payment total:
-553.-ET
:(
't
't.
9/t/2005 Page I of I
rnrmi1n
$s0.00
$ 63.00
$ 7s.00
$ 125.00
s163.00
$37s.00
$ 50.00
$ 50.00
$ 69.00
s100.00
\lB[$]"" "B" above.
225 FIFTH STREET o SPRINGFIELD, OR97477 o PII:(541)726-3753 o FAX: (541)726-3689
ELECTRICAL PERMIT APPLICATION
City Job Number 5,D \\qg Date
1.3. COMPLETE FAE SCHEDWE BELOW
L
A.NervResidential_singleorN{ulti.Falnil.vperdrvellingurrit.
LEGAL DESCRIPTION
t Service Included
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
$106.00
$ 19.00
JOB DESCzuPTION
Permits are
not started'
and expire if work is
within days of issuance or if work is
Suspended for 180 daYs.
Electrical Contractor
Address l, 0 .V,cx )-t Lt 0K f zYo'
City Ir+1o*e ptrone 6q ) Lt[-i'l't't
Constr. Contr. Number t5L(,7tr ATTENTTON:O
P.uL's E/r./r,i trne 2ooAmPsorless
201 AmPs to 400 AmPs
Supervisor License Number y71y s C. Temporary Services or Feeders '' '
Expiration Date o"-i-o Installation, Alteration or Relocation
401 Amps to 600 AmPs
601 Amps to 1000 AmPs
Over 1000 AmPs/Volts
Reconnect OnlY
200 Amps or less
ffi? g0JputoqQo i.ilssnpo u to
&eenpd.Jt ility
Expiration Date -t -Lo
Signature of Supervising Electrician
rles ado
-001
er ts
erules
2^uf//
New Alteration or Extension Per Panel
One Circuit i
Each Additional Circuit or with
Service or Feeder Permit
7%o State Surcharge
10% Adminisffative Fee
TOTAL
1 43,@s 43.00
s 3.00
Owners
Address
Name
City
OWNERINST
The installation is
is not intended for
on propertY I own which
or rent.
3,CI)
-+.%-
t
E.Miscellaneous(Service/feedernotincluded)_Eachlnstallation
Pump or irrigation $ 50.00
Sign/Outline Lighting $ 50.00
Limited Energy/Residential $ 2s.00
Limited Energy/Commercial $ 45'00
Minimum Electric Permit Inspection Fee is $45'00 * Surcharges
4. SLryTOTAL OF ABOVE \v@Owners S
Inspection Requesfi 726-3769
bb
\.otto 5111 Shared Driv{T:)/Building Forms/Electrical Permit Application I {3'doc
o h
1 CONTRACTAR INSTALIATION ONLY B. Services or Feeders - Installation, Alterations or Relocation:
0090. You may
I
I
UU
FIELD
Status: Issued
225 Fifth Street, Springfield, OR
541:726-3753 Phone
541-726-36768ax
541:7 2637 69 Inspe ction Line
Building/Co mbination Permit
PERMIT NO: COM2005-01193ISSUED: 08/31/2005APPLIED: 08/31/2005E)?IRES: 0212812006
VALUE:
SITE ADDRE$S: 790 S 32ND PL
ASSESSORS PARCELNO.: 1802062101300
PROJECT DESCRIPTION: Install heat pump and air handler
Springfield TYPE OF
TYPE OF USE:
Heating System
New
Owner:
Address:
Contractor Type
Mechanical
ROBERT BAIRI)
2708 E 4TH ST
TULSA OK 74104
Phone Number: 541-221-3232
License Expiration Date
Residential
Phone
541-726-0100
Contractor
COMFORT FLOW ATTENT,
CONTRACTOR I]
# of Units:
Primary Occupancy Group:
Secondary Occupancy
Primary Construction Type
Secondary Construction
# of Bedrooms:
Frontyard Setback
Side l Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street
Storm Sewer Available:
Special Instruction:
Notes:
oN.
Sprinkkd
Overlay Dist:
# Street Trees
Paved Drive Rqd:
oh of Lot Coverage:
nla Occupant Load:
06t27t2007
R-3
VN
Sidewalk Type:
Downspouts/Drains
REQUIRED PARIilNG
Total:
Handicapped:
Compact:
$ Per Sq Ft
or muhiplier
Square Footage
or Bful Amount
I
Description Type of Construction
lof2
Value Date Calculated
bf
#of
Type
Water
Energy Path:
by the you t,
Range
THIS PEF
utlYtl,Lt rrylllNI rr\rt r(rYrArrul\ l
Valuation Description i
CITY OF SPRINGFIELD
Buildin g/Co mbination Permit
Status: Issued
225 Fifth Street, Springfield, OR
541:726-3753 Phone
541-726-3676Fax
541:7 26-37 69 Inspection Line
PERMIT NO: COM2005-01193ISSUED: 08/31/2005APPLIED: 08/31/2005E)GIRES: 0212812006
VALUE:
Fee Description
-Mechanical Issuance Fee-
+ l0o Administrative Fee
+ 7%o State Surcharge
Air Handling Unit Up to 10,000
Heat Pump
Minimum/Adj ustment Mechanical
Total Amount
Amount Paid
$10.00
$4.50
$3.15
$8.00
$12.00
$2s.00
$62.65
Total Value of Project
Date Paid
8/31/05
8/31/0s
8/31/05
8/31/05
8/31/05
8/31/05
Receipt Number
1200500000000001277
r200500000000001277
1200500000000001277
1200500000000001277
1200500000000001277
1200500000000001277
Fees Pa
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.
Reouirer
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 certify that any and all work performed shall be fone 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 OCCT PANCY will be made of any structure without permission of the Community Services Division,
Building Safety. I further certiff 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 ard is located at the front of the property, and the approved set of plans will remain on the site
Zlarlce;lS
or
during
Signature
2of2
Date
225 Fifth Street
Springfield, Oregon 97 477
54l-726-3759 Phone
^'ty of Springfield Official Receipt
-evelopment Services Department
Public Works Department
RECEIPT #: 1200500000000001277 Date:09/31/2005 2:06:53PM
Jnb/Journal Number
coM2005-01193
coM2005-01193
coM2005-01193
coM2005-01193
coM2005-01193
coM200s-01193
Description
+ 7Yo State Surcharge
+ l0% Administrative Fee
Air Handling Unit Up to 10,000
Heat Pump
Minimum/Adj ustment Mechanical
-Mechanical Issuance Fee-
Amount Due
3.l s
4.50
8.00
12.00
25.00
10.00
Item Total:$62.6s
Payments:
Tlpe of Payment Paid By Received By
Check Number
Batch Number
Authorization
Number How Received Amount Paid
Check COMFORT FLOW djb 3 1065 In Person
Payment Total:
$62.6s
-562i-f
0
:(.
1.,
't
8l3t/2005 lofl
SFEtitortcl-o
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