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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 'I