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Home My WebLink AboutPermit Mechanical 2004-05-18Building/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: COM2004-00569ISSUED: 05/18/2004APPLIED: 05/1312004EXPIRES: 05/1812004 VALUE: SITE ADDRESS: 246 35th St ASSESSOR'S PARCEL NO.: 1702313100402 PROJECT DESCRJPTION: Add heat pump to existing furnace Springfield TYPE OF WORI(: Heating System TYPE OF USE: New Phone Number: 541-741-0714 Expiration Date 08/14l2005 06t27t2005 Residential Phone 541-686-s444 541-726-0100 Owner: Address: Contractor Type Electrical Mechanical SUTHERLIN TIFFANY P 246 35TH ST SPRINGFIELD OR 97478 Contractor ROBS ELECTRIC INC COMFORT FLOW License 156678 460 TION # 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: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: Yo ofLot Coverage: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: R-3 VN nla REQUIRED PARIilNG Total: Handicapped: Compact: Sidewalk Type: Downspouts/Drains: Special InstructiortJTENTlON: Oregon taw requires you toto,,oy.l,_.:aaopr6_o by i;, oregon UtirityNotes: Notifrcatron Center. Tfrote rutes are set forthin OAft952_001-00 j0 tirrougn OAR 952_001_Oy loy *ay chrain .oo,., of the rutes bvu.1,r,rlu i,re centl r. (\:te: the telepirOnenu r;t c cr fc. i fr =. Ore,Jil ii lti i ;t,l i(otriication C t ;.,r i,_ i .:i).1-:.-i,tj-l;. EXPIRE IF THE WOTJK THIS PERMIT IS NOI \EANDONED FOR TRiOD DEVELOPMENT INFORMATI( PUBLIC IMPROVEMENTS Pase I of3 -I' U ILUTN U TN I' UT(IYIA! -t!2N-.] Building/Combination Permit PERMIT NO: COM2004-00569ISSUED: 0511812004APPLIED: 05/1312004 EXPIRES: 05/1812004 VALUE: Description Type of Construction Fee Description -Mechanical Issuance Fee- * l0o/o Administrative Fee + 7oh State Surcharge Heat Pump Minimum/Adj ustment Mechanical + l0oh Administrative Fee + 7o/o State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + l0oh Administrative Fee Renew Electrical Permit Total Amount Paid Total Value of Project Date Paid Value Date Calculated Receipt Number 1200400000000000734 1200400000000000734 1200400000000000734 1200400000000000734 1200400000000000734 2200400000000000590 2200400000000000590 2200400000000000590 2200400000000000590 2200500000000000500 2200500000000000500 Amount Paid $10.00 $4.s0 $3.15 $12.00 $33.00 $4.60 $3.22 $43.00 $3.00 $2.30 $23.00 $141.77 $ Per Sq Ft or multiplier Square Footage or Bid Amount 5113t04 sn3t04 sn3l04 5lt3t04 5fi3t04 5t18t04 5tr8t04 sn8t04 5fiBt04 4t27t05 4127t05 tr'ees Pnid 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. Rough Electric: Prior to Cover Final Electric: When aII electrical work is complete. Renrrirpd Insnpefinns Page 2 of3 T L:: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax S4l-7 26-37 69 Inspection Line Valuation Descrintion I 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: COM2004-00569ISSUED: 0511812004APPLIED: 05/1312004 EXPIRES: 05/1812004 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 witl 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 Paee 3 of3 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone City of Springfield Official Receipt velopment Services Department Public Works Department RECEIPT #: 2200s00000000000500 Date: 0412712005 10:41:40AM Job/Journal Number coM2004-00569 coM2004-00569 Description Renew Electrical Permit + ljYo Administrative Fee Amount Due 23.00 2.30 Item Total:$25.30 Payments: Type of Payment Paid By CheckNumber Authorization Received By Batch Number Number How Received Amount Paid CreditCard ROBS ELECTRIC uh 037740 Phone Payment Total: $25.30 -sE5d- 412712005 Page I of I APNIH(IFIILD *tei1t$u*Fldl*f, 225 FIFTH STREET . SPRINGFIELD, OR97477 o PH:(541)726-3753 r,)726-3689 ELECTRICAL t City Job Number 1. LEGAL DESCRIPTIONa Permits are non-transferable 3. not started within 180 daYs of Suspended for 180 days. 1 Electrical Contractor Address P,O ,* gK,>l City Phone Supervisor License Number Expiration Date Constr. Contr. Number 15U,U 1R Expiration Date c Signature of Supervising Electrician %z{ Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or thereof Manufact'd Home or Dwelling Service or Feeder 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 Amps/Volts Reconnect Only New Alteration or Extension Per Pan One Circuit Pump or irrigation Over 600 A or 1000 Volts see "B" above. if work is or if work is regon ut 952 iliW lirit"a _too$p'.n.0 Energy/Residential Energy/Commercial 0"" A3.ODA6) B. w $ 63.00 $ 7s.00 $ r 25.00 $ 163.00 $375.00 $ 50.00 $ 43.00 $ 3.00 D. a "t\ Each Additional Circuit or with Service or Feeder Permit t Owners t City E. ON: Oregon law req ulr-es to Sigr,/Outline Lighting owNER INSTtHdilIOOtael opted by the o owners signaturalling the center' (I tr"ffi'*l1ffiffiJH8f#fifidffi OCSO' Ybu maY obtain c I own which ruMi4!ry,. Electric Permit Inspection ts JSu rcharges number for the (J NU center is 1-800-332 -2344)7o/o State Surcharge l0% Administrative Fee TOTAL 8. Inspection Request: 726-3769 .bD W{\o8b'341 Shared Drive(T:)/Building Forms/Electrical Permit Application l-03.doc u) CITY OF GFIELD, OREGON F,r{ n o TfrCATION Date I BELAW A.New Residential * or Feedcrs - lnstallntion, Alterations or Relocation:e BlcroRbI.s;rsiLLAl'JOlV"OlVlr c.i TiAmpurary Servines or Feeders Installation, Alteration or Relocation 200 Amos or less $ 50.00 201 Amos to 400 Amos $ 69.00 401 Amps to 600 Amps $100.00 (Servicelfeeder not included) -Each $ 50.00 $ 50.00 $ 25.00 $ 4s.00 +1 dwelling unit, 225 FIFTH STREET . SPRINGFIELD, OR97477 . PII:(541)726'3753 ' F City Job Number 3. A. e#i€fi}},13fi,?8r8r?t as submitted has the rorrowins zoning,.and does not require specilic land use approval 2oning Authorized Signature JOB D A Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof s106.00 $ 19.00 tkm.u exptne tr s{E'tvonr- $ 3.00 3 Nt Permits are not started within 180 daYs Suspended for 180 daYs. 7 Electrical Contractor Address Supervisor License Number Expiration Date ffil.ffiig$ilii:if work or if work is . 200 ^ ANy !s0 DAY PERI0D- s 63.00Amps or less over fQpg ggp$figrb rego n taw+e€lrr€s ]+t ff Rec o1g1p$,p?iil e s ad o pte o oy t hee'eeo rl B$ttl B. c. D. E. 201 Amps to 400 AmPs s 75.00 I Amps to 600 AmPs $ 125.00 601 Amps to 1000 AmPs s 1 63.00 City Phone 0090. You may obtap qopie.s ol the rules by InstauuAmnd{Eu$tttr tluto9tb tel e p-h o nc 2oo Affi&$r the oreriea tlrilryxottfteg$ 201 Amps to aQEfiilgpbt{BSA3f,A44}, s 6e'00 401 Amps to 600 AmPs Sl00'00Constr. Contr. Number Expiration Date Signature of Supervising Electrician 2Z,b Owners Nr Phone OWNERDISTALLATION The installation is being made on proPerry I own which is not intended for sale, lease or rent. Owners Signature: /5bb Over 600 or 1000 Volts see "B" above. New Alteration or Extension Per One Circuit Each Additional Circuit or with Service or Feeder Perrnit TYoSrate Surcharge 10% Administrative Fee TOTAL 43.00$ t City Pump or irrigation s 50.00 S i g:r/Outline Li ghting s 50.00 Limited Energy/Residential s 2s.00 Limited Energy/Commercial S 45'00 Ntinimum Electric Permit Inspection Fee is $45.00 f Surcharges Inspection Request: 726-37 69 4. Shared Drive(T:/Building Forms/Electrical Permit Application 1{3 doc 11- f1 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: COM2004-00569ISSUED: 0511812004APPLIED: 05/1312004 EXPIRES: 05/1812004 VALUE: SITE ADDRESS: 246 35th St ASSESSOR'SPARCELNO.: 1702313100402 PROJECT DESCRIPTION: Add heat pump to existing furnace Owner: SUTHERLIN TIFFANY P Address: 246 3srH sr trRfi,Sflfil.| oR e7478 AUTHORIZE MENCED OR IS Contractor Type Electrical Mechanical r0D Springlield TYPE OF WORI(: Heating System TYPE OF USE: New Residential PhoneNumber: 541-741-0714 ROBS COMFORT FLOW License 1s6678 460 Expiration Date 0811412005 0612712005 Phone 541-686-5444 s4t-726-0100 # of Units: Primary Occupancy Group: Secondary Occupancy Group: # of Stories: Height of Structure Type of Heat: to d: Paved Drive Rqd: Yo ofLot Coverage: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: R-3 lity nla 0090. You maY Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Sidewalk Type: Downspouts/Drains: REQUIRED PARKING Total: Handicapped: Compact: $ Per Sq Ft or multiplier Square Footage or Bid AmountDescription Type of Construction Pase I of2 Value Date Calculated E I l, uItJ[[N u rN r ur(vl'{! {l]u Valuation nescripiiqa l 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: COM2004-00569ISSUED: 0511812004APPLIED: 05/1312004EXPIRES: 05/1812004 VALUE: Fee Description -Mechanical Issuance Fee- + l0oh Administrative Fee + 7Vo State Surcharge Heat Pump Minimum/Adjustment Mechanical + lOoh Administrative Fee + 7o/o State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Total Amount Paid Total Value of Project Date PaidAmount Paid $10.00 $4.50 $3.1s $12.00 $33.00 $4.60 $3.22 $43.00 $3.00 $116.47 Receipt Number r200400000000000734 1200400000000000734 1200400000000000734 1200400000000000734 1200400000000000734 2200400000000000590 2200400000000000590 2200400000000000590 2200400000000000s90 5n3t04 sn3t04 5n3t04 sn3t04 sn3t04 5n8t04 5n8t04 5n8104 5n8t04 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. I Rough Mechanical: Prior to Cover 2 Final Mechanical: When all mechanical work is complete. 3 Rough Electric: Prior to Cover 4 Final Electric: When all electrical 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 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. ffi Owner or Contractors Signature Pase2 oI2 Date e 11 ees rarq l 225 Fifth Street Springfietd, Oregon 97 477 541-726-3759 Phone 'ity of Springfield Official Receipt rvelopment Services Department Public Works Department RECEIPT #: 2200400000000000590 Date: 0511812004 11:58:23AM Job/Journal Number coM2004-00s69 coM2004-00569 coM2004-00569 coM2004-00569 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 7%o State Surcharge + l0% Administrative Fee Amount Due 43.00 3.00 3.22 4.60 Item Total:$53.82 Payments: Type of Payment Paid By Received By Check Number Batch Number Authorization Number How Received Amount Paid CreditCard ROBS ELECTRIC llh 00386 018989 Phone Payment Total: $s3.82 -w 5lt8/2004 Page I of I ry! Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2004-00569ISSUED: 0511312004APPLIED: 05/1312004EXPIRES: 11/1312004 VALUE: SITE ADDRESS: 246 35th St ASSESSOR'S PARCEL NO.: 1702313100402 PROJECT DESCRIPTION: Add heat pump to existing furnace Owner: SUTHERLIN TIFFANY P Address: 246 35TH ST SPRINGFIELD OR 97478 Springfield TYPE OF WORI* Heating System TYPE OF USE: New Residential Phone Number: 541-741-0714 LicenseContractor Type Mechanical Contractor COMFORT FLOW Expiration Date 06t27t2005 Phone 541-726-0100460 )RINFORMATION # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: R-3 # of Stories: Height of Structure ATTENTION: follow rule$ adopted Notification Centea Sprinkled R e52-0nfo0010 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: o/o of Lot Coverage: NOTICE: THIS PERMIT SHALL EXP]RE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED TOR ANY 180 DAY PERIOD. VN Type of Heat: Water Type: Range Type: Energy Path: Lot Size: Sq Ft lst Floor: Ft 2nd Cantor ls I €00-332-2ft(h !d brilt Handicapped: Compact: $ Per Sq Ft or multiplier Square Footage or Bid Amount Sidewalk Type: Downspouts/Drains: PUBLIC IMPROVEMENTS Valuation Description Description Type of Construction Total Value of Project Value Date Calculated uuILUII\G lNri !],KrrA I ruN J (Note: the Oregon 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: COM2004-00569ISSUED: 0511312004 APPLIED: 05/1312004EXPIRES: 11/1312004 YALUE: Fees Paid Fee Description -Mechanical Issuance Fee- + l0oh Administrative Fee + 7oh State Surcharge Heat Pump Minimum/Adj ustment Mechanical Total Amount Paid Amount Paid $10.00 $4.s0 $3.15 $12.00 $33.00 $62.65 Date Paid sn3t04 sn3t04 sfi3t04 5fi3t04 sn3t04 Receipt Number 1200400000000000734 1200400000000000734 1200400000000000734 1200400000000000734 1200400000000000734 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. 1 Rough Mechanical: Prior to Cover 2 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 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. 7l: /n.-l Owner or Contractors Signature Date Pap<e2 of 2 l(eourreo InsDectrons 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone ^ity of Springfield Official Receipt --evelopment Services Department Public Works Department RECEIPT #: 1200400000000000734 Date: 0511312004 11:20:l2AM Job/Journal Number coM2004-00569 coM2004-00569 coM2004-00569 coM2004-00569 coM2004-00569 Description + 7o/o State Surcharge + l0% Administrative Fee Heat Pump Minimum/Adj ustment Mechanical -Mechanical Issuance Fee- Amount Due 3.15 4.50 12.00 33.00 10.00 Item Total:$62.65 Payments: Type of Payment Paid By CheckNumber Authorization Received By Batch Number Number How Received Amount Paid Check COMFORT FLOW djb In Person Payment Total: $62.6s -5-6ffit 25839 s/13/2004 Page I of I ruD