HomeMy WebLinkAboutPermit Mechanical 2003-12-15
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2003-01001
ISSUED: 12/15/2003
APPLIED: 10/02/2003
EXPIRES: 06/15/2004
VALUE: $ 2,000.00
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Status
*
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 3415 MAIN ST
ASSESSOR'S PARCEL NO.: 1702313106700
Springfield TYPE OF WORK: Heating System
TYPE OF USE:
PROJECT DESCRIPTION: Install make up air unit on roof
Owner: V & L ENTERPRISES INC
Address: 121 CARMEL DR AUMSVILLE OR 97325
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Mechanical
Contractor
OWNER
BURRELL BROS ENTERPRISES INC
COMMERCIAL METAL PRODUCTS INC
136446
110818
License
BUILDING INFORMATION'
" # of Units: # of Stories:
Primary Occupancy Group: Height of Structure
Secondary Occupancy Group: Type of Heat:
Primary Construction Type VN Water Type:
Secondary Construction Type: Range Type:
# of Bedrooms: Energy Path:
.._n. illeS 'iol.l\~..
011'-" . -. .......
-:n:,ti\'IO\,~?\r~." 0 DEVE~O~~l"'l" 'l1~ruKMATIQN I
SETBACKS ,Ie tluUP , "Ill!' . 5?-OO
1r;\\O\lll \ J -~., ,,'.Jf. \ \ \0. ~" '1AR ;:\'.: ~
Front yard Setback: \ C'"i.ll.,1" ',\}\ r I \""l\\()l OV,erlay DlSt:~ \
lot, \ I ( l .\ _l.. .r-.... ~.. ,\ I
Side 1 Setback: " 1\1'1'-'" I' ;,'+'." e~"'J ~ ~W!~H~eeslRqd:
Side 2 Setback: \ 0 '/D" ,"".\f '''''0' 1', 'Pave"d D'rive'Rq-d:
\l090.' .' ,:;8i.' '.\' u'iW'1l\10''''~~
Rearyard Setback: ca\\inq ': _ W'." 8 -9'2011 . ".>'Y!>.;.o.f/!Jo,t Coverage:
Solar Setbacks: n.,,,,I)Cf ,UI ,r' ,,\~20a-........"-
,,"" r,""\r''''',"lf ,'"
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I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
New
Commercial
Phone Number: 503-749-3327
Expiration Date
Phone
08/20/2005
01/10/2005
541-747-2724
541-747-8699
Lot Size:
Sq Ft Ist Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Sidewalk Type:
NOTICE: Downspouts/Drains:
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNOER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Notes:
Pa!!e 1 of3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description Tvpe of Construction
Bid Amount Use Bid Amount
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Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Air Handling Unit Up to 10,000
Building Permit
Furnace - up to 100,000 btu
Gas Outlets 1-4
Minimum/Adjustment Mechanical
Total Amount Paid
Structural Review
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. CITY OF SPRINtJl'u,LlJ
Building/Combination Permit
PERMIT NO: COM2003-01001
ISSUED: 12/1512003
APPLIED: . 10/0212003
EXPIRES: 06/15/2004
VALUE: $ 2,000.00
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
2,000,00
Valuc
Date Calculated
Total Value of Project
$2,000.00
$2,000.00
10/03/2003
li'pp<. PiWIJ
Amount Paid
Date Paid
Receipt Number
1200200000000002604
1200200000000002604
1200200000000002604
1200200000000002604
1200200000000002604
1200200000000002604
1200200000000002604
1200200000000002604
1200200000000002604
1200200000000002604
$10.00
$13.60
$9.52
$43.00
$3.00
$8.00
$45.00
$12.00
$4.00
$21.00
12/15/03
12/15/03
12/15/03
12/15/03
12/15/03
12/15/03
12/15/03
12/15/03
12/15/03
12/15/03
$169.12
I Plan Reviews I
10/02/2003
10/02/2003
APP TCM
Mechanical installation ok per TM,
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.
IRp~
1 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.
5 Framing Inspection: Prior to cover and after all rough in inspections have been approved.
6 Rough Gas: After line is installed and required testing and capped if not attached to an appliance.
7 Final Gas: When all gas work is complete.
Pa!!e 2 of3
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. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2003-01001
ISSUED: 12/15/2003
APPLIED: 10/02/2003
EXPIRES: 06/15/2004
VALUE: $ 2,000.00
,
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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 descrihed herein, and
that NO OCCUPANCY will he 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 readahle 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 d"C!lJil ~ 1/}f2A/) I Z _ I ~ _ 0 ~
~}i '
Owner or C"ftractors Signature Date
Paee30f3
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2003-01001
COM2003-0 100 1
COM2003-0 1 00 1
COM2003-01001
COM2003-01001
COM2003-01001
COM2003-01001
COM2003-0 100 I
COM2003-0 I 00 I
COM2003-0 100 I
Payments:
Type of Payment
Check
f
-'.].~"~"~ ~'-
Ml:' .. -'
l'. :
';'M, '
._, ~,,',",",",-_. ..~" .
,
Receipt #: 1200200000000002604
Description
Furnace - up to 100,000 btu
Air Handling Unit Up to 10,000
-Mechanical Issuance Fee.....
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Building Permit
Gas Outlets 1-4
Minimum! Adjustment Mechanical
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
WELBYS CAR CARE
Received By
djb
Check Number
Batch Number Authorization Number
City of Springfield Official Rece~t
Development Services Department,
Public Works Department
Date': 12/15/2003 8:43:45AM
Amount Paid
12,00
8,00
10,00
43,00
3,00
45,00
4,00
21.00
9.52
13,60
$169.12
Item Total:
How Received
In Person
Payment Total:
Amount Paid
$169,12
$169.12
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225 FIFTH STREET ,. . \ .. '-',: - . " ELEACAL,PERMIT APPLICATION
'SPRrNGFIEL,D, OREGON 97.477 1 ',J" ,'I I"..' i" " . '"
,[NSPECTION REQUEST: 726.:ii69, : [~=~! 'Citl" Job Numbcl' Q7Vl1 Z003-b(cul-
'" O~FICE: 726-3759',': : Ii::; I' '" ' " , " ,
)--.- : ! , '\ ... I l . ,~'__.i '3.;CO~~L~TE FiE SCHEb~E BELO~V
L LOCATIpNQ,FIN?TALLATION! ,I,:: ;' ,,I i '
<.4/Y' JIVII4-;N" 's r~ ',. '-"j\', Ncw'Rcsidential-Singlcor'--'" , --.-..
. \ ~~ti-Family per dwelling unit.
LEGAL DESCRIPTION \"e\O~~n'iee Inc[udcd:
170'2<'(,<' / 06 7()O"e6""~c\..,,6 Items Cost
X)~\ o(\~p
~~\\ '~e 50y
JOB DESCRIPTION I'IOlec\~, leo.\I\ ~
A-,,=>~ 2- c.l.lllt'\"2~t~ v
~,,~ . 0.\'- ",
" ,0'(\\f'-9J''(J.\' ",0
Permits arc non.transFerable i),~I~pir'to"iI''' y'"
iF work is not staned within 180 days \
of issuance bi if \\lark is suspended\fo
180 days,' Q" -1'~\l1-.6
....j\
, ,
Sum
$[06,00
$ 19,00
i
J'
$ 50,00 .,
2, CONTRACTOR [NST ALLA T[ON ONLY
B. Services or Feeders
Installation, Altcl'ations or
Relocation:
I
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Burrell Bras, Electric
40159 Booth Kelly Road
Springfield, Oregon 97478
\"-. ~,-u..
I'
i
,
200 amps or less
20 I amps to 400 amps
40 I amps to, 600 amps
I
6QI amps to 1000 amps
Over 1000 amps/volts
I '
Reconnect Only
f,>,
. $ 6300~
,~$ 75,00
$125,00
$ J 63.00
$375,00
$ 50,00 ~
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Supervis,or License/Number ~~L \.-"""-
II
; ,/ -
Expiration Date ~'\.~f''-lo,.,
("- '. . . C. Tcmporar)' Scn'ices or Feeders
Constr _Contr. Number""'J.Z-.._ 'U..~'"'} (". Installation, Alteration or Relocation
, ,_- \10\1 \0 ,
- \_ ' \.I' 't>-' , ,
"~EX1)ir(ltion Date \:~\~~.~~ ^''t ,.1 ~R~ fl!NPS~O,r i~s~ ~ '~,..t\Jl' \_\t\\:t1~ ----.:. $50 00 ~
" ~- ~ ~~{\" .I" . 20VPH!.S}o\40Wainp~;., ,,-\.n ,,_ $69,00 _
Signature of SUJlcn'ising Electrician IX\ -\f :'-t~OVcr 401-to.600 anfps ~... I .;/{~ .{)11 $100.00
". ~ WvVll \o\\o~~ \CU\~ ';",6\'~r600 amps,~i-IOOO,\;'olts'seel" -
" . \cF~~\ ,"~ 1.' .:--ro......
~ "- '\10tn r}\ '''B11 nb'o\'e ,.",: ---.. "'!'\-t) l"a
jnf\t-\u,1.- ~- \ ,,'~'\'r:\' r I ~. ",,\~.\':;;" \. n
1.:' J "-"'L' rf""'" ~ J.. (...~c~ ~".~ ,")\\r~gt\1;)
, I d'L r. 0090, D: BranchTCircuitsn \..i'.\\I '1 \'\ :\\ )
\'lien Namc V i EiI/. callin9 ': '.New'hlt>g;::i\lon'or Exte'n"sioii per'Panel
"Of t~~\'" ',.'.&.; ......, 'v.....-J
'"'-,.. nl.litl~ -( ,. ,c , I
Address /2-( ~f:t( ~r C''Ode'Circuit' _ $43,00 Lf3.
CitJ,4 iAWIS/r/./ ~ Phone Each 'Additional Circuit or with Servicf '"? ,
or Feeder Permit $ 3,00 .-:::.
NOTICE: ' . " '. ---:-
TIIil,Sl)1l'R~!~Hl*iAl%'tr)(ieI~td\P' 'Ob!BMlGIi'd&)'
AUTHOR~' f1f~fmtEjlptjffiS ,PERMIT IS NOT. _ .
COMME '!M:~~rt'S' ~~J!NOONED FOR ,$::000 -
r ul '-eo. Ighbng $)(),OO .
ANY180 ~td' ef~/Res -$2500-
,. _ ~
Limited Energy/Comm $45,()0
OWNER INSTALLATION
The installation is being niade on
propeny I o'l"n which is not intended
for sale, lease or rent.
O'YIICrs Signature:
I\linimullI Electric Permit Inspection Fcc i.s 545.00 + Surcharges
LIb
'1 z.z.
4b0
.53 [52
4, SUBTOTAL OF ABOVE
70/0 State Surcharge
80/0 Administrative Fcc
TOTAL