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Home My WebLink AboutPermit Mechanical 2005-2-28 _G:-;":'" iiiiI---:.... WIi;~-... ,. : .66;.. - . -- - - ~~ ..' . . CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2005-00234 ISSUED: 02/28/2005 APPLIED: 02/25/2005 EXPIRES: 08/28/2005 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 568 NIGHTHAWK LN ASSESSOR'S PARCEL NO.: 1703274203001 Springfield TYPE OF WORK: Heating System TYPE OF USE: Addition Rcsidential PROJECT DESCRIPTION: Heat Pump/Air Handler Owner: STEWART JASON P & HEATHER M Address: 568 NIGHTHAWK LN SPRINGFIELD OR 97477 Contractor Type Mechanical Contractor COMFORT FLOW I . . I.... \' f': ,I ',,' v I CONTRACTORINEORMATION I': J :"y .. ,.' ~11'~1 Ill.. '_ 'I :ld::33';ttOith I ..\, ...... v. . ,...'If{ ';,,2-001-0010 \11r-Li!;ense.R 9:Expiratiol"! Date n[\Qn You mav obtain cc460s of the rules l0'6/27/2005 BUIUDlNG'INFORMA:TION'ie lel~(Jllul.'" IIUIIIUC:I IVI ~"... ........::1_." __.' yNotlflcatlon # ofskwilt.flr is 1-800-332-2344). Lot Size: Height of Structure Sq Ft 1st Floor: Type of Heat: Sq Ft 2nd Floor: Water Type: Sq Ft Basement: Range Type: Sq Ft Garage/Carport Energy Path: Sq Ft Other: Sprinkled Building: n/a Occupant Load: Phone 541-726-0100 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: I DEVELOPMENT INFORMATION I REQUIRED PARKING Overlay Dist: Total: # ~tt~et!T;r,~~s Rqd: Handicapped: Paved.Drlve'Rqd: Compact: o If.l:> fJ~_ iJ.- ':1 r n. Y~~lFf6~tzv:Da~~'~~L EXPIRE IF THE WORK r.n,....r,J("~r_ _ R THIS PI'R!.~IT.n L. I PUBLlGIl\'Ir.n.';,;';";;~;~ 1';I~tiANOONEO FO'R"v I Sidewalk Type: Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: . Special Instruction: Downspouts/Drains: Notes: I Valuation DescriDtion I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pal!elof2 . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Ff'f'~ P.1W Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee + 10% Administrative Fee + 7% State Surcbarge + 7% State Surcbarge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Air Handling Unit Up to 10,000 Heat Pump Minimum/Adjustment Mecbanical Amount Paid $10.00 $4.50 $4.60 $3.15 $3.22 $43.00 $3.00 $8.00 $12.00 $25.00 Total Amount Paid $116.47 I Plan Reviews I Date Paid 2/28/05 2/28/05 2/28/05 2/28/05 2/28/05 2/28/05 2/28/05 2/28/05 2/28/05 2/28/05 . CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2005-00234 ISSUED: 02/28/2005 APPLIED: 02/25/2005 EXPIRES: 08/28/2005 VALUE: Receipt Number 1200500000000000265 1200500000000000265 2200500000000000231 1200500000000000265 2200500000000000231 2200500000000000231 2200500000000000231 1200500000000000265 1200500000000000265 1200500000000000265 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 Rf'ouirf'd ln~n~tion~ I Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. By signature, I state and agree, that I have carefully examined the com'pleted application and do bereby certify that all information hereon is true and correct, and I furtber 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 ofauy 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, tbat tbe 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 C~tractors Signature Pal!e 2 of2 z./Zp./tlc, i Date , 225 Fifth Street . Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2005-00234 COM2005-00234 COM2005-00234 COM2005-00234 COM2005-00234 COM2005-00234 Payments: Type of Payment Check 2/28/2005 . irl4 -""'.,..s-. . ~ of Springfield Official Receipt _elopment Services Department Public Works Department RECEIPT #: 1200500000000000265 Date: 02/28/2005 Description + 7% State Surcharge + 10% Administrative Fee Air Handling Unit Up to 10,000 Heat Pump Minimum/Adjustment Mechanical -Mechanical Issuance Fee- Paid By COMFORT FLOW Item Total: t...:heck Number Authorization Received By Batcb Number Number How Received djb 28946 In Person Payment Total: Page 1 ofl 2:49:14PM Amount Due 3,15 4,50 8,00 12,00 25,00 10,00 $62,65 Amount Paid $62.65 $62.65 . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769Inspectiou Line SITE ADDRESS: 568 NIGHTHAWK LN ASSESSOR'S PARCEL NO.: 1703274203001 . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-00234 ISSUED: 02/28/2005 APPLIED: 02/25/2005 EXPIRES: 08/28/2005 VALUE: Springfield TYPE OF WORK: Heating System PROJECT DESCRIPTION: Heat Pump/Air Handler Owner: STEWART JASON P & HEATHER M Address: 568 NIGHTHA WK LN SPRINGFIELD OR 97477 TYPE OF USE: Addition Residential Phone Number: 541-726-9288 I CONTRACTOR INFORMATION I Contractor Type Electrical Mechanical Contractor ROBS ELECTRIC INC COMFORT FLOW License 156678 460 Expiration Date 08114/2005 0612712005 Phone 541-686-5444 541-726-0 I 00 I BUILDING INFORM A T10N I # of Uuits: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: uta Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: I DEVELOPI\'lI'"I uuvNdATlON I Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Speciallnstr,llfti'!!'.'JTION:Oregon law reqUires you \0 follow rules adopted by the Oregon Utility Notes: Notification Center. Those rules are set fort~ in OAR 952-001-0010 through OAR 952-001 0090. You may obtain copies of the rules t. calling the center. (Note: the telephone number for Ihe Oregon Utility Notification Center is 1-800-332-2344). Pal!e I of3 REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: DownspoutslDrains: NOTICE: THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD, . . CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2005-00234 ISSUED: 02/28/2005 APPLIED: 02125/2005 EXPIRES: 08/28/2005 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project l.Ff'f'~ P"'W Fee Description + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Clrc Add, Alter, Extend Clrc Ea Add Amount Paid Date Paid Receipt Number $4.60 2/28/05 2200500000000000231 $3.22 2/28/05 2200500000000000231 $43.00 2/28/05 2200500000000000231 $3.00 2/28/05 2200500000000000231 Total Amount Paid $53.82 I Plan Reviews I 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 Electric: Prior to Cover 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 tbe 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 furtber 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. ~\~O(Jj ~ Owner o~ontractors Signature ~O-ilic.9- ~/2Klos ci2J f---. Date " Pal!e 2 of2 ~\ , :125 Fftth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2005-00234 COM2005-00234 COM2005-00234 COM2005-00234 Payments: Type of Paymeut CreditCard 2/28/2005 . RECEIPT #: .~. ~ ..I av of Springfield Official Receipt .elopment Services Department Public Works Department 2200500000000000231 Date: 02/28/2005 Description Add, Alter, Extend Cire Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee PaId By DAVID LAWLER Item Total: Check Nnmber Authorization Received By Batch Number Number How Received NJM 070949 In Person Payment Total: Page 1 of 1 1I:39:23AM Amount Due 43.00 3,00 3.22 4,60 $53.82 Amount PaId $53.82 $53.82 ^ . ..,' · · · I .. · "J.:=~ 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(54I)726-3753 . FAX: (541)726-368~" .,. ELECTRICAL PERMIT APPLICATION ~:"0. ~o~o CityJObNUm~-fCO '?''/f>ate d.-!::1B! d(JQS 0 'o~~"">9.o~, o;,~ t. m::~. :.'li)~i'bi$ii\r.ii'JI~e.N"~' 3. ~GQ.Ji!f,&;,J..'E... '~.'-.'. '. '.tb' , " ..oi' .'..~~Q;;&_.m'.''''-.~ .., .c. .:..-.~'-.. 50 ~ lJ I ( ~A) IG ",~~i;':ii~'''''''''''''~''' .~~;"~,,,,':J .,;"90~~"'~~J\ ~. 'r,> LEGAL DESCRIPTION A. ~~ll1enWU;i>~i,qi:l~~.,,,,,,~aKliI1 ;"r:dweJ r. , \1 O?;;r-, .:.t). O:?'C5V' Service Included . """./ ~~'.!""'~ , ..,. 0' olj" AOJOrifB DESCR~ON 1000 sq, ft. or less $ , lo'<? ".I'" ~ Each additional 500 sq. ft. or ~........ ~ portion thereof $.1 "- - Permits are non-transferab~ and expire If work Is . ....... not started within 180 days of Issuance or If work Is $50,00 Suspended for 180 days, .' ' "'"amn>~m;A'.WNST';I'J!~IJfi7a~i"f.i';v1'iY,.l 2. ~"""""'~..l'.,tl.,~..,v........~.,.:J,'fJ'.k~~~g Electrical Contractor ileA ~ F!er frt'(!- j'7jy, Address p()PJfJx2f5Z! City ~QJ1L Phone 6<gb-:J.ILItj. Supervisor License Number 41 L\I.J S Expiration Date 1 0 I D \ \ 0-' Constr. Contr, Number \ S I,.., In ., 8., Expiration Date ~! \ y IDS Signature of Supervising Electrician ~;L-- ~ \ ' Owners Name.......(1"Z:OVl ~~~\ Addresseio'K ID ICoh..+ ~\c LY) City ~",Q Phone :::11k7. ~1.e6 OWNER'I~T ALLA nON The installation is being made on property [ own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 o t ""'tR~-lfo'\i;~.'.' .... ;,: ," . . ~ ell toIre se oNr\J lilzO'lM1nl5:M1QS;.()010 through OAR 95~-$nOO O~Al{qllI~ copies of the rulel flIVOO 4onll1ft1il.tlloooerxllll>s(Note: the teleDhorl)25.00 &\)l1"\\f;\\}rsf/0l'~Qffil!iOn Utility Notificati$lt'li3,OO Over 10~!l~01~D-332-2344J. $375.00 Reconnect Only $ 50,00 C. ~e'lii"PoWl'Vl's~Wl.~[~e1l.mr.~}tw..~'itw~ Installation, Alteration or Relocation 200 A'~P"Fpt!:~s $ 50,00 201 Nrr& fOi:40pli'mps $ 69.00 401 bmpfuloRtooIAO\n~sHALL EXPIHE IF TH~lp9,ool/ nU "'V ILt lJNOER TJ.i1 D uoir. Ov.r;6.00$mpS'OrrlO,O.01V.oltssee,~"~6b^v1!.T IS NOT' D. 1 rr"'-rr'''' "I ~l New Alteration or Extension Per Panel One C~rcuit I Each Additional Circuit or with Service or Feeder Permit I $ 43,00 $ 3,00 JO .-(d. (JU .3. . E. f~if,;'iituif~'Wi~i'i'.a~;.'tt1.iil.rdfiU::!ill!!iIJ~jiritf;;~1 ....,....;;;0lMn.-. ' A 'II; 'f or,': "".'---.~ .......r..~ Lo:r.;;; " '-"""",-'",",,,', Pump or irrigation $ 50,00 Sign/Outline Lighting $ 50,00 Limited EnergylResidenlial $ 25,00 Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcbarges ~"-'''''"'~"''~'''4''''''' '. J.........,_..,..~' ., "'j' 41t. JO 4. "JlhU...., " . I ,. :l'~~" . -~ 'n.. . / 3. ~~ 4.&cJ TOTAL ',1/.,L; .3 ,5(:L Shared Drive(T:)lBuilding Form.slElectriClll PC::::'PPliCo.tion 1-03.doc 7% State Surcharge 10% Administrative Fee