HomeMy WebLinkAboutPermit Miscellaneous 2005-9-15
.1.
":,,,~~!~~~I'~i, '.
i. ~
$
:.
.~ CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-01238
ISSUED: 09/15/2005
APPLIED: 09/12/2005
EXPIRES: 03/15/2006
VALUE:
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
u 541-726-3676 Fax
, 541-726-3769 Inspection Line
:.<ll.
SITE ADDRESS: 4801 DAISY ST
.' ASSESSOR'S PARCEL NO.: 1702324405000
,
Springfield TYPE OF Heating System
TYPE OF USE: New Residential
.
" PROJECT DESCRIPTION: Install heat pump and air handler
\.
;'
Owner:
Address:
SVEN H RODNE LMNG TRUST
4801 DAISY ST
SPRINGFIELD OR 97478
Phone Number: 541-746-0539
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Mechanical
Contractor License . Expiration Date
ROBS ELECTRIC INC 156678 08/14/2007
COMFORT FLOW ATTENTION: Oregon '~lmrequlres you t06/27/2007
1....t1~.!. .p:-':'..~ ~"'1'7' . . VI t:YUII UUIIIY
N res are set forth
In OAR 952-.001-0010 through OAR 952-E01-.
oo9'h?~lP~~ obtain copies of the rUfes~~~:~ Floor:
C'"~Jf'tcn~ter. (Note: the telepholSq Ft 2nd Floor:
n~~~ ~fJff\a~. Oregon Utility NotificattS'41Ft Basement:
Rang~ f(!: IS 1-800-332-2344). Sq Ft Garage/Carport
Energy Path: Sq Ft Other:
Sprinkled nla Occupant Load:
Phone
541-686-5444
541-726-0100
'1
.
# of Units:
" Primary Occupancy Group:
: Secondary Occupancy
, Yrimary Construction Type
.'. Secondary Construction
'J # of Bedrooms:
"
R-3
VN
I DEVELOPMENT INFORMATION I
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
. Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
IPUBLIC IMPROVEMENTS I
.
Street
Storm Sewer Available:
, Special Instruction:
Sidewalk Type:
Downs poutslDrains
NuYlCE: .
THIS PERI\~IT SHALL EXPIRE IF THE WORK
AUl HOR\ZED UNDER THIS PERMIT IS NOT
COiVH.JIENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
...,
, . Notes:
1 of 3
~ti!equ~~~~~!c~'.~ ,
. .
I .
.
I
I
I.
e
I
i
l
!,
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuatlon Description I
Description
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Type of Construction
Total Value of Project
Fees pahiIJ
Fee Description '
+ 10% Administrative Fee
+ 7% State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
Air Handling Unit Up to 10,000
Heat Pump
Minimum/Adjustment Mechanical
Amount Paid
Date Paid
$4.60
$3.22
$43.00
$3.00
$10.00
$4.50
$3.15
$8.00
$12.00
. $25.00
9/13/05
9/13/05
9/13/05
9/13/05
9/15/05
9/15/05
9/15/05
9/15/05
9/15/05
9/15/05
.
Total Amount
$116.47
I Plan Reviews I
" CITY OF SPRING~l~LD .
Building/Combination Permit-
PERMIT NO: COM2005-01238
ISSUED: 09/15/2005
APPLIED: 09/12/2005
EXPIRES: 03/15/2006
VALUE:
Value
Date Calculated
.
Receipt Number
2200500000000001261
2200500000000001261
2200500000000001261
2200500000000001261
1200500000000001349
1200500000000001349
1200500000000001349
1200500000000001349
1200500000000001349
1200500000000001349
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.
2 of 3
.
":"~.~~J~gli'@~~1
".
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-01238
ISSUED: 09/15/2005
APPLIED: 09/12/2005
EXPIRES: 03/15/2006
VALUE:
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 described herein,
and that NO OCCUPANCY wiD 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 stree~ that the permit card is located at the front of the property, and the approved set of plans wiD remain on the site
~liI11imes during construction.
~\ 0
" ....~ t\n-.. ~vvt~ -1- \5-0 5
'-./ "" (-
Owner or Contractors Signature Date
.
.,
3 of 3
,
.i
225 Fifth Street
.'
Sptingfield, Oregon 97477
541-726-3759 Phone
.
.J8lty of Springfield Official Receipt
~elopment Services Department
,- Public Works Department
RECEIPT #: 1200500000000001349 Date: 09/15/2005 9:33:08AM
Job/Journal Number Description . Amount Due
COM2005-0 1238 + 7% State Surcharge 3.15
. COM2005-01238 + 10% Administrative Fee 4.50
COM2005-01238 Air Handling Unit Up to 10,000 8,00
,
COM2005-01238 Heat Pump 12,00
COM2005-01238 Minimum! Adjustment Mechanical 25.00
.
COM2005-01238 -Mechanical Issuance Fee- 10.00
Item Total: $62.65
Payments: l.:beck Number Au ttlonzatlOn
Type of Payment Paid By Received By Batch Number Number How Received Amount Paid
.
C1}eck COMFORT FLOW djb 31194 In Person $62,65
,- Payment Total: $62.65
. ,
"
~I
-
"
.,
,
'.
"
v,
'...
t!
,I
.
~I
.
-
"
"
.
.,
.1
.:f.
,r
9/15/2005
1 of I
'I