HomeMy WebLinkAboutPermit Mechanical 2005-9-12
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-01223
ISSUED: 09/12/2005
APPLIED: 09/07/2005
EXPIRES: 03112/2006
VALUE:
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 303 SCOTIS GLEN DR
ASSESSOR'S PARCEL NO.: 1703271310700
Springfield TYPE OF
Heating System
TYPE OF USE: Repair
Residential
PROJECT DESCRIPTION: Replace air handler and heat pump
" Owner:
Address:
BILL HOPKINS
303 SCOTTS GLEN DR
SPRINGFIELD OR 97477
Phone Number: 541-726-7673
Contractor Type
Electrical
Mechanical
Contractor
OREGON ELECTRIC SERVICE
HOME COMFORT HEATING & AIR
,\,_ -ot ':.
THIS 'P~RI1\T SHALL EXPi!\~IF. Tf~E,~'J~~~
~11T\-1nRiIrU U'~ULn ""'" ~,....., ,-
I CONTRACTOR.INFORMATIONIIS AtJA1~LlOI~tiJ FOR
AY 188 Il>\Y PtKIUD,
I~ Cicense Expiration Date
161518 09/28/2006
84164 06/25/2007
Phone
541-343-1681
541-345-2838
VN
I BUILDING INFORMATIONI
# of Stories:
Height of
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
# of Units:
Primary Occupancy Group:
Secondary Occupancy
Yrimary Construction Type
Secondary Construction
# of Bedrooms:
R-3
nla
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
I DEVELOP~lftI1NFORfM:];IRl\bIv requires you to
tollow rules adopted by the Oregon UtilW:QUlRED PARKING
ov~j.ilWil)l1l:m Center, Those rules are set farotlll:
# Slr&tlf1-re12-001-001 0 through OAR 952-CHandicapped:
Pav'earDriVeIRqil:y obtain copies of the rules€.qmpact:
% of I;otCQverage:nter. (Note: the telephone
number}or the Ore~on Utility Notification
................., ".J . ........v vv~-'-v-r-r/.
IPUBLlC IMPROVEMENTS I
Sidewalk Type:
Downspouts/Drains
Street
Storm Sewer Available:
Special Instruction:
Notes:
I of 3
.
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descriotion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Total Value of Project
Fees Paid I
Fee Description
+ 10% Administrative Fee
+ 7% State Surcharge
Add, Alter, Extend Clrc
Add, Alter, Extend Clrc 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
9/9/05
9/9/05
9/9/05
9/9/05
9/12/05
9/12/05
9112/05
9112/05
9112/05
9/12/05
Total Amount
$116.47
I Plan Reviews I
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-01223
ISSUED: 09112/2005
APPLIED: 09/07/2005
EXPIRES: 03/12/2006
VALUE:
Value
Date Calculated
Receipt Number
1200500000000001328
1200500000000001328
1200500000000001328
1200500000000001328
1200500000000001340
1200500000000001340
1200500000000001340
1200500000000001340
1200500000000001340
1200500000000001340
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 sU electrical work Is complete.
2 of 3
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-01223
ISSUED: 09/12/2005
APPLIED: 09/07/2005
EXPIRES: 03/12/2006
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 st the proper time, that each address Is readable from
the street, that the permit card i'llocated at the front ofthe property, and the approved set of plans wID remain on the site
atall~ 9)lz/O)
, Owner or Contractors Signature Date
3 of 3
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11 19 1--fi __....."G~<EJ...D <:.,,:;:~;;,"?;;;:
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~:: >>: . ';c:rii"tjF;SPR~GFIELD,'OR:EGOS: ','.
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.~ CITY, <;p~.l. srATIl: 0.... ZIP: q 74 77
Y ~a1UrnOIWFWORK: "~~t.~ A~", H.-A.lI- t c:vU. ~ Pt'''''l'' ~ w..t;'.~
" ,t NEW; _ REMODEl.: _ ^",..."u.c _ DEMOUSH: _ cmlER: A- VALUE:: Jf 5~'t7-
M.-
CilyJal>l;.....1~ C-OIM 'ltD'r - OIZZ.3
LOCATlONOfPROl'OSElJWORK: 3o~ ~b~lel>J
5~.
Or.
t:t7477
TAX tor:
..
. 0 CONl'llACl'OR'S NAME
, . GDmW.:
AlJORESS
CONSI'.
CON11IACl'OK #
CCPlIltS
l'H0NI: - 3~S'-UjS eo
'boto->
PLUMBING:
MfXJWIICAL: 1-Iom~~D...t
ElECl'RJCAL:
~-k
~
70w 0 ~""'" 'j)"" 1Ev,. ()2.
~ A~~ CO~",..bw~ eu.'" &411#4. '174D7-
MB:HANlCAI.l'EKM1r
l'UJMlllNG PEKMrr
..J:.j.
~ lIEM
...,.. .l)mw:e
, EldIausI Hood
Vent Fu No.
Wood SloIIe/JnsertIFin:plaa: Unit
fEE
lIEM
l:'IlIl
Pixtwr:s
lltsidOltialllalh(.s)' No.
SrmiIary Scwl:r IT.
WaIa" Fr.
Slorm Sewer IT.
W JI1et'hAnl",,' Fermlt SobIDlal
. ~\ _=::$45.00
'ViI Admini8lnuiveFee 100>
0.. =~CAL
~ ..
M~al ·
I1umblr1g I'emlII SlIb101a1
""Minimwn of $45110
SIah: ~ 7'J&
Adntini:;tz:aliw. Fee 10%
TOTALPLUMBING
P_bing · MiStcll3~
Sbm:dDriw:(T~1Ums.~ l".'.J.,;,~_~
~ FAXED
225 Fit"th Street
S.pringfield, Oregon 97477
541-726-3759 Phone
.
~
.fiitj.ty of Springfield Official Receipt
Wvelopment Services Department
Public Works Department
Job/Journal Number
CpM2005-0 1223
COM2005-01223
COM2005-0l223
COM2005-0 1223
COM2005-0 1223
COM2005-0 1223
Payments:
Type of Payment
Check
.i"
:!
\
;,
l,
9112/2005
RECEIPT #:
1200500000000001340
Date: 09/12/2005
Description
+ 7% State Surcharge
+ 10% Administrative Fee
Air Handling Unit Up to 10,000
Heat Pump
Minimum! Adjustment Mechanical
-Mechanical Issuance Fee-
Paid By
HOME COMFORT
Received By
ddk
I of 1
Item Total:
Lbeck Number AutllOl1zaUon
Batch Nomber Nnmber How Received
13980 In Person
Payment Total:
3:OO:27PM
Amoont Due
3.15
4.50
8.00
12,00
25.00
10,00
$62.65
Amount Paid
$62,65
$62.65