HomeMy WebLinkAboutPermit Mechanical 2005-6-21
Status
Issued
225 Fifth Street, Springfield, OR
541.726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
.
.- CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM200S-00749
ISSUED: 06/21/2005
APPLIED: 06/17/200S
EXPIRES: 12/21/200S
VALUE:
SITE ADDRESS: 241 SEWARD AVE
ASSESSOR'S PARCEL NO.: 1703233306200
Springfield TYPE OF WORK: Heating System
TYPE OF USE: Addition
Residential
PROJECT DESCRIPTION: Heat pump and air handler
. Owner:
Address:
0- - r'\lI tft
TTE-NTION: Oregon 'a~llct9~~bei\\ity541-747-4327
A dopted by n et forth
\0\\0'1'1 rules a 'ThoSe rules are s 001-
'Center. hOAR 952-
,,' ^tiiir.ntlon _ r 1 n .hl"n\ '0 . \rl .
. r\ toR 952-UU ,-vv ~ ies onntll"'VV
I CONTRACTOR'INIlORMA1I'1@rLr;\nl~~~e: the te\e.~hO~E:i
. Ilin9.t~e G",r.. f, UtilitY Notification
ca rnb~ligeore~8R!filt!9.\l\pate Phone
nu ~~'l8r is 1-8 -;)08/14/2005 541-686-5444
460 06/2712007 541-726-0100
BARABRA PEERY
241 SEWARD AVE
SPRINGFIELD OR 97477
Contractor Type
Electrieal
Mechanical
Contractor
ROBS ELECTRIC INC
COMFORT FLOW
# 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 Setbaek:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
BUILDING INFORMATION I
# of Stories: Lot Size:
R-3 Height of Structure Sq Ft 1st Floor:
Type of Heat: Sq Ft 2nd Floor:
VN Water Type: Sq Ft Basement:
Range Type:. ' .' Sq Ft Garage/Carport
Energy ~a!~::I'f:;\'I;T SHALL EXPIRE~91j'lf'2t~mRK
Sprinkled Building: ., UNDEnlaHIS pOccup,ant Load:
" " \....:~\lLtU n I Lr1l'il.1 hJ I'\lV I
I DEVELOPMENTINFORMAiioN; .,tjANUUNtU rUM
t\j\jl IUV Ui.... 1Io-llIVU. REQUIRED PARKING
Overlay Dist: Total:
# Street Trees Rqd: Handicapped:
Paved Drive Rqd: Compact:
% of Lot Coverage:
I hJDLl'- uvlPROVEMENTS I
Sidewalk Type:
DownspoutslDrains:
Pae:e I of3
.
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
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Tvpe of Construction
"
Total Value of Project
)?pp< P'\ilLI
Fee Description
+ 10% Administrative Fee
+ 7% State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Cire Ea Add
-Mechanical Issuance Fee-
+ 100/0 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
6/17/05
6/17105
6/17/05
6/17/05
6/21/05
6/21/05
6/21/05
6121/05
6121/05
6121/05
Total Amount Paid
5116.47
I Plan Reviews I
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM200S-00749
ISSUED: 06/21/200S
APPLIED: 06/17/200S
EXPIRES: 12/21/200S
VALUE:
Value
Date Calculated
Receipt Number
2200500000000000789
2200500000000000789
2200500000000000789
2200500000000000789
2200500000000000805
2200500000000000805
2200500000000000805
2200500000000000805
2200500000000000805
2200500000000000805
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.
Rough Mechanleal: Prior to Cover
" Final Mechanical: When all mechanical work Is complete.
Pae:e 2 of3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM200S-00749
ISSUED: 06/21/200S
APPLIED: 06/17/200S
EXPIRES: 12/21/200S
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 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 ail required inspections are requested at the proper time, that eaeh 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 eonstruetion.
"~~I<
~
Owner or Contractors Signature
Pal!e 3 of3
Co / N \ los
Dati I
225 Fifth Street
. Springfield, Oregon 97477
541-726-3759 Phone
.
~-.~
~ty of Springfield Official Receipt
.velopment Services Department
Public Works Department
Job/Journal Number
COM2005-00749
COM2005-00749
COM2005-00749
COM2005-00749
COM2005-00749
COM2005-00749
Payments:
Type of Payment
Check
..
')
612112005
RECEIPT #:
2200500000000000805
Date: 06/21/2005
Description
+ 7% State Sureharge
+ 10% Administrative Fee
Air Handling Unit Up to 10,000
Heat Pump
Minimum/Adjustment Mechanical
-Mechanieal issuance Fee-
Paid By
COMFORT FLOW HEATING
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
njm 30262 In Person
Payment Total:
Page I of I
2:53:30PM
Amount Due
3.15
4.50
8.00
12.00
25.00
10.00
$62.65
Amount Paid
$62.65
$62.65