HomeMy WebLinkAboutPermit Mechanical 2004-8-17
,I~. I'
August 17, 2004
225 FIFTH STREET
SPRINGFIELD, OR 97477
(541) 726-3753
FAX (541) 726-3689
www.ci.springfield.or.us
Home Comfort
PO Box 24205
Eugene, Oregon
97402
Enclosed is a copy of the permit for the installation of a heat pump and air handler at 212
Q Street, Springfield, Oregon, issued by our office yesterday (August 16, 2004).
When you obtained your permits, we neglected to update the Project Description which
stated the permit was for the electrical work only. The Project Description has now been
updated stating the permit is for the Heat Pump and Air Handler. This copy is for your
records only and no action,is needed on your part.
Thank you, and if you have any questions, please feel free to phone me at 726-3790.
~~
Lisa Hopper . .
Building Safety Supervisor
cc: John Pearson
Encl.
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2004-00867
ISSUED: 08/16/2004
APPLIED: 07/12/2004
EXPIRES: 02/16/2005
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 212 Q ST
ASSESSOR'S PARCEL NO.: 1703262401501
Springfield TYPE OF WORK: Heating System
TYPE OF USE:
Addition
Commercial
PROJECT DESCRIPTION: Heat Pump and Air Handler
Owner: DAVE WILLIS INSURANCE
Address: 212 Q STREET SPRINGFIELD OR 97477
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
NOTICE'
Contractor Type TH~I:f-actor License
Electrical AUT ~ gtJiE~}ljMC; ~~~ 156678
Mechanical r.nA I._ F8l;qM~~~JmI~~IR 84164
\ 1'\i'tIV l.,'ED ~~1' /~ ~"_
ANy 1800 OR IS AS ft1:wiiJ ATION.
AY PERIOD. ~~{~t6fla:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
I CONTRACTOR INFORMATION I
Expiration Date
08/14/2005
06/25/2007
Phone
541-686-5444
541-345-2838
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
'" leI'! f 'UI. ' ~, .
follow rules a'd~r~go,., h:t\N reqlu@.E.v.E.LQPl\fENT INFORMATION I
!'Jotification centtr~~~ by the Oregon Utility
Frontyar,1I@lt6'a€lf:2-001_001 0 t~se rules are seo~rJay Dist: .
S~de 1 S~tna~:You may obtain ro~gh OA,R 9541tSu~et ~rees Rqd:
Side 2 Setb;aY~!ng the center cop/.es of tile ruml!v'~9 DrIve Rqd:
Rearyan:hSJ-tW3elf:forthe 0 . (Note.. ~he te/epho/l{18ofLot Coverage:
Solar Setbacks: Cent . regon UtIlity Notification
er IS 1-Ron_~~') ~:? 1 , L .
I PUBLIC IMPROVEMENTS I
REQUIRED PARKING
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspouts/Drains:
Notes:
I Valuation Description I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pae:e 1 of 2
~1iiF'
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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
Total Amount Paid
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2004-00867
ISSUED: 08/16/2004
APPLIED: 07/12/2004
EXPIRES: 02/16/2005
VALUE:
Total Value of Project
LFees paidJ
Amount Paid
Receipt Number
2200400000000000914
2200400000000000914
2200400000000000914
2200400000000000914
2200400000000001058
2200400000000001058
2200400000000001058
2200400000000001058
2200400000000001058
2200400000000001058
Date Paid
$4.60
$3.22
$43.00
$3.00
$10.00
$4.50
$3.15
$8.00
$12.00
$25.00
7/13/04
7/13/04
7/13/04
7/13/04
8/16/04
8/16/04
8/16/04
8/16/04
8/16/04
8/16/04
$116.47
I Plan Reviews,
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 Reauired Insnections ,
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 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 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.
Owner or Contractors Signature
Date
Page 2 of 2
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2004-00867
ISSUED: 08/1612004
APPLIED: 07/12/2004
EXPIRES: 02/16/2005
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 212 Q ST
ASSESSOR'S PARCEL NO.: 1703262401501
Springfield TYPE OF WORK: Heating System
TYPE OF USE:
Addition
Commercial
PROJECT DESCRIPTION: Electrical for Heat Pump and Air Handler
Owner: DAVE WILLIS INSURANCE
Address: 212 Q STREET SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Mechanical
Contractor
ROBS ELECTRIC INC
HOME COMFORT HEATING & AIR
License
156678
84164
Expiration Date
08/14/2005
06/25/2007
Phone
541-686-5444
541-345-2838
'\
I BUlLD~~FORMATION I
~v..~ "c ~ -
# of Units: ~ "1I'O~S~~s: Lot Size:
Primary Occupancy Group: ~<<v ~ ~~!.J\~'Structure Sq Ft 1st Floor:
Secondary Occupancy Group: {}.~ ~<q.~ofHeat: Sq Ft 2nd Floor:
Primary Construction Type -;:y. <<; '\~S ~<:5Vater Type: Sq Ft Basement:
Secondary Construction Type: SY:-~ &.<:(:. ~"f- Range Type: Sq Ft Garage/Carport
# of Bedrooms: ~~. ~ Y:J~<:::5 {o ~<V. Energy Path: ~Sij Ft Other:
_,.~'\~ ~<<V~,\.-<<V~" \);.,v~'S Sprinkled Building: n/~ fe? ,,~~~~~~ Load:
'~y:-:,\y:-~~<<v~\J~~ I DEVELOPMENT INFORMATIO~1'~\e~\J:e G.:>~~'1:()\.l '\)"
~ \:)~ ,CO\;) \'?>-~ ~e ~eG.:> fb: ~<:(- OJ \.s-e~QUlRED PARKING
'-> ~ o~ ~ ~ \V O{' eo, ~
~ Overlay Dist: ~eC$ 0'0 oG.:>e ~ o'.:s' ~e'Q~~~iiill:
. # Street Tre~~ Rmf?~p'Q\.0 '\~ ~ov '~eG.:> e \.':..,o~ifandicapped:
Paved Driv~~{':, ~ ~e\' ~() "" cp'Q e~~"~,'~ OCompact:
% of Lot~~~~eCJe'" ~ ~P ~if' \~o~ '\)~' ~~t>1 i
~~~\ , K' r.() ~ '\,: ~ n..'1: '
r ~o~~ ~o ,v ~ 0 e\' Q,o ~;)
,,~ f{'P- 'l<O~.r\'l:J. ('~ ti0 .c-.f::J
I PUBLIC IMP~~ms:..e :~e ',G.:> ,\,v
" - '1\,bl,o Ae\
()C;S v~ ~e\ (je~idewalk Type:
~
~-v Downspouts/Drains:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
I Valuation Description I
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pae:e 1 of2
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2004-00867
ISSUED: 08/16/2004
APPLIED: 07/12/2004
EXPIRES: 02/16/2005
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
. 541-726-3769 Inspection Line
Total Value of Project
Fees Paid I
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
Receipt Number
$4.60
$3.22
$43.00
$3.00
$10.00
$4.50
$3.15
$8.00
$12.00
$25.00
7/13/04
7/13/04
7/13/04
7/13/04
8/16/04
8/16/04
8/16/04
8/16/04
8/16/04
8/16/04
2200400000000000914
2200400000000000914
2200400000000000914
2200400000000000914
2200400000000001058
2200400000000001058
2200400000000001058
2200400000000001058 .
2200400000000001058
2200400000000001058
Total Amount Paid
$116.47
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.
IJeouired Insoections 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 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 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.
(~B~
Owner or cwIt'ractors Signature
g Jb c:>~
. /
Date
Page 2 of2
~25 Fifth Street
Springfield, Oregon 97477
. 541-726-3759 Phone
'-':ty of Springfield Official Receipt
;velopment Services Department
Public Works Department
Job/Journal Number
COM2004-00867
COM2004-00867
COM2004-00867
COM2004-00867
COM2004-00867
COM2004-00867
Payments:
Type of Payment
Check
8/16/2004 .
RECEIPT #:
2200400000000001058
Date: 08/16/2004
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
Item Total:
Check Number Authorization
Batch Number Number How Received
012090
In Person
Payment Total:
Jmp
Page 1 of I
. 2:40:46PM
Amount Due
3.t5
4.50
8.00
12.00
25.00
10.00
$62.65
Amount Paid
$62.65
$62.65