HomeMy WebLinkAboutPermit Mechanical 2007-4-18
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-00313
ISSUED: 04/18/2007
APPLIED: 03/01/2007
EXPIRES: 10/18/2007
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1285 ASPEN ST
ASSESSOR'S PARCEL NO.: 1703273402903
Springfield
TYPE OF WORK: Heating System
PROJECT DESCRIPTION: Install heat pump and air handler
TYPE OF USE: New
Residential
Owner:
Address:
DONALD SWEARINGEN
1285 ASPEN ST
SPRINGFIELD OR 97477
. ....\\\0
(\U\~~:) ! 0\\\\\'1
r\~ooNf~e..J6'l{J.~~MATION I
.O,e,::, ~\.I \0- ~
~N\\O~' :teo b u\eS a: 5'2.-0
<gt>ilfas.W!aoO? ,nose t ~ op..?- 9 u\eS b'l License
~q)fi;~,~,...c;\lUB~~~fi'~ ~ ~'t~(h()ne 84164
~0\\\\v""~95'2.-Q\J \ - :-d-~~~ltM6ION I
. Op..~ f(\a'l 0
,n O. '(ou, cen\e\. n \)\\ 41\)-
# of Units: 009 ~\\n9 \ne \ne o~eQff Bf~~:
Primary Occupancy Group: Ca: r\\bBc-):>~ et \S '\-~eight of Structure:
Secondary Occupancy Group: n\..l cen\; Type of Heat:
Primary Construction Type VB Water Type:
Secondary Construction Type: Range Type:
# of Bedrooms: Energy Path:
Sprinkled Building:
Contractor Type
Mechanical
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
I DEVELOPMENT INFORMtTION I
\NU\'\\
. ~ 'b~\-\t- \-\()\
~O",\\Ct. ,,^\' S\\~\.\. ~e?~{\\ ~
,\\\S ?E~ lED \j~\)E~P~v/(~Uij~~~d:
~1j,\\C)~\ D C)~ \S~'qjf'{,ot Coverage:
r.n~~t.~;,>, ?t.~\C)D.
f>..~'{ '\ ~\J '1 PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Phone Number: 541-741-1972
Expiration Date
06/25/2007
Phone
541-345-2838
n/a
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Sidewalk Type:
Downspouts/Drains:
Notes:
I Valuation Description I
Description
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Type of Construction
Pae:e 1 of2
Value
Date Calculated
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees Paid J
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Air Handling Unit Up to 10,000
Heat Pump
Minimum/Adjustment Mechanical
Amount Paid
Date Paid
$10.00
$4.50
$2.25
$3.60
$8.00
$12.00
$25.00
4/18/07
4/18/07
4/18/07
4/18/07
4/18/07
4/18/07
4/18/07
Total Amount Paid
$65.35
/ Plan Reviews I
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00313
ISSUED: 04/18/2007
APPLIED: 03/01/2007
EXPIRES: 10/18/2007
VALUE:
Receipt Number
1200700000000000431
1200700000000000431
1200700000000000431
1200700000000000431
1200700000000000431
1200700000000000431
1200700000000000431
To Request an inspection can the 24 hour recording at 726-3769. An inspections requested before 7:00
a.m. win be made the same working day, inspections requested after 7:00 a.m. win be made the foHowing
work day.
LReouire'd Insnections I
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 ofthe property, and the approved set of plans will remain on the site at all
times during construction.
~J
4/z
Owner or Contractors Signature
Paee 2 of2
Y~~7
I '
Date
225 Fiftt! Street
~,
Springfield, Oregon 97477
541-726-3759 Phone
Citv of Springfield Official Receipt
~lopment Services Department
Public Works Department
Job/Journal Number
COM2007-00313
COM2007-00313
COM2007-00313
COM2007 -00313
COM2007-00313
COM2007-00313
COM2007-00313
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
1200700000000000431
Date: 04/18/2007
Description
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Air Handling Unit Up to 10,000
Heat Pump
Minimum/Adjustment Mechanical
~Mechanicallssuance Fee~
Item Total:
Check Number Authorization
Paid By Received By Batch Number Number How Received
HOME COMFORT HEATING djb 091302 In Person
Payment Total:
Page] of 1
1 :43:32PM
Amount Due
2.25
3.60
4.50
8.00
12.00
25.00
]0.00
$65.35
Amount Paid
$65.35
$65.35
4/18/2007
@004
09/11/06 MON 10:50 FAX 5417263689
CITY OF SPRINGFIELD
ZON W~
INITIALS (k\
I;) ~~~:CE~
4"~-oJ
S"IlINCI'IIi't&.l) ,:,
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
ELECTRICAL PERMIT APPLICATION
City Job Number Q:NtI\ z.o 07- a<::::. S 13
Date
l.tOCAriONOFiNEttA 1;(~TJONf. J.COMPLEXEFEE SGHEDVLE BELQW "
..... . . .........,"' . ,'. . ".-:' . ",'_.... '.: ..:....0 ..-:-: _,' ..-;.... .."._ ".._
,; "J'.,,:;; c; ~;:~~-;R'~~c:$zs~ .;-' ..... -~.-' "-"''':.' ';~~ei:'~~sl~~~:i~:'iW~;~j;r~;~;i<<i~~fu~Y'~~rJ~~ri!lri:~;llnHI
170 -:5 (,7 'J 4 02. ? O..:! Service ~:c1u~ed ' ,
JOB DESCRIPTION:
Lt9Ut..R- (;Jj) 'ft ~cI O~
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
$106.00
$ 19,00
Permits are Doo-transferable and expire if work is
not started within 180 days of Issuance or If work is
Suspended for 180 days.
$50.00
2. CONTRACTOR m8'tALLATtON01'iLY
nRL" rlr-Tr' " "Eo:lV"'E
Electrical Contractl/T L,."':'\I f: f-; . j';ii, S n 1(;
P.O L" ..",'
. I UCJ/\ ~,~ [~,J I
EUGENE, OR 97402
Phone ~ ~J. {bX'L
- .. . ....
. >eo ",
B. $eryl~e$od<:eed~.~tS .i Itjstal!aH611;AlterlftiollS .oi-Relocation:
- . '.. .
- '.-.,. ':c";
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
601 Amps to 1000 Amps
Over 1000 Amps/Volts
Reconnect Only . eS 'loU \0
, f\,~\~neo.u\r On \.}\\\\t~ ,
,o~.OWBtrn'\5f~~or,~~1~@ ,
P-.\\'t:.N\ ~dO?'(~a e ru\eS 'are 52-00"\-
V"I\\o'i'J {~\eSc~ft~9tllJi\}~~i~~e~tl~~t\b-;
Not\\icat\O~_OG~OoOOP.\ bbl5 J:ll,es 0\ tn,e?none $ 50.00
'In ()p...B 95 rn~ql~kqR-.ft~!\\~ te x\iCa'iOn $ 69.00
0090. '/ou 4~1a-(\~s tb\6~'\1't~~ NO; $100.00
C?L\\in9 ~~~~~~r~;~~~&e.ir~~~'see "B" abov~. ,
{\\Jrn'oee'e~~~Circllits':'. ~, .':,_ :"" "':: ',;,'
New Alteration or Extension Per Panel
One Circuit I $ 43.00
Each Additional Circuit or with
Service or Feeder Permit
$ 63.00
$ 75.00
$125.00
$163,00
$375.00
$ 50.00
Address
City
Supervisor License Number .I 'O;.~~ 0
f 0 - / ~ 0-:>
Expiration Date
Constr. Contr. Number <:"'o.""lo!::/.fe ~
l(Pi61~
Expiration Date ~ . ~~ - DJ
Signature of Supervising Electrician
l1~~~./
Y/~ "0
~~
$ 3.00
I
Owners Nam~Y'\ ~
Address I Z 8' )
~~F(\
E. .....,Mi~~uar{~?ti;,(~eryicetf~'1ld~r.;,~.~~~jricl~d~~);-i~.Ch.l~s~ liatiJ~:...
City
Pump or irrigation $ 50.00
Sign/Outline Lighting $ 50,00
OWNER INSTALLATION Limited EnergyIResidential $ 25.00
The installation is being made on property I own which Limited E~rgy/Commercial $ 45.00
is not intended for sale, lease or rent.. Mint~~\\Ft~ Permit Inspectl~n Fee is $~5.00 + Surcharges
,("\C.' c,,\,\?E.\t_'~Oi<~9i'1i ODABOVE ' " : J I J _ ~
Owners Signature: ~Oli ~~~. s\\/\\..\.. L-I' E\,\'N\Vt'i:'t>t2~ '~ ~ ' 'Y' '"." " .. ';-. ~I....()
- \}' \,~~\'J\\\ "DC'" ,\\\S ? E~Re Surcharge :.3 fo7i
\ 't\ '"' \\()~\lED U\~ ...s /\\)I\~DO~ 1-00/0 Administrative Fee LJ ~v
, I\'J\ tI.\C'tD O~ \ 5% Technology Fee ; ~ <~:ro
r<,,\\I\\'J\'tI'l ?'t~\OD. SO'
Inspection Request: 7~~~76,~a DI\'l TOTAL I S:to 0
I\~'( Shared Drive(T,)fBuildlng Forms/Electrical Per nIl Application 8.06 doc
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
PERMIT NO: COM2007-00313
ISSUED: 04/18/2007
APPLIED: 03/01/2007
EXPIRES: 10/19/2007
VALUE:
SITE ADDRESS: 1285 ASPEN ST
ASSESSOR'S PARCEL NO.: 1703273402903
Springfield
TYPE OF WORK: Heating System
PROJECT DESCRIPTION: Install heat pump and air handler
TYPE OF USE: New
Residential
Owner: DONALD SWEARINGEN
Address: 1285 ASPEN ST
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Mechanical
Contractor
OREGON ELECTRIC SERVICE
HOME COMFORT HEATING & AIR
License
161518
84164
I BUILDING INFORMATION I
\0
# of Units: # 9.f~'o'i.\~~
Primary Occupancy Group: R-3 ~~'lf'~~\..b'f~J~ture:
Secondary Occupancy Group: \-o.~ ~e o~eeot~e~\'
Primary Construction Type ~~~\\ '0"1 ~e v.\~it~ ~~~'O 'O'!
Secondary Construction Type:O~' 0 R\eo. o'Oe ~ ~~an~~~J{)J~: r-e
# of Bedrooms: '\~~'\'\ e'O -0.0.0 e~' '\~ \\\~ov.~clt~ ~;Il? ~o~
~'\ ~ ~v." ce\'~ ~\)\ ~ c,o~~~Q;M'e~\.~iYiJing: n/a
,.\\0 ,.:.n\' ~"- I:'\\' -~P., \~
~o\\\\C;9J':J?; ;-0."1 o~~v~:e~~T\iNFORMATION I
. r- O~ '{ov. e ce 0 ",.!J ~\)_.)'S
\ ~9J\)'. ~ \~ \\\e. \,CO
~ t>.\\\'\\ < \O~ < \'0 Overlay Dist.
C'" ~e\ ~e\ .
\'\).~ Ce'\\ # Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Phone Number: 541-741-1972
Expiration Date
09/28/2008
06/25/2007
Phone
541-343-1681
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:
REQUIRED PARKING
Total:
Handicapped:
Compact:
. I PUBLIC IMPROVEME;JfII()~~~
o.xS< ...,,\\,<0 Sidewalk Type:
~~\~ \:-~\'l\ \)~
\.\.. t: \\\S ~ "'\\:-~ ~ Downspouts/Drains:
~. S\\~ \,\\ ~~\'
M~'\CV ~~v.. '0~\)'X-~ ~~'?:~ .
\"\\ S ~~ 'X-\) a. \S
\\\\ <J~\t x..\) \)Y\ ~<J\)'
~'0\'0 ~'X-~~ ~~ ~'X-~
\,\J~ <1)\) \)
"'~~ \
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Paee 1 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 ~
Description
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Tvpe of Construction
Total Value of Project
~
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Air Handling Unit Up to 10,000
Heat Pump
Minimum/Adjustment Mechanical
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Amount Paid
Date Paid
$10.00
$4.50
$2.25
$3.60
$8.00
$12.00
$25.00
$4.60
$2.30
$3.68
$43.00
$3.00
4/18/07
4/18/07
4/18/07
4/18/07
4/18/07
4/18/07
4/18/07
4/19/07
4/19/07
4/19/07
4/19/07
4/19/07
Total Amount Paid
$121.93
I Plan Reviews I
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00313
ISSUED: 04/18/2007
APPLIED: 03/01/2007
EXPIRES: 10/19/2007
VALUE:
Value
Date Calculated
Receipt Number
1200700000000000431
1200700000000000431
1200700000000000431
1200700000000000431
1200700000000000431
1200700000000000431
1200700000000000431
2200700000000000559
2200700000000000559
2200700000000000559
2200700000000000559
2200700000000000559
To Request an inspection call the 24 hour recording at 726-3769. All inspections 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.
Pal!e 2 of 3
CITY OF SPRINGFIELD'
Status
Issued
Building/Combination Permit
PERMIT NO: COM2007-00313
ISSUED: 04/18/2007
APPLIED: 03/01/2007
EXPIRES: 10/19/2007
VALUE:
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 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
Pa2e 3 of 3
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
C& of Springfield Official Receipt
~lopment Services Department
Public Works Department
Job/Journal Number
COM2007-00313
COM2007-00313
COM2007-00313
COM2007-00313
COM2007-00313
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
2200700000000000559
Date: 04/19/2007
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
OREGON ELECTRIC
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb
20646
In Person
Payment Total:
Page 1 of 1
2:41:13PM
Amount Due
43.00
3.00
2.30
3.68
4.60
$56.58
Amount Paid
$56.58
$56.58
4/19/2007