HomeMy WebLinkAboutPermit Mechanical 2005-11-29
.
.CITY VI' ~rKINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-01650
ISSUED: 11/29/2005
APPLIED: 11/29/2005
EXPIRES: 10/12/2006
VALUE:
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1515 W QUINAL T ST
ASSESSOR'S PARCEL NO.: 1703273200154
Springfield TYPE OF WORK: Heating System
Contractor Type
Electrical
Mechanical
Contractor
C PERKINS ELECTRIC
CHITTIM ENTERPRISES I INC
TYPE OF USE: New Residential
.,: ~ ".~. OlnC1:1Iaw rDlluires you to
.' .'__' I.., .h~ nrf'nnn lJltlitv
~', CI.'h9~e Nu~ber:J\(54I~746:4827.h
; C,',l ~c2 CJ1'0:110 through OAR 9S2,001-
r ,';J. \'ULI may obtain copies of the r~les_bY
1'.'~\i110 Ule cenler. \I'tUl'Ci. l".... ....''":r:..- . -
I CONTRACTOR INFORMATION'.cr for the Oregon Utility NotificatiOn
Center is 1_800-332,2344).
License Expiration Date Phone
159537 04/15/2008 541-895-4466
47396 03/08/2007 541-461-2101
PROJECT DESCRIPTION: Install heat pump and air handler
Owner:
Address:
JOHN PALMATIER
1515 W QUINALT ST
SPRINGFIELD OR 97477
BUILDING INFORMATION I
VN
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
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 Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
R-3
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
,',DT1~/I::,
7H n a.
IS Pc,,,...
I DEVELOPI\II"'''' u'iFORM~TIONIJ,'iED J;ALL EXPIRF II' "t, ,
~v'VIIVltNCED DER Ti~~l{lJ\REl:l[Pl\~1;<;H"G
ANY 18 OR IS AS' ,,- tKMIT IS N
Overlay Dist: 0 DAY PERIO lVolJltNED I'() OT
# Street Trees Rqd: 0, Handicapped:R
Paved Drive Rqd: Compact:
% of Lot Coverage:
I PUBLIC IMPROVEMENTS'
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
DownspoutslDrains:
Notes:
Paee I of3
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769Inspection Line
Description
Tvpe of Construction
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
Air Handling Unit Up to 10,000
Heat Pump
MinimumlAdjustment Mechanical
+ 10% Administrative Fee
+ 8% State Surcharge
Add. Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Total Amount Paid
.
. CITY OF ~rKll'\jvl'l~LD'
Building/Combination Permit
PERMIT NO: COM200S-01650
ISSUED: 11/29/2005
APPLIED: 11/29/2005
EXPIRES: 10/1212006
VALUE:
I Va,l"ation Oescriotion I
IIIII
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
~
Amount Paid
Receipt Number
Date Paid
$10.00
$4.50
$3.15
$8.00
$12.00
$25.00
$4.60
$3.68
$43.00
$3.00
11129/05
11129/05
11129/05
11129/05
11/29/05
11129/05
4/12106
4112106
4/12106
4/12106
2200500000000001631
2200500000000001631
2200500000000001631
2200500000000001631
2200500000000001631
2200500000000001631
2200600000000000455
2200600000000000455
2200600000000000455
2200600000000000455
$116.93
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.
I~p~
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.
Pace 2 of3
.
.CITY OF ~rKll~~"'~LD '
Building/Combination Permit
PERMIT NO: COM2005-01650
ISSUED: 11/29/2005
APPLIED: 11/29/2005
EXPIRES: 10/1212006
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 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
Paee 3 of 3
225 Fifth Street
.~
Springfield, Oregon 97477
541-726-3759 Phone
.
~~~
<;Aof Springfield Official Receipt
_Iopment Services Department
Public Works Department
Job/Journat Number
COM2005-0 1650
COM2005-0 1650
COM2005-0 1650
COM2005-0 1650
Payments:
Type of Payment
CreditCard
cReceinl1
RECEIPT #:
2200600000000000455
Date: 04/12/2006
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
C, PERKINS ELECTRIC
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
njm 120726 In Person
Payment Total:
Page I of I
2:22:58PM
Amount Due
43,00
3.00
3,68
4,60
$54.28
Amount Paid
$54,28
$54.28
4112/2006