HomeMy WebLinkAboutPermit Mechanical 2007-11-13
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-01640
ISSUED: 11/05/2007
APPLIED: 11/05/2007
EXPIRES: 05/13/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 6852 A ST
ASSESSOR'S PARCEL NO.: 1702353205302
Springfield TYPE OF WORK: Heating System
TYPE OF USE: Alteration
Residential
PROJECT DESCRIPTION: Heating and AC unit
Owner: WILSON EDWARD FREDERICK
Address: 6852 A ST
SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Mechanical
Contractor License
ANDREI DZIEDZIC & STEPHEN ERNST SC 154326
INNOVATIVE AIR INC 161742
BUILDING INFORMATION I
Expiration Date
02/11/2009
10/11/2008
Phone
(541) 232-1212
541-746-1040
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type: .
# of Bedrooms:
# 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:
n/a
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Impro~liT~T'ON: Oregon law requires you to
follow rules adopted by th 0 U . .
Storm Sew~$\m\i~n C e regon tllfty
S ecial Instbi''';' '" . enter. Those rules are set forth
p nrtfM~52-001-001 0 through OAR 952-001-
Notes: 0090.. You may obtain copies of the rules by
calling the center. (Note: the telephone
number for the. Oregon Utility Notification
Center IS 1-800-332-2344).
Sidewalk Type:
~g or~ C IE :DownspoutslDrains:
l~~SH6~RM/T SHALL EXPIRE IF THE WORK
COMME~~~~ ~~DER THIS PERMIT IS NOT
ANY 180 DAY PER:~~BANDONED FOR
Pa2e 1 of 3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
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
Miscellaneous Mechanical
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Total Amount Paid
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-01640
ISSUED: 11/05/2007
APPLIED: 11/05/2007
EXPIRES: 05/13/2008
VALUE:
I Valuation Description'
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
~
Amount Paid
Date Paid
Receipt Number
2200700000000001676
2200700000000001676
2200700000000001676
2200700000000001676
2200700000000001676
2200700000000001676
2200700000000001676
2200700000000001676
1200700000000001392
1200700000000001392
1200700000000001392
1200700000000001392
1200700000000001392
$20.00
$5.00
$2.50
$4.00
$9.00
$14.00
$10.00
$17.00
$5.20
$2.60
$4.16
$48.00
$4.00
11/5/07
11/5/07
11/5/07
11/5/07
11/5/07
11/5/07
11/5/07
11/5/07
11/13/07
11/13/07
11/13/07
11/13/07
11/13/07
$145.46
I Plan Reviews I
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.
~eouiredJnSDe~tions I
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
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: COM2007-01640
ISSUED: 11/05/2007
APPLIED: 11/05/2007
EXPIRES: 05/13/2008
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 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
Pae;e 3 of 3
Date
. City of Springfield
Electrical Authorization To Begin Work
E-mailedTo:info@think-electric.com
Receipt # EC520374
11/12/200710:56:13 AM
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
o New construction
[X] Addition/alteration/replacement
[Xl 1 or 2 family dwelling
o Multi-family
D G:ommercial/ Industrial
I Job no.: I Job address: 6852 A ST
I City/State/ZIP: SPRINGFIELD, OR 97478-7373
I Suitelbldg.lapt.no.:
I Project name:
Cross street/directions to job site:
I Subdivision:
Tax map/parcel no.: 1702353205302
I Lot no.:
Add two branch circuts
I Name: Ed Wilson
I Phone: (541 )726-0724
I Email:
I Fax:
EI. Iic. no.: 20,500C I CCB lic. no.: 154326
I Business Name: ANDREI DZIEDZIC
I Contact: Stephen Schmiechen
[Address: PO BOX 844
I City/State/ZIP: EUGENE OR 97440
IPhone: (541)2321212 IFax: (541)3593065
I Email: info@think-electric.com
I Metro lic. no.: I City Iic. no.:
I Supervising electrician's Iic. no.: 468] S
I Supervising electrician's name: JAMES D WILLIAMSON
Upon review and approval by your local jurisdiction, your
permit will be e.mailed or faxed within one business day,
with instructions on how to schedule your inspection.
NOTE: This Authorization To Begin Work expires within 180
days if a permit is not obtained.
The local building department may determine that an
Authorization To Begin Work is null and void if it does not
meet applicable land use laws and local ordinances.
I Description
Qty.
Ea,
Total
11,000 sq, ft or less
lEa, addl 500 sq, ft, or portion I
I ,Limited energy, residential I
(with above sq, ft,)
I-Limited energy, multifamily I
residential ,( with above sq, ft)
serVic,es9Rf~~e~'i~~ia,!I,ati~rt,ait~h\t,i()Drj\ND/OR'relocatiort..... ,..,.,. .1
200 amps or less I
I
I
201 amps to 400 amps
401 amps to 599 amps
200 amps or less
201 amps to 400 amps
1401 amps to 599 amps
IBrarc~'~ir'i.~i~:7;,~~,~!t~I;~H~", 9~.i~~,t~nsi~nl Rer ~a~el,', '. ,'.
A Fee for branch circuits with
above service or feeder fee,
each branch circuit
B, Fee for branch circuits $48,00 $48.00
without service or feeder fee,
first branch circuit;
I each add! branch circuit
I Service reconnect only
I Each manufactured or modular
dwelling, service and/or feeder
I Pump or irrigation circle
I Sign or outline lighting
Signal circuit(s) or limited,
energy panel, alteration, or
extension.
not offered online at this jurisdiction
. ELECTRICAL Fl.ERMIT fEES
I
I
I
I
;, City Of Springfield
Subtotal $52,00
State Surcharge (8% of permit fee) $4,16
City Of Springfield fees. $7,80
TOTAL PERMIT FEE $63,96
10% Local Admin Fee; 5% Local Technology Fee
This Authorization To Begin Work must be posted at the job site until replaced by a Permit.
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
1200700000000001392
Date: 11/13/2007
IO:39:46AM
Job/Journal Number
COM2007-01640
CO M2007 -01640
COM2007-01640
COM2007-01640
COM2007-01640
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Payments:
Type of Payment
Paid By
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
48.00
4.00
2.60
4.16
5.20
$63.96
Amount Paid
ONLINE CHGS ONLINE PERMIT CHGS
DDK
ONLINE ANDREI Online
DZIEDZIC
Payment Total:
$63.96
$63.96
cReceintl
Page I of I
11/13/2007