HomeMy WebLinkAboutPermit Mechanical 2007-11-19
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 743 EDGEMONT WAY
ASSESSOR'S PARCEL NO.: 1703341306300
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2007-01651
ISSUED: 11/07/2007
APPLIED: 11/07/2007
EXPIRES: 11/19/2008
VALUE:
Springfield TYPE OF WORK: Heating System
TYPE OF USE: Alteration
PROJECT DESCRIPTION: Install gas furnace, heat pump and gas water heater.
Owner: . DILLOW MICHAEL E & JANE EN M
Address: 743 EDGEMONT WAY
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Mechanical
Contractor
RITE ELECTRIC
EUGENE HEATING & COOLING
License
178518
149452
BUILDING INFORMA nON I
# 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:
nla
I DEVELOPMENT INFORMA nON,
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Residential
Phone Number: 541-225-1226
Expiration Date
09/24/2009
10122/2009
Phone
541-895-4466
541-726-7654
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
. Occupant Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
ATTENTION: Oregon law r .
follow 1'11/"'''' ......J~ -t- j L I eqUlr~S you to
I PUBLIC IMPROVEMENTs~otifiCation Cent-:~:-Tho~~';~'eUslt:igon UtIlity
. OAR 952-001 are set forth
0090. S.iYSlfl~~ t~~~ thro~gh OAR 952-001-
callilUl tho ''''-nb:<T''o ~f1~'es of the rules by
buownsGO'oOOL/r\"Nu;~e: the telephon
num e~fOrtthe. Oregon Utility Notificati:n
en er IS 1-800-332-2344).
StreH &1vC!'!ments:
StorhHaYvf1lf!R\WflI~'
Speli~lJfIqvm2~rr ALL EXPIRE IF THE WORK
Nog~~~~NgX$ g~~t~~~toE:E~~6~ NOT
Page 1 of3
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
Appliance Not Listed
Furnace - up to 100,000 btu
Gas Outlets 1-4
Heat Pump
Minimum/Adjustment 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: COM2007-01651
ISSUED: 11/07/2007
APPLIED: 11/07/2007
EXPIRES: 11/19/2008
VALUE:
I Valuation Descriotion I
$ Per Sq Ft .
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
~
Amount Paid
Date Paid
Receipt Number
$20.00
$5.00
$2.50
$4.00
$7.00
$14.00
$5.00
$14.00
$10.00
$5.20
$2.60
$4.16
$48.00
$4.00
1117/07
11/7/07
1117/07
1117/07
11/7/07
1117/07
1117/07
1117/07
11/7/07
11/19/07
11119/07
11119/07
11119/07
11119/07
3200700000000000742
3200700000000000742
3200700000000000742
3200700000000000742
3200700000000000742
3200700000000000742
3200700000000000742
3200700000000000742
3200700000000000742
3200700000000000763
3200700000000000763
3200700000000000763
3200700000000000763
3200700000000000763
$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.
Rough Gas: After line is installed and required testing and capped if not attached to an appliance.
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.
Page 2 of3
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2007-01651
ISSUED: 11/0712007
APPLIED: 11/07/2007
EXPIRES: 11/19/2008
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
Page 3 of3
City of Springfield
Electrical Authorization To Begin Work
E-mailedTo:heidi@c-perkins.com
Receipt # EC520802
11/19/20072:39:37 PM
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
COM: :=J ()Of -- n\( ~0l
~JCJT)I--?0~
RCPT #: ,) L.-
DATE PROCESSED' \ l /' \<1 - (:)1
PROCESSED By:~m(J f
\
This Authorization To Begin Work must be posted at the job site until replaced ~ermit.
o New construction
[K] Addition/alteration/replacement
I City/State/ZIP: SPRINGFIELD, OR 97477-3607
I Suite/bldg.lapt.no.:
I Project name:
Cross street/directions to Job site:
I Subdivision:
I Tax map/parcel no.: 170334 \306300
I Lot no.:
electrical for hvac
IFax:
I EI. lie. no.: C335
I Business Name: RITE ELECTRIC INC
I Contact: Heidi
!Address: PO BOX 842
I City/State/ZIP: CRESWELL OR 97426
I Phone: (541)8954466
I Email: heidi@c-perkins.com
I Metro lic. no.:
I Supervising electrician's lie. no.: 2970S
I Supervising electrician's name: CLYDE I PERKINS
I CCB lie. no.: 178518
I Fax: (541)8954366
I City lie. no.:
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.
Description
Qty.
Ea.
Total
11,000 sq. ft. or less
I Ea. addl 500 sq. ft. or portion
I-Limited energy, residential
(with above SQ. ft.)
I-Limited energy, multifamily
residential (with above sq. ft). .
I Se.{:ices'OR fe~dHsinstallatic}Iil:alieratiolii0AND/OIi'felocation'," ,;,!l; .
- .-_ ":';'_:,';j':_;'+~:~:i<,/;:< -;, --___:-':'__-oo','':):/;;<I(i>:>',(: -, - - -,!- 'i-"":'I\;>;;:i<~'-~, ' ;---':>"-,-_'n':il:;<::!\it".:,< --:-- .", _:,' ~'t_"'W'L>"'f_;-/_: -
_n ',:.>,:,
I 200 amps or less
I 201 amps to 400 amps
I 401 amps to 599 amps
/200 amps or less
1201 amps to 400 amps
1401 amps to 599 amps
A. Fee for branch circuits with
above service or feeder fee,
each branch circuit.
B. Fee for branch circuits
without service or feeder fee,
first branch circuit;
each addl branch circuit
$48.00
$48.00
$4.00
$4.00
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 Iimited-
energy panel, alteration, or
extension.
not offered online at this jurisdiction
I
I
I
I
· City Of Springfield
Subtotal $52.00
State Surcharge (8% of pennit fee) $4.16
City Of Springfield fees · $7.80
TOTAL PERMIT FEE $63.96
10% Local Admin Fee; 5% Local Technology Fee
,t
!
.. i
J
225 Fifth Street
Springfjeld, Oregon 97477
541:'726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2007-01651
COM2007 -01651
COM2007-01651
COM2007 -01651
COM2007 -01651
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
3200700000000000763
Date: 11/19/2007
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
NJM
ONLINE
RITE Online
ELECT
Payment Total:
Page 1 of 1
2:48:53PM
Amount Due
48.00
4.00
2.60
4.16
5.20
$63.96
Amount Paid
$63.96
$63.96
11/19/2007