HomeMy WebLinkAboutPermit Electrical 2008-3-21
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00382
ISSUED: 03/20/2008
APPLIED: 03/20/2008
EXPIRES: 09/21/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 3083 YOLANDA AVE
ASSESSOR'S PARCEL NO.: 1702193301100
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: Alteration
Residential
PROJECT DESCRIPTION: 1 Circuit for air conditioner
Owner: ELLIOTT BRADLEY S & CANDY E
Address: PO BOX 70741
EUGENE OR 97401
Phone Number: 541-744-0698
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Mechanical
Contractor License
OWNER
ASSOCIATED HEATING & AIR CONDITIO 106275
BUILDING INFORMATION I
Expiration Date Phone
08/31/2008 541-683-2590
# 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'
Street Improvements:
Storm Sewer Available:
Special Instruction:
NOTICE:
Notes: THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ArN 180 DAY PERIOD.
Sidewalk Type:
I ~,q,l.Iires you to
AiTENT\ON: O~}Jbfi~h~~oW~~on Utility
follow rules adoPte~h ~e rules are set forth
NotifIcatIon Center. 0 hOAR 952-001-
In OAR 952-001-0g; ~~h~~~i~S of the rules by
0090. You may 0 a Note' the te\ephone
calling the cen~r. (on Utility Notliication
number for tthe,s r1eagOO_332-2344).
Cen er I .
Pal!:e 1 of3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Description I
Description
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Tvpe of Construction
Total Value of Project
~
Fee Description
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
MinimumlAdjustment Electrical
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Furnace - up to 100,000 btu
Gas Outlets 1-4
Minimuml Adjustment Mechanical
Miscellaneous Mechanical
Amount Paid
Date Paid
$5.00
$6.00
$2.50
$48.00
$2.00
$20.00
$5.00
$6.00
$2.50
$14.00
$5.00
$17.00
$14.00
3/20/08
3/20/08
3/20/08
3/20108
3/20/08
3/21/08
3/21/08
3/21/08
3/21/08
3/21/08
3/21/08
3/21/08
3/21/08
Total Amount Paid
$147.00
I Plan Reviews I
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2008-00382
ISSUED: 03/20/2008
APPLIED: 03/20/2008
EXPIRES: 09/21/2008
VALUE:
Value
Date Calculated
Receipt Number
2200800000000000338
2200800000000000338
2200800000000000338
2200800000000000338
2200800000000000338
3200800000000000181
3200800000000000181
3200800000000000181
3200800000000000181
3200800000000000181
3200800000000000181
3200800000000000181
3200800000000000181
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.
~eouiredJnsDections ,
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.
Pae:e 2 of 3
Status
Iss u ed
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-00382
ISSUED: 03/20/2008
APPLIED: 03/20/2008
EXPIRES: 09/21/2008
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 of 3
City of Springfield
Mechanical Authorization To Begin Work
E-mailedTo:assoclatedheating@gmad.com
Check on status of permit
By Phone: (541)726-3753 or Email: permltcenter@ci.springfield.or.us
III"
, TYPE OF WORK
, '
D New constructIon IX] AdditIOn/alteratIOn/replacement
CATEGORY' OF ,CC?NST~UCTION /~:~
[X] I or 2 famIly dwellmg D MultI-famIly D Accessory Buildmg
I' ", '''JOB SltEI~FOR,MATION AND ~\"9CtmON ' . i
IJob no,' 3359A IJOb address 3083 YOLANDA AVE
I CIty/State/ZIP: SPRINGFIELD, OR 97477-1785
I SUlte/bldg /apt no.
I Project name'
Cross street/directions to Job site.
I>~ " >' II '
SubdiVIsion. I Lot no .
I Tax map/parcel no. 1702193301100
I " ,DESCRIPTION OF WORK' " . '/ .
Install gas furnace & A/C
SITE CONTACT
, 11111>1
I Name Brad Elliott
I Phone (541) 744-0698
I Emall:
I
I CCB he no 106275
I BUSiness Name: ASSOCIATED HEATING & AIR CONDITIONI
I Contact' Brandy Forsman
I Address PO BOX 412
I CIty/State/ZIP: EUGENE, OR 97440
I Phone (541 )6832590
I Emall assoctatedheatmg@gmatl com
I Metro he no
I Fax
CONTRAP:rC?~, .
'p'I/1
I Fax (541 )6070287
I CIty he no'
Upon review and approval by your local Jurrsdlctlon, your
permit Will be e-malled or faxed within one bUSiness day,
with instructions on how to schedule your inspection
NOTE This Authorrzation To Begin Work expires within 180
days If a permit IS not obtained
The local bUilding department may determine that an
Authorrzatlon To Begin Work IS null and vOid If It does not
meet applicable land use laws and local ordinances
j , '..::
Receipt # EC527497
3/21/20081:17:21 PM
FEE SCHEI?ULE
Qty
Total
I
,
$5001
I
MECHANIC~L P~RMIT FEES I
Subtotal I $33 00 I
MInimum fee used mstead of Subtotal $5000 I
State Surcharge (12% ofpenmt fee) I $600
City Of Springfield fees *1 $27 50
TOTAL PERMIT FEE I $83 50
10% Local Admm Fee, 5% Local Technology Fee,
'0,
I DeSCrIption
I Heafinglcooling,l'l!l!liances
I Furnace- up to 100,000 BTU
I Furnace - above 100,000 BTU
I ElectriC Furnace
I Duct alterations and additIOns
I Gas heater Unlts/ m-wall, m-
duct, suspended, etc/
I Vent, flue, Imer for above
I AIr ConditIoner
I Heat Pump
I AIr Handler
I'<fther fu~1 burning appliances
I Water heater
I Gas fireplace/msert/stove
I Gas log/ log lighter
I Gas clothes dryer
I Gas stove/range
I Pool or spa heater, kIln
I Wood/pellet stove/msert
I Wood fireplace
I Chlmney/lmer/flue/vent w/o
appliance
lE;n~h:o~m~!ltal ~xhaust AND ventilation
I Range hood
I Clothes dryer exhaust
Smgle-duct exhaust (bathrooms,
tOIlet compartments, utIlity
rooms)
I AttIc/crawlspace fans
I'Fuel'piping" ".,
<<>," tl
I upto first 4 outlets( enter Qty=l)
each additIOnal outlet
Ea
$1400
$1400
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* City Of Springfield
$10 Issuance Fee
11
I
I
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$14001
I
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$1400
'1
I
$5001
I
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DATI: r:, ,
/"- -
PR6~r"'-J-~ /,1 f~ ,
~ \.....k:fl "I '-"(.l.
- I
ThiS AuthOrization To Begin Work must be posted at the J,9b SI e u~tll ~~"pl~~e'(r6y~ermlt
./
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