HomeMy WebLinkAboutPermit Building 2008-4-2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00453
ISSUED: 04/02/2008
APPLIED: 04/02/2008
EXPIRES: 10/03/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2155 LAURA ST
ASSESSOR'S PARCEL NO.: 1703271101800
SPRINGFIETYPE OF WORK: Miscellaneous
TYPE OF USE: Alteration
Residential
PROJECT DESCRIPTION: Install air conditioner
Owner: VINCENT DONALD R & ISABELLE
Address: PO BOX 1443
SPRINGFIELD OR 97477
Phone Number: 541-744-0152
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Mechanical
Contractor
GMD ELECTRIC INC
COMFORT FLOW
License
162191
460
Expiration Date
11/19/2008
06/27/2009
Phone
541- 726-8601
541-726-0100
BUILDING INFORMATION 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
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
r.r.OT~CE:
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Sidewalk Type:
ATTENTIG~.Qh~CU?prl~)MJr.quires you to
follow rules adopteo'oy'tHe .Oregon Utility
Notification Center. Those rules are set forth
in OAR 952-001-0010 through OAR 952.001-
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).
Notes:
Page 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 I
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
+ 12% State Surcharge
+ 5% Technology Fee
BoilerlComp Up To 100,000 btu
MinimumlAdjustment Mechanical
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ Ea Add
Perm Serv/Fdr 200 amps or less
Amount Paid
Date Paid
$20.00
$5.00
$6.00
$2.50
$14.00
$36.00
$7.80
$9.36
$3.90
$8.00
$70.00
4/2/08
4/2/08
4/2/08
4/2/08
4/2/08
4/2/08
4/4/08
4/4/08
4/4/08
4/4/08
4/4/08
Total Amount Paid
$182.56
I Plan Reviews I
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00453
ISSUED: 04/02/2008
APPLIED: 04/02/2008
EXPIRES: 10/03/2008
VALUE:
Value
Date Calculated
Receipt Number
1200800000000000298
1200800000000000298
1200800000000000298
1200800000000000298
1200800000000000298
1200800000000000298
3200800000000000215
3200800000000000215
3200800000000000215
3200800000000000215
3200800000000000215
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.
~eollire~nsnections 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.
Pa2e 2 of 3
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00453
ISSUED: 04/02/2008
APPLIED: 04/02/2008
EXPIRES: 10/03/2008
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
Pa2;e 3 of 3
225 Fifth Str~et
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2008-00453
COM2008-00453
COM2008-00453
COM2008-00453
COM2008-00453
Payments:
Type of Payment
ONLINE CHGS
cRecemtl
RECEIPT #:
3200800000000000215
Date: 04/04/2008
Description
Penn Serv/Fdr 200 amps or less
Add, Alter, Extend Clrc Ea Add
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% AdmInistrative Fee
PaId By
ONLINE PERMIT CHGS
Item Total:
Check Number AuthorizatIOn
Received By Batch Number Number How Received
nJm
ONLINE gmd elect Onlme
Payment Total:
Page I of 1
8:04:30AM
Amount Due
70,00
800
390
936
780
$99.06
Amount Paid
$99 06
$99.06
4/4/2008
City of Springfield
Electrical Authorization To Begin Work
E-mailedTo:gmdelectnc@comcast.net
Receipt # EC528184
4/3/20082:10:29 PM
Check on status of permit
By Phone: (541)726-3753 or Emad: permitcenter@ci.springfield.or.us
o New constructIOn
~ ,V'I: Ill:rS-PE'OF WORK,,"
, "'"1,", '
[K] AddJtlon/alteratlOnlreplacement
',,,, ,:,1
CATEGORY OF CONSTRUCTION l
, ", j 1'11'1"
i, II\,
[K] I or 2 family dwellmg
o MultI-family
o Commercial / Industnal
f j I' [<<I I' '"'I'I I"
l' i':,'I;:lIillirlI ,JOB SITE INFORN1~m?,N AND COCA1;~q'~I'''t'
IJobno IJobaddress. 2155 LAURAST
I CIty/State/ZIP' SPRINGFIELD, OR 97477-2150
SUlte/bldg /apt no
PrOject name
Cross street/directIOns to Job site Travel east toward Spnngfield on 1-105, take the
Spnngfield CJty Center EXit, turn left onto PIOneer Parkway E, turn left onto Q St, turn nght
anto Laura St
I SubdivIsion'
I Tax map/parcel no' 170327110 1800
DESCRIPTION OF WORK
, ,
I Lot no ,
1,\' I
Add heat pump or air condJtlOnmg to eXlstmg, panel changeout
"I :'
SITE CONTAct :,
<t"
I Name, Don Vmcent
I Phone (541)744-0152
I Emall
I l
lEI hc no. 20-537C
I Busmess Name GMD ELECTRIC INC
I Contact Mike Gowms / Sue Gowms
IAddress 957 NORTHRIDGEAVE
I CIty/State/ZIP SPRINGFIELD OR 97477
IPhone (541)7417369
I Emall gmdelectnc@comcast mt
I Metro hc no
I Supervlsmg electricIan's hc. no 4874S
I Supervlsmg electricIan's name MICHAEL K GOWINS
!Fax
CONTRACTOR
, "
ICCBhC no' 162191
I Fax (541)9881800
I CIty hc no
Upon revIew and approval by your local JUriSdiction, your
permit will be e-malled or faxed Within one bUSiness day,
With instructions on how to schedule your inspection
NOTE. This AuthOrizatIon Io BegIn Work expIres Within 180
days If a permIt IS not obtained
,.\ ~
FEE"SCHEDULE
" I I; (
DeSCriptIon I Qty I Ea I Total
~~sl~~e~~~ld, SINGLE- OR mul~i},!!~i~i, ~welling unit 'w5It~~~~l
attac~t1d"g,~r~ge ,l l 'I, ' ,I, )' ~ ,l,
1,000 sq ft or less
I Ea addl 500 sq ft or portion
I LhmtedEneoo l:;dl':,lll'
, j, I, "~
I-LimIted energy, residentIal
(with above sq ft)
I-Limited energy, multifamily
residentIal (with above sq ft)
I-LImited energy, commercial
(with above sq ft)
I - Stand-alone hmlted energy,
residential
I - Stand-alone hmJted energy,
multi-family
I - Stand-alone hmlted energy,
commercial
I Services OR feeders inst~lIatio,n/ajteratlon. AND/OR rei~~~~ion , I
1200 amps or less $70 00 $70 00 I
120 I amps to 400 amps I
/401 amps to 599 amps I I
TEMPORARY ser;vlces OR feeders msta~l~h~n;'~lteratlOn,
AJ'JD/OR reloCation < I < !; 1<1< < < 11<>1\ I<\;~:/: +1)11 : I
I ,,1,' II
I 200 amps or less I
1201 amps to 400 amps I
1401 amps to 599 amps I
I Bra~Cb,ci,~~its - NEW, alteratJon;<dR,:~xt~nsion, per panel , I
A Fee for branch CIrCUIts With 2 $4 00 $8 00
service or feeder fee, each
branch CIrCUIt
B Fee for branch CIrCUIts
wIthout service or feeder fee,
first branch CirCUit,
I each addl branch CirCUit
Miscellaneons ' ,'I,")' ':;
11,*, f' tJ!' J ,,~, ! " "1
Service reconnect only
I Each manufactured or modular
dwellIng, servIce and/or feeder
I Pump or lITIgatIOn Circle
I Sign or outhne hghtmg
Signal clrcult(s) or hmIted- not offered onlme at thiS JunsdlctlOn
energy panel, alteratIOn, or
extensIOn
I
I
I
I
I
· CIty OfSpnngfield
"" I" I
Subtotal $78 00 I
State Surcharge (12% of permit fee) $9 36 I
City Of Spnngfield fees · $11 70
TOTAL PERMIT FEE $9906
10% Local Admm Fee, 5% Local Technology Fee
ELECTRICAL PERMIT FEES'
, '" h
The local bUilding department may determIne that an W ~ ~
AuthOrizatIon To BegIn Work IS null and VOid If It does not COM: ~ \.J U U - en~, c:.'2
meet applicable land use laws and local ordInances ~
RCPT#:32croK'- rll~
DATEPIU)C~~ED:o{j -::J- -Of( , '
ThiS AuthOrization To Begin Work must I ''l'R~~~Placed b~a
Permit