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Home My WebLink AboutPermit Mechanical 2008-4-2 (2) ~ { pJ ~>1# ~ Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 6893 FORSYTHIA ST ASSESSOR'S PARCEL NO.: 1802022205300 CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: cOM2008-00450 ISSUED: 04/02/2008 APPLIED: 04/01/2008 EXPIRES: 10/04/2008 VALUE: Springfield TYPE OF WORK: Heating System PROJECT DESCRIPTION: Replace heat pump and air handler Owner: JOHNSON ROBERT D & PATRICIA Address: 6893 FORSYTHIA ST SPRINGFIELD OR 97478 TYPE OF USE: Alteration Residential Phone Number: 541-747-7170 I CONTRACTOR INFORMATION I Contractor Type Electrical Mechanical Contractor GMD ELECTRIC INC COMFORT FLOW License 162191 460 Expiration Date 11/1912008 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 n/a Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: I DEVELOPMENT INFORMATION I Front yard 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: N~~~I~:~MIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT :Of'f~,1t=NCED OR IS ABANDONED FOR 'IV l' '\ '\ "'{ DE"f"'lno \ 1 I} ~J I J I I' 1-1 Pa2e 1 of 3 Sidewalk Type: ATTEIJl)1'ffiMsp6UtsnDft1h\'~f. requires you to follow rules adopted by 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). Status Iss u ed 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descrintion 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 Air Handling Unit Up to 10,000 Heat Pump Minimum/Adjustment Mechanical + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Minimum/Adjustment Electrical Amount Paid Date Paid $20.00 $5.00 $6.00 $2.50 $9.00 $14.00 $27.00 $5.00 $6.00 $2.50 $48.00 $2.00 4/2/08 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 $147.00 I Plan Reviews I CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2008-00450 ISSUED: 04/02/2008 APPLIED: 04/01/2008 EXPIRES: 10/04/2008 VALUE: Value Date Calculated Receipt Number 3200800000000000202 3200800000000000202 3200800000000000202 3200800000000000202 3200800000000000202 3200800000000000202 3200800000000000202 2200800000000000407 2200800000000000407 2200800000000000407 2200800000000000407 2200800000000000407 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. ~eouireCUnsDections 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: cOM2008-00450 ISSUED: 04/02/2008 APPLIED: 04/0112008 EXPIRES: 10/0412008 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 Pa2e 3 of 3 City of Springfield Electrical Authorization To Begin Work E-mailedTo:gmdelectnc@comcast.net Receipt # ,EC528191 4/3/20084:27:45 PM Check on status of permit By Phone: (541)726-3753 or Email: permitcenter@cl.sprmgfield.or.us . TYPE OF WORK o New constructIOn IKJ Addition/alteration/replacement CATEGORY OF CONSTRUCTION iii I or 2 family dwellmg o Multi-family o Commerclal/lndustnal JOB SITE.INFORMATION AND LOCATION" m., <<< ( , " Job no.. I Job address. 6893 FORSYTHIA ST I City/State/ZIP' SPRINGFIELD, OR 97478-47 J 9 I SUlte/bldg /apt no I Project name' Cross street/directIOns to job site. Travel east toward Sprmgfield on I-} 05, merge onto DR-126 (Mam St) on the left toward McKenzie Rlver/Bend, turn nght onto S 68th Place, turn left onto Forsythia St I SubdiVISion. I Tax map/parcel no I I Lot no.. ]802022205300 DESCRIPTION OF WORK Add 3-5 ton heat pump or air conditIOner to eXlstmg, electnc furnace swapout I" , ~<< SITE CONTACT , , I Name' Patncla johnson Phone. (541) 747-7170 Emall' IFax. I CONTRA~TOR ICCBhc no. ]62]91 lEI hc. no 20-537C / BuslOess Name GMD ELECTR]C INC I Contact Mike GowlOS / Sue GOWIOS IAddress 957 NORTH RIDGE AVE I City/State/ZIP SPRINGFIELD OR 97477 IPhone (541)7417369 I Emall gmdelectnc@comcast net I Metro hc no.. SupervlslOg electriCian's hc. no. 4874S I Fax (54] )988] 800 I City hc no. SupervlslOg electriCian's name MICHAEL K GOWINS 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 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 apphcable land use laws and local ordinances ThiS AuthOrization To Begin Work mus I I' , . FEE SCHEDULE I Descrlphon Qty Ea Total ResidcntialSINGU: OR multj~ian1"Y :;j~~lirng UOlt. fuCludes attached garage 1 ] ,000 sq ft or less I Ea add I 500 sq ft or portIOn I Lllmted Energy , ii' 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 limited energy, residential I - Stand-alone hmlted energy, multi-family I - Stand-alone hmlted energy, commerCial 1 Servi~es OR feeders installatIOn, altera~ion, AND/OR relocation 1200 amps or less 120 I amps to 400 amps 140] amps to 599 amps TEMPORARY servlce~ OR feeders IOstallatlOn, alterahon, i AND/OR' relocatil!r!' ",,,\,,,,,,, .. 1200 amps or less 120] amps to 400 amps 140] amps to 599 amps I, BTanch,~lI;cuits - NEW, alteration, OR extensIOn, per panel A Fee for branch CirCUits With service or feeder fee, each branch CirCUit B Fee for branch CirCUits Without service or feeder fee, first branch CircuIt, I each add I branch circuIt I Miscellaneous", i I Service reconnect only I Each manufactured or modular dwellmg, service and/or feeder 1 Pump or lITIgation circle Sign or outltne Itghtmg Signal CJrCUlt(S) or Itmlted- energy panel, alteration, or extensIOn ,I.j,' $48 00 $48 00 not offered onlme at thiS JUrISdiction 1 ELECTRICAL PERMIT FEES I I Subtotal I $48 00 I I Mmlmum fee used mstead of Subtotal $5000 I I State Surcharge (12% of permit fee) I $600 I I City Of Sprmgfield fees *' $7 50 I I TOTAL PERMIT FEE I $6350 COM: ~ (1/')" r ~h()~50cafAtlMlh ree:, 5% Local Technology Fee RCPT#:~~(J)")t\'-- 407 DATE PROCESSED: -4 - 4.( -- u ~ . !iIlJi\I>91\!\!f1ilA~ ~~C.d ty a Permit J . U' '. . 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2008-00450 COM2008-00450 COM2008-00450 COM2008-00450 COM2008-00450 Payments: Type of Payment ONLINE CHGS cRecelOt] RECEIPT #: 2200800000000000407 Date: 04/04/2008 DescnptlOn Add, Alter, Extend Clrc MInimum/AdJustment Electncal + 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 elec In Person Payment Total: Page I of I 10:25:37AM Amount Due 4800 200 250 600 500 $63.50 Amount Paid $63 50 $63.50 4/4/2008