HomeMy WebLinkAboutPermit Mechanical 2008-4-29
Status
Finaled
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00505
ISSUED: 04/11/2008
APPLIED: 04/11/2008
EXPIRES: 10/24/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 5110 E ST
ASSESSOR'S PARCEL NO.: 1702332401100
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Heat Pump & Air Handler
Owner:
Address:
HOUGHTON DONALD P & K F
5110 E ST
SPRINGFIELD OR 97478
ATTENTION Phone Number:
, Ore(1on law renuires you to
follow rules adonted by the Oregon Utility
NotJflcatlon Center Thn'-':p rI "oC' "",, ~". ~- ~u\
III VAIi 802-001-0010 thrQ'lgh OAR 952-0-01 ~
CONTm\l@1101t01N1F.{)lRMJ<Mf,\ ~s of the rules by
CUI J l I can er. . ate: the telephone
Contractor number for the, Cla~lseJtlllty EiWJ~ti8H Date
GMD ELECTRIC INC Center ISili13PA.-332-2344).11/19/2008
ASSOCIATED HEATING & AIR CONDITIO 106275 08/31/2008
541-741-0902
Contractor Type
Electrical
Mechanical
Phone
541-726-8601
541-683-2590
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories: Lot Size:
Height of Structure Sq Ft 1st Floor:
Type of Heat: Sq Ft 2nd Floor:
Water Type: Sq Ft Basement:
Range Type: Sq Ft Garage/Carport
Energy Path: Sq Ft Other:
Sprinkled Building n/a Occupanf\IlO'lld:
." ...."t"v(l"'\t. _,,,",lOt: IF \ Ii\:. ~"" ';1
I DEVELOP~'~i:'IN~(j)R~lio~ 'IH\S PERM\\ I~ \W
f\'Jl\10R\LtU uOR is M3M-1DONcO rO~EQUlRED PARKING
Overlatm~~MENCEO PER\OO. Total:
# Street~t-rfe~ ~d)I\'( Handicapped:
Paved Di'Ive Rqd: Compact:
% of Lot Coverage:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspouts/Drains:
Notes:
Pa2e 1 of 3
Status
Finaled
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descriution 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
+ 10% Administrative Fee
+ 12% State Surcharge
+ 12% State Surcharge
+ 5% Technology Fee
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
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 Ea Add
Amount Paid
Date Paid
$20.00
$5.00
$5.20
$6.00
$6.24
$2.50
$2.60
$48.00
$4.00
$9.00
$14.00
$27.00
$0.80
$0.96
$0.40
$8.00
4/11/08
4/11/08
4/11/08
4/11/08
4/11/08
4/11/08
4/11/08
4/11/08
4/11/08
4/11/08
4/11/08
4/11/08
4/29/08
4/29/08
4/29/08
4/29/08
Total Amount Paid
$159.70
I Plan Reviews I
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00505
ISSUED: 04/11/2008
APPLIED: 04/11/2008
EXPIRES: 10/24/2008
VALUE:
Value
Date Calculated
Receipt Number
2200800000000000444
2200800000000000444
2200800000000000443
2200800000000000444
2200800000000000443
2200800000000000444
2200800000000000443
2200800000000000443
2200800000000000443
2200800000000000444
2200800000000000444
2200800000000000444
2200800000000000548
2200800000000000548
2200800000000000548
2200800000000000548
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 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.
Pa2e 2 of 3
CITY OF SPRINGFIELD'
Status
Finaled
Building/Combination Permit
PERMIT NO: COM2008-00505
ISSUED: 04/11/2008
APPLIED: 04/11/2008
EXPIRES: 10/24/2008
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
Pa2e 3 of 3
SPAINGPlIIlLD. ZON Ul
.~- INITIALS ~IV\ /'
, . - -.<: ~~Z:CE tc~~5'
'-'r'-"u
Date ..(J --- ~r-O~
7, t~""" ~ t,~' ~ .J """,,,,. 'ol" -4<' ~ , :.'1 ' ,,~. '. .;"1 ~ . ~ 'I~ ".;; " ~ t . 't!: "'"'...... . ~ _ ~
'ir..: .' . ~I'n:;'r.,e;f:.,.s:P~~HN,EJldEILE};J9R:EH3'c)M,"" ",:~'
t~ ! - ~ l> j ~':_" ~ ':: .,d . >;;' ~ ~ '!... - i :. ":...... "'~ :' ~ . _ fl" . _' ":\ , --. " ~ ~ .
225 FIFTH STREET a SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
ELEl:l1dCA/t PERMIT APPLICATION ~
City Job Number ( '.nYl2JY)~ - m60::::>
1. LOCATION OF INSTALLATION:
f) J ! 0 P; (--:r--:
LEGAL DESCRIPTION:
\,O~ '3ga~ Ol\,CYO
~1~;~~N:(a y \-\rrrJ~
Permits a;e non-transfe;~XPire if w~rk is -
not started within 180 days of issuance or if work is
Suspended for 180 days.
2.
CONTRACTORINSTALLA170NONLY
Electrical Contractor GMD Eleet:ti~ Ine.
Address
957 Northridge Ave
City 8pfld
Phone 726 - 8 6 0 1
Supervisor License Number
48748
Expiration Date
10/2007
Constr. Contr. Number 1 621 91
Expiration Date
11/2008
S~g EI",tr"u",
~::~ l.~~~-to(\
cityq)1 rL Phone
OWNER INST ALLA nON
The installation IS being made on property I own which
is not intended for sale, lease or rent.
Owners Signature.
Inspection Request: 726-3769
3.
COMPLETE FEE SCHEDULE BELOW
A. New Residential- Single or Multi-Family per dwelling unit.
Service Included
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
.
$117.00
$ 21.00
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
$55.00
B. Services or Feeders - Installation, Alterations or Relocation:
200 Amps or less $ 70.00
201 Amp-s to ~O.Q Amps $ 83.00
401 AMpTJ~:A~~S HALL EXPIRE If ~~~K
601 AdtpJtoijufef\,a.~p'~ R Httl"! r[r1Mffq~<NOT
Over lebbTMG~~Q;UNDE ...~ \~~l:~
Recon(!e.'9MWlfNCED OR IS A8AI~[jaN~5~~b\
, ANY 180 DAY PERIOD.
c. Temporary Services or Feeders
Installation, Alteration or Relocation
200 Amps or less $ 55.00
201 Amps to 4{'Ohm'f\ON' Oreg~n ("'1M rA~t7p@!lYOU,to
401 Amps tOf~~~~r1tes ad0ptpd hy thp. $)JrlOJOO\ Utlll~y
, iw:\-,C >::>.r,,:f..tlo'pn!\eSaI8settoltn
qver 600 A4IlJ2l{il!lICl{)uC1I.~'OltS1st:t: . B a6o~e; OP R 952-001-
D B h d~g\ 952-001-00 10 through ,
.' ranc 0090. You may obtam cllples of the rules by
New AlteratioD,or.l.fitleMim~.Pl(nhHe tile telephone
l;i:llflITg- ,. ~, + f tlon
One CIrcuit number for the Oregon Utlh~4'lS'~& Ica
Each Additional Circu(tooMthlS 1-8QtkjJd-234). 'i?"' (JD
Service or Feeder Permit c::>$ $ 4.00 Q.
E. Miscellaneous (Service/feeder not included) -Each Installation
Pump or irrIgation $ 55.00
Sign/Outlme Llghtmg $ 55 00
Limited Energy/Residential $ 28.00
Limited Energy/Commercial $ 50.00
Minimum Electric Permit Inspection Fee is $50.00 + Surcharges
4. SUBTOTAL OF ABOVE ~ i. UO
8% State Surcharge .I In
10% Administrative Fee " ~ (0
5% Technology Fee . ID
TOTAL 01> I() . liP
Shared Dnve(T )!BUIldIng Forms/Electncal Permit ApplicatIOn 7-07 doc
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2008-00505
COM2008-00505
COM2008-00505
COM2008-00505
Payments:
Type of Payment
Check
cReceJOt 1
RECEIPT #:
2200800000000000548
Date: 04/29/2008
DescriptIOn
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% AdminIstrative Fee
PaId By
GMD ELECTRIC
Item Total:
Check Number AuthOrizatIOn
ReceIved By Batch Number Number How Received
2143
By Mail
Payment Total:
nJm
Page 1 of 1
1:21:42PM
Amount Due
800
040
096
0,80
$10.16
Amount Paid
$1016
$10.16
4/29/2008
FROM :GMD ELECTRIC
FRX NO. :5419881800
Rpr. 25 2008 12:55PM Pi
G MD Electric Inc.
we Do II 71>e Bener way
957 Northndge Avenue
Springfield, OR 97477
Phone: 541 741-7369
Fax, 541 988-1 aoo
Emsll: gmdelectrlc@comcast net
CCB# 162191
FAX
TO '~~P1d
L/~~ 1'1
Fax: 7:;1(0- ~c;, ~cl _
Re~qifCorY\~~-60S-D..S Date:
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