HomeMy WebLinkAboutPermit Mechanical 2008-5-5 (2)
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00627
ISSUED: 05/05/2008
APPLIED: 05/05/2008
EXPIRES: 11/06/2008
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 5129 C ST
ASSESSOR'S PARCEL NO,: 1702333201101
SPRINGFIETYPE OF WORK: Mechanical Only
TYPE OF USE: New
PROJECT DESCRIPTION: Install gas furnace and gas pipe to furnace.
Residential
Owner: BRANDT-DRURY J M
Address: PO BOX 1473
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION'
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.
# 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
REQUIRED PARKING
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Total:
Handicapped:
Compact:
ATTENTION Q' CW'~ !~ " '..II' C;' you to
follow wies ac: ' . ,\' Ij G "rJn I ;~llIty
Notlflcatl()1l CentS, -; I-I ' " "i '$ :ou8 set forth
~, VAN ~:J'::-Vl\ l-ltJ I U llilUU\:i11 UK" ;::1~':'-UU I-
I PUBLIC IMPROVEMENTSCJJ90, You may obtain COplGS of the rules by
caIlIBffitWnfW!iiWe: (Note: the telephone
number for the tJregon Utility NotIfication
Dl\!YtWiQWIts~osa32-2344).
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Street ImproventffJrlCE:
Storm Sewer Avli,ijJ~I~ERM
specialInstructtPJTHORIZ IT SHALL EXPIRE IF THE
ED UNDER T WORK
Notes: X~~V1MENCED OR IS AB~~d'oERMIT IS NOT
1 SO DAY PERIOD, NED FOR
Paee 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 Description ~
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
Furnace - up to 100,000 btu
Gas Outlets 1-4
Minimum/Adjustment Mechanical
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Amount Paid
Date Paid
$20,00
$5.00
$6.00
$2.50
$14.00
$5.00
$31.00
$5,20
$6.24
$2.60
$48.00
$4.00
5/5/08
5/5/08
5/5/08
5/5/08
5/5/08
5/5/08
5/5/08
5/6/08
5/6/08
5/6/08
5/6/08
5/6/08
Total Amount Paid
$149.54
I Plan Reviews I
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00627
ISSUED: 05/0512008
APPLIED: 05/05/2008
EXPIRES: 11/06/2008
VALUE:
Value
Date Calculated
Receipt Number
3200800000000000263
3200800000000000263
3200800000000000263
3200800000000000263
3200800000000000263
3200800000000000263
3200800000000000263
3200800000000000275
3200800000000000275
3200800000000000275
3200800000000000275
3200800000000000275
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.
l..ReouireCUnSDections.
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 of3
CITY OF SPRINGFIELD -
Status
Issued
Building/Combination Permit
PERMIT NO: COM2008-00627
ISSUED: 05/05/2008
APPLIED: 05/05/2008
EXPIRES: 11/06/2008
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
Pae:e 3 of3
City of Springfield
Electrical Authorization To Begin Work
E-maIledTo:gmdelectnc@comcast.net
Receipt # EC529905
5/6/20082:33:23 PM
Check on status of permit
By Phone: (541)726-3753 or Email: permItcenter@cl.springfield.or.us
o New constructIOn
[2U AdditIOn/alteratIOn/replacement
^"#lI1bjllTlflli,'€.P , , ',,' , ,"
.. ,,; '"iwllTl'\,EEE,SCHEDUI!:E'":I$f\',,lj"1\ "
i" "" *V'0 $f;",\\,t,,, " \ 4\1 I"" \
I Qty I Ea. I Total
family dwel ' It.' Inclu'des
v /p% -'"v, ,,"'J
, "
",
I'" \j&t\'CATEGORY 01' CONSTRl!ICrrioN ,
~ "''tifI>llll>di4i'>>:db,l,wP.,.....,' ' :t'fi '1Id~V
[K] I or 2 family dwellIng 0 Multi-family 0 CommercIal /Industnal
!rage
11,000 sq ft or less
1 Ea addl 500 sq ft or portion
'liEmiItedl'Energy,
~ ~ w, dh;}ihWJ~"""'~itru+,,
- 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 lImIted energy,
multi-family
I - Stand-alone lImIted energy,
commercial
YS~~i~70R:feWers installattlfn(aIteration, AND/O'R'hlotlihon
" r'9')I' 11"'I'o!WI~~'<I<~ 1,,111>' <<> ~ 1i""\1*'"~\ , ','
200 amps or less I
201 amps to 400 amps
1401 amps to 599 amps I
TE""'ORAR >> ~mtOR'ti.,,~..I~ ~ II t ~~'" "It' hi t <<'''-) ~ ,
" "Ll"".., <' rvJC~,,;,," """ers'I!~~~!,t~~?S~ ,era),On, ',r",
;~~g~J~e~HI t'\k~'iflll"'iiWtf '\ ;:::~"w ]10t,\\>hf'
1 200 amps or less
1201 amps to 400 amps
I 401 amps to 599 amps
I 'BrnncIi"tift~ml~\NEW,1 alteratlon"dIi'eftenSJ(ln, per,.panet*'
""'J{"'-~ '" ~"'7,"4~'I:l<ilit~~Y'I.w/"gcll \ /J",'I'07'P
A Fee for branch CirCUits with I
service or feeder fee, each
branch CIrCUit
B Fee for branch CIrcUits
without service or feeder fee,
first branch CirCUit,
1 each addl branch CirCUit
I Miscell;ooous, ~I'I''' "
" 1-'~"~>>\1'lir~ ~'""'IIII~ ''''%IT ,'11'<'11", I
I Service reconnect only
I Each manufactured or modular
dwell mg. service and/or feeder
I Pump or Irrigation circle
I Sign or outlIne IIghtmg
Signal clrcUlt(s) or IImlted-
energy panel, alteratIOn, or
extensIOn
", \~~!Ijlk~~;4IJOB"SITE INEORM'-VIONVAND LOCATiON!Ijlk~~ili I "I'~" l'4:\lIjlP~'11
<< " (4\i>>&~:m~i<N@~>w(~" ,1111' 0~ ~ hd' i-.->>i,,% ~''jbIN#dI, ,,,1""' ~ ~ ttMMlf '~IIIIIlMr"Wlr" ,
IJObnO' IJObaddre~s 5129 CST I
I CIty/State/ZIP' SPRINGFIELD, OR 97478-6035 I
I Smte/bldg /apt no.. I
I Project name. I
I Cross street/directIOns to Job sIte Travel east to Spnngfield on 1-105 Turn nght onto
Mam St, turn nght onto 51 st St, turn right onto C St
I SubdiVISion I Lot no
I Tax map/parcel no.. 1702333201101
" dl6'II7rI~.bE:SCRlPTION'O~IIWORIC
<! ~ ~ '~I,*,;;m~l\&III(~JIL t ~ ~ , ~ ~'%"" r ~I~ <1<1, ,
gas furnace, attic IIght,swltch and outlet
SITEC'6NTACtl,IIII:I'~'k
, "J 4<<'1'1<<""""'"",,
Name Nathan Hocker
Phone, (541) 915-4632
IEmad'
I Fax
lEI hc no 20-537C ICCBhc,no.. 162191
I Busmess Name, GMD ELECTRIC INC
I Contact. Mike GOWinS / Sue Gowms
IAddress 957 NORTHRIDGEAVE
I CIty/State/ZIP SPRINGFIELD OR 97477
IPhone (541)7417369 IFax (541)9881800
I Emall gmdelectrtc@comcast net
I Metro hc no I CIty hc, no.'
!Supervlsmg electrtclan's hc no. 4874S
I SupervISIng electrtclan's name' MICHAEL K GOWINS
$48 00
$48 00
$4001
$4001
I
not offered onlme at thiS JUrisdictIOn
NOTE ThiS AuthOrization To Begin Work expIres Within 180
days If a permit IS not obtained
I
I
I
I
I TOTAL PERMIT FEE $66 04 I
· C'h' Of ~,nnn~l 0% Local Arlmm Fey, 5% Local Technology Fee
COM: ~(JL') 0' -- CDCod:1
RCPT#" 3 La-v 6'"" -- 2 7~
DATE PROCESS~-M) V :
ThiS AuthOrization To Begin Work mu, I m<Jfiliil~aq,p'~"~ ,~~;"~~J I:Y a Permit
~, '~LECTRI~AL,PERMIT FEES
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.
Subtotal
State Surcharge (12% of perrmt fee)
City Of S pnngfield fees ·
$52 00 I
$624 I
$780 I
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 loeal ordinances
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2008-00627
COM2008-00627
COM2008-00627
COM2008-00627
COM2008-00627
Payments:
Type of Payment
ONLINE CHGS
cRecemtl
RECEIPT #:
3200800000000000275
Date: 05/06/2008
DescrIptIOn
Add, Alter, Extend Clrc
Add, Alter, Extend Cuc Ea Add
+ 5% Technology Fee
+ 12% State Surcharge
+ lO% AdmmlstratIve Fee
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number AuthOrIzatIOn
ReceIved By Batch Number Number How Received
NJM
ONLINE
GMD Onlme
Payment Total:
Page 1 of 1
2:45:27PM
Amount Due
4800
400
260
624
520
$66.04
Amount Paid
$66 04
$66.04
5/6/2008