HomeMy WebLinkAboutPermit Mechanical 2008-5-7
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 750 ROW AN AVE
ASSESSOR'S PARCEL NO.: 1703342200913
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-00621
ISSUED: 05/02/2008
APPLIED: 05/02/2008
EXPIRES: 11/06/2008
VALUE:
Springfield TYPE OF WORK: Heating System
PROJECT DESCRIPTION: Install heat pump and air handler
Owner: PIQUETTE MATTHEW J
Address: 750 ROWAN AVE
SPRINGFIELD OR 97477
TYPE OF USE: Alteration
Residential
Phone Number: 541-726-9541
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
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
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
I PUBLIC IMPROVEMENTS N
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes: CE
NOTI :
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
:-'OrvlfV1ENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Pa2:e 1 of 3
REQUIRED PARKING
Total:
Handicapped:
Compact:
Sidewalk Type:
ATTE~ilJ~~' .QJr:9iW ~'U. requires you to
follow rUles Wd'oplea ~y'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
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
-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
5/2/08
5/2/08
5/2/08
5/2/08
5/2/08
5/2/08
5/2/08
5/7/08
5/7/08
5/7/08
5/7/08
5/7/08
Total Amount Paid
$147.00
I Plan Reviews I
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2008-00621
ISSUED: 05/02/2008
APPLIED: 05/0212008
EXPIRES: 11/0612008
VALUE:
Value
Date Calculated
Receipt Number
2200800000000000576
2200800000000000576
2200800000000000576
2200800000000000576
2200800000000000576
2200800000000000576
2200800000000000576
2200800000000000599
2200800000000000599
2200800000000000599
2200800000000000599
2200800000000000599
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.
~e(]uirerUnsDections 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.
Pa!!e 2 of 3
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00621
ISSUED: 05/02/2008
APPLIED: 05/02/2008
EXPIRES: 11/0612008
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
Pa\?:e 3 of 3
City o! Springfield
Electrical Authorization To Begin Work
E-mailedTo:gmde1ectric@comcast.net
Receipt # EC529913
5/6/20083:43:12 PM
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@cLspringfieId.or.us
I~,
II'
~ "~'r=Eg'SCftEOULE
~~ , '<"III'lk+'V'~,"~)-
I Qty.
ulti-fiiiliir1fW:~!!l~~g
Total
D New constructIon
[X] AddItIOn/alteratIOn/replacement
DescnptlOn
~Residentiaj~SINGb
$)l>'t,~'1lt ~"'<" ~ W"'I
attache~~g!!,l;!~~[hffW: ,~~
1,000 sq ft or less
I Ea addl 500 sq ft or portIon
" < ""~kf!I~S:.41k;/1~ ' k ~) ~0'~I"'""JW,~..~tIWII'*'~"*
p : CA'TEGORX~q,Eff~9~STRUCTI0~,4~.~;r,~,
[Xl I or 2 famIly dwellmg D Multl-falmly D CommercIal / Industnal
I' ';'hj:~;!P'ilWiJh~~.ttlOBSITE INFO'RMATION'ANOioCATI0NiJi1l\:pt;P'ff, "~
n,.iLi , N iPIII~"%INVF*'<< ,,' ~, "e<' '<'II~I'~"~II ,",,, ~ 't<11*~t,v.v._
I Job no.: I Job address: 750 ROWAN AVE
I City/State/ZIP: SPRINGFIELD, OR 97477-3559
I SUlte/bldg /apt.no.:
I Project name:
Cross street/directions to Job site: Travel north on Coburg Rd, turn nght onto MLK
Blvd (becomes CentennIal Blvd), turn nght onto Anderson Lane, turn left onto Kellogg Rd,
turn nght onto Rayner Ave, turn left onto Rowan Ave
1'\ " tp,
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
- Stand-alone lImIted energy,
multI-famIly
- Stand-alone lImIted energy,
commercIal
I[Sen:iees9Wf~'~~el'S'lhstaUation. :ifMr:Iiion;AND/OR:'ftlolatlou,
<<~l(W~,i1ffiWknffi\"~'~r,~~ "<("I(I~Jh(~I'<<,~"tx"ll"'~ \ "i ""('",,*,Oll'~ " ~
1200 amps or less
I 20 I amps to 400 amps
140 I amps to 599 amps
!;TEM y ';ervJ~etbR;feeders'mstailahOD~'aIter;atl()n. "
AND JtlonP~( ~~~h~ ~W~;, '~~~A.f!~:i~~!,t*/,0\:'":%, , ~~\~~1~~~Jt}/U0;0;~J
!4~"', -0 , ~~Mj;t<~")>\w41<'11 iY iJHAJ''''''111r1 ," /<0"
1200 amps or less
1201 amps to 400 amps
I 1401 amps to 599 amps
II '<1<"'<Nf'1~.M:l1 I~A".t " ::ir"c9lHA%~ " M' . "11 ,,<'l\Ml'iM " $;
,Branch clr,c~~!~;iJ~,J!:IV~,;~ltera~tlon. O~;~~,~~~,~1:?n. per pal1el;r
I A Fee for branch circuits With
I service or feeder fee, each
, branch cIrcuIt
I B Fee for branch CIrcuIts $48 00 $48 00
I WIthout servIce or feeder fee,
first branch circuIt,
each addl branch CircuIt
I SubdivIsIOn: I Lot no.:
Tax map/parcel no.: 1703342200913
" ~~t14\;!.lt/;!IlI\"ji II 'OESCRIPTIONt6'F,liWORK ~
,"",",~~."--i(j~"t.-,-%W#~'(("(("II " ~ "d! i!~)'i.:<IIi~m~0W~(,,,,,,,,,W
New electnc furnace, AIr condItIOner swap out
I Name: Matt PIquette
I Phone: (541) 726-9541
IEma11
I,
I Fax:
EI. hc. no.. 20-537C
BUSiness Name: GMD ELECTRIC INC
I Contact: MIke Gowms / Sue Gowms
!Address: 957 NORTHRIDGE AVE
I CIty/State/ZIP' SPRINGFIELD OR 97477
Phone: (541)7417369
ICCB hc. no.: 162191
I'QI16,RN'i!\I,@
NOTE This AuthOrization To Begin Work expires Within 180
days If a permit IS not obtained
The local bUilding department may determine that an
AuthOrization To Begin Work is null and VOid If It does not
meet applicable land use laws and local ordinances
I
I
I
I
* CIty Of Spnngfield
1 Service reconnect only
I Each manufactured or modular
dwelhng, servIce and/or feeder
I Pump or IrrIgatIOn CIrcle
I SIgn or outlme hghtmg
SIgnal clrcult(s) or IImlted-
energy panel, alteratIOn, or
extensIon
r ~,&d::~:"f,' 1, t*l, iK'zEEECTRICAL fl>>ERMii FEES~
4k 1~;m::'%"?'$A* 1((6AMilk/Hif,(,k-,<iilI~l'nlw-'l,'("J~'" Ilwtt,.,; ~0 N Xw< 0
Subtotal $48 00
Mmlmum fee used mstead of Subtotal $50 00
State Surcharge (12% of penmt fee) $6 00
CIty Of Spnngfield fees * $7 50 I
TOTAL PERMIT FEE $63 50 I
10% Local Admm Fee, 5% Local Technology Fee
not offered onhne at thiS JunsdlctlOn
I Fax: (541)9881800
EmaJl: gmdelectnc@comcast net
I Metro hc. no.: I CIty he. no.:
I SupervIsing electnclan's hc. no.: 4874S
I SupervIsing electnclan'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
This AuthOrization To Begin Work must be posted at the Job sIte until replaced by a Permit
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2008-00621
COM2008-00621
COM2008-00621
COM2008-00621
COM2008-00621
Payments:
Type of Payment
ONLINE CRGS
cRecelOt J
RECEIPT #:
2200800000000000599
DescrIptIon
Add, Alter, Extend Clrc
Mmlmum/ Adjustment ElectrIcal
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% AdmmlstratIve Fee
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 05/07/2008
Item Total:
Check Number AuthorIzatIOn
ReceIved By Batch Number Number How ReceIved
PaId By
ONLINE PERMIT CRGS
ddk
Page 1 of 1
ONLINE GMD OnlIne
ELECTRIC
Payment Total:
8:01 :32AM
Amount Due
4800
200
250
600
500
$63.50
Amount Paid
$63 50
$63.50
5/7/2008