HomeMy WebLinkAboutPermit Mechanical 2008-5-12
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00665
ISSUED: 05/12/2008
APPLIED: 05/12/2008
EXPIRES: 11/12/2008
VALUE:
Status
Issued
225 Fifth Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Lme
SITE ADDRESS 205 S 54TH ST SP 4
ASSESSOR'S PARCEL NO.. 1702330001200
SPRINGFIETYPE OF WORK Heatmg System
TYPE OF USE New
Residential
PROJECT DESCRIPTION. Add 1 - 21/2 ton heat pump
Owner' CHALET VILLAGE MHC LLC
Address. 450 NEWPORT BEACH DR #595
NEWPORT BEACH CA 92660
I CONTRACTOR INFORMATION.
Contractor Tvpe
Electncal
Contractor
GMD ELECTRIC INC
License
162191
Expiration Date
11/19/2008
Phone
541-726-8601
BUILDING INFORMATION'
# ofUmts
Pnmary Occupancy Group
Secondary Occupancy Group
Pnmary ConstructIOn Type
Secondary ConstructIOn Type
# of Bedrooms
# of Stones.
Height of Structure
Type of Heat
Water Type
Range Type'
Energy Path
Sprmkled Bmldmg
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
Front yard Setback'
Side 1 Setback
Side 2 Setback
Rearyard Setback
Solar Setbacks
Overlay Dlst.
# Street Trees Rqd'
Paved Dnve Rqd
% of Lot Coverage
REQUIRED PARKING
Total'
Handicapped'
Compact
I PUBLIC IMPROVEMENTS I
Street Improvements ATTH1T\~d'ewalkgrfp~"w reqUireS Y~I~I~Y
, I<>S adopted by the Oregon
Storm Sewer AvaIlable foltow Il"hD~Wll!?uttsffi!3l!;l~~leS are set forth
Special Instruction: Notltlcall~~ 001-0'010 through OAR 952-001-
Notes NOTICE: XPIRE IF THE WORK ~O~~R;oou ~ay obtam COPle~h~\~:~~~~:Y
. TH~ ,~~~~~ ~~~~~ ~HIS PERMIT IS NOT _~~Ih~,~.t~: ~;~~~~~~~~tlhtY Notification
"~', II '~~NCEO -DR IS ABANfONCU I ~", .. 'fr.o , Cenle, IS 1-800-=---/'
l JM~iE PERIOD ValuatIOn DeSCrIptIOn
!-\',\Y 180 DAY
DescnptIon
Type of ConstructIOn
$ Per Sq Ft
or multiplIer
Square Footage
or Bid Amount
Value
Date Calculated
Pa2:e 1 of 2
Status
Iss u ed
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00665
ISSUED: 05/12/2008
APPLIED: 05/12/2008
EXPIRES: 11/12/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
Total Value of ProJect
Fees Paid I
Fee DescnptIon
+ 10% AdmmlstratIve Fee
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend CIrc
Mlmmum/AdJustment Electncal
Amount Paid
Date Paid
Receipt Number
$500
$600
$2.50
$48 00
$200
5/12/08
5/12/08
5/12/08
5/12/08
5/12/08
3200800000000000316
3200800000000000316
3200800000000000316
3200800000000000316
3200800000000000316
Total Amount Paid
$63.50
I Plan Reviews I
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 followmg
work day.
LReouired Insoections I
Rough Electnc' Pnor to Cover
Fmal Electnc. When all electncal work IS complete
By signature, I state and agree, that I have carefully exammed the completed applicatIOn and do hereby certify that all
mformatlOn hereon IS true and correct, and I further certify that any and all work performed shall be done m accordance with
the Ordmances of the City of Sprmgfield and the Laws of the State of Oregon pertammg to the work descnbed herem, and
that NO OCCUPANCY will be made of any structure without permissIOn of the Commulllty Services DIvISIon, BUlldmg Safety.
I further certify that only contractors and employees who are m compliance with ORS 701 005 wIll be used on thiS project
I further agree to ensure that all reqUired mspectIons 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 remam on the site at all
times durmg construction.
Owner or Contractors Signature
Date
Pal!:e 2 of2
City of Sprmgfield
Electrical AuthorizatIOn To Begm Work
E-matled To gmdelectnc@comcast net
Receipt # EC530111
5/9/2008 4 48 51 PM
Check on status of permIt
By Phone (541)726-3753 or Ematl permltcenter@cl sprmgfield orus
" ,
Gil\illjl+~P'E OF WORK
I" }J~ i" 11;:t.H4dtWli\'" ^":7 ^I
[X] AdditIOn/alteratIOn/replacement
Ihlll\i~
o New constructIOn
cf,Sl1i[r {il'll,"CA.TEGORY OF CONSTRU'dTldN'~t~1dfi'
~II "II 1 IllY W'll/ ~ ~ \" ~ J II\- ~~
[K] I or 2 family dwellmg 0 Multi-family 0 Commercial /Industnal
I ' ,,' 'SlVIFGIW '\\liIfJOB,SITEJNFORMATION ANO"LO'CATION ,ill!fP"1 ,"w"
<~I+l"r *,dl~ #- h" II! I" ii, I r >w< ~ C'I ~%~\1';\r~t",
IJob no IJob address 205 S 54TH ST
I City/State/ZIP SPRINGFIELD, OR 97478-6262
I SUlte/bldg /apt no SPC 4
I Project name
Cross street/dIrections to Job sIte Mam Street to South 54th Street
I SubdivIsIOn I Lot no
I Tax map/parcel no 1702330001200
I '\\,\ ,~~S9R1PTION OF
Add 1 - 2 1/2 ton heat pump
, <!<- '"'~
I'v,
I Name John Frantz
I Phone
IEmad
<oI!/III,1 n ''''SITEPCONTACi "ll' Il
;1 I~ ~ MIII%t!$hw,""
>~l r
I Fax (541) 747-7281
CONJf3ACTO~
I CCB hc no
162191
EI hc no 20-537C
I Busmess Name GMD ELECTRIC INC
I Contact Mike Gowms / Sue Gowms
I Address 957 NORTHRIDGE AVE
I City/State/ZIP SPRINGFIELD OR 97477
IPhone (54])7417369
I Emall gmdelectnc@comcast net
I Metro hc no
I Supervlsmg electriCian's hc no 4874S
I Supervlsmg electriCian's name MICHAEL K GOWINS
/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 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
, 'W&\4il\FEE' SCHEDULE \
IIII~/J
,,'
", 'I
-if~ 1 ",(
DescnptlOn I Qty I Ea I Total
,ReSidential SINGLE- OR multi-family dwelhng 'UnIt "Includes
J~<<~rhe(f4gat1lge f \ IV 11 1<LoUjlll I 1 tf
'0 ~11i I I
11\
I 000 sq ft or less
I Ea addl 500 sq ft or portion
'"llmltedtE:el~)/~ 1 ~ 0' ,{
II 1 ( or >'<< JlI ~
- 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 limited energy
commercial
I~ ~11"~ ~m $ I Iii I 1 ~PMJ--' I Ii ~ ND/OR I '
ServIces OR feeders IDstallatJon, 'altera!lon~A , , , n; ocatJon
, I I 200 amps or less
1201 amps to 400 amps
I 401 amps to 599 amps
TEMPORARYsehllc'~'\OR$feecters 'mstallatlOn, alteratJon'dlt ' ,
~7bRreI~catlOnI)V 11tn0h\04 II~ ) q(t~ I ~:r , : "I: il
1200 amps or less
I 201 amps to 400 amps
I 40 I amps to 599 amps
I'Brnllcb,c.rcilltS:~'~EW,'alteratJon, OR extension, per panel
~"'= 0' 'i1' ~'i"~IUYl^",u.; 0/
A Fee for branch circuits with
service or feeder fee, each
branch circuit
B Fee for branch CirCUIts $48 00
Without service or feeder fee,
first branch CirCUIt,
I each addl branch CirCUIt
Mlscellaneous\", ' It
$48 00
'1 >\- ~\ I ~"
1\.- I j>
i< 1 J~
Service reconnect only
Each manufactured or modular
dwell mg service and/or feeder
I Pump or ITTlgatlOn Circle
I Sign or outline IIghtmg
Signal clrcult(s) or IImlted- not offered onlme at thiS JUTlSdlctlon
energy panel alteratIOn or
extensIOn
I
I
I
I
I
I
· City Of Spnngfield
ELECTRICAL PERMIT FEES","I") 'i/ ,ql I
Subtotal $48 00 I
Mmlmum fee used mstead of Subtotal $5000 I
State Surcharge (12% of pemllt fee) $6 00 I
CIty Of Spnngfield fees · $7 50 I
TOTAL PERMIT FEE $63 50 I
10% Local Admm Fee, 5% Local Technology Fee
\ . ''''''
COM:~ ~ (TD 'S"" - ObG:-(t1S
-,
RCPT#: ::>1- (J(J ~ - 31 V
ThiS AuthOrizatIon To Begin Work must be ~~8SQj}.lt~~~k~~~ by a ':>ermlt
I
PROCESSED BY /('J 11 / ~
/ ()
225 Fifth Street
Sprmgfield, Oregon 97477
541-726-3759 Phone
City of Sprmgfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2008-00665
COM2008-00665
COM2008-00665
COM2008-00665
COM2008-00665
Payments
Type of Payment
ONLINE CHGS
cRecemtl
RECEIPT #:
3200800000000000316
Date: 05/12/2008
DeScriptIOn
Add, Alter, Extend CITC
MmImurn/ Adjustment ElectrIcal
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% AdmmIstratIve 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 I
8 12 1lAM
Amount Due
4800
200
250
600
500
$63 50
Amount Paid
$63 50
$63 50
5/]2/2008