HomeMy WebLinkAboutPermit Mechanical 2008-5-12 (2)
Status
Issued
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, Spnngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
SITE ADDRESS. 205 S 54TH ST SPACE 4
ASSESSOR'S PARCEL NO 1702330001200
Spnngfield TYPE OF WORK Heatmg System
TYPE OF USE' New
ResidentIal
PROJECT DESCRIPTION. Add 1 - 2 1/2 ton heat pump
Owner CHALET VILLAGE MHC LLC
Address 450 NEWPORT BEACH DR #595
NEWPORT BEACH CA 92660
I CONTRACTOR INFORMATION I
Contractor Type
Electncal
Mechamcal
Contractor License
GMD ELECTRIC INC 162191
ASSOCIATED HEATING & AIR CONDITIO 106275
BUILDING INFORMATION I
Expiration Date
11/19/2008
08/31/2008
Phone
541-726-8601
541-683-2590
# of Umts
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
Spnnkled Buddmg
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'
REQUIRED PARKING
Frontyard Setback
Side 1 Setback
Side 2 Setback
Rearyard Setback
Solar Setbacks
Overlay Dlst.
# Street Trees Rqd
Paved Dnve Rqd
% of Lot Coverage
Total
Handicapped
Compact
I PUBLIC IMPROVEMENTS I
Street Improvements'
Storm Alw~-v;ri~tIU!egon law reqUIres you to
SpeclJI:ih1\th~~i%'h .adopted by the Oregon Utility
Notification Center Those rules are set forth
N t ~J1 OAR 952-001-0010 through OAR 952-001-
o e 0090 You may obtain caples of the rules by
calling the center (Note the telephone
number for the Oregon Utility Notification
Center IS 1-800-332-2344).
Sidewalk Type
Downspouts/Drams'
NOT~CE:
THIS PERMIT SHALL EXPIRE IF THE WORK
AU1HORlZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Page 1 of 3
Status
Issued
225 Fifth Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
I Valuation Descrmtion ,
DescrIPtIOn
$ Per Sq Ft
or multIplIer
Square Footage
or Bid Amount
Tvpe of Construction
Total Value of Project
~
Fee DescrIPtIOn
-Mechamcal Issuance Fee-
+ 10% AdmlDlstrative Fee
+ 10% AdmlDlstrative Fee
+ 12% State Surcharge
+ 12% State Surcharge
+ 5% Technology Fee
+ 5% Technology Fee
Add, Alter, Extend Clrc
Heat Pump
Mlmmum/Adjustment Electncal
Mlmmum/Adjustment Mechamcal
Amount Paid
Date Paid
$20.00
$5.00
$500
$600
$600
$250
$250
$48 00
$1400
$200
$3600
5/12/08
5/12/08
5/12/08
5/12/08
5/12/08
5/12/08
5/12/08
5/12/08
5/12/08
5/12/08
5/12/08
Total Amount PaId
$14700
I Plan Reviews I
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00665
ISSUED: 05/12/2008
APPLIED: 05/12/2008
EXPIRES: 11/12/2008
VALUE:
Value
Date Calculated
Receipt Number
1200800000000000452
3200800000000000316
1200800000000000452
3200800000000000316
1200800000000000452
3200800000000000316
1200800000000000452
3200800000000000316
1200800000000000452
3200800000000000316
1200800000000000452
To Request an inspection call the 24 hour recordmg 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..R~Quire~nsnections I
Rough Electnc Pnor to Cover
FlDal Electnc When all electrIcal work IS complete
Rough MechaDIcal Pnor to Cover
FlDal MechaDIcal When all mechaDIcal work IS complete.
Pal!:e 2 of 3
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00665
ISSUED: 05/12/2008
APPLIED: 05/1212008
EXPIRES: 11/12/2008
VALUE:
225 Fifth Street, Spnngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Lme
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 CommuDlty 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 dunng construction
Owner or Contractors Signature
Date
Pal!:e 3 of 3
CIty o~ Sprmgfield
Mechamcal AuthorizatIOn To Begm Work
E-maIled To assoc13tedheatmg@gmaIl com
Receipt # EC530152
5/12/2008 11 57 11 AM
Check on status of permIt
By Phone (541)726-3753 or Emall permItcenter@cI sprmgfield or us
I ( o/li(1 4~ "''if1! II" 1\ -c1
,~ "' ~+~!~E~qF WOR~~~~~jiW0
o New constructIOn IX] AdditIOn/alteratIOn/replacement
CA TEr~OJ~Y OF CO~~tRUCTIO~ ~~r:r:t;
[Xl I or 2 family dwelling D Multi-family D Accessory BUilding
I r -"'30B sl;j;eJN[ORMATI0~tAND'tOCAtlrQN'!grlj(tl1r01:r':
1>>""dNil:, -"- i 1'111 "'" "" - W" -)Mp
I Job no 3408A I Job 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
~ FrE~r SpHEDOL.~, ,
I Qty I
Ea Total
I DeSCription
I ' ;'"k ,""k ~"~II ~o
Heatmglcoohng apphances
Jr "l?:M ~ j IJ
I Furnace- up to 100,000 BTU
I Furnace - above 100,000 BTU
I Electric Furnace
I Duct alteratIons and addlllons
I Gas heater UOltS/ In-wall, in-
duct, suspended, etc/
I Vent, flue, liner for above
I AIr CondItIOner
Heat Pump
AIr Handler
r Other fuel burmng7apphances r
~~)* W-j \w~\ I ~ ~ 11," ~~'" ~
Water heater
I Gas fireplace/msertlstove
I Gas log/ log hghter
I Gas clothes dryer
I Gas stove/range
I Pool or spa heater, kIln
I Wood/pellet stove/Insert
I Wood fireplace
I Chlmney/hnerlfIue/vent w/o
apphance
I Envlf6~treritaliexhaust XND VentIlatIOn
1 \f I~ III11 >>l ~
I Range hood
r I Clothes dryer exhaust
Single-duct exhaust (bathrooms,
tOIlet compartments, utlhty
rooms)
I Attic/crawlspace fans
I
I
I
II
I
I
$14001 $1400
I
I SubdiVISIOn I Lot no
ITax map/parcel no 1702330001200
I ~1D~~~r~I~TIONrOi=I:,~pRK
Install HIP
SITfE/CONTACT
'; '<)11111111}" J"-l
I Name John Frantz
I Phone (541) 747-7281
IEma11
I,
ICCBhcno 106275
I Busmess Name ASSOCIATED HEATING & AIR CONDlTIONI
I Contact Brandy Forsman
IAddress PO BOX 412
I City/State/ZIP EUGENE, OR 97440
I Phone (541)6832590
I EmaIl assocIatedheatlng@gmatl com
I Metro hc no
/Fax
II r\
J + I ~ 1* $'
, G9NTRACTR~!lj(lr I
if ~uP I' ;I! II
" r
I Fax (541)6070287
I upto first 4 outlets(enter Qty=l)
I I each additIOnal outlet
I I ," -MECHANI9~L ~ERn1I1T FEeS
I
I
14', I
I City hc no
Subtotal $1400
Mmlmum fee used Instead of Subtotal $50 00
State Surcharge (12% of permIt fee) $600
City Of Spnngfield fees * $2750 I
TOTAL PERMIT FEE. $83 50 I
10% Local Admm Fee, 5% Local Technology Fee
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
I
* CIty Of Springfield
$10 Issuance Fee
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
ThiS AuthOrization To Begin Work must be posted at the Job site until replaced by a Permit
225 Fifth Street
Sl!ringfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2008-00665
COM2008-00665
COM2008-00665
COM2008-00665
COM2008-00665
COM2008-00665
Payments
Type of Payment
ONLINE CHGS
cRecemtl
RECEIPT #:
1200800000000000452
DescriptIOn
MInimum/AdJustment Mechanical
-Mechanical Issuance Fee-
Heat Pump
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Admmlstratlve Fee
City of Sprmgfield OffiCIal Receipt
Development Services Department
PublIc Works Department
Date: 05/12/2008
Item Total
Check Number AuthOrizatIOn
Received By Batch Number Number How Received
Paid By
ONLINE PERMIT CHGS
ddk
Page 1 of 1
ONLINE ASSOC1A T Onlme
ED
HEATING
& AIR
Payment Total
3 00 03PM
Amount Due
3600
2000
1400
250
600
500
$83 50
Amount PaId
$83 50
$83 50
5/12/2008