HomeMy WebLinkAboutPermit Mechanical 2008-5-15
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CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-00693
ISSUED: 05/15/2008
APPLIED: 05/15/2008
EXPIRES: 11/15/2008
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2280 WEMBERL Y WAY
ASSESSOR'S PARCEL NO,: 1703252104700
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: New furnace & heat pump
Owner: FRYBACK JAMES HERBERT
Address: 1697 LA WNRIDGE AVE
SPRINGFIELD OR 97477
Phone Number: 541-741-0406
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Contractor
SCHULTZ ELECTRIC INC
License
179066
Expiration Date
10/30/2009
Phone
541-505-8351
I 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
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
._ _ _ I~.., yor" IlrpC; vou to
AIIl::!\lIIVI~ ,-,'~:;,e . ".u.'"
follow rules adopted ,bY tPPUBElC'IMfRRVEMENTS I
, Center Thuse, .....vv -., -
Street ImprovemMits:f\CaIIOn 00'10 through OAR 952-001-
i~ OAR 952-001. h rules by
Storm Sewer Avaue~\5: You may obtain caples of t e
Special Instruction: caliing the center. (Note: .t~e Ntel~r~~~~n
number for the Oregon Utility 0 II
Notes: Center lS 1-800-332-2344).
Sidewalk Type:
Downspouts/Drains:
Description
Type of Construction
NOT~C\E:
THIS PERMIT SHALL EXPIRE IF THE WORK
. UTII')r,17cn I lI',mFR THIS PERMIT IS NOT
I In I~'~" CEO OR IS ABANDONED I-UK
Valuation Description COI\J,MEN
ANY 180 DAY PERIOD.
$ Per Sq Ft Square Footage
or multiplier or Bid Amount
Value
~ -, -~,.
Date Calculated
Pal!e 1 of 2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00693
ISSUED: 05/15/2008
APPLIED: 05/15/2008
EXPIRES: 11/15/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
L Fees Paid I
Fee Description
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Amount Paid Date Paid Receipt Number
$5.60 5/15/08 3200800000000000325
$6.72 5/15/08 3200800000000000325
$2.80 5/15/08 3200800000000000325
$48.00 5/15/08 3200800000000000325
$8.00 5/15/08 3200800000000000325
Total Amount Paid
$71.12
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 following
work day.
L Reouired Insoections I
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
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 2 of2
City of Springfield
Electrical Authorization To Begin Work
E-mailedTo:schultzelectric@comcast.net
Receipt # EC530370
5/15/20088:30:36 AM
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
COM,-:)clD<C ~ rr'Yn 9<'
RCPT#'.3~ (}l.) d-" 3-::<S
DATE PROCESSED: $-/ 5-()~
Begin Work mL s~!ltY~PI'r~d 'bY a
Ii lJ
TYPE OF WORK
~,1, " '"~*\- ~ J7v
D New constructIOn
Iil AdditIon/alteratIon/replacement
~:C~!~.~9R~ gr,:,~QN~!~~C:r!QNi'~~'~~'i;I"; (I};;
D MultI-famIly D Commercial /Industnal
,~( '"
'7' "~
.~
[i] I or 2 family dwellmg
1 o/.~< i<;~~}~\k{'"")>"' i4o.. ,1"'''''t~'''''''' "~;'-~"'''>hY~ j~)t
." ,i ' '\;i:;i:J.9.!~t,~!TE,I~~P,RM~!lpN!AN,D ~QCe.TION'\"\~(i'~k(V?i;\!i",j~?itit",,:;4;
I Job no . I Job address. 2280 WEMBERL Y WAY
I Clty/State/ZIP. SPRINGFIELD, OR 97477-2457
I Smtelbldg /apt.no..
I Project name:
Cross street/directions to Job site
I SubdivIsion
I Tax map/parcel no'
I.', '
.,'
I Lot no :
1703252104700
i' DESCRIPTION OF WORK
r, '" " " ,'r I~I ,~"*,-"~I+ " , \ '
New furnace / heatpump
i~~WrE.CONTACT:(iP'i"::I?Jii;i:1N;1 h liI;,V":!;l't: :01?:Jfj:;(d,),." ,;
\ , ' \:f \ ~ "\ 0:1. i %}
IName'
I Phone
IEmad
I
Climate Control
I Fax
",<<vi
::;cONfRACTOR:~\f it ...
I CCB hc no' 179066
lEI hc no' C354
I Busmess Name' SCHULTZ ELECTRIC lNC
I Contact Matt Schultz
IAddress. 2171 B1RCHWOODAVE
I City/State/ZIP EUGENE OR 97401 -7409
I Phone (541)3377463
I Emad' schultzelectnc@comcast net
I Metro hc no.
I Supervlsmg electriCian's hc no.. 5247S
I Supervlsmg electriCian's name' MATTHEW L SCHULTZ
IFax (541)5058351
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 applicable land use laws and local ordinances.
ThiS AuthOrization To
,'<<I
III ''''''~~'~'h<klY'''~ "1"lleI "I" " ~"'" '-X"f < "'(,
. ',,;' "'\3;'.* ~EE SCHEDUlE
1 DeSCription I Qty J Ea I Total
10R~id~iiii~FSINGiEl\OR@millti-iamiTY dwelling unit. Includes \.
~tt~chedgaragei"%B-::A.\~"~4*, ''r<Yiih~;'~l< of)!<?b1J;",tl^\/<<'>j ~ <~ 'I,'f;'/,; ,"
->", ,~" 'l.- ~ r~'" 'WJ! Nt ~ "~ '>'
11,000 sq ft or less
I Ea addl 500 sq ft or portIOn
I:LlIIiiied:'Energy.~1MrrH11Ie'1 'lei,
<~~,,\~M*,~~ ,r *~\i<%, 'i ' \
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
I - Stand-alone limited energy,
multi-famIly
I I - Stand-alone limited energy,
commercial
I I' Services O~ 'f~edersirist~lIa~iah;alierllholt;AND/OR relocation
'I I 200 amps or less
201 amps to 400 amps
401 amps to 599 amps
~TEMPORARY services OR.feederS mstailati~n,alteraiion,
<<~D/OR reiocatio';, ,,~;;"~ \,1< I,j~~\ <~f</'~1" ",' j I
" ,
1 200 amps or less
1201 amps to 400 amps
I 401 amps to 599 amps
I * j 'IIIIIJ <<I'ik i" r,"" ,,,,,,, "<Ii>1.+:ili' '<f<'~ ( ,,~/' ~I ii' r
Branc,h i:I~pits'~1~W?aJter~~lOn, OR extensi~~, p~r p,amiD ,H','
A Fee for branch circuits WIth
service or feeder fee, each
branch CirCUIt
B Fee for branch CIrCUIts
without service or feeder fee,
first branch CIrCUit.
I each addl branch CIrCUIt
, 'I
, '<'"
$48 00
$48 00
2
$400
$8001
I
*"'1'
Service reconnect only
I Each manufactured or modular
dwell mg, servIce and/or feeder
I Pump or lITIgatIOn Circle
I Sign or outlme IIghtmg
SIgnal CIrCUlt(S) or IImIted-
energy panel, alteratIOn, or
extensIOn
I
I
I
I
1
· City Of Spnngfield
not offered onlme at thiS Junsdlctlon
ELECTRICAl PERMIT FEES
I
Subtotal $5600 I
State Surcharge (12% of permit fee) $672 I
CIty Of Sprmgfield fees · $8 40 I
TOTAL PERMIT FEE $71121
10% Local Admm Fee, 5% Local Technology Fee
Permit
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2008-00693
COM2008-00693
COM2008-00693
COM2008-00693
COM2008-00693
Payments:
Type of Payment
ONLINE CHGS
cRecemtl
RECEIPT #:
3200800000000000325
Date: 05/15/2008
Description
Add, Alter, Extend Clrc
Add, Alter, Extend CITC Ea Add
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% AdmmlstratIve Fee
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number AuthorizatIOn
Received By Batch Number Number How ReceIVed
NJM
ONLINE SCHULTZ Onlme
Payment Total:
Page I of I
8:56:20AM
Amount Due
4800
800
280
672
560
$71.12
Amount Paid
$71 12
$71.12
5/15/2008