HomeMy WebLinkAboutPermit Mechanical 2008-5-14
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CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2008-00657
ISSUED: 05/09/2008
APPLIED: 05/09/2008
EXPIRES: 11/14/2008
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 622 HAYDEN BRIDGE PL
ASSESSOR'S PARCEL NO.: 1703262100700
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Installation of a heat pump & air handler
Owner: DA VIS TIM D & SARAH A
Address: 622 HAYDEN BRIDGE PL
SPRINGFIELD OR 97477
Phone Number: 541-988-4999
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Mechanical
Contractor
RITE ELECTRIC
MARSHALLS INC
License
178518
25790
BUILDING INFORMATION I
Expiration Date
09/24/2009
12/23/2009
Phone
541-895-4466
541-747-7445
# 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:
. __ ..,...'1 tn
Street Improvements:
I PUBLIC IMPROVEMR~1FSfN: ~re~aodn ~~V;nl; 0;~9;~ Utility
IUIIUVV '''' ~S a O'pl" l-" III(~S are set forth
Notification cerSll:leJ"aIRSfype:OAR 952-001-
952 001-0010 through
In OAR -. 'nlb\f!WP@~~~r9frl$le rules by
0090. You may 0 (Note' the telephone
calling the c~n~~~gon UtIlity Notification
numberci~~:e~ \s 1_800-332-2344).
Storm Sewer Available:
~pecialrInstruction: THE WORK
1m !to''C" EXPIRE \F
NoM~{ PERMIT SHAl~ THIS PERMIT IS NOT
I-\U fHORIZED UONRD~S ABANDONED FOR
COMMENCED
ANY 180 DAY PER\OD.
Pa\?:e 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 Descrintion 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
Add, Alter, Extend Circ Ea Add
Amount Paid
Date Paid
$20.00
$5.00
$6.00
$2.50
$9.00
$14.00
$27.00
$5.20
$6.24
$2.60
$48.00
$4.00
5/8/08
5/8/08
5/8/08
5/8/08
5/8/08
5/8/08
5/8/08
5/14/08
5/14/08
5/14/08
5/14/08
5/14/08
Total Amount Paid
$149.54
I Plan Reviews I
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2008-00657
ISSUED: 05/09/2008
APPLIED: 05/09/2008
EXPIRES: 11/14/2008
VALUE:
Value
Date Calculated
Receipt Number
3200800000000000292
3200800000000000292
3200800000000000292
3200800000000000292
3200800000000000292
3200800000000000292
3200800000000000292
3200800000000000321
3200800000000000321
3200800000000000321
3200800000000000321
3200800000000000321
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.
lJeouiredJnsoections .
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.
Pal!e 2 of 3
Status
Iss u ed
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2008-00657
ISSUED: 05/09/2008
APPLIED: 05/09/2008
EXPIRES: 11/14/2008
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
Paee 3 of 3
City of Springfield
Electrical Authorization To Begin Work
E-mailedTo:heidi@c-perkins.com
Receipt # EC530296
5/14/200810:41:25AM
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
I ""
'fXtTYPE' OF W6RK'(!~",;i '1$;/,"'11,
, <<- 7(,,),'4~'~~ ~}'~'40 "'" ~"" <""t2 1,<<~" 'k~q
[K] New constructIOn
D AdditIOn/alteratIOn/replacement
"'''f 4.- , k" j '^>8<<h\MNP'~~'~%'" :>:"'71',*,,;&''' i""$&4Md,&i&Y""~!40'Ji'jfBPt1;'1N\~T'qil'I" ~
:~CA!~~OR't)\C?F CPNJ~T~~!;,;Qq~;<<:r:p'~'0fIL%~~I~d' qi:\i ',,, ',"
D Multi-family D Commercial/Industrial
[K] 1 or 2 family dwellmg
I,\, , , kfl- ' :j;li&JOBI'siTE!fNFORMATIONAND~tOC~TioNi""j1iti ,
~ ,." J'S<<<A%w:tlt vdh~ ~0~~v:)'t/ ,4>" 1"' ',w ~1<<""''t<,1 l'I~I'o/ ';:<~II"MW ~ 'I A '" i, Il;, '* j :;;;"~i(b, t~
IJob no.. IJob address. 622 HAYDEN BRIDGE PL
I City/State/ZIP' SPRINGFIELD, OR 97477-1536
I SUlte/bldg /apt.no .
I Project name.
Cross street/directions to Job site:
~E,~_'S~~~,1?"'L~,
I Qty I
iti-family'lIweUin
'J:!:;,Y"Uib
$ y,""v.y;"f<''i'f0'i-< ~
"
',I
I
Ea Total
unit.'Includes ,:
M4firf04,)p):~;'l:1 N' :
~/,r ~
11,000 sq ft or less
I Ea addl 500 sq ft or portIOn
I SubdivIsion: I Lot no..
I Tax map/parcel no: 1703262100700
II: :' ,I' '~:~:', 2t!!,iIIIJ#I,'i,fll'" DESCRIP'T' 10' N' :,"Ow F"jW""o' RK'(>,'\',
;/' ., ,o",%;12>!>'1\jf f-t" <. " "" ,Nd< w Ii! ,'\
electrical for hvac equpment
"/",,,:!Ws"ly'e CONTAC;r~n:\G';',
I Name: heldl
I Phone.
IEma11
I
/Fax'
Co'NTRAC:rO~~ir;"1: ,,'\;:'
I ~ 1W kIIIHI! JilK' ,,>,( ~i".~
ICCBhc.no.. 178518
1 EI. hc no.. C335
I Busmess Name RITE ELECTRIC INC
I Contact. Heidi
IAddress: PO BOX 842
I City/State/ZIP CRESWELL OR 97426
IPhone (541)8954466
I Emall. heldl@c-perkms com
I Metro hc. no..
I SupervISIng electncl3n's hc no.. 2970S
ISupervlsmg electncl3n's name. CLYDE I PERKINS
I Fax: (541 )8954366
I City hc no'
Upon review and approval by your local JUrisdiction, your
permit will be e-malled or faxed wlthm one busmess day,
with instructions on how to schedule your mspectlon.
,>>
- Limited energy, reSidential
(With above sq ft)
- Limited energy, multlfaJmly
reSidential (With above sq ft)
- LimIted energy, commercial
(with above sq ft)
- Stand-alone limited energy,
reSidential
I - Stand-alone limited energy, I
multi-family
I - Stand-alone limited energy, I
commercial
I Services 'oR7fciXi'~~iitstallation,'alterllhoji1:'AND/OR relocation "'>' I
,~" ( * j: , >f 1"
I 200 amps or less I
1201 amps to 400 amps I
1401 amps to 599 amps I
,1;EMPOAARY services;OR' feeders installation, alteration, &'
'AN'" D/0'R'relo\Jlca~I&1!iit'I.'0'1i1nft" \j;~,,> I (t~lt:;kJ<<1::!F>J+1J1-!tB'<(' ,,:f-)t, ,'"- /'{,t\~I, I'
\-~ <", 1 ~ , ><''[\'T'''? "\ ~ $~ '" ' ~.,;" ,-", '^>,~ ~(
1200 amps or less
1201 amps to 400 amps
1401 amps to 599 amps
Branch cireuits'-'NEW: alteration, OR eXtension, per panel,'>>
&" ~" '" (" 1,<< ~"1 ,VII(I~~~',<<0 , ) ,,,^' '" 4 ~
A Fee for branch CirCUIts with
service or feeder fee. each
branch circuit
B Fee for branch CIrCUIts $48 00 $48 00
Without service or feeder fee,
first branch CirCUit,
I each addl branch CIrCUit $4 00 $4 00 I
I Mi "'11'f:;l:;r1'f#~qWh "!
see aDeous
"'"'" ",.;j'*' ~'"
1 ServIce reconnect only
Each manufactured or modular
dwell 109, servIce and/or feeder
Pump or IrrigatIOn Circle
I Sign or outlme IIghtmg
Signal clrcUlt(s) or IImlted- not offered online at thiS JUrISdiction
energy panel, alteration, or
extenSIOn
, '~",,\'EL.ECTRICAL PERMIT FEES
~'"'" ''''~~ 11~~r,;,~ I
Subtotal $5200
State Surcharge (12% ofpemllt fee) $624
City Of Sprmgfield fees · $7 80
"" ' ~." TOTAL PERMIT FEE I $66 04 I
COM: .cJ~~eld l;7 '!:f~11l1 i~~, .l~""',ccal Technology Fee
RCPT#: (S~ 0lJ 8- - -7 ~I ' ,
<5//#Jr
/
NOTE: This AuthOrization To Begin Work expires wlthm 180
days If a permit IS not obtamed.
The local bUlldmg department may determine that an
AuthOrization To Begm Work IS null and VOid If It does not
meet applicable land use laws and local ordmances
ed bv if 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
COM2008-00657
COM2008-00657
COM2008-00657
COM2008-00657
COM2008-00657
Payments:
Type of Payment
ONLINE CHGS
cRecemtl
RECEIPT #:
3200800000000000321
Date: 05/14/2008
DescriptIOn
Add, Alter, Extend Crrc
Add, Alter, Extend Clrc Ea Add
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% AdmmlstratIve Fee
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number Authonzation
Received By Batch Number Number How Received
NJM
ONLINE
RITE Onlme
Payment Total:
Page 1 of 1
10:49:56AM
Amount Due
4800
400
260
624
520
$66.04
Amount Paid
$66 04
$66.04
5!l4/2008