HomeMy WebLinkAboutPermit Mechanical 2008-5-19
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2008-00706
ISSUED: 05/19/2008
APPLIED: 05/19/2008
EXPIRES: 11/19/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 645 S 73RD ST
ASSESSOR'S PARCEL NO.: 1802021200400
Springfield TYPE OF WORK: Heating System
TYPE OF USE: Alteration
Residential
PROJECT DESCRIPTION: Heat pump and air handler
Owner: TULCHINSKY MICHAEL M
Address: 645 S 73RD ST
SPRINGFIELD OR 97478
Phone Number: 541-736-1104
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Mechanical
Contractor
RITE ELECTRIC
MARSHALLS INC
License
178518
25790
Expiration Date
09/2412009
12/2312009
Phone
541-895-4466
541-747-7445
I 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
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 PUBLIC IMPROVEMENTS I
Street Improvements:
AI J J:l-JTJON: Oregon law requires you to
Storm Self~n.'ilfh!eadopted by the Oregon Utility
Special I~iffUgUOn Center. Those rules are set forth
In OAR 952-001-0010 through OAR 952-001-
Notes: 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).
-
Sidewalk Type:
Non C Erownspouts/Drains:
THIS PERMIT SHAll EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Pa2;e 1 of 3
Status
Iss u ed
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descriotion 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
+ 10% Administrative Fee
+ 12% State Surcharge
+ 12% State Surcharge
+ 5% Technology Fee
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Air Handling Unit Up to 10,000
Heat Pump
Minimum/Adjustment Mechanical
Amount Paid
Date Paid
$20.00
$5.00
$5.60
$6.00
$6.72
$2.50
$2.80
$48.00
$8.00
$9.00
$14.00
$27.00
5/19/08
5/19/08
5/19/08
5/19/08
5/19/08
5/19/08
5/19/08
5/19/08
5/19/08
5/19/08
5/19/08
5/19/08
Total Amount Paid
$154.62
I Plan Reviews I
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2008-00706
ISSUED: 05/19/2008
APPLIED: 05/19/2008
EXPIRES: 11/19/2008
VALUE:
Value
Date Calculated
Receipt Number
2200800000000000692
2200800000000000692
2200800000000000697
2200800000000000692
2200800000000000697
2200800000000000692
2200800000000000697
2200800000000000697
2200800000000000697
2200800000000000692
2200800000000000692
2200800000000000692
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.
~eouiredJnsoections 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.
Pa2;e 2 of3
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2008-00706
ISSUED: 05/1912008
APPLIED: 05/19/2008
EXPIRES: 11/19/2008
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
Pa2;e 3 of3
City of Springfield
Mechanical Authorization To Begin Work
E-mailedTo:cevin@marshalIsinc.com
Receipt # EC530541
5/19/2008 10:45:21 AM
I
each addItIOnal outlet I
"' ':ib"~'i~il'iM"ECAANICAl:;"PERtvirr;'?FEES I
<~I~d~IIIIW "J' <<1' '<<< Jl<<lltlIIIII"j 1 "",J1
Subtotal $23 00
MinImum fee used Instead of Subtotal $50 00
State Surcharge (12% of penmt fee) $600
CIty Of Springfield fees * I $2750
TOTAL PERMIT FEE I $83 50 I
10% Local Admin Fee, 5% Local Technology Fee,
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.sprmgfield.or.us
1/
D New constructIOn
[X] AddItIOn/alteratIOn/replacement
"" ,
FEE SCHEDULE
I DesCrlphon I Qty. I
I Heatlng/coollng,appliancesi 'i'i'i
~<",'I,,"J~IIH%~'1 <'1, Jmi<< '1"4f~1' 4 J <I II '0*<''' ~ G"1~ "<0h
I Furnace- up to 100,000 BTU
Furnace - above 100,000 BTU
Electnc Furnace
I Duct alterations and addItIOns
I Gas heater umts/ m-wall, m-
duct, suspended, etc/
I Vent, flue, Imer for above
I Air CondItIOner I
I Heat Pump II
I Air Handler II
I I 111"'~I~I(,ffw '0":Pf:ff'f"" W '..,. , "" n. ~~ '" w~
'itpther,fuel bur~~~~l~'iRR'i!~~~JT.e~ii' :;:llli;:<ltY I) illllyWl
Water heater
Gas fireplace/msertlstove
Gas log/ log lighter
I Gas clothes dryer
I Gas stove/range
I Pool or spa heater, kIln
I Wood/pellet stove/Insert
I Wood fireplace
'I I ChImney/I mer/flue/vent w/o
I appliance
1:IE~'i~Ml~e'nial exhaust AND nVentillit!(j'htt:1/
I ~1"I7'M'.,c" v *' I il(A,""d"~:i~\\"t,l1(J ";"d~~,I'-(''''''' ~
I Range hood
I I Clothes dryer exhaust
Single-duct exhaust (bathrooms,
tOIlet compartments, utility
rooms)
I AttIc/crawlspace fans
[K] I or 2 family dwellmg
D MultI-famIly
o Accessory BUlldmg
I",
iNFORMATION AND LOCATION~' I""
<t -"z; t :.'" \~\", 'iffu:<<ll" Ijry,. , "jlk)H ~jk')0~,,-fI0-~t:J!; ~
I Job no.: I Job address. 645 S 73RD ST
I City/State/ZIP: SPRINGFIELD, OR 97478-7489
1 SUlte/bldgJapt.no.:
I Project name: TULCHINSKY
Cross street/directIOns to job site:
1 SubdivIsIOn:
Tax map/parcel no.' 1802021200400
I Lot no.:
INSTALLATION OF A HEAT PUMP AND AIR HANDLER
I i
'"I' ',1 ,,,,I~it1lv~SITE1CONtAtCTI%b"'"'''iyWiY'''''''''
'<<- 1 (JA<pfifif_qltifAY\..4Jj\;jj--'>j, ! ~~
1 Name, MIKE & ELLEN TULCHlNSKY
I Phone: (541) 736-1104 I Fax
[EmaJl:
I:
I CCB he. no,: 25790
1 Busmess Name: MARSHALLS INC
1 Contact: Cevm White
IAddress: 4110 OLYMPIC ST
1 City/State/ZIP: SPRINGFIELD, OR 974785620
I Phone: (541)7477445 IFax: (541)7410821
I Emal!. cevm@marshallsmc com
I Metro he no I City he. no.: CCB 25790
upto first 4 outlets( enter Qty= I)
I
I
I
I
I
* CIty Of Sprmgfield
$10 Issuance Fee
Upon revIew and approval by your local Junsdictlon, your
permit Will be e-malled or faxed Within one bUSiness day,
With instructions on how to schedule your inspection
NOTE ThiS Authonzatlon To Begin Work expires Within 180
days If a permit IS not obtained
The local bUilding department may determine that an
Authonzatlon To Begin Work IS null and VOid If it does not
meet applicable land use laws and local ordinances
Ea.
l Total
; '" "
I
I
I
I
I
I
I
I
$14001
$9001
I
$14001
$9001
I!)h< '
This Authorization To Begin Work must be posted at the job site until replaced by a Permit
City of Springfield
Electrical Authorization To Begin Work
E-mailedTo:heidi@c-perkins.com
Receipt # Ec530545
5/191200811:09:10 AM
Check on status of permit
By Phone: (541)726-3753 or Email: permltcenter@ci.springfield.or.us
I. " ' FEE SCHEDULE
I DescnptlOn I Qty I Ea. Total
IWR1;iaeIJ:Hlii"S1NGCEl'0R"iniiltl~familY;dwellijjg\;nIHltncl'Udes ;
)'~ '1'<'
<'1~!*t~,~~fJl4,gA~r~~~%$J0qll/A:;,a~~;;~~,?1"::' :';;~ ~ j~s" Twtxx~ '~ft~~jA*~<<~", 40~)/'I\Wf j
D New constructIOn
" JYPE OFi:"~6~1S'.';'r,~j:",,,,
[X] AddItIOn/alteratIOn/replacement
[X] I or 2 family dwellIng
D Multi-family
D Commercial/IndustrIal
1,000 sq ft or less
Ea addl 500 sq ft or portIOn
I k SITE INFORMA:r~{<2~,,~~9d!;:;S1,gt~\!cL9,tt,~W,:~~, ;
IJob no.: M08-125 IJob address: 645 S 73RD ST
1 City/State/ZIP, SPRINGFIELD, OR 97478-7489
I SUlte/bldgJapt.no.:
I Project name:
Cross street/directions to job site:
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 - Stand-alone lImited energy,
commercial
l;sl~~~~'rOR#'feeders installation, alteration,')\ND70R\h~l~cation I' ,:;
"d<+"\,t,,,] ,I,", $I! '''''<'liJl!I'%h IH co 'CO"" n.
1200 amps or less I
1201 amps to 400 amps
1401 amps to 599 amps
TEMP {, t,vlt(;SY0R;fte~~rs{liistallatJOn,
!1\.NDZ " oca JOn ',' ,
1<t'I"'I'l,dhMdb~~ p
1200 amps or less
1 20 I amps to 400 amps
140 I amps to 599 amps
I@BrahchJ~l~ful~~-lll'EW,'alt~a'tj()Jt:OR"extension",per" panel'
"'0f(*",<'fl%/llkf,c-z*,\' w... ;~i,-d%1 aiiI0iPH>,'!> '4~ ~ "'-
A Fee for branch CirCUIts with
servIce or feeder fee, each
branch CirCUIt
B Fee for branch CirCUits
without service or feeder fee,
first branch CirCUIt,
each addl branch CirCUit
1;<'<
I SubdiVISIOn
1 Tax map/parcel no,: 1802021200400
I Lot no :
, ~ ~~f '" N'" ""'YW'*lfYJt41.f%';~!"r'I"'lkdr:;!,'!f
DESCRI!;'TI<;?'~I~:U:A\~<;?,~~~I~~;I<l?:%J:.3JJtllWll~l!j JI'
electrIC for HVAC eqUipment
I Name: heldl
I Phone.
I EmaJl:
1
I Fax
" ~ ">;\"'''' '4111,'jjII~&.J,~<$\-<{'{" y"
dy",'lPfllll:Wlli&Q,!'::I;I;RACTOR . ",.. ,," 'h .
I CCB hc. no.: 178518
EI, hc no: C335
$48 00
$48 00
Busmess Name: RITE ELECTRIC INC
1 Contact: HeIdi
l1\.ddress: PO BOX 842
I City/State/ZIP: CRESWELL OR 97426
I Phone. (541)8954466 I Fax: (541)8954366
1 Emall: heldl@c-perkms com
1 Metro hc no.: I City lie. no.:
I Supervlsmg electnclan's hc, no: 2970S
1 Supervlsmg electnclan's name: CLYDE I PERKINS
2
$400
$800
I :Mlscellan'eollSlaf'14." .,.
>>, if>"'I0,"~",!gl '''~ ~
I Service reconnect only
I Each manufactured or modular
dwellmg, service and/or feeder
1 Pump or lITIgatIOn Circle
I Sign or outlIne IIghtmg
Signal clrcUlt(s) or IImlted-
energy panel, alteratIOn, or
extensIOn
, i'~"
'41
not offered onlme at thiS JUrISdiction
NOTE ThiS AuthOrization To Begin Work expires Within 180
days If a permit IS not obtained
I
I
I
* City Of SprIngfield
~~~~~RIC:AL PE(~!~!'~EES ' {i. I
Subtotal $56 00 I
State Surcharge (12% of penmt fee) $6 72 I
City Of Sprmgfield fees * $8 40 I
TOTAL PERMIT FEE $71121
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
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
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2008-00706
COM2008-00706
COM2008-00706
COM2008-00706
COM2008-00706
COM2008-00706
COM2008-00706
Payments:
Type of Payment
ONLINE CHGS
cRecemtl
RECEIPT #:
2200800000000000692
Date: 05/19/2008
DescnptlOn
Heat Pump
Air HandlIng Umt Up to 10,000
MlmmumlAdJustment Mechamcal
-Mechamcallssuance Fee-
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Admmlstratlve Fee
PaId By
ONLINE PERMIT CHGS
Item Total:
Check Number AuthOrizatIOn
Received By Batch Number Number How ReceIved
DDK
ONLINE MARSHAL OnJme
LS INC
Payment Total:
Page 1 of I
11 :33:08AM
Amount Due
1400
900
2700
2000
250
600
500
$83.50
Amount Paid
$83 50
$83.50
5/1 9/2008
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2008-00706
COM2008-00706
COM2008-00706
COM2008-00706
COM2008-00706
Payments:
Type of Payment
ONLINE CHGS
cRecemtl
RECEIPT #:
2200800000000000697
Descnption
Add, Alter, Extend Circ
Add, Alter, Extend Clrc Ea Add
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% AdmmlstratIve Fee
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 05/19/2008
Item Total:
Check Number Authonzation
Received By Batch Number Number How Received
Paid By
ONLINE PERMIT CHGS
ddk
Page 1 of I
ONLINE RITE Online
ELECTRIC
Payment Total:
3:18:19PM
Amount Due
4800
800
280
672
560
$71.12
Amount Paid
$71 12
$71.12
5/19/2008