HomeMy WebLinkAboutPermit Mechanical 2008-5-29
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00645
ISSUED: 05/08/2008
APPLIED: 05/08/2008
EXPIRES: 11/29/2008
VALUE:
Status
Iss u ed
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2563 15TH ST
ASSESSOR'S PARCEL NO.: 1703243200317
Springfield TYPE OF WORK: Heating System
TYPE OF USE: Alteration
Residential
PROJECT DESCRIPTION: Air conditioner & gas furnace
Owner: TEASLEY SAM R & MARILYN K
Address: 2563 NORTH 15TH ST
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION'
Contractor Type
Electrical
Mechanical
Contractor
RITE ELECTRIC
MARSHALLS INC
License
178518
25790
BUILDING INFORMATIOl!.l
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:
Street Improvements:
Storm Sewer Available:
Special Instruction:
I PUBLIC IMPROVE~[~IIION: Oregor law 18~': drr)f' 'if}' j '0
o ow rules ::!rl.QaPtf'CII.1:\\' the 0:t:h:.Jrl G/ldlY
"Si ewa l\. ]Sy,e. .,
Notification Center. I! IOS.s (liles !j; c set rorth
In OAR 952.0o-IIMl~d~ol..titS~fains~q 952-001 =
0090. You may obtain copies of the rules by
calling the center. (Note: the telephone
number for the Oregon Utility Notlhcauon
Center is 1-800-332-2344)~
Notes:NOTlCE:
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
'\NY 130 DAY PERIOD.
Pa2e 1 of 3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Boiler/Comp Up To 100,000 btu
Furnace - up to 100,000 btu
Gas Outlets 1-4
Gas Outlets 4+
Minimum/Adjustment Mechanical
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Total Amount Paid
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2008-00645
ISSUED: 05/08/2008
APPLIED: 05/08/2008
EXPIRES: 11/29/2008
VALUE:
I Valuation Description I
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
~
Amount Paid
Date Paid
Receipt Number
$20.00
$5.00
$6.00
$2.50
$14.00
$14.00
$5.00
$2.00
$15.00
$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
5/8/08
5/8/08
5/29/08
5/29/08
5/29/08
5/29/08
5/29/08
2200800000000000621
2200800000000000621
2200800000000000621
2200800000000000621
2200800000000000621
2200800000000000621
2200800000000000621
2200800000000000621
2200800000000000621
3200800000000000357
3200800000000000357
3200800000000000357
3200800000000000357
3200800000000000357
$149.54
I Plan Reviews'
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.
~eouiredJn~nections ,
Rough Gas: After line is installed and required testing and capped if not attached to an appliance.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Final Gas: When all gas work is complete.
Rough Electric: Prior to Cover
Pa!!e 2 of 3
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00645
ISSUED: 05/08/2008
APPLIED: 05/08/2008
EXPIRES: 11/29/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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
Pa\?:e 3 of 3
City of Springfield
Electrical Authorization To Begin Work
E-mailedTo:heidi@c-perkins.com
Receipt # EC531081
5/28/2008 3:50:27 PM
Check on status of permit
By Phone: (541)726-3753 or Email: permltcenter@ci.springfield.or.us
~, :mcl.'RlCAiJ'e'ERMT;'..pEEES~!!2$t~1
"'~1{^W'~M:V""" >$#w>~w..~~*,y\{"",~w;:'::~":Ee?'~~,1~f%-I1!~
Subtotal . $52 00 I
State Surcharge (12% ofpenmt fee) $624 I
CIty Of SprIngfield fees · $7 80 I
I TOTAL PERMIT FEE $66 04 I
· r.tr 'If<'~"'~-Il L .~:, .~u.._ .Fee, 5% Local Technology Fee
( COM:::J tsOc - or; (f) ~S
RCPT#:~2()V 6-'- 357
DATE PROCESSED:.S/~ ell 0 ~
This Authonzallon To Begin Work m"flf~G!~~B~~nt" replacec, by a Permit
- . ~ ~
o New construction
IX] AdditIOn/alteratIOn/replacement
[K] I or 2 famIly dwelling
o MultI-family
o CommercIal/ Industnal
V'jW~ 0t ' " ~*t~~4ititt;<~0~J> ~ ~_ 'J 'n'~lt*li>'1<i(}-~(9l,.~~!W;W:h':~ Vidf'eV""J.' _ ""tV"'': '"w;..,,)/~<.;;;r.~~
1!r~~;::"'l!t'ifffi~.L1.',;, "'iJ,a~~{)11LEt1~rq~~TlaN ~tlli)~l{a~~li!gtol_lI!il$t~,:.lt',k~,""
IJobno.: IJobaddress: 2563 15THST
I Clty/StatelZIP' SPRINGFIELD, OR 97477-1688
I SUltelbldg./apt.no :
I Project name'
Cross street/directIOns to Job site:
I SubdIVISIOn:
I Tax map/parcel no.: 1703243200317
I Lot no.:
electric for hvac eqUipment
I Name: heldl
I Phone.
I Emad:
I Fax:
1 E1. hc. no.: C335 I CCR hc. no.: 178518
I Busmess Name. RITE ELECTRIC INC
I Contact: HeIdI
jAddress PO BOX 842
I City/State/ZIP' CRESWELL OR 97426
I Phone (541 )8954466 1 Fax. (541 )8954366
~mad. heldl@c-perkms com
I Metro hc no.: 1 City hc. no..
1 Supervlsmg electrician's hc no' 2970S
I SupervISIng electrician's name' CLYDE I PERKINS
Upon review and approval by your local junsdlction, your
permit will be e-malled or faxed wlthm one bus mess day,
With mstructions on how to schedule your mspection
NOTE: This AuthorIzation To Begm Work expires wlthm 180
days If a penn,t 's not obtarned.
The local building department may detennine that an
Authonzation To Begm Work IS null and VOid If it does not
meet applicable land use laws and local ordinances.
DeSCriptIOn
~illen
"fif:tachea'g@
:;;. ~ ~ "YJ~
11,000 sq ft or less
1 Ea addl 500 sq ft or portion
energy, reSidential
(With above sq ft)
- LimIted energy, multifamily
reSidential (With above sq ft)
I - Lumted energy, commercial
(With above Sq ft)
I . Stand-alone limited energy,
residential
I - Stand.alone hmlted energy,
multI-famIly
I - Stand.alone hmlted energy,
commercial
l~~tar(iR:ieedert.iW..ffi~1I~ij66, idtetali~~iW';J5R~flScati6ik cJ~'JI
t "'k~'i>'~~'\( J^ , ~~$MJ@~2 -::::~t" ~ = *'0"'''''~~;\"~~(:B%'li>:tU%i%1;;&'w0M,iJ.%*~%''J~'' ~'./~
1 200 amps or less
1201 amps to 400 amps
1401 amps to 599 amps
()
,~~.'(e
1200 amps or less
1201 amps to 400 amps
1401 amps to 599 amps
I ~m -~"''1Jr~ "~;""jiiYi"f9Th"*@df.- """'~'k~1""<<'tJ':~'~ > '< "'~~.
"'~9,~~~Jt~itsZ-;:~.LlU~~o~1~~~!4!e~~~~~~~r~~'WlTy~,
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 Service reconnect only
I Each manufactured or modular
dwelling, service and/or feeder
1 Pump or lITIgatIOn Circle
I Sign or outlme hghtIng
Signal clrcult(s) or hmlted- not offered onhne at thiS JUrIsdIctIOn
energy panel, alteratIon, or
extension
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2008-00645
COM2008-00645
COM2008-00645
COM2008-00645
COM2008-00645
Payments:
Type of Payment
ONLINE CHGS
cRecemtl
RECEIPT #:
3200800000000000357
Date: OS/29/2008
DescriptIOn
Add, Alter, Extend CITC
Add, Alter, Extend Clrc 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
ONLINE
RlTE Onlme
Payment Total:
NJM
Page 1 of 1
8:51 :44AM
Amount Due
4800
400
260
624
520
$66.04
Amount Paid
$66 04
$66.04
5/29/2008