HomeMy WebLinkAboutPermit Mechanical 2006-12-28
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.. CITY OF SPRiNGFIELD I
Building/Combination Permit
PERMIT NO: COM2006-01667
ISSUED: 12/28/2006
APPLIED: 12/28/2006
EXPIRES: 06/28/2007
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1094 ISLAND ST
ASSESSOR'S PARCEL NO.: 1703342100313
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION:
Owner: PENDLETON DAVID M & MARCIA C
Address: 1094 ISLAND ST
SPRINGFIELD OR 97477
Phone Numher: 541-747-7007.
, CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Contractor
COMFORT FLOW
License
460
BUILDING INFORMATION I
Expiration Date
06/27/2007
Phone
541-726-0100
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Con~truction 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 I st Floor:
Sq FI 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION'
Front yard Sethack:
Side I Setback:
Side 2 Set hack:
Rearyard Set hack:
Solar Setbacks:
Overlay nist:
# Street Trees Rqd:
. Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I rUDL>L IltlPROVEMENTS I
Streetlmprov~ments:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
DownspoutslDrains:
Notes:
I Valuation Descriotion I
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Palle I of 3
~\
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769Inspeclion Line
Fee Description
-Mechanical Issuance Fee-
+ 100;', Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Air. Handling Unit Up to 10,000
Heat Pump
MinimumfAdjustment Mechanical
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Total Amount Paid
.
. CITY OF SPRIr\jtJI1IELD -
Building/Combination Permit
PERMIT NO: COM2006-01667
ISSUED: 12/28/2006
APPLIED: 12/28/2006
EXPIRES: 06/28/2007
VALUE:
Total Value of Project
FI'I'~ Paid'
Amount Paid
Date Paid
Receipt Number
2200600000000001762
2200600000000001762
2200600000000001762
2200600000000001762
2200600000000001762
2200600000000001762
2200600000000001762
1200700000000000021
1200700000000000021
1200700000000000021
1200700000000000021
1200700000000000021
$10.00
$4.50
$2.25
$3.60
$8.00
$12.00
$25.00
$4.60
$2.30
$3.68
$43.00
$3.00
12128/06
12128/06
12128/06
12128/06
12128/06
12128/06
12128/06
1/9/07
1/9/07
1/9/07
1/9/07
1/9/07
$121.93
I Plan Reviews I
To Request an inspection call the 24 hour recording at 726-3769. All inspection 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.
Reo u ired.lwnl'~tio'\\.l
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
~
. Palle 2 of3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-01667
ISSUED: 12/28/2006
APPLIED: 12/28/2006
EXPIRES: . 06/28/2007
VALUE:
By signature, I state and agree, that I have carefully examined the cOll)pleted application and do hereby certify that all
information hereon is true and correcl, and I further certify that any and all work performed shall he 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, ond
that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Sofety.
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 thot all required inspections are requested at the proper time, that eoch address is reodoble from the
street, that the permit cord is locoted ot the front of the property, and the approved set of pions will remoin on the site ot oil
times during construction.
Owner or Contractors Signature
Pal!e 3 of 3
Date
.. City of Springfield
ii
It. -
.ectrical Authorization To Begin Wore
E-moiled To: gowins52@comcaSl.net
Receipt # EC507624
118/2007 10:46:40 PM
Check on status of permit:
Contoct: hllp:/Iwww.ci.springfield.or.us/dsd/Building/index.htm
]1Xl' or 2 family dwelling
o Multi-family
D Commercial/Industrial
I 1 FEE SCHEDULE
.11 Desc"pllon I Qty. J Ea. Total
I Residential SINGLE. OR multl-ramlly dwelling unit. Includes
attached garage
11,000 sq- ft. nr less I
[ Ea. addl 500 sq. It or portion
- Limited energy, residential I'
(with above SQ. ft.)
. Limited energy, multifamily I'
residential (with above SQ. ft.)
I Services OR feeders Installation, alteration, AND/OR I1'locallon
1200 amps or less
I 20 I amps to 400 amps
40 I amps to 599 amps
TEMPORARY services OR feeders Installallon, alteration,
AND/OR relocation
TYPE OF WORK
I 0 New construction
{K] Addition/alteration/replacement
CATEGORY OF CONSTRUCTION
JOB SITE INFORMATION AND LOCATION
IJob no.: IJob address: 1094 ISLAND ST
ICily/State/ZIP: SpRINGFIELD, OR 97477-3524
I Suite!bld~./llpt.no.:
I Project name:
Cross streeUdlrectlons to job slle: Centennial to Aspen to Island
I Subdh'lslon:
ITax map/parcel no.:
I
ILot no.:
200 amps or less
I 20 I amps to 400 amps
140 I amps to 599 amps
Branch circuits - NEW, alteration, OR extension, per panel
I A. Fee for branch circuits with
above service or feeder fee.
each branch circuit.
lB. Fee for branch circuits
without service or feeder fee.
first branch circuit:
I each addl branch circuit
I Miscellaneous
$43.001
$3.001
I
I
I
I
I
I
1
Subtotal . $46.00 1
Minimum Fee $45.00 I
State Surcharne (8% of permit fee) $3.68 l
City OfS~rin~iield fees;' $6.90 j
TOTAL PERMIT FEE $56.58 r
10% Local Admin Fee; 5% Local Technology Fee
$43.00
1703342100313
DESCRIPTION OF WORK
Add Heat Pump with Air Handler
SITE CONTACT
I Name: David Pendleton
I Phon" (541) 747-7007
IEmail:
$3.001
I Fax:
CONTRACTOR
[E1.lie.no.: 20.537C ICCBlie.no.: 162191
I Business Name: GMD ELECTRIC INC
I Contact: Mike Gowins or Sue
IAddress: 957 NORTHRIDGE AVE
IClty/Staterl.IP: SPRINGFIELD OR 97477
! Phone: 5417268601 I Fax: 5419881800
I Email: gowins52@comcast.net
IMetro lie no.: I City lie no.:
I Supervising electrician's lie. no.: 4874S
I Supervising electrician's name: MICHAEL K GOWINS
Service reconnect only
Each manufactured or modular
dwellinll. service and/or feeder
I Pump or irrigation circle
I Sign or outline lighting
I Signal circuit(s) or limited~
energy panel, alteration, or
extension.
1
I
I
I
r
I
. City Of Springfield
ELECTRICAL PERMIT FEES
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.
~;lJTD(,-OIIo(,7
lo'<()7)"l!dLf i..KW
/-? -0'7
NOTE: This Authorization To Begin Work expires within 180
days If a penn It Is not obtained.
The local building department may detennlne 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
Sprjngfield, Oregon 97477
541-726-3759 Phone
irjiPl"'"
. -'".----.--~.. '..........
Wit,'. "',
i i
-." ...... . ,.
-'. - -
~. _.._.,.~_.,~. -,
C_f Springfield Official Receipt
'-opment Services Department
Public Works Department
RECEIPT #:
1200700000000000021
Date: 01/09/2007
8:50:37AM
Job/Journal Number
COM2006-0 1667
COM2006-0 1667
COM2006-0 1667
COM2006-0 1667
COM2006-0 1667
Description
+ 10% Administrotive Fee
+ 8% State Surcharge
Add, Alter, Extend Cire
Add, Alter, Extend Cire Ea Add
+ 5% Technology Fee
Poyments:
Type of Payment
Poid By
lIem Total:
l:heck Number Authorization
Received By Batch Number Number How Received
Amount Due
4.60
3.68
43.00
3.00
2.30
$56,58
Amount Paid
ONLINE CHGS ONLINE PERMIT CHGS
Ikw
ONLINE
GMD In Person
Electric
Poyment Totol:
$56.58
$56.58
cRcceintl
Page I of I
1/9/2007
..
City of Springfield
tChanical Authorization To Begin wor_
E-moiled To: KELLY@COMFORTFLOW.COM
Receipt # EC507363
12/28/20062:05:03 PM
ij
-..-~.......~
Check on status of permit:
Con toct: hllp:/Iwww.ci.springfield.or.us/dsdlBuilding/index.htm
EmaU, KELL Y@COMFORTFLOw'COM
Metrolic no.:
I City lie no.:
1r~-'~~'.~~)J::;.r~:L~: _.'>.,~!EE S~CH~I?U~~:.; .:':',
I Deseriplion I Qty. I Ea.
V~eai!n~c~JIn.gippli~nc~-:.:~ .;, _,.;;'2.~
I F~mace- up to 100,000 BTU
I Fumace - above 100,000 BTU
I Electric Furnace
1 Duct alterations and additions
Gas heater units! in-wall, in-
ducl. suspended. etd
Vent, flue, liner for above
I Air Conditioner
I Heat Pump $12.00 $12.00
: ~:~~;~:~bU~i~g.~PP'laa<"'., :no:,~~e_:~,~~~;~e"a~ ~;i~j~:iSdic'ion ,..1
I I Wate, heater I
I i Gas fireplace/insert/stove 1-
,_ ,,::-1'\/:":' _,:'..l!Gaslcg/loglighter I
I Gas c1olhesdrye, I
I Gas stove/range 1
I Pool or spa heater, kiln
I Wood/pellet stove/insert 1
I Wood fireplace
. ;';.' "'- .::: ':. "t ~. - i' ,;': :'11 ;:~~a~?,:linerlfiue/venl w/o
1 IE.n~iro~.m.~~tar~_I~~au~tl\~~,:e!1tilaF~n <. :~., ',,:. ' ." ;-1
I 1 Range hood I
~~.-1 I Clothes dryer exhaust 1
I I Single-duct exhaust (bathrooms, I
toilet compartments, utility
I rooms)
I Attic/crawlspace fans I
.1 FFlieJpJpin"g~~~'::,. r' l' /-, ,I
: I upto first 4 outlets(enter Qty-I) J I I
I each additional outlet . I I
11.:< "';".;qi,'_'MECHANICALPERMITFEES" -.,1
II .. -.. - ... . . 'Sui,t~tal $12.001
1 I Minimum Fee $45.00 1
I State Surcharlic {8% of ~nnil feel $3.60 I
I CiD' OfSeri'!.g,lield fees. $16.75 I
I TOTAL PERMIT FEE $65.35 I
. City Of Springfield 10% Local Admin Fee: 5% Local Technology Fee;
S10 Issuance Fee
. .~ I
.1'
I Tolal I
) I ."l~f'l
I I
not offered online at thisjurisdiclion 1
I
.'
I ' r ' .,. . E'O' '~--""'~.",.'.'. "'-'~','_t' ..,.!",-.,......f.4o.,. . I
:. ", "., .:'.~t .'.,;,,~4...:\-:: .,:,:,. "TYP,._ F. W9RK. _ _,.' ,.: ".::~ ~:::.,::}.i'j..';'~.'t.:.~ :"',; "
I 0 New construction lKl Addition/alteration/replacement
1::':.1"<::~~: ,....~1~,;~._:r~~~.;p~i'~90J:ty ,O'F CC?~SJR.~CT~q~..~~",~.<~;";,:L~~.~:~5~"~;~,,, ~
I @ I or 2 family dwelling 0 Multi-family 0 Accessory Building
1.\." \~~~. :,:" . <.)9BJUTE'I~~O'~MA.:1iC?~ ~t{r?L09ATlpN,~,'."~:rfL.!g~~::~~~~f.~J:;r :(:\
IJob no.: 804754 'IJob add...." 1094 ISLAND ST I
1 Clty/Slnlefl'P: SPRINGFIELD, OR 97477-3524 I
I SultelbldgJapt.no.:
I Project name: PENDELTON 1
Cro~s stn=eUdirections to job site:
I Subdivision:
. ITDI map/parcel no.:
11.01 no.'
170))421003 IJ
k" : :;. ',-'. ,. r <. ."DES'C'RiPJION'<;lF WOf3K'o'.
INSTALL HEAT PUMP AND AIR HANDLER
1- ..... .'". . ",:' 'SITE ~ONi"ACt'.'. . ..,.
jNllme: PENDELTON. DAVID & MARCIA
IPhone: (541)747-7007
I Emoil,
1 "
'.~.~ " ;. ~l..'
I ceo lie. no.: 460
I Business Name; COMFORT FLOW HEATING CO
IConlact: KELLY
IAddress: 1951 DON 51
ICily/StatelZlP: SPRINGFIELD, OR 974771993
Phone: S4\7260100 IFax: 5417477274
IF..:
. '.=' .,~'coCON~gJO~:-','~~i~.'.:'-..;
Upon review and approval by your local jurisdiction, your
permit will be a-mailed or faxed within one business day,
with Instructions on how to schedule your Inspection.
NOTE: This Authorization To Begin Work expires wtthln 180
days If a permit is not obtained.
The local building department may determine that an
Authorization To Bogin Work Is null and void if It does not
meet applicable land use I~WS and local ordinances.
Comd(]7J~ ~ O/(P~7
1)/)/(/00 ;J,~
-E:e ~ d;) {J(J0 - /7 b d-
This Authorization To Begin Work must be posted at the job site until replaced by a Permit.
J
225. Fifth \!itreet
Springfield, Oregon 97477
541-726-3759 Phone
.
Job/Journal Number
COM2006-01667
COM2006-01667
COM2006-01667 .
COM2006-0 1667
COM2006-0 1667
COM2006-0 1667
COM2006-0 1667
Payments:
Type of Pnyment
RECEIPT #:
8P~
~
_ of Springfield Official Receipt
_elopment Services Department
Public Works Department
2200600000000001762
Date: 12/28/2006
Description
Heat Pump
. Air Handling Unit Up to 10,000
Minimum/Adjustment Mechanical
-Mechanical Issuance Fee-
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
ONLINE CHGS ONLINE PERMIT CHGS
Paid By
cReceinll
Hem Total:
Check Number Authorization
Received By Batch Number Number How Received
NJM
ONLINE COMFORT In Person
FLOW
Poyment Total:
Page I of I
2:23:5IPM
Amount Due
12.00
8.00
25.00
10.00
2.25
3.60
4.50
$65,35
Amount Paid
$65.35
$65.35
12/28/2006
.
. CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2006-01667
ISSUED: 12/28/2006
APPLIED: 12/28/2006
EXPIRES: 06/28/2007
VALUE: .
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
_SITE ADDRESS: 1094 ISLAND ST
ASSESSOR'S PARCEL NO.: 1703342100313
Springfield TYPE OF WORK: Heoting System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION:
Owner: PENDLETON DAVID M & MARCIA C
Address: 1094 ISLAND ST
SPRINGFIELD OR 97477
Phone Number: 541-747-7007
I CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Contractor
COMFORT FLOW
License
460_
BUILDING INFORMATION.
Expiration Date
06/27/2007
Phone
541-726-0100
# of Units:
Primary Occupancy Group:
Secondory Occuponcy Group:
Primory Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft I st Floor:
Sq FI 2nd Floor:
Sq Ft Basement:
Sq Ft Garoge/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION I
Front yard Setback:
Side 1 Setbock:
Side 2 Set hack:
Rearyard Sethack:
Solar Setboeks:
Overlay Dist:
# Street Trees Rqd:'
Paved Drive Rqd:
% of Lot Coveroge:
REQUIRED PARKING
Total:
Handicopped:
Compoct:
'_ _ I PUBLIC IMPROVEMENTS I
All t:.(\J! 1\J1~._. _~JI..,.I ;.;.;.,~ '~I.1""'1 .
Streetl"1PJ.PJ~!,!~g:; adopted by the Oregon Utility NOli C E: Sidewalk Type: WORK
'l~""r.,,".-r r.-"nte'r Those rules are set forti THIS PER"IT ~HAI \ >=XP.IRE IFTHE
Storm Sewer-....vallalile:' . 'Downspouts/Drams: S NOT
Specioliln$tAfc'till'ii~-001-001~thro~gh OAR 952-001 AUTHORIZED UNDER THI5 PERMIT I
. 0090. you may obtain copies of the rules ~l COMMENCED OR IS ABANDONED FOR
Notes: calling the center. (Note: the telephone 0 DAY PERIOD
number for the OreQon Utility Notification ANY 18 . .
Center is 1'800-332-2341~;' I
. Valuation Descriotion
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Dote Calculoted
Pa2e I of 2
.
. CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2006-01667
ISSUED: 12/28/2006
APPLIED: 12/28/2006
EXPIRES: 06/28/2007
VALUE:
. Status:
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
.541-726-3676 Fax
541-726-3769 Inspection Line
Totol Value ofl'roject
Fees Paid I
Fee Description
-Mechanicallssuonce Fee-
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Air Handling Unit Up to 10,000
Heot Pump
Minimum/Adjustment Mechanical
Amount Paid
Date Paid
Receipt Numher
$10.00
$4.50
$2.25
$3,60
$8.00
$12.00
$25.00
12/28/06
12/28/06
12/28/06
12128/06
12128/06
12/28/06
12/28/06
2200600000000001762
2200600000000001762
2200600000000001762
2200600000000001762
2200600000000001762
2200600000000001762
2200600000000001762
Totol Amount Paid
$65.35
I Plan Reviews I
To Request an inspection call the 24 hour recording at 726-3769. All inspection 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.
Rl'ouired Insol'ctinn~ I
Rough Mechanical: Prior to Cover
Finol Mechonical: When all mechanical work is complete,
By signatllre, I state ond agree, thotl have carefully exomined the completed opplication and do hereby certify that all
information hereon is true and correct, and I further certify that any ond oil work performed sholl he done in occordonce with
the Ordinonces of the City of Springfield and the Laws of the State of Oregon'pertoining to the work described herein, and that
NO OCCUPANCY will be mode orony structure without permission of the Community Sen'ices Division, Building Safety. I
further certify that only controctors and employees who ore in compliance with ORS 701.005 will be used on this project.
I further agree to ensure that oil required inspections are requested at the proper time, that each address is readable from the
street, thotlhe permit card is located at the front of the property, and the approvcd set of plans will remoin on the site ot all
times during construction.
Owner or Controctors Signature
Date
Paee 2 of 2