HomeMy WebLinkAboutPermit Mechanical 2008-6-17 (2)
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.,
Status
Issued
225 FIfth Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspecllon Lme
SITE ADDRESS 532 D ST
ASSESSOR'S PARCEL NO 1703352407500
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO' COM2008-00880
ISSUED: 06/1712008
APPLIED 06/17/2008
EXPIRES: 12/18/2008
VALUE.
Sprmgfield TYPE OF WORK MechaUlcal Only
TYPE OF VSE
PROJECT DESCRIPTION Install gas furnace and tankless w.ter heater
Owner WELLS CAROLYN V
Address 532 D ST
SPRINGFIELD OR 97477
AUerallon
ResIdentIal
Phone Number 541-554-5750
I CONTRACTOR INFORM A nON 1
Contractor Type
Electncal
MechaUlcal
Contractor
BUILDERS ELECTRIC INC
ASSOCIATED HEATING & AIR CONDITIO
LIcense
4296
106275
ExpiratIOn Date
12/10/2011
08/3112008
Phone
541-485-0922
54 I -683-2590
BUILDING INFORMATION I
# of VUlts
Pnmary Occupancy Group
Second.ry Occupancy Group
Pnm.ry ConstructIOn Type
Secondary ConstructIOn Type
# of Bedrooms
# of Stones
HeIght of Structure
Type of Heat
Water Type
Range Type
Energy Path
Spnnkled BUlldmg
nla
Lot SIze
Sq Ftl st Floor
Sq Ft 2nd Floor
Sq Ft Basement
Sq Ft GaragelCarport
Sq Ft Other
Occupant Load
1 DE" LLvr MENT INFORMA nON 1
1 PUBLIC IMPROVEMENTS 1_ '., vi "ljon law requires you to
. . , ~ 'looted by the Oregon Utility
I , - : Slaew1i\W~pe!es are set forth
-L, ,-COlO throuah QAR 952
OL~. , I rIi&l,I!<!.W;!\SJle/lt.<Ifli-8Ins -001-
c' ,r f;res- me rules by
c, ~. ~ loe center (Note the tele hone
nUmLlerc!Or the Drenan Utility Notlhcatlon
enter IS 1-800-332-2344).
Front yard Setback
S,de I Setback
SIde 2 Setback
Rearyard Setback
Solar Setbacks
Overlay D.st
# Street Trees Rqd
Paved Dnve Rqd
% of Lot Coverage
~---
Street Improvements
Storm Sewer Available
SpecIal InstructIOn
Notes
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
\UTHORIZED UNDER THIS PERMIT IS NOT
.' 'I~W'En OR IS ABANDONED FOR
_ _, "r~lrl~
Palre I of 3
"-.;.,
REQUIRED PARKING
Total
Handicapped
Compact
Status
Iss u ed
225 FIfth Street, Spnngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn LlUe
DescrIptIOn
Tvpe of Construcllon
Fee DescriptIOn
-Mechamcallssuance Fee--
+ 10% AdmlUlStrallve Fee
+ 12% State Surcharge
+ 5% Technology Fee
Apphance Not LIsted
Furnace - up to 100,000 btu
Gas Outlets 1-4
MIUlmum/Adjustment MechanICal
+ 10% Admmlstrallve Fee
+ 12% State Surcharge
+ 5% Technology Fee
Add, Aller, Extend Clrc
Add, Alter, Extend Clrc Ea Add
Total Amount Paid
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO. COM2008-00880
ISSUED: 06/17/2008
APPLIED: 06/17/2008
EXPIRES: 12/18/2008
VALUE'
I ValuatIOn Descriotion I
$ Per Sq Ft
or multJpher
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
F"", ~
Amount PaId
Date PaId
ReceIpt Number
$20 00
$500
$600
$250
$1000
$1400
$500
$21 00
$520
$624
$260
$48 00
$400
6/17/08
6/17/08
6/17/08
6/17/08
6/17/08
6/17/08
6/17/08
6/17/08
6/18/08
6/18/08
6/18/08
6/18/08
6/18/08
1200800000000000664
1200800000000000664
1200800000000000664
1200800000000000664
1200800000000000664
1200800000000000664
1200800000000000664
1200800000000000664
1200800000000000670
1200800000000000670
1200800000000000670
1200800000000000670
1200800000000000670
$14954
Plan RevIews I
To Request an mspectlOn call the 24 hour recordmg 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 followmg
work day.
Urnrlirp:~ Tn~,nections I
Rough Gas After hne IS IUstalled and reqUIred testlUg and capped If not attached to an apphance
Rough Mech.U1cal Pnor to Cover
FlUal MechanICal When all mechanICal work IS complete
Rough Electnc Pnor to Cover
FIU.I Electnc When all electncal work IS complete
Page 2 of 3
CITY OF 5lrKll'lul'lJ!.LD
Building/Combination Permit
Status
Issued
PERMIT NO' COM2008-00880
ISSUED: 06/1712008
APPLIED' 06/1712008
EXPIRES 12/18/2008
VALUE
225 Fifth Street, Spnngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
By sIgnature, I state and agree, that I have carefully exammed the completed apphcatlOn and do hereby certify that all
mformatlOn hereon IS true and correct, and I further certIfy that any and all work performed shall be done m accordance wIth
the Ordmances of the CIty of Spnngfield and the Laws of the State of Oregon pertammg to the work descnbed herem, and
that NO OCCUPANCY will he made of any structure wIthout permISSIon of the CommuUlty ServIces DIVISIOn, Buildmg Safety
I further certify that only contractors and employees who are m comphance with ORS 701 005 will be used on thIs project
I further agree to ensure that all reqUIred mspectlOns 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 remam on the site at all
times dUring constructIon
Owner or Contractors Signature
Date
Page 3 or 3
City of Sprmgfield
Electrical AuthorizatIOn To Begm Work
E-malled To Johnr@bUllderselectflc com
ReceIpt # EC532411
6/18/20082 4936 PM
ia
By Phone
Check on status of permit
(541)726-3753 or Emad permltcenter@clsprmgfieldorus
o New constru<..tlOn
TYPE OF WORK ~~ 4{~4!n:7{~
_ ~~~ '" "mXi "'~-'IIF""
[K] AddltlonJalteratlonlreplacement
_CATE!:,l"ORY-OF" CONSTFj.!!~)10N
IlliJ I or 2 fdmlly dwellmg
I
IJobRO 08 ]746 S IJobaddre........ 532 DST
I C1ty/StaterlIP SPRINGFIELD OR 97477-4638
I SllItefbldg lapt no
I Project name Carol) n Wells
o Commercial I Industnal
D MultI-famIly
Cro..s streeUdlrcchon.... to Job site
I SubdivIsIOn
iTax map/parct'1 no 1703352407500
ILot no
-Install new 120v Clrcmt for furnace-Install new 120v ClTCUlt fOf RlcnI H20 lank
~:SITECONTACf-~l:t +x'. ~,"A?:>t ; k
~ ""_ ~ _ ~Jli!iiiSY'^ ~ , ,
INdme
IPhone
IFma11
I
Mel Mannmg
I Fax
CONTRACTOB~~
IceD he no
4296
lEI he no 2012C
I BUSIDC!lll N..me BUILDERS ELECTRIC INC
I Lon tact Kelly O'Snen
IAddress 195 MADISON ST
I City/State/ZIP EUGENE OR 97402
I Phone (54] )4850922
Il.mall Johnr@bul1derselectnc com
I Metro hc no
I Supervlsmg electrtclan's hc no 5275S
I Supervlsmg electrtcldn's name RUSSELL R ROBBINS
I Fax (541 }4854055
loty he 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 pemllt Is not obtained
The local bUilding department may determme that an
AuthorizatIon To Begm Work Is null and vOid If It does not
meet applicable land use laws and local ordinances
11000 sq ft or less
I Ea addl 500 sq ft or portIon
11LIDuted
I-LImited energy, resIdential
(with above so ft)
I LImited energy multIfamIly
reSIdentIal (with above so n)
I-Limited energy commercla-l
(wIth above so ft)
I - Stdnd alone hmlted energy
resIdentIal
] - Stand alone hmlted energy
multi famIly
I-Stand alone hmlted energy
commerCial
1",,~QJffCt'de~~~iliiilonla'fierat~?~:~D~~~Jp~c.!tlOn -,-
1200 amps or less
1201 amps to 400 amps
1401 amps to 599 amps
I~TEMPOR;\RJ~~l>!i!~2e~ Installation,
<\ND/O~.r!ll?E.a.~~~:5~~r~
1200 amps or less - 1
L20 I amps to 400 amps I
1401 amps to 599 amps
!;P!:~~I~it!: NEWf3It~~tlon, OR exte_nslO~, per panel
I A he for brdnch Clrclllts With I
servIce or feeder fee each
branch CirCUit
I B Fee for branch CIrCUIts
WIthout service or feeder fee
first branch cIrcuIt
I each addl branch CIrCUIt
U\:Ii~!!!~~o""u~
I Service reconnect only
I Each manufactured or modular
dwellmg, service and/or feeder
I Pump or lITIgatIOn Circle
I SIgn or outlme ltghtmg
I SIgnal clrcUlt(s) or hmlted-
energy pane! alteratIOn or
extensIOn
-I
I
$48001
$4001
1
I
I
I
I
I
I
Subtotal $5200 I
State Surcharge (12% ofpermlt fee) $624 1
CIty OfSpnngfield fees'" $780 I
TOTALPERMITJ<n, $66041
10% J .01:31 An-nln ~% Local Technology Fee
$4800
$400
not offered onlme at thIs JunsdlctlOn
ELECTRICAL PERMIT
I
I
I
I
'" On Of ~pnn'!field
COM ~ rnt.r - rYJ ~xO
RCPT# \ ],tmK~~lO
/ ;yhX
ThiS AuthOrization To Begin Work must
;"fla Permit
225 Fifth Street
Sprmgfield, Oregon 97477
541-726-3759 Phone
~~
CIty of Sprmgfield OfficIal ReceIpt
Development ServIces Department
PublIc Works Department
Job/Journal Number
COM2008-00880
COM2008-00880
COM2008-00880
COM2008-00880
COM2008-00880
Payments
Type of Payment
ONLINE CHGS
cRecelOtl
RECEIPT #:
1200800000000000670
Date' 06/18/2008
DescnptlOn
Add, Alter, Extend CIfC
Add, Alter, Extend CIfC Ea Add
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Administrative Fee
PaId By
ONLINE PERMIT CHGS
Item Total
t.:heck Number AuthOrIzatIOn
Received By Batch Number Number How Received
nJm
ONLINE
builders OnlIne
Payment Total
Page 1 or 1
31500PM
Amount Due
4800
400
260
624
520
$66 04
Amount Paid
$66 04
$66 04
6/I 8/2008