HomeMy WebLinkAboutPermit Mechanical 2008-6-26 (2)
'-"".'._~ ~I
J~ 11 '
a:. '
\~l... ,.....i
y-l\ \ ,- rv
"~p6~
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO' COM2008-00928
ISSUED 06/26/2008
APPLIED' 106/26/2008
EXPIRES. 112/27/2008
VALUE.
Status
Issued
225 F,fth Street. Sprmgfield, OR
541- 726-3 753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
SITE ADDRESS 555 S 67TH PL
ASSESSOR'S PARCEL NO 1802031106901
Spnngfield TYPE OF WORK Heatmg System
TYPE OF USE New
ReSIdentIal
PROJECT DESCRIPTION Electnc furnacelheat pump replacement
OWller BOYD BRYON G & REBECCA A
Address 555 S 67TH PL
SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION I
Contractor Type
Electncal
Mechdlllcal
Contractor
DISTINCT ELECTRIC
TIMOTHY DALE FRESHOUR
LIcense
161089
127032
ExpIratIOn Date
08/13/2010
01115/2010
Phone
503-910-9216
503-932-8304
BUILDING INFORMATION I
# of UllltS
Pnmdry Occupancy Group
Secondary Occupancy Group
Pnmary ConstructIOn Type
Secondary ConstructIOn Type
# of Bedrooms
# of Stones
HeIght of Structure
Type of Heat
Water Type
Rdnge Type
Energy Path
Spnnkled Buddmg
Lot S,ze
Sq Ft 1st Floor
Sq Ft 2nd Floor
Sq Ft Basement
Sq Ft Gal age/Cdrport
Sq Ft Other
Occupant Load
ilia
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Frontyard Setback
S,de I Setbdck
S,de 2 Setbdck
Rearyard Setback
Soldr Setbdcks
Overlay Dlst
# Street Trees Rqd
Paved Dnve Rqd
% of Lot Coverage
Total
Hdndlcapped
Compact
I PUBLIC IMPROVEMENTS I
I
I
I
S,dewalk Type
Downspoutsffirams
Street Improvements
Storm Sewer AvaIlable
Special InstructIOn
NOTICE: E IF THE WORK
THIS PERMIT S~~~~ ~~~ PERMIT IS NOT
~~1H~~~~~D UOH IS ABANDONED FOR
ANY 180 DAY PERIOD
ATTENTION Oregon law reqUIres
follow Jules adopted by the 0 you to
Notification Center Those rUle;~~~~eY~~~h
maAR 952-001-0010 through OAR 952-001-
0090 You may obtam caples of the rules b
callmg the center. (Note the telephone Y
number for the Oregon Uhlity Notlftcatlon
Center IS 1-800-332-2344).
Notes
Paee I of 3
-iii:~
Status
Issued
225 F,lth Street. Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
I Valuation DescrmtJon I
DescriptIOn
$ Per Sq Ft
or multiplier
Square Footage
or B,d Amount
Tvpe of COllstructIOn
Total Value of Project
Fppli', pqlaJ
Fee DescrIptIOn
-Mechalllcal Issuance Fee-
+ 10% Admmlstratlve Fee
+ 12% State Surchdrge
+ 5% Technology Fee
Furndce - Ulllt Heater
Heat Pump
MllllmumlAdJustment Mechalllcal
+ 10% Admmlstratlve Fee
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Exteud CIfC
Add, Alter, Extend CIfC Ea Add
Amount PaId
Date PaId
$20 00
$500
$600
$250
$1400
$1400
$22 00
$520
$624
$260
$48 00
$400
6/26/08
6/26108
6/26/08
6/26/08
6/26/08
6/26/08
6/26/08
6/27/08
6/27/08
6/27/08
6/27/08
6/27108
Totdl Amount PaId
$14954
I Plan RevIews I
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO' COM2008-00928
ISSUED. 06/26/2008
APPLIED. 06/26/2008
EXPIRES: 12/27/2008
VALUE
Value
Date Calculated
ReceIpt Number
3200800000000000429
3200800000000000429
3200800000000000429
3200800000000000429
3200800000000000429
3200800000000000429
3200800000000000429
3200800000000000432
3200800000000000432
3200800000000000432
3200800000000000432
3200800000000000432
To Request an mspectlOn call the 24 hour recordmg at 726-3769 AllmspectlOns requested before 7.00
a.m. will be made the same workmg day, mspectlOns requested after 7.00 a m will be made the followmg
work day.
I Rp(lIl1rprlln~np...tlon"i I
Rough Mechalllcal PrIor to Cover
Fmal Mechalllcal When all mechalllcal work IS complete
Rough ElectriC Prior to Cover
Fmal ElectrIC When all electrIcal work IS complete
Paee 2 of 3
_-Wlt~~RINGlJllEl.O
I
.'
~ ~ - - ~
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO- COM2008-00928
ISSUED: 06/26/2008
APPLIED: I 06/26/2008
EXPIRES: 112/27/2008
VALUE
Status
Issued
225 F,fth Street, Sprmgfield, 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 applicatIOn and do hereby certIfy that all
mformatIOII hereon IS true dnd correct, and I furtber certify that any and all work performed shall be done 10 accordance wIth
the Ordmances of the CIty of Sprmgfield and the Laws of the Stdte of Oregon pertammg to the work descrIbed herem, and
that NO OCCUPANCY wIll be made of any structure wIthout permIssIOn of the Commulllty ServIces DIVIsIOn, BUlldmg Safety
I further certIfy thdt only COli tractors and employees who are 10 compliance wIth ORS 701 005 will be used on thIS proJect
I further agree to ensure that all requlfed mspectIOns 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 tbe approved set of plans WIll remam on the sIte at all
times dUring construction
Owner or Contractors SIgnature
Date
Paee 3 of 3
City of Springfield
Electrical AuthorizatIOn To Begm Work
E-maIled fo maxamus88@msn com
Receipt # RC532946
6/26/2008 9 00 12 PM
~
By Phone
Chech: on status of permit
(541)726-3753 or Emall permltcenter@clsprmgfieldorus
TYPE OF WORK
10 Nc\\constructlon
I
[i] Addition/alteratIOn/replacement
CATEGORY OF CONSTRUCTION
j W 1 or 2 family dwellmg
I
o Multi lamlly
o CommercIal I Industrial
$48001
$4 001
I
I
I
I
I
I
ELECTRICAL PERMIT FEES I
$ubtolllJ I $5200 I
State Surcharge (12% of penn!! fee) I $624 I
I City OfS~rmgfield fees *1 $780 I
"...... ,/7 IUI/\lI'I'tf,l\lITHt $66041
J (5lJ () ~;;'llJV'g~ 10% i oeai Admi. Fee 5% Local Technology ree
COM d' 'I."]C::J"I ,
RCPT# 3d, rrn ~ - L..j,3 2-
DATE PROCESSED- _ 41ort/o (f'
PROC~"=o rdtJ/nt'J I) ~
This Authorization To Begin Work m '''~ ~" fJV~L"~/,(lI"=' JOu Ge unlll replacec by a Permit
JOB SITE INFORMATION AND LOCATION
I Job no I Job addrus 555 S 67TII PL
I C'Iy/Sta',fIIP SPRINGFIELD OR 97478 7383
I SUlte!bldg Inpl no
I Project nllme
Cross street/direct 10m to Job 'tIle
ISubdl\l~lOn
ITa); m lp/pJrul no
I
ILol no
1802031106901
DESCRIPTION OF WORK
40 amp heal pump and gfel
SITE CONTACT
] Nllme
!Phone
IFmnl
bo}d bcd,,,
IF",
CONTRACTOR
ICCD he no
I FI he no 24-523C
I Busme~~ ;\'llme DlS flNcr cLL(./ R/C INC
I Contact DUSTIN
IAddre~~ 4742 L1BLRl Y RD S #2]9
ICltv/Stale/IIP ~ALCM OR 97302
IPhon, (503)9109216
'lm HI m,l:\amus88@msncom
I Metro he no
IsupeITI~,"g electrlCI1n'., hc no 1829S
~uper\mng t.ltctrlcllln'~ name ARI HURA GRAY
161089
I h, (503)7636880
I City he no
Upon review and approval by your local jUrisdiction, your
permit Will be e-matled or faxod within one bUSiness day,
with instructions on how to schedule your inspection
NOTE ThiS Authorrzatlon To Begm Work expires within 180
days If a pennlt IS not obtained
The local bUilding department may detennine that an
Authorization To Begin Work Is null and vOid If It does not
meet applicable land use laws and local ordinances
I FEE SCHEDULE
DesCriptIOn Qt) 1<.1 10tal
Residential ~1['\jGU.~ OR multi-ramI!) dv.clhng unit Includes
attached gdrage
] 000 sq n or less
fa addJ 500 sq n or portIon
Lumted I<.nergy
- LImIted energy, re~ldentJaJ
(WIth above sa ft)
LimIted energy multifamIly
re~ldentlal (WIth above SQ ft)
- LImited t.nt-rgy commercia-I
(WIth above ~o ft)
- Stand alone limited energy
reSIdentIal
Stand alone limIted t-nergy
multI-family
Stand alone limIted energy
commercIal
Se",lce~ OR feeders m~talldtJon, alteration, AND/OR relocllhon
200 amps or less
20 I amps to 400 amps
40] amps to 599 amps
I fE\1PORARY servlce~ OR reeden.II1~U1l1ahon, alteration,
A.:\D/OR relocation
1200 amps or less I
120 I amps to 400 amps I
]40 I amps to 599 amps
I Branch CircUits -l\l-W, dlterahon, OR extenSIOn, per panel
I A ree lor branch LlH..UIIS 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
l rt'hscellnneous
I ServIce reconnect only
I Lach manufactured or modular
dwelhne. service and/or feeder
I Pump or IrrigatIOn CIrcle
SIgn or outlme IIghtmg
SIgnal clrcult(s) or !tmlted
energy panel alteratIon or
Lx1t.nslOn
$48001
$4 001
not offered onlme at thiS JUrisdIctIOn
225 Fifth Street
Sprmgfield, Orcgon 97477
541-726-3759 Phone
:~Q!,~ ~
..:_ c _
Job/Journal Number
COM2008-00928
COM2008-00928
COM2008-00928
COM2008-00928
COM2008-00928
Payments
Type of Pa) ment
ONLINE CHGS
cRecemtl
Item Total
<"::heck Number AuthorizatIOn
Received By Batch Number Number How Received
RECEIPT #.
3200800000000000432
DeSCriptIOn
Add, Alter, Extend C1rc
Add, Alter, Extend CIrC Ea Add
+ 5% Technology fee
+ 12% State Surcharge
+ 10% Administrative Fee
PaId By
ONLINE PERMIT CHGS
NJM
Page I of I
I
CIty of Sprmgfield OfficIal Receipt
Dcvelopment ServIces Departmcnt
PublIc Works Department
Date: 06/27/2008
8 03 50AM
Amount Due
4800
400
260
624
520
$66 04
Amount Paid
ONLINE DISTINCT Online
ELECT
Payment Total
$66 04
$66 04
6/27/2008