HomeMy WebLinkAboutPermit Mechanical 2008-7-8 (2)
Status
Issued
225 FIfth Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
SITE ADDRESS 484 SCOTTS GLEN DR
ASSESSOR'S PARCEL NO 1703271305000
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO' COM2008-01007
ISSUED. 07/08/2008
APPLIED. 07/08/2008
EXPIRES' 01108/2009
VALUE:
s
SprIngfield TYPE OF WORK Heatmg System
PROJECT DESCRIPTION Install A/H & HIP
Owuer GRISWOLD CHARLES W
Address 484 SCOTTS GLEN DR
SPRINGFIELD OR 97477
TYPE OF USE New
ResIdential
I CONTRACTOR INFORMATION.
Contractor Type
ElectrIcal
MechaDlcdl
Contractor
GMD ELECTRIC INC
ASSOCIATED HEATING & AIR CONDITIO
LIcense
162191
106275
EXpiratIOn Date
11119/2008
08/31/2008
Phone
541-726-8601
541-683-2590
l BUILDING INFORMATION I
# of UDltS
PrImary Occupancy Group
Secondary Occupancy Group
PrImary ConstructIOn Type
Secondary ConstructIOn Type
# of Bedrooms
# of StorIes
HeIght of Structure
Type 01 Heat
Water Type
Range Type
Euergy Path
SprInkled BUlldmg
nla
Lot SIze
Sq Ft I st Floor
Sq Ft 2nd Floor
Sq Ft Basemeut
Sq Ft GaragelCarport
Sq Ft Other
Occupaut Load
I DEVELOPMENT INFORMATION I
Total
Haudlcapped
ATTENTION Oregon ~o.II)P~S~ es you to
follow rules adopted by Ihe Oregon Utility
Notification Center Those I ules are set forth
._r..^...,^,............'"'~ ,","""'.L' . ,..,.A.....,,~,;; ~A.
... ~ .-----. "-- - -~v ~ ~....-_....v,
I PUBLIC IMPROVEMENTS~90 You may obtain copies of the rules by
. . callir.\g,the 11~J;l.ter (Note the telephone
numf.j'el'~~l?me' rn~gon Utility Notlllcatlon
D~\iUIffi;i1>fQills332-2344 ).
Front yard Setback
SIde I Setback
SIde 2 Setback
Rearyard Setback
Solar Setbdcks
Overlay DlSt
# Street Trees Rqd
P dved DrIve Rqd
% 01 Lot Coverage
Street ImprovemepJOnCE:
Storm Sewer Availal1\5 PER
speCIallnstructIOAUTHORfZ~~ J~~LL EXPIRE IF THE WORK
Notes COMMENCED OR I~~~~~;ERMIT IS NOT
ANY 180 DAY PERIOD ONED FOR
Page I of3
REQUIRED PARKING
Status
Issued
225 FIfth Street, SprIngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
I Valuation Descnohon I
DeSCrIDtlOn
$ Per Sq Ft
or multIplIer
Square Footage
or BId Amount
Tvoe of ConstructlOu
Total Value of Project
Fpp.~,~
Fee DeSCrIDtlOn
-MechaUlcallssuance Fee-
+ 10% AdmlUlstratIve Fee
+ 12% State Surcharge
+ 5% Techuology Fee
AIr HandlIng UDlt Up to 10,000
Heat Pump
MIUlmum/AdJustment MechaDlcal
+ 10% AdmmlstratIve Fee
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Exteud CIrc
Add, Alter, Extend CIrc Ea Add
Amount PaId
Date PaId
$20 00
$500
$600
$250
$900
$1400
$27 00
$520
$624
$260
$48 00
$400
7/8/08
7/8108
7/8108
7/8/08
7/8108
7/8/08
7/8108
7/9108
7/9108
7/9108
7/9/08
7/9/08
Total Amount PaId
$149 54
I Plan Reviews I
CITY OF SPRINlJNJ<.,LD.
Building/Combination Permit
PERMIT NO: COM2008-0I007
ISSUED 07/08/2008
APPLIED. 07/08/2008
EXPIRES: 01/0812009
VALUE:
Value
Date Calculated
Receipt Number
3200800000000000469
3200800000000000469
3200800000000000469
3200800000000000469
3200800000000000469
3200800000000000469
3200800000000000469
2200800000000001048
2200800000000001048
2200800000000001048
2200800000000001048
2200800000000001048
To Request an mspectton call the 24 hour recordmg at 726-3769. All mspecttons requested before 7.00
a m wIll be made the same workmg day, mspections requested after 7 00 a.m wIll be made the followmg
work day
I R"ollir"rll'W~l'h'1n'J
Rough MechaDlcal PrIor to Cover
Fmal MechaUlcal When all mechaDlcal work IS complete
Rough ElectrIc PrIor to Cover
Fmal ElectrIc When all electrIcal work IS complete
Pae:e 2 of3
-~
Status
Issued
CITY OF ~rKH'HJ1<lELD '
Building/Combination Permit
PERMIT NO: COM2008-0I007
ISSUED 07/08/2008
APPLIED. 07/08/2008
EXPIRES 01/08/2009
VALUE:
225 FIfth Street, SprIngfield, 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 apphcatIon and do hereby certIfy that all
mformdtlOn hereou IS true and correct, dnd I further cerhfy that auy dnd all work performed shall be done m accordauce WIth
the Ordmances of the CIty 01 Sprmgfield and the Laws 01 the State of Oregon pertammg to the work descrIbed herem, and
that NO OCCUPANCY wIll be made of any structure WIthout permIssion of the Commumty ServIces DIVISIOn, Butldmg Safety
I further cerhfy that ouly contractors aud employees who dre m comphauce WIth ORS 701 005 wtll be used on thIS project
Ilurther agree to ensure that dll reqUIred mspectlOns are requested at the proper tIme, that each address IS readdble from the
street, that the permIt card IS locdted at the front of the property, dnd the approved set of plans WIll remam ou the sIte at all
times durmg constructIOn
Owner or Contractors Signature
Date
Page 3 of 3
225 FIfth Street
Sprmgfield, Oregon 97477
541-726-3759 Phone
~~
CIty of Sprmgfield OfficIal ReceIpt
Development ServIces Department
PublIc Works Department
Job/Journal Number
COM2008-0 I 007
COM2008-0 I 007
COM2008-0 I 007
COM2008-0 I 007
COM2008-0 I 007
Payments
Type of Payment
ONLINE CHGS
cRecemtl
RECEIPT #:
2200800000000001048
Date: 07/09/2008
DescriptIOn
Add, Alter, Extend CIrC
Add, Alter, Extend CIrC Ea Add
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% AdmInistrative Fee
Item Total
l.:heck Number Authorization
Received By Batch Number Number How Received
Paid By
ONLINE PERMIT CHGS
NJM
ONLINE
GMD OnlIne
ELECT
Payment Total
Page I of I
90646AM
Amount Due
4800
400
260
624
520
$66 04
Amount Paid
$66 04
$66 04
7/9/2008
CIty of SprmgfieJd
ElectrIcal AuthorIzatIOn To Begm Work
E-ma,led To gmdelectflc@comcast net
ReceIpt # EC533539
7/8120083 15 45 PM
Check on status of perm.l
By Phone (541)726-3753 or Emall perm.tcenter@clsprmgfieldor"s
~~fATEGORY qFJ:ONSTRUCTI()N~
IlliJ I or 2 family dwellmg 0 Multl.famlly 0 CommerCial I Industnal
[ JOB SITE INFORMATION"A~6 LOCATION ~~
/Job no /Jobaddren 484 SeOl TS GLEN DR
I City/Slate/LIP SPRINGFIELD OR 97477 5907
I SUlte/bldg lapt no
ProJelt n.lmc
TYPE OF WORK
10 New constructIOn
[K] AddltlOn/alteratlOnlreplacemtnt
~::--.
-~
II
II Descnphon
I Reslde-nlud
,i~ic~;d garage
II 000 sq ft or less
I Ea add! 500 sq ft or portion
I Limited
I-Limited energy resldenlia]
(with above sa ft)
I Limned energy multifamIly
resldenlial (with above so ft)
I - Lm1ltcd energy commerCia]
(wIth above sa ft)
I Stand alone limIted energy,
residential
I Stand-alone limited energy
multl family
I - Stand-alone limited energy
commerCldl
I scrvlces~<2~:!~~~s~nstlllliltl~I~~~~ND19~~locatlon
1200 amps or less
20] amps to 400 amps
I 40] amps to 599 amps I
I TEMPORARY !!oervl(~c~'OR feeders installatIOn, alteration,
ANDIQR reloc.UlOo ~ 7' ~~~ '
I 200 amps or 1m [ I I
I 20] amps to 400 amps I I
[40 I ampsto 599 amps [ [
I Branch clrculh -:::I~t'W,-.d!!~~@n~Q~ extcDMon, per pdnel
I A [1,,( for branch CircUIts wIth I I
servIce or feeder fee, each
branch CIrculI
I B Fl"e for branch CIrcuits
v.Jthoutservlce or feeder fee,
first branch urcUlt
I each add] branch CIrCUIt
I ~llscellan('()us
I ServIce reconnect only
I Ealh manufactul ed or modular
dwclhng set\ Ice andior feeder
I Pump or IrrigatIon cIrcle
I SIgn oroutlme llghtmg
I SIgna] ClrcUlt(S) or ltmlted
energy pane], alteratIon or
extenSIOn
FEE~SCHEDULE'
Cross street/dlrecllons to Job site Travel east toward Spnngfield on 1-105 tahe
~pnngfie]d City Center EXIt, turn left onto Q St turn slight nght onto Laura St turn left onto
Scotts Glen Dnve
I SubdIVISIon
I fax map/parcel no
l'
ILot no
170327]305000
1JESCRlp,TIOr:tOF WORI(it'"";'
ElectrIC furnace -"wap out add heat pump to manufactured home Install new GFCI
receptacle
SITE CONTACf ~~
I Name Charles & AmLl Gnswo]d
IPhone (541) 744-7801
I Emall
I
[Fax
CONTRACTOR
)Elhcno 20537C ICCBhcno 162191
I Busmess Name GMD ELECTRIC INC
I Conlact Mlkl" GOWinS / Sue Gowms
IAddress 957 NORTH RIDGE AVE
I City/Sld.le/ZIP SPRINGFIELD OR 97477
IPhone (541)7417369 IFdx (541)9881800
I Emd.11 gmdeb.tnc@comcastnet
I Mt.tro III no I City he no
I Supervlsmg electrlCl.lII'S he no 4874S
I ~upervlllmg electriCian's ndme MICHAEL h GOWINS
Upon review and approval by your local JUriSdiction, your
permIt wtll 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 permit IS not obtamed
The local bUlldmg department may determine that an
Authorization To Begm Work IS null and void if it does not
meet applicable land use laws and local ordinances
,,~ "'<
$4800
$48001
$4 Dol
I
[
I
[
I
I
$4 00
Inot offered onlme at th" J.nsd"twn
! S.blotal I $5200 I
I State Surcharge (12% of permit fee) $624 (
1 CJty Of Spnngfield fees *1 $7 80 I
I TOTAL PERMIT FFE I $6604
.. r1,Q{.Q.f ~nr1n,.,.fi, II fpr''' I ()% Local Admm Fee 5% Local fechno]ogy
COM:~'- O~CID/
RCPT#- ~~ csO S-- - /0'7 s=--
DATEPROCESSEo:7: -9--G'('
, n>'OCr'lSED~~( AY' .
ThiS Authorization To Begin Work must be posted'anlle JQb "ltt: u1.la\"I-'IOl..C'; ;"y' ] Permit