HomeMy WebLinkAboutPermit Mechanical 2008-7-7 (2)
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00993
ISSUED. 07/07/2008
APPLIED: 07/07/2008
EXPIRES. 01/10/2009
VALUE
Status
Issued
225 FIfth Street, Springfield, OR
541-726-3753 Phoue
541-726-3676 Fax
541-726-3769 InspectIOn Lme
SITE ADDRESS 1934 I ST
ASSESSOR'S PARCEL NO 1703361202200
Sprlugfield TYPE OF WORK Mechamcal Only
TYPE OF USE, New
PROJECT DESCRIPTION InstallatIOn of gas fireplace and gas taukless water heater
ResIdential
Owuer BARRETT LYMAN M & JULIE
Address 19341 ST
SPRINGFIELD OR 97477
Phoue Number 541-505-7454
I CONTRACTOR INFO~MATION I
Contractor Type
Electrical
Mechdmcal
Contractor
RITE ELECTRIC
MARSHALLS INC
LIcense
178518
25790
BUILDING INFORMATION I
ExpIratIOn Date
09/24/2009
12/2312009
Phone
541-895-4466
541-747-7445
# of Umts
Primary Occupancy Group
Secoudary Occupaucy Group
Primary ConstructlOu Type
Secondary ConstructIOn Type'
# of Bedrooms
# of Stories
HeIght of Structure
Type of Heat
Water Type
Range Type
Energy Path'
Sprlukled Bmldmg
Lot Size
Sq Ft 1st Floor
Sq Ft 2nd Floor
Sq Ft Basement
Sq Ft Garage/Carport
Sq Ft Other'
Occupant LOdd
nla
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Notes
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED U~JDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD
Overlay Dlst
# StI eet Trees Rqd
Paved Drive Rqd
% of Lot Coverage,
/,:TTFNTION OrPMn ,.'-
I PUBLIC IMPROVEMEN;rS I ado/Jled by Ih~-Ou""s you to
enter Thos reg on Utility
06~O" ~~,)2-001-0IS1(\~~Mt ~fp~.sre set forth
IOU may obi " gh OAR 952 0
calling the centeP\\~S'pOiltslJ)l""NCI'~s ~1.
nUmber for the Oregon ole the telephone Y
Center IS I-BOO 3U3t2,1,ty Noliftcatlon
- -2344).
Total
Haudlcapped
Compact
Front yard Setback
Side 1 Setbdck
Side 2 Setback
Rearyard Setback
Solar Setbdcks
Street Improvements
Storm Sewer AVdIlable
SpecIal InstructIOn
Page I of 3
Status
Iss u ed
225 Fifth Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769IuspectlOn Lme
DescrIotlOn
TVDe of ConstructlOu
Fee DescrlDtlOn
-Mechamcallssuance Fee-
+ 10% Admmlstratlve Fee
+ 12% State Surcharge
+ 5% Technology Fee
FIreplace (LIsted)
Gas Outlets 1-4
Mlmmum/Adju;tment Mechamcal
Mlmmum/Adjustmeut Mechamcal
+ 10% Admmlstratlve Fee
+ 12% State Surcha, ge
+ 5% Technology Fee
Add, Alter, Extend Clrc
Add, Alter, Exteud C1rc Ea Add
Total Amount PaId
CITY OF SPRINtJJ:<l~LD
Building/Combination Permit
PERMIT NO. COM2008-00993
ISSUED 07/07/2008
APPLIED: 07/07/2008
EXPIRES' 01/10/2009
VALUE
I ValuatlO\11 DescrlOtion I
I_II I '
$ Per Sq Ft
or multiplIer
Squdre Footage
or B,d Amouut
Value
Date Calculated
Total Value of Project
];'pp<, PlWIJ
Amount PaId
Date PaId
ReceIpt Number
2200800000000001026
2200800000000001026
2200800000000001026
2200800000000001026
2200800000000001026
2200800000000001026
2200800000000001026
2200800000000001026
1200800000000000758
1200800000000000758
1200800000000000758
1200800000000000758
1200800000000000758
$20 00
$500
$600
$250
$1700
$500
$10 00
$1800
$520
$624
$260
$48 00
$400
7/7/08
7/7/08
7/7/08
7/7/08
7/7/08
7/7/08
7/7/08
7/7/08
7/10/08
7/10/08
7/10/08
7/10/08
7/10/08
$14954
I Plan RevIews ,
To Request an inspectIon call the 24 hour recordIng at 726-3769 All mspectlOns requested before 7.00
a.m. will be made the same working day, mspectIons requested after 7 00 a.m. will be made the followmg
work day.
~e(llllreCU nsnectio'll.l
Rough Gas After lIne IS mstalled and reqUired testmg and capped If not attached to au dpplIance
Rough Mechamcal Prior to Cover
Fmal Mechamcal When all mechamcal work IS complete
Rough ElectriC Prior to Cover
Fmal ElectriC When all electrical work IS complete
Paee 2 of 3
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Status
Iss u ed
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO. COM2008-00993
ISSUED. 07/07/2008
APPLIED: 07/07/2008
EXPIRES 01/10/2009
VALUE:
225 Fifth Street, Sprlugfield, OR
541-726-3753 Phoue
541-726-3676 Fax
541-726-3769IuspectlOu Lme
By signature, 1 state and agree, that 1 have carefully exammed the completed apphcatlOn and do hereby certify that all
mformatlOn hereon IS true aud correct, and I further certIfy that any aud all work performed shall be done m accordance WIth
the Ordmances of the City ot Sprmgfield aud the Laws of the State 01 Oregon pertammg to the work desCribed herem, aud
that NO OCCUPANCY WIll be made of auy structure WIthout permIssIOn of the Commumty Services DIVIsIOn, Bmldmg Safety
1 further certIfy that only contractors and employees who are m complIance WIth ORS 701 005 wIll be used on thiS project
I further agree to eusure that aliI eqmred mspectlOns are requested at the proper tIme, that each address IS readable trom the
street, that the permit card IS located at the frout of the property, aud the approved set of plans will remam ou the sIte at all
times dUring constructIon
Owuer or Coutractors SIgnature
Date
Page 3 of 3
CIty of Sprmgfield
Electrical AuthorizatIOn To Begm Work
E-malled To heldl@c-perkms com
ReceIpt # }i:C533703
7/10/2008103932 AM
~
By Phoue
Check on status of permit
(541)726-3753 or Emall permltcenter@clsprmgfieldorus
r 0 New constructIOn
TYPE OF_WORK
[K] AddItIOn/alteration/replacement
IDe!lcnptlon
I'Rb.iiJinhaJ
=--*~'" ~
~~ttachc~
I ] 000 sq ft or less
I Ea addl 500 sq It or portion
I LUOIted E~ergy--_:::+~~
I ~ Limited energy, reSidential
(with above SQ ft)
I-LImited energy, multifamily
resldenlm] (with above Sq ft)
I-Limited energy commercIa-I
(with above SQ ft)
- Stand alone hrolted energy,
residential
Stand-alone limited energy,
multl family
I Stand~a]one limited energy,
commercial
St-rvICCI> OR fefderslnstHllahontlilteratufti}'ANDJQR hlo~ahon\t(L4,~
.. ~~"J~-~'+ "^ _~~g "+"'"",=,,--__~-~- - - ~=-
200 amps or less
SCHEDULE
Qty
'a
Total
:?'''''QAr,EGORY_Oi7:'CONST,RLiCTI()N,
I [X] I or 2 family dwellmg D Multi famIly D Commercial I Industnal
I JOB-SITE INE5)RMATION ANI) LOCATION'
I Job no I Job address ] 934 I 5T
I C1t)/StaterLIP 5PRINGFIFI D OR 97477 4279
I ~ulte/bldg /Jpt no
I Project name
Cross street/dlrlchons to Job site
I Subdlvl!oIon
ITax map/parcel no
I
I Lot no
170336]202200
~ =.. d _
~~-DESCRIPTIO!i Ol'_WORK
I Name heldl
IPhone
I Emml
1
I Fax
20 I amps to 400 amps
I 40] Ilmps to 599 amps
I TEMPOR~ARY \enrlce~ OR fetder~ installatIOn, aUerahon,,-vc",,
AND/OR rcloc.ttlOll ' ~,,'" -~-
I 200 amps or less
120] amps to 400 amps
140! amps to 599 amps
I BrJIIlh cm.'t~Jts. ~~1V.:al~~ii~oD;::QR extensIOn, per (l.mel
I A Fee for branLh Circuits wIth
servIce or fet:der fee, each
branLh CIrcuIt
B Fee for branch CIrcuIts
without sLrvlce or feeder fee,
first branchclrcUlt
each add! branch ClrcUlt
$400
e]ectnc for hvac equIpment
SITE CONTACT
CONTRACTOR-,,
11<..1 he 110 C335 ICCBhc no 178518
\ Busmess Name RITE ELECTRIC INC
IConlael HeIdi
IAddress PO BOX 842
I C1t)/StdtcJZIP CRESWELL OR 97426
I Phone (541 )8954466 I Fax (541)8954366
l...mJII heldl@c perl-ms com
Metro he no I City he no
I Supen'I!lIng electrician's hc no 29705
I Supln'lsmg elcctnmlU's n tme CLYDE I PERKINS
M}see!~ne~s
$4800[
$4001
1
1
I
I
I
I
*~E~1;9I~I~~~",E~IT_FEES-;~1~d~gj;~4~~ I
Subtotal I $5200 I
State Surchame (12% ofoermlt fee) I $624 I
CIty Of Sormgfield fees" I $7 80 I
TOTAL PERMIT FEE I $6604 I
10% local Admm f-ee, 5% Local Techno]ogy
$4800
ServIce reconnect only
I Each manufactured Of modular
dwellmg servIce and/or feeder
I Pump or IrTlgatlOn urcle
I Sign or outhne IIghtmg
Signal ClfCUlt(S) or hmlted-
energy panel alteratIon or
not ofTcfLd onhne al thiS JUrisdIction
Upon review and approval by your local jurisdiction, your
permit Will be e-malled or faxed wlthm one business day,
with mstructlons on how to schedule your mspectlon
I
I
I
I
.. City Of Spnngfield fees
0"
NOTE ThiS Authorization To Begm Work expires wlthm 180
days If a permit IS not obtamed
The local bUlldmg department may detemune that an
Authorization To 8egm Work IS null and vOid If It does not
meet applicable land use laws and local ordmances
ThiS Authorization To Begin Work
COM:O ffill( - (Y"P{J3
1 ACfDY- 7S~
RCPT#'
DATE PROCESSED (//()/()7
~~~%fJ~~~tll reDlaced by a Permit
,
225 FIfth Street
Sprmgfield, Oregon 97477
541-726-3759 Phone
~
CIty of SprIngfield OfficIal Receipt
Development ServIces Department
PublIc Works Department
Job/Journal Number
COM2008-00993
COM2008-00993
COM2008-00993
COM2008-00993
COM2008-00993
Paymeuts
Type of Payment
ONLINE CHGS
cRecelOtl
RECEIPT #:
1200800000000000758
Date: 07/10/2008
Description
Add, Alter, Extend Orc
Add, Alter, Extend Orc Ea Add
+ 5% Technology Fee
+ 12% Slate Surcharge
+ 10% AdmInIstratIve Fee
PaId By
ONLINE PERMIT CHGS
Item Total
<":hctk Number AuthorizatIOn
Received By Batch Number Number How Recetved
nJm
ONLINE
flte elect OnlIne
Paymeut Total
Page I of I
11 10 15AM
Amount Due
4800
400
260
624
520
$66 04
Amount Paid
$66 04
$66 04
7/1 0/2008