HomeMy WebLinkAboutPermit Mechanical 2008-7-16
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CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2008-01035
ISSUED, 07/16/2008
APPLlED: 07/10/2008
EXPIRES: 01/16/2009
VALUE'
Status
Issued
225 FIfth Street, Spnngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
SITE ADDRESS 571 BROOKDALE AVE
ASSESSOR'S PARCEL NO 1703224203200
Sprmgfield TYPE OF WORK MechamcalOnly
TYPE OF USE New
PROJECT DESCRIPTION InstallatIOn of amencan standard 16 seer heat pump spht system
Pubhc
Owner ROMBACH JESSICA
Address 571 BROOKDALE AVE
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION.
Contractor Type
Electncal
Mecbamcal
Contractor
SCHULTZ ELECTRIC INC
MARTIN CASTLEMAN LLC
License
179066
169547
EXPiratIOn Date
10/30/2009
04/07/2010
Phone
541-505-8351
541-736-3438
BUILDING INF~RMATION I
# ofUmts
Pnmary Occupancy Group
Secondary Occupdncy GI oup
Pnmary ConstructIOn Type
Secondary ConstructIOn Type
# of Bedrooms
# of Stones
HeIght of Structure
Type of Heat
W dter Type
Range Type
Energy Path
Spnnkled BUlldmg
Lot SIZe
Sq Ft 1st Floor
Sq Ft 2nd Floor
Sq Ft Bdsement
Sq Ft Garage/Carport
Sq Ft Other
Occupant Load
n/a
I DEVELOPMENT INFORMATION I
Front yard Setback
Side 1 Setback
Side 2 Setback
Rearyal d Setback
Solar Setbacks
Overlay Dlst
# Street Trees Rqd
Paved Dnve Rqd
% of Lot Cover dge
REQUIRED PARKING
Total.
HandIcapped
Compact
I PUBLIC IMPROVEMENTS I
Street Improvements
~~TTENTION Oregon law requires you to
Storm S Wet AV1IJlaolea t d by the Oregon Utility
n Inw "lies a op e
Spellal nhruclIon.c ter Those rules are set forth
NotlTlGallOn en
In OAR 952-001-0010 through OAR 952-001-
Notes 0090 You may obtain copies of the rules by
calling the center (Note the telephone
number for the Oregon Utility Notlllcalion
Center IS 1-800-332-2344).
Sidewalk Type
DownspoutslDrams
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Pa~e 1 of 3
_$..,," -...\1ii
~'~ '
1tJJt:' :
Status
Issued
225 FIfth Street, Spnngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspectlOn Lme
I, V~I~ah?n Descr.i1)ti~~ I
DescrIptIOn
$ Per Sq Ft
or multIpher
Tvpe of ConstructIOn
Square Footage
or BId Amount
Total Value of Project
FpP~, P'l~
Fee DesclIPtIon
-Mechdmcdllssuance Fee-
+ 10% AdmmlstratIve Fee
+ 12% Stdte Surcharge
+ 5% Technology Fee
AIr Handhng U mt Up to 10,000
Hedt Pump
Mlmmum/AdJustment Mechamcdl
+ 10% AdmmlstratlVe Fee
+ 12% State SUI charge
+ 5% Technology Fee
Add, Alter, Extend Clrc
Add, Alter, Extend Clrc Ea Add
Amount PaId
$20 00
$500
$600
$250
$900
$1400
$27 00
$560
$672
$280
$48 00
$800
Total Amount PaId
$15462
Plan RevIews I
Date PaId
7/10/08
7/10/08
7/1 0/08
7/1 0/08
7/10/08
7/10/08
7/10/08
7/16/08
7/16/08
7/16/08
7/16/08
7/16/08
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO. COM2008-0]035
ISSUED, 07/]6/2008
APPLIED 07/]0/2008
EXPIRES: 011]6/2009
VALUE'
Value
Date Calculated
ReceIpt Number
3200800000000000482
3200800000000000482
3200800000000000482
3200800000000000482
3200800000000000482
3200800000000000482
3200800000000000482
2200800000000001086
2200800000000001086
2200800000000001086
2200800000000001086
2200800000000001086
To Request an mspechon call the 24 hour recordmg at 726-3769 All mspectlOns 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
UeOHlrp1Jnsnectlon~
Rough Mechamcal Pnor to Cover
Fmal Mechamcal When all mechamcal work IS complete.
Rough Electnc Pnor to Cover
Fmal Electnc When all electncal work IS complete
Page 2 01 3
-_.~
Ilk
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-01035
ISSUED 07/16/2008
APPLIED, 07/10/2008
EXPIRES: 01/16/2009
VALUE
225 Fifth Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 F dX
541-726-3769 InspectIOn Lme
By signature, I state and agree, that 1 have carefully exammed the completed apphcdtlOn and do hereby certify that all
mformatlOn hereon .s true and correct, and 1 further certify that any and all work performed shall be done 10 accordance WIth
the Ordmances of the CIty of SprIngfield and the Laws of the State of Oregon pertammg to the work described herem, and
that NO OCCUPANCY Will be made ot any strncture Without permissIOn of the Commnmty Services DIVISIOn, BUIld 109 Safety
1 turther certify that only contractors and employees who al em 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, dnd the approved set of plans wIll remam on the sIte at all
times durmg constructIOn
Owner or Contractors Signature
Date
Page 3 of 3
CIty of Spnngfield
Eleetneal Authonzatlon To Begm Work
E-m81led To schultzelectnc@comcast net
ReceIpt # ,EC534056
7/1612008 6 57 32 AM
ka
By Phone
Check on status of perm.1
(541)726-3753 or Ema.1 perm.lcenter@clspnngfield orus
TYPE OF WORK
I D Ne\\ canstrm,tlOll
[X] AddItIOn/alteratIon/replacement
I:
CATEGORY OF CONSTRUCTION
IlXl1 or 2 family d\\clhng D MultJ-fdflllly D Commercia] Ilndustndl
I JOB SITE INFORMATION AND LOC~ION
IJob no IJob address 571 BROOKDALEAVE
ICOll/Stale/ZIP SPRINOfl[LD OR 97477-7552
I Smte/bldg lapt no
I Project name
Cross street/directIOns to Job !lIte
\ SubdlVl!llOn
ITax m.lp/panclllo
I
ILot no
1703224203200
DESCRIPTION OF WORK
Hook up new furnace and heatpurnp
SITE CONTACT
I Name chmate control
IPhone
Il.mall
I Fax
CONTRACTOR
/ U he no C354 J CeB he no 179066
I BUSiness Name SCI IULT L ELECTRIC INC
Couldet Mdn Schult?
Address 2171 BlRCIIWOODAVE
Clty/St.-.te/LIP EUGeNe OR 97401-7409
IPhone (541)5058351 IFax (541)5058454
I Emall schultzelectnc@comcast net
I Metro he no I City hc no
I Supervlsmg electrician's IIc no 5247S
l~uperVlsmg ellctnclan's name MATTHEW L SCHULTZ
Upon review and approval by your local JUrisdiction, your
permit will be e-rnalled 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 obtained
The local bUilding department may determme that an
AuthOrization To Begin Work IS null and VOid If It does not
meet applicable land use laws and local ordinances
I I FEE SCHEOULE
II Oe>enptwn I Qty I ~a I lotal
I R~slde~t~~l ~~NGLE- OR muIU-fa~l!y~ dwellmg ulllt~~lndudes
I attache~d garagt " ~
111000,qllorless I I I
1 Ea addl 500 sq ft or portIOn 1
I I LlIllJt~dE:i$rg"i~~ .
I I - Lmllted energy reSIdential
j (\\ Ith above SQ ft)
I-LimIted energy multlfdImly
I reSidential (WIth above Sq ft)
I I LImIted energy commercla-I
(With above so ft)
I - Stand-alom..llnllted energy
rl,.Sldentlal
I Stand-alone limIted energy
multl-farmlv
I - Stand-alone Itmltl"..d t.nergy,
wmmerclal
I Scnlce~ OR feeders!~staliatlOn, alteratlOll,AND/OR reloca~lOn
i 200 amps or less
120 I dmps to 400 dmps
140 I anlps to 599 amps
I TEMPORARY servJc~s g~ feede~s lIIstaHahon, alteration,
AND/OR relocation - -~ ,
1 200 anlps or less
I 201 amps to 400 amps
140 I anlps to 599 amps
1 Branch CirCUIts - NEW, alteration, OR eXtenSIOn, per panel
I A fee for branch CIrCUIts with
service or feeder fee, each
branch CirCUIt
I B fee for branch CIrcuIts
Wlthoul senllce or feeder fee
first branch CIrCUIt
I each addl branch CIrCUIt
I ~lIscellaneom
I Service reconnect only
I Each manufactured or modular
dwellmg service and/or feeder
I Pump or ITTlgatlOn CIrcle
I Sign or outhne lightmg
I Signal CITCUlt(S) or hmlted-
energy panel alteratIOn or
e,<tenslOO
I
I Subtotal I $5600
I State Surcharge (12%o(l?ermlt tee) $672
I CIty Of SpnngfieJd fi.l,.s * I $840
I lOlAI PERMIT FEF $71 12
* CJly Of Spnngfield fees 10% LOl,.dl Admin Fee 5% Local Technology
fee
$4800
$4800 ,
$800
21
$4001
not offeled onll11e at tlus JUriSdiction
ELECTRICAL PERMIT FEES~
ThiS AuthOrization To Begin Work must be posted at the Job site until replaced by a Permit
225 FIfth Street
Sprmgfleld, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2008-0 1035
COM2008-0 1 035
COM2008-0 1 035
COM2008-0 1035
COM2008-01035
Payments
1 ype of Payment
ONLINE CHGS
cRecemt 1
RECEIPT #,
2200800000000001086
DeSCriptIOn
Add, Alter, Extend ClfC
Add, Alter, Extend ClfC Ea Add
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Admmlstratlve Fee
CIty of Sprmgfield OfficIal ReceIpt
Development ServIces Department
PublIc Works Department
Date, 07/16/2008
Item Total
Check Number AuthorlLatlOn
Received By Batch Number Number How Received
PaId By
ONLINE PERMIT CHGS
ddk
Page 1 of 1
ONLINE SCHULTZ Onlme
ELECTRIC
INC
Payment Total
81839AM
Amount Due
4800
800
280
672
560
$7112
Amount Paid
$71 12
$7112
7/16/2008