HomeMy WebLinkAboutPermit Mechanical 2008-4-3 (3)
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO. cOM2008-00246
ISSUED 04/03/2008
APPLIED. 02/19/2008
EXPIRES: 02/08/2009
VALUE:
_\ D~\.-o<6
YiJ~~~
r<'~
Status
Issued
225 Fifth Street, Spnngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn LIRe
SITE ADDRESS 1544 5TH ST
ASSESSOR'S PARCEL NO 1703263102200
SprlRgfield TYPE OF WORK HeatlRg System
TYPE OF USE Repair
Pubhc
PROJECT DESCRIPTION Moftitt Elementary
OWller SPRINGFIELD SCHOOL DISTRICT 19
Address 525 MILL ST
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
Electncal
Low Voltage Electncal
MechaDlcal
Contractor
SCOFIELD ELECTRIC
MORROW MEADOWS CORP
2GINC
LIcense
38702
91668
40559
I BUILDING INFORMATION I
# of U D1ts # of Stones
Primary Occupdncy Group E Height of Structye
Secondary Occupdncy Gro'WliENTlON: Oregon Iwt~QHlffl!U!OU 10
Pnmary ConstructIOn TYP101l0W rUllll)radopted b~~i(l U~ 'Xh
SeconddrY COllstructlOn TNmlfl. catIon Center. ThOi@ ~:~~01.
# of Bedrooms In OAR 952-001-0010th 1f~'-8 by
0090. You may obtain cSB . RS n/a
\''-. ... ......... _rtt9r 1Note. e e
n'"u"~b;;torthlf g~C~m\1ATION I
CentenJ " L'. ~..;...-:--
Front yard Setback
Side 1 Setback
SIde 2 Setbdck
Rearyard Setback
Solar Setbdcks
Overlay DlSt
# Street Trees Rqd
Paved Dnve Rqd
% of Lot Coverage
I PUBLIC IMPROVEMENTS I
ExpIratIon Date
12121/2009
07/2012009
04/1712010
Phone
541-686-8612
(503) 566-5600
541-689-3850
Lot S,ze
Sq Ft 1st Floor
Sq Ft 2nd Floor
Sq Ft Basement
Sq Ft Garage/Carport
Sq Ft Other
Occupant Load
REQUIRED PARKING
Total
HandIcapped
Compdct
S,deWdlk Type
NOTICE:
THIS PERMIT SHAll EXI'~~M'Pffi~511(.;
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Street Improvements
Storm Sewer Available
SpectallnstructlOn
Notes
Pal!e 1 of3
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO
ISSUED'
APPLIED.
EXPIRES:
VALUE:
CO M2008-00246
04/03/2008
02/1912008
02/08/2009
225 F,fth Street, SprlDgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn LlDe
I ValuatIOn Descnntion I
DescrIptIOn
Tvpe of ConstructIOn
$ Per Sq Ft
or mulhpher
Square Footage
or B,d Amount
Value
Date Calculated
Total Value of ProJect
L.Fpp<, P~"ll
Fee DescriptIOn Amount PaId Ddte P..d ReceIpt Number
-Mech Iss 2+ Apphances- $40 00 4/3/08 1200800000000000306
+ 10% AdmlDlstratlve Fee $48 00 4/3/08 1200800000000000306
+ 12% State Surcharge $57 60 4/3/08 1200800000000000306
+ 5% Technology Fee $24 00 4/3/08 1200800000000000306
Add, Alter, Extend Clrc Ea Add $24 00 4/3/08 1200800000000000306
Backflow DevIce $1600 4/3/08 1200800000000000306
Furnace - UDlt Heater $308 00 4/3/08 1200800000000000306
Heat Pump $28 00 4/3/08 1200800000000000306
MIDlmum/AdJustment PlumblDg $34 00 4/3/08 1200800000000000306
Perm Serv/Fdr 200 dmps or less $70 00 4/3108 1200800000000000306
+ 10% AdmlDlStratlve Fee $500 8/8/08 3200800000000000552
+ 12% Stdte Surchdrge $600 8/8/08 3200800000000000552
+ 5% Technology Fee $250 8/8/08 3200800000000000552
Low Voltdge - Commerctallndus $50 00 8/8/08 3200800000000000552
+ 100/0 AdmmlstrdtlVe Fee $500 8/15/08 2200800000000001254
+ 12% State Surcharge $600 8/1 5/08 2200800000000001254
+ 5% Technology Fee $250 8/15/08 2200800000000001254
Low Voltage - Commerclalllldus $50 00 8/15/08 2200800000000001254
Total Amount P..d $776 60
I Plan Reviews ,
SUB RevIew
02119/2008
02/28/2008
APP DH
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, mspectlons requested after 7 00 a m Will be made the followmg
work day.
I ];'polllrpll I~PPhon'J
Backllow Device Pnor to covermg dnd prOVIde a copy 01 the test report on Site dt the hme 01 IDspechon
Rough Mechanlcdl Pnor to Cover
Pdl!e 20f3
-iiif ~
CITY OF l'lt'loNGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO
ISSUED'
APPLIED.
EXPIRES:
VALUE:
CO M2008-00246
04/03/2008
02/19/2008
02/08/2009
225 FIfth Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
Fmal MechaDlcal When all mechamcal work IS complete
Rough Electnc Prior to Cover
Fmal Electnc When all electncal work IS complete
Electnc ServIce Approval requIred pnor to utIlity company energIZIng servIce
Low Voltage Prior to cover
By sIgnature, I state and agree, thdt I have carefully exammed the completed applicatIOn 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 Ordmdnces of the CIty of Spnnglield and the Laws of the State of Oregon pertammg to the work descnbed herem, and
that NO OCCUPANCY Will be mdde of any structure wIthout permISSIon of the CommuDlty ServIces DIVIsIOn, BUlldmg Safety
I further certIfy that only contractors and employees who are m compliance wIth ORS 701 005 WIll be used on thIs proJect
1 further agree to ensure that all reqUIred mspectlOns are requested at the proper tIme, that each address IS readable from the
street, thdt the permIt card IS located at the front of the property, and the approved set of plans WIll remam on the Site dt all
times dUring constructIOn
Owner or Contracton Signature
Date
Paee 3 of 3
CITY OF SPRINGFIELD, OREGON
,
225 FIFTH S rRtll . WRINGFIELD, OR 97477 . PH ('41)726-17'3 .)<AX (541)726-3689
ELECTRICAL PERMIT APPLICATION I
City Job Number CO"",, v=> 0 8' - 00 Z l.f b
SPRINGFIELD
~~
ZON
INITIALS
DATE
SOURCE
Date S, 1 - [) 0-f...
I I LOCATION OF INSTALlATION:
\ 5~L\ f)~ ~-\-v-.f 0+
LEGAL DESCRIPTION 1703 z.b 3 I 0 Z:z.oD A I Ne" ReMdentJaI- Smgle or Mullt-Famdy per duelling umt
'('{\ o<;r, t\ Fl.un e_n~af L\
JOB DESCRIPTION )
'TV\.c~.:t(A \I I'\.tCCl ~V"f' dD. rfYL
r-J/ f. VI CL :'j
Permits are non-transferable and expire If worK IS
not started wlthlD 180 days of Issuance or If work IS
Suspended for 180 days
3 I COMPLETE FEE SCHEDULE BELOW
ServIce Inclllded
1000 'q ft or les,
Each addIl10nal 500 'q ft or
portlOlI thereo f
$11700
$ 2100
Each Manufact'd Home or
Modular Dwellmg Service or
Feeder
$5500
2 I CONTRACTOR INSTALlATION ONLY I B , ServIces 01 Feeders - InstallatIOn, Alteraltolls or RelocatIOn
Electncal Contractor bml ~ r\ n f\c\ ,"it~nNl\200 Amp' or Ie" $ 70 00
I .Jzo 1 Amp, to 400 Amps $ 83 00
Addre>s \~ ( ~ L\liV'- ~Y.f' ~T 401 Amps to 600 Amps $13800
60 I Amp' to 1000 Amp, $18000
Over 1000 Amp,N olt, $413 00
Reconnect OnlJ \0 $ 55 00
~ ~Il\ll~ll '10~\\\\i
Superv"or License Number ~ J 0 LEA ~0l\l\9.~ ~\!lJ8lfil~e\~2.~S or Feeders
"'\O~ u,e ~ed '0'1 ~ llI\ell9-le S2:~0\.
ExpIratIOn Date If::> -1- O~ ~,:r'i'C-~ .,\ellad~~l ~\lcfit~~~~~~orReIOCaltOn
0\\0'" 1 l\V"" '\O\~~\\\WOl\e
Comtr Contr Number :;)L/- LI7@~@-:tlO\-~~\9-\l\illidl\A',j1S~~IIW<i~~~
\1\ - 'IOu ;#0'1 ~el.~' ~~~AA\.
1 0090. \\le cell Ote~tlll'~~~F""" Amp'
ExpIratIOn Date 7- / - / "9-\\\l\~ ''11 \\\e \ 9.(\0- 600 A 1000 V I "B" b
(l\1l.r.. ~el IS ~ver mps or 0 Is see a ove
l\~ cell D I Branch Ctrcmts
CltYc:'Jr,(u'Ifo I{\phone '7L\ \- fll5
$ 55 00
$ 76 00
$110 00
Signature of Supervl>lOg Electncmn
~ /~~/-
/ L/ ~Lr
Owner,Name 5ffh S~\ bjf~- ) S
Addre,s $ZS"'" W\ I {( C5. ~
City 5~Fh
Ncw A1teralton or ExtenSIOn Per Panel
One CirCUit
Each AdditIOnal ClfCUlt or with
Service or Feeder Penmt
$ 48 00
$ 400
E I Mlscellaneou, (ServIce/feeder not mcluded) -Each InstaUatlOn I
Pump or IrngatlOn f:J?'I: $ 55 00
Slgn/Outhnc LIghlI\~ \~ 'n\t \N ~1 $ 55 00
OWNER INSTALLATION ~O't\C~Jmlte~~jl.t~\~~\i \S $ 28 00
The lOstallalIon " bemg made on property [ own which 1\\\S ?t~ge~@Il:~~{) fO" \ $ 50 00 5 [) ~
"not lOtended for sale, lease or rent 1t:.~l1E~'~eIn<\$'Jl.'flm~speclton Fee IS $50 00 + SlIrcharges
JI-\l'\'f\'::-~~~~r\t'._
Owners SIgnature CO\ILI~~<,-6iW1'tw'OF ABOVE I 50,
M~'{ ~9% State Surcharge (g OI.:.J
10% AdmlO"tralIve Fee ~ 00
5% Technology Fee :::J '50
Phone
Inspeclton Request 726-3769
TOTAL
lJL3,SD
Shared Dnvl.(T )!l3ulldmg I orrru,/Uet.lTlcJ.1 Permit ApphLdtlOn 1-08 doc
225 FIfth Street
Spnngfield"Oregon 97477
541-726-3759 Phone
CIty of Sprmgfield OfficIal ReceIpt
Development ServIces Department
Pubhc Works Department
Job/Journal Number
COM2008-00246
COM2008-00246
COM2008-00246
COM2008-00246
Paymellts
Type of Payment
Check
cRecLlotl
RECEIPT #
2200800000000001254
Date. 08/15/2008
DescriptIOn
Low Voltage - CommefCIal Indus
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% AdmlDlstralIve Fee
PaId By
OMUD AND SWINNEY
Item Total
l:hecl{ Number Authorization
Received By Batch Number Number How Received
dJb
36273
In Person
Payment Total
Page I of I
220 16PM
Amount Due
5000
250
600
500
$63 50
Amount Paid
$63 50
$63 50
8/15/2008