HomeMy WebLinkAboutPermit Mechanical 2008-9-12 (2)
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Status
Issued
CITY OF SPRINGFIELD
puilding/Combination Permit
PERMIT NO: COM2008-01392
ISSUED: 09/12/2008
APPLIED: 09/12/2008
EXPIRES: 03/1812009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2122 7TH ST
ASSESSOR'S PARCEL NO.: 1703261301209
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Install heat pnmp and air hand,ler.
Owner: HENSHEN TIMOTHY R & KRISTIN D
Address: 2122 7TH ST
SPRINGFIELD .oR 97477
Phone Number: Unlisted
. I CONTRACTOR INFORMA TlON 1
. Contractor Type
Electrical
Mechanical
Contractor
GMD ELECTRIC INC
COMFORT FLOW
License.
162191
460
Expiration Date
lli19/2008
06/2712009
Phone
541-726-8601
541-726-0100
BUILDING INFORMATION I .
# of Units:
Primary Occnpancy Gronp:
Secondary Occnpancy Gronp:
Primary Constrnction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of .Strnctnre
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ftlst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occnpant Load:
nla
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
. Reary~rd Setback:
Solar Setbacks:
I DEVELOPMENT. INFORMATION'
. ,. NUIl(;1:: REQUIRED PARKING
Overlay Dist: THIS PERMIT SHALL 00t1M IF THE WORK
# Street Trees Rqd: AUTHORIZED UNDER m~JijjIWIlf IS NOT
Paved Drive Rqd: COMMENCED OR IS AtfAIIlOONED FOR
% of Lot Coverage,: ANY 180 DAY PERIOD. '
I PUBLIC IMPROVEMENTS 1
Street Improvements:
Storm Sewer Available:
Special Instrnction:
Notes:
.~r5b
~ ~O\: ~
~~
~
Sidewalk Type: .
, Downsponts/Drains:
Ai'TemON: Oregon law requires you to
follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth
In OAR 952.()01-Q010 through OAR 952'()01-
0090.. You may obtain copies of the rules by .
calling the center. (Note: the telephone
number for the Oregon Utility Notification
:. Center Ia 1-800-332-2344).
Page 1 oL3
_~!'l'IIIIl!)lqliil'~1?J
10
I.
,
Status
Issued
225 Fifth Street, Springlield, OR
541" 726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line.
I Valuation Des~rip,tion I
Description
Type of Constrnction
$ Per Sq Ft
or mnltiplier
Sqnare Footage
or Bid Amonnt
Total Valne of Project
,
F~~' !"ai~ .1
Fee Descriptjon
-Mechanicallssnance Fee-
+ 10% Administrative Fee
+ 12% State Snrcharge
+ 5% Technology Fee
Air Handling Unit Up to 10,000
Heat Pump
Minimnm/Adjnstment Mechanical
+ 100/0 Administrative Fee
+ 12% State Snrcharge
+ 5% Technology Fee
Add, Alter, Extend Circ.
Add, Alter, Extend Circ Ea Add
Amonnt Paid
Date Paid
$21.00
$5.20
$6.24
$2.60
$10.00
$15.00
$27.00
$6.50
$7.80
$3.25
$50.00
$15.00
9/12/08
9/12/08
9/12/08
9/12/08
9/12/08
9/12/08
9/12108
9/18/08
9/18/08
9/18/08
9/18/08
9/18/08
Total Amonnt Paid
$169.59
Plan Reviews I
CITY OF SPRINt:ij< IJ'..LD
. Building/Combination Permit
PERMIT NO: COM2008-01392
ISSUED: 09/1212008
APPLIED: 09/1212008
EXPIRES: .03/18/2009
VALUE:
Valne
Date Calcnlated
Receipt Nnmber
3200800000000000654
3200800000000000654
3200800000000000654
3200800000000000654
3200800000000000654
3200800000000000654
3200800000000000654
2200800000000001419
2200800000000001419
2200800000000001419
2200800000000001419
2200800000000001419
To Request an inspection' caUthe 24 hour recording at 726-3769. All inspections requested befnre 7:00
a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following
work day:
Renuire<l Tn',n,ection'l
Rongh Mechanical: Prior to Cover.
Final Mechanical: When all mechanic,d work is complete.
Rongh Electric: Prior to Cover
Final Electric: When all electrical work is complete.
'Page 2 00
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Status
Issued
225 Fifth Street, Springfield, OR .
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01392
ISSUED: 09/12/2008
APPLIED: 09/12/2008
EXPIRES: 03/18/2009
VALUE:
By signature, I state and agree, that I have carefnlly examined the completed application and do hereby certify that all
information hereon is trneand correct, and I fnrther certify that any and all work performed shall be done in accordance with
the Ordinances of the City of Springfield. and the Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any strnctnre withont.permission of the Commnnity Services Division, Bnilding Safety.
I fnrther certify that only contractors and employees who are in compliance with ORS 701.005 will be nsed on this project.
I fnrther agree to ensnre that all reqnired inspections 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 the approved set of plans will remain on the site at all
times during construction.
Owner or Contractors Signature
Page 3 of3
Date
City of Springfield
Electrical Authorization To Begin Work
.E-mailedTo:gmdelectric@comcast.net
Receipt # RC53R296
9/18/20081:57:41 PM
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
10 New construction
lliJ Addition/alteration/replacement
[X] ] or 2 family dwelli~g
o Multicfamily
o Commercial / ]nd~lstrjal.
IJob no.: IJob address: 2122 7TH ST
I City/State/ZIP: SPRINGFIELD, OR 97477-2300
! Suite/bldg.lapt.no.:
!Projectnamc:
Cross street/directions to job site: Travel east on 1-105, take Springfield City Cent'er
Exit, turn left onlOPioneer Parkway E, turn right onto Q St, turn left onto 5th St, turn right
)rlto T 51. turn left onto 7th 51.
ISubdivision:
I Tax map/pureeIno.: 170326] 301209
ILot no.:
Instal! heat pump and air handler(3~5 ton & ]5 Kw), install Clectric attic light & switch,
install outlet in anic, install new GFI receptacle.
I Name: Tim & Kristin Henshen
/Phone: (54!) 741-3447
]I!:mllil:
IF.,:
'IEI. lie. no.: 20-537C !CCBlic.,no.: 16219]
I Business Name: GMD ELECTRIC INC
I Contact: Mike Gowins / Sue Gowins
IAddress: 957 NORTIIRIDGE AVE
f City/Stater LIP: SPRINGFIELD OR 97477
I Phone: (541)7417369 I Fax: (541)9881800
IEmail: gmdelectric@comcast.net
I Metro lie. 'no.: I City lie. no.:
I Supervising electrician's lic..no.: 4874S
I Supervising electrician's name: MICHAEL K GOWINS
Upon review and approval by your local jurisdiction, your
permit will be e-mailed or faked with'in 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 determine that an
Authorization To Begin Work is null and void if it does not
meet applicable land .use laws and local ordinances.
I'
11,000 sq.ft, or less I
I Ea. addl 500 sq. ft, or portion
1!~~il!~I~~~!1iY~t:~~f:~?~~!~_
I-Limited energy, residential
(with above Sq. ft.)
- Limited energy, multifamily
residential (with above sq. fl.)
- . Limitcd"energy, commerciili
(with above SQ, ft,)
I - Stand~alone limited energy,
residential
I - Stand~alone limited energy,
multi-family
I - $tandcalonelimited energy,
commercial
I 200 amps or less
I 20 1 amp~ to 400 amps
1401 amps to 599 amps
1200 amps or less
I 20 I ampsto 400 amps I I
~~~~;;~~;,~:,\~.~;s\v,~~rter~ii~~~;Oii'cxtension;~pel;paii~ff~;~:~t_C!:;;;11
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I A. Fee for br.anch circuits with
service or feeder fee, each
branch cirCUIt.
lB. Fcc fcirbranch circuits
without sen:ice or feeder fee,
first branch circuit;
I each addl branch circuit
$5000
$50.001
$15.001
3
$5.00
I Service reconnect only I'
I Each rnamifactured or modular I
dwelling. service and/or feeder
I Pump or "irrigation circle I
I Sign or outline lighting I
Signal 'circuit(s) o'r limited- I I
energy panel, alteration, or
cxtcnslOn
~1\{~?".r:~~:~r~[~gI~I9:(\.~'~-ER"~J!~l~E~/,qt' :1
I Subtotal I $65.00 I
I State Surcharge (12% ofnermit fet:) I $7.80 r
I City Of Springfield fees" I $9:75 I
I TOTAL PI!:H.l\11T FEE $82.55 I
.. City Of Springfield fees: 10% Administration Fce; 5% Technology Fee'
COM~rm~O\ ~/r
RCPT#- Q;:j'[)k \LUCI
DATE PROCESSED: g \ \1; \ ~
This Authorization To Begin Work must be posted at the jl b site until replaced by a Permit.
, PROCESSED BY' I / ..1) 0.. /'
. . .K VDn {>J./..
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22~ Fifth Street.
Springfield, Oregon 9)477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Nu~ber
COM2008-0 1392
COM2008-0 1392
COM2008-0 1392
COM2008-0 1392
COM2008-0 1392
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
2200800000000001419
Date: 09/18/2008
Description
Add, Alter, ExtendCirc
Add, Alter. Extend Circ Ea Add
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Administ,ative Fee
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
KER
ONLINE GMD Online
ELECTRIC
Payment Total:
.\
Page 1 of,1
2:22:10PM
Amount Due
50.00
15.00
3.25
7.80
6.50
$82.55
Amount Paid
$82.55
$82.55
9/1 8/2008