HomeMy WebLinkAboutPermit Mechanical 2008-9-12 (2)
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01396
ISSUED: . 09/12/2008
APPLIED: 09/1212008
EXPIRES: 03/1712009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 859 NORTH RIDGE AVE
ASSESSOR'S PARCEL NO.: 1703261201118
Springfield TYPE OF WORK: Heating System
TYPE OF USE: Addition
PROJECT DESCRIPTION: Installation of a heat pnmp and air handler
Residential
Owner: SIROIS GERALD J & CAROL L
Address: 859 NORTH RIDGE
SPRINGFIELD OR 97477
Phone Nnmber: 541-746-4513
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Mechanical
Contractor
RITE ELECTRIC
MARSHALLS INC
License
178518
25790
BUILDING INFORMA.T10N I
Expiration Date
09/2412009
12123/2009
. Phone
541-895-4466
541-747-7445
# of Units:
Primary Occnpancy Gronp:
Secondary Occnpancy Gronp:
Primary Construction 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 Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occnpant Load:
nla
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Total:
Handicapped:
NOTICE: Compact:
THIS PERMIT SHAll EXPIRE If THE WORK
:.t{!.tn!~':r 'J~'9Er 'l'U1t' DJ:DUIT I~ NOT
I PUBLIC IMPROVEMENTS ~OMMENCED OR IS ABANDONED FOR
ANY SIiQ,lldN~D.
. ,1.
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Street Improvements:
Storm Sewer Available:
Special Instruction:
~dJ
~~.~
~~
Downsponts/Drains:
Notes:
A'M'ENTION: Oregon raw reQUInle you to
foIIow Mea adopted by the Oregon UtlIit1
NotIfIcation Center. Those NIeS are set fortb
In OAR 962.oo1~Othrough OAR Q52.CI01.
0090. You may obtain copies 01 the nd88'"
calling the center. (NoIe: the te 'i"",
IlVIIlber tor the Oregon UtIlity NolID....t'o!t
Center 111-8ON32.J344).
Page I of3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Constrnction
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Air Handling Unit Up to 10,000
Heat Pump
MinimnmlAdjnstment Mechanical
+ 100/0 Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend C;rc
Add, Alter, Extend C;rc Ea Add
Total Amonnt Paid
I V aluation Descrintio~ I
$ Per Sq Ft
or mnltipliel'
Sqnare Footage
or Bid Amoulit
Total Value of Project
I Fees Paid 1
ArilOnnt Paid
$21.00
$5.20
$6.24
$2.60
$10.00
$15.00
$27.00
$6.00
$7.20
$3.00
$50.00
$10.00
$163.24.
I Plan Reviews I
Date Paid
9/12/08
9/12/08
9/12/08
9/12/08
9/12/08
9/12/08
9/12/08
9/17/08
9/17/08
9/17/08
9/17/08
9/17108
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01396
ISSUED: 09/1212008
APPLIED: 09/12/2008
EXPIRES: 03/17/2009
VALUE:
Valne
Date Calcnlated
Receipt Nnmber
2200800000000001386
2200800000000001386
2200800000000001386
2200800000000001386
2200800000000001386
2200800000000001386
2200800000000001386
2200800000000001409
2200800000000001409
2200800000000001409
2200800000000001409
2200800000000001409
To. Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 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.
. Renuired Insnections 1
Rongh Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Rongh Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Page 2 of3
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01396
ISSUED: 09/1212008
APPLIED: 0911212008
EXPIRES: 03/17/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
By signature, I state and agree, that I have carefnUy examined the completed application and do hereby certify that all
information hereon is tl'ne and 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 strncture without permission of the Commnnity Services Division, Bnilding Safety.
I fnrther certify that only contractors and employees who are)n compliance with ORS 701.005 will be used on this project.
I fnrther agree to ensnre that all reqnired inspections are reqnested 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
Date
Page 3 of 3
City of Springfield.
Electrical Authorizati~n To Begin Work
E-mailedTo:h~~di@c-perkins.com
Receipt # .EC538145
9/1712008 8:30:48 AM
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
IX] ] or 2 family dwelling
'0 Multi-family
D Commercial/Industrial
11 ,OOOsq: It or less
Ea. add] 500 sq. ft. or portion
D Nc~v construction
o Addition/alteration/replacement
IIOescriPtion
IJOb no.: I,Job address: 859 NORTHRIDGEAVE
City/StlltcrLlP: SPRINGFIELD, OR 97477-2390
! Suitc/bldg.lapt.no.:
I Project name:
Cross street/directions to job site:
ISUbdivision:
map/parcel no.: 170326] 201] 18
I Lot no.:
I -'Limited energy, residential
(with, above Sq, ft.)
I - I"imited energy, multifamily
residential (with above Sq. ft.)
I-Limited energy, commercia"'
(with above sq, ft.)
I ~ Standcalonc limited energy,
residential
I - Stand-alone limited energy,
multi-family.
- Stand-alone limited energy,
commercial
electric for hvac equipemem
1200 amps or less
) 201 amps 10 400 amps
401 amps to 599 amps
IName: heidi
IPhone:
EmIli!:
IF."
[200 amps or less
1201 amps to 400 amps
140 I amps to 599 amps
Ifti!~~~Ji(~u)!~0~~Yl~lie'~:i!&1!fq&ill~;jji~;j:~~fp~n~~~:~~*l:~i;JI
I.A. Fee for" branch circuits with I
service or feeder fee, e<Jell
bnmchcircuit.
B; Fedor branch circuits. 11
without service or feeder fee,
First branch circuit
each addl branch circuit
$50.00
$50.00 [
$]0.001
IEllie. no.: C335 ICCBlie.no.: 178518
I Business Name: RITE ELECTRIC INC
jContact: Heidi
IAddress: PO BOX 842
I Cily/Sta]e/ZIP: CRESWELL OR 97426
I Phone: (54] )8954466 I F." (54] )8954366
j Email: ~eidi@c~perkins.com
I Metro lie. no.: I City lie. no.:
I Supervising electrician's lie. no.: 2970S
I Supervising electrician's nllme: CLYDE I PERKINS
21
$5.00
;;.
I I Service reconnect only I
I Each :n~nufac~red or modular
dwellmg, service <lnd/or fceder
I j Pump or irrigation circle' 'I
I Sign or outline lighting
I Sigrfal circuit(s) or limited-
I energy panel, alteration, or
extension.
Upon review and approval by your focal jurisdiction, your
permit will be e-mailed or faxed within one business day,
with instructions on how to schedule your inspection.
NOTE: This Authorization ioBegin Work expires within 180
days if a penn it is not obtained.
Subtotal $60,00 I
State Surcharge (12% of penn it fee) $7.201
City OfSpiingfleld fees'" $9.00 I
I TOTAL PERMIT FEE $76.20 I
'" City or Springfield fees: 10% Administration Fee; 5~/? Technology Fcc
The local building department may determine that an
Authorization To Begin Work is null and void if it does not COM: at:D~ -- f)\. ~q l ,...,.
meet applicable land use laws and local ordinances. .
RCPT #.dd.D~ - \ UtF\
DATE PROCESSED: ~ - \ \- 09..
This Authorization To Begin Work must be posted a.t t%~~~\3~.r~~a~ ~~rmit.
,
225 Fifth Street
Spr-ingfieId, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2008-0 1396
COM2008-0 1396
COM2008-0 1396
COM2008-0 1396
COM2008-0 1396
Payments:
Type of Payment
ONLINE CHGS
cReceintl
~::RlN,' iClIFJ~ a'-......, ...'.
,r.h.t!/r. "
111[. '~.r,
.".~ '_.".;;;-;.c:;"~''''~'" -.- ....,.,. ..~
RECEIPT #:
2200800000000001409
Description
Add, Alter, Extend Circ
Add, Alter. Extend Circ Ea Add
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Administrative Fee
City of Springfield 'Official Receipt
Development Services Department
Public Works Department
Date: 09/17/2008
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Paid By
ONLINE PERMIT CHGS
KR
Page I of I
ONLINE RITE Online
ELECTRIC
INC
Payment Total:
8:40:38AM
Amount Due
50.00
10.00
3.00
7.20
6.00
$76.20
Amount Paid
$76.20
$76.2U
9/17/2008