HomeMy WebLinkAboutPermit Electrical 2008-9-17
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01426
ISSUED: 09/17/2008
APPLIED: 09/1712008
EXPIRES: 03/17/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769Inspectiori Line
SITE ADDRESS: 1651 COTTONWOOD AVE
ASSESSOR'S PARCEL NO.: 1703273305700
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: New
PROJECT DESCRIPTION: New HY AC system. Electric air handler with HP.
Residential
Owner: STARKS YVONNE
Address: 1651 COTTONWOOD AVE
SPRINGFIELD OR 97477
Contractor Type
Mechanical
I CONTRACTOR INFORMATION I
"Ul,J' .
\l\leS , I.\\\>>~t
Contractor 0\\ I:J.'N leble"bic~i'ltll'''
MARSHALLS INC_,,'r\n~t Ole.?or} il'J \\I~"PS elSm_\\O"
po. \I\~~i lBlJIi:DiN~ l~i6R!m\ TI:OM~ ,IeS '0'1
\0 .' \.\~'" v,! I I~;;l'. "rtl;one
~o\,\\c:J.95';l,OO'-V ""..\\\ co?'. \\le \ele? a\\ot\
Opo.?- ~Mrol'te's: ~l-lo\e.. ~O\\\IC
\~090. .'10 rligjamf:.~&'iJtl'~tl.l~~%a44)'
call1\\g \t1ll.\'011.fI'''{.!(.OO.a~
t\utn'oe~el\ll:llI\i>e:
Range Type:
Energy Path:
Sprinkled Bnilding:
Expiration Date
12/23/2009
Phone.
541-747-7445
# of Units:
Primary Occnpancy Gronp:
Secondary Occnpancy Gronp:
Primary Constrnction Type
Secondary Construction Type:
# of Bedrooms:
, Lot Size:
Sq Ft I st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occnpant Load:
n/a
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Total:
Handicapped:
. Com~t:
~'C.~O!.)~
...,,,\~'C. ~T~~~\~ \~ ~
I PUBLIC IMPRQ)'\It~ ~"t>-\.;i'''\~ yo~'C.~ ~V .
\', 0\:."'. U~\. ~,,~~
~,,\~' ~\1.t.~ (\~'\~YIrtype:
t>-U~~~t.~Ct.~ ~onts/DJ'ains:
. CO \Q~~{l\
t>-~'{ 0 .
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Street Improvements:
Storm Sewer Available:
Special Instrnction:
Notes:
I Valu.ation DescriDtion I
Description
Type of Constrnction
$ Per Sq Ft
or mnltiplier
Square Footage
or Bid Amonnt
Value
Date Calcnlated
Page I of 2
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fee Description
-Mechanical Issnance Fee-
+ 10% Administrative Fee
+ 12% State Snrcharge
+ 5% Technology Fee
Air Handling Unit Up to 10,000
Heat Pnmp
Minimum/Adjustment Mechanical
Miscellaneons Mechanical
Amonnt Paid
$21.00
$5.20
$6.24
$2.60
$10.00
$15.00
$9.00
$18.00
Total Amount Paid
$87.04
Total Value of Project
Fees Paid I
I Plan Reviews I
Date Paid
9/17/08
9/17/08
9/17/08
9/17/08
9/17/08
9/17/08
9/17/08
9/17/08
CITY OF SPKll~t.t<lJ!,LD
,
Building/Combination Permit
PERMIT NO: COM2008-01426
ISSUED: 09/1712008
APPLIED: 09/1712008
EXPIRES: 03/1712009
VALUE:
Receipt Number
3200800000000000661
3200800000000000661
3200800000000000661
3200800000000000661
3200800000000000661
3200800000000000661
3200800000000000661
3200800000000000661
/
, .
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.
I Reouired Ins?ections I
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
By signatnre, I state and agree, that I have carefnlly examined the completed application and do hereby certify that all
information hereon is true and correct, and I further 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 structure without 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 Signatnre
Page 2 on
. Date
City of Springfield
Mcchanical Authorization To Begin Work
~-mailed To: janice@marshallsinc.com
Receipt # RC5311172
9/17/20089:44:34 AM
~
a
I.' "
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
;;, ~~ "typ~tOF. :~qRK::C~{}~.~
[X] Addition/altcrd:ion/repllicemcnt
,. T;,,;I
I-~ e '-~;-'':A~,;:i~EE'!~9H.!=QJiL~
'~:~:~:t::~-~~ Qty.
'; I j~~fiil~~~o~~_g' ul;pJia~'fres:f:;~z~~~~~~',~~~'i~-"
.>......'1
-"'.
I D New cOlls,truction
I'
': CATEGORY, OF CONSTRUCTION
. '-,,-->,.,.,," ..~. -....-.<
~r:"f~i: "':~~:;~:~(. .">~.
I [iI ] or 2 family dwelling 0 Multi-family 0 Accessory Building
I" '~.OBsITE)i~FO~i.iATI9Nr~ND~0i::,I\TjO!l.:'> .
IJob no.: IJob address: 165] COITONWOOD AVE
I City/State/ZIP: SPRINGFIELD, OR 97477-7674
I Suitc/bldg.lapt.no.:
I Project name: Starks
furnace. up to 100,000 BTU
.1 Furnace - above 100,000 BTU
I Electric Furnace
I Duel alterotions and additions
I Gas hcater units/ in-\...all, in-
duct suspended, ctc/
[ Vent, flue, liner for above
[ Air Conditioner
I
I
I
'I $18.00 $18.001
I I
I I
I I
I Heal Pump 11 $15.00 $15.001.
~~~h~l~:~~~'~l~g.';iip!!"~ri~;Jk:'~{:?,~~-%)i~~;~''':'~'~:~:
[Waterheater
[ Gas tireplacclinsertistove
[ Gas log/log lighter
I Gas clothes dryer
I Gas stove/range
I Pool or.spa heater, kiln
I Wood/pellet stove/insert
I Wood fireplace
I Chimney/liner/flue/vent w/o
a~p.liance
1:"~~nvi9i1ne~1~i'e}~~ii'~,t~ND :Yen.~~lali()7n:i"f-
I Range hood I
[ Clothes dryer t"Xhllust
I Single-duct exhriust (bathrooms,
toilet compartments, utility
rooms)
t~:';;/ri;;;:;'::;;n:;~,~:'i';~
1 upto first 4 Qutlets(enter Qt)=l) I
each additional outlet
~': ~~~:"i-f., ~:;.-i:'~1iBA~!~L.e.EJf!'!Ht):~~S'-:' ... ~. J~~~:;:~ I
Subtotal I $43.00 I
Minimum fee used instead of Subtotal $52.00 I
State Surcharge (12% of penn it fee) $6.241
City Of Springfield fees;' $28.80 I
I lUIAL PERMIT FEE $87.04 I
;. Cit)' Of Springfield fees: 10%Ad?1inistrotion Fee; 5% Technology Fee
Cross street/directions 10 job site:
:ottonwood
West centenial, north on Anderson Larie, east on
I Subdivision:
ITax map/parcel no,:
I Lot no.:
]703273305700
,."OC '
. . >.,;,
. j>Es'c.~IP):I.()N ~d!V!()~i< .
New HVAC SyslemElcctric air handler with Heat Pump8 supply Air,
cold air return
~
"t:.~- ,
! ,j.:.:!':?t,~ SITECONTACi~ "'4;~~-:\
- -" ",-- ,-.-.,- .-~
[N'llme: Yvonne Starks
II)hone: (541) 726-0773
I Emllil:
I,,~",,' ~
[CCO lie. no.: 25790
I Business Name: MARS HALLS rtJc
I Contact: Janice FloTll
[Address: 4] 10 OLYMPIC 5T
ICity/StaterllP: SPRINGFIELD, OR 974785620
'(Phone: (541)7477445 IFax: (541)74]0821
[Email: janice@marshallsinc.com
I Metro lie. no.:
IFax:
_,ei';
'-"~,
;_~:b~t'~qI9~"~~~if.L ~ ~
,. ~'~':1t '~:~~}:'~I
I City lie. no.: CCil 25790
Upon review and approval by your localjurisdiction, your
permit will be o-mailed 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.
COM: rl mJK - Ol4d. ((
RCPT#: .~~ K' -(eie../
DATE PROCESSED:~,9 II" ,10 K
PROCESSED ~y-JIf 11 f' / ~
. 1 ;/
This Authorization To Begin Work must be posted at the job site unt/rePlaCe~Y a Permit.
The local building department may detennine that an
Authorization To Begin Work is null and void if it does not
meet applicable land use laws and local ordinances.
225 Fifth Strect
Springfield,. Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2008-0 1426
COM2008-0 1426
COM2008-0 1426
COM2008-01426
COM2008-01426
COM2008-0 1426
COM2008-0 1426
COM2008-0 1426
Payments:
Type of Payment
ONLINE CHGS
cRcccintl
RECEIPT #:
~~
City of Springfield Official Reccipt
Development Services Department
Public Works Department
3200800000000000661
Date: 09/17/2008
9:57:10AM
Description
Ai, Handling Unit Up to 10.000
H eat Pump
Miscellaneous Mechanical
Minimum/Adjustment Mechanical
-Mechanicallssnance Fee-
+ 5% Technology Fee
+ 12% State Snrcharge
+ 10% Administrative Fee
Paid By
ONLINE PERMIT CHGS
Amount Due
10.00
15.00
18.00
9.00
2i.00
2.60
6.24
5.20
$87.04
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Paid
njm
$87.04
$87.04
ONLINE marshalls Online
Payment Total:
Page I of I
9/17/2008