HomeMy WebLinkAboutBuilding Mechanical 2008-9-30
Status
Issued
225 Fifth Street, Springlield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726_3769 Inspection Line
I_A)
~'r'-" ($
~~
SITE ADDRESS: 837 S 69th St
ASSESSOR'S PARCEL NO.: 1802022305800
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-01443
ISSUED: 09/30/2008
APPLIED: 09/19/2008
EXPIRES: 03/30/2009
VALUE:
Springtield TYPE OF WORK: Heating System
TYPE,OF USE: Addition
PROJECT DESCRIPTION: Installation of Heat Pump aud Air Handler
Owner:
Address:
ROBERTS J EDWIN & STEPHANIE K
837 S 69TH ST'
SPRINGFIELD OR 97478
Contractor Type
Electrical
Mechanical
Residential
, Phone Number: 541-505-8025
I CONTRACTOR IN~ORMATION I
Contractor
GMD ELECTRIC INC
COMFORT FLOW
# of Units:
Primary Occupancy Group:
Secondary.. Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street ImprovementS:
Storm Sewer Available:
Special Instruction:
Notes:
. -. ,~,~"
License
162191
460
Expiration Date
11/19/2008
06/27/2009
Phone
541-726-8601
541-726-0100
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:.
% of Lot Coverage:
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
,
BUILDING INFORMATION 1 i
Ii
I.
im/a
,
Lot Size:
Sq Ft I st Floor:
,Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
I DEVELOPMENTlNFORMATION 1
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEM{rii's~' I ;v,.: uregon Jaw requIres you to
_ Ii .., 'IU os adopted by the Oregon Utility
. !'OlllICaholl C'Siilewalk~:ules are set forth
. 111 ~Ar, 952-001-001,0 thr9J.!qh OAR 952-001-
OOV^'~; Y()\~111~0~8~p'p''1!~~~~I~hhe rules b .
o"l,:ng tH')'ce.nler.. (Note: the telephone y
llUl1k,cl ,l.~ ' ,t.he.Or990n Utility Notification
C""'i",lf is', 1-800-332-2344).
'. . ~
.,',
Page 1 00
..
,
Status
Issued
CITY OF SPRINGFI~LD
Building/Combination Permit
PERMIT NO: COM2008-01443
iSSUED: 09/30/2008
APPLIED: 09/19/2008
EXPIRES: 03/30/2009
VALUE:
225 Fifth Street, Springtield, OR
541-726-3753 Phone'
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descr!9tion I
Descriotion
Tvoe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
FpP:~, P'lirl .
I /" , r..
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Air Handling Unit Up to 10,000
Heat Pump
Minimum/Adjustment Mechanical
+ 100/0 Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ.Ea Add
Amount Paid
Date Paid
Receipt Number
, $21.00
$5.20
$6.24
$2.60
$10.00
$15,00
$27.00
$6.00
$7.20
$3.00
$50.00
$10.00
9/19/08
9/19/08
9/19/08
9/19/08
9/19/08
9/19/08
9/19/08
9/30/08
9/30/08
9/30/08
9/30/08
9/30/08
2200800000000001424
2200800000000001424
2200800000000001424
2200800000000001424
2200800000000001424
2200800000000001424
2200800000000001424
3200800000000000679
3200800000000000679
3200800000000000679
3200800000000000679
3200800000000000679
Total Amount Paid
$163.24
Plan Reviews ,
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.
~fP(1 In~l'fctions I
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
r
Paee 2 on
Status
Issued
225 Fifth Street, Spririgtield, OR
541-726-3753 Phone
541-726-3676 Fax
541- 726-3769 Inspection'Line
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01443
ISSUED: 09/30/2008
APPLIED: 09/19/2008
EXPIRES: 03/30/2009
VALUE:
By signature, I state and agree, that r have carefully examined the completed application and dohereby certify that all
information hereon is true and eorrect, and r further certify that any and all work performed shall be done in aceordance with
the Ordinances of the City of Springtield and the Caws of the State of Oregon pertaining to the work described herein, and
that NO OCCUP ANCY will be made of any structure without permission of the Community Services Division, Building Safety.
I further certify that only contractors and employees who are in compliance witli, ORS 701.005 will be used on this project.
I further agree to ensure that all required 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 approfed set of plans will remain on the site at all
times during construction.,
Owner or Contractors Signature
Pa!!e 3 of 3
Date
.~
City of Springfield
Electrical Authorization To Begin Work
E-mailedTo:gmdelectric@comcast.net
. "
Receipt # EC538957
9/30/200812:20:13 PM
Check-on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springtield.or.us
I 0 New construction
0,Addition/altcrationlreplacement
lliJ 1 or 2 family dwelling
o Muhicfarriily
o Commercial/Industrial
I Job no.: I Job address: 837 S 69TH ST
ICiIY/SIlItc"ZfP: SPRINGFIELD, OR 97478~7377
Suitc/bldg.lllpt.no.:
I Project name:
Cross street/directions to job site: Travel east anI-ID5 toward Springfield, turn lell
jnto Main $1 (OR-126) toward' McKenzie River/Bend, tilm right onl0 S 69th Place, turn
right onto Forsythia St, turn le"n onto S 69thSt.
I Subdivision:
map/parcel no,; 1802022305800
ILot no.:
Heat pump and air handler (3-5 ton & 15 KW),instalJ new GEl receptacle.
I Name: Ed RobertS
IIJbonc: (54]) 505-3025
IEmail:
I Fax:
IE!. lic:no.: 20-537C I CCB lie. no.: ]6219]
I Business Name: .GMD EL'ECTR1C ~NC
I Contact: Mike Gowins / Sue Gowins
[Address:: 957 NORTH RIDGE AVE
I City/State/ZIP:' SPRINGFfELD OR 974,77
I PhOlle: (541 )74 ],7369 I Fax: (54 I )9881800
I Email: g~deIeClric@comcast.net
I Metro lie. no.: I City lie. no.:
I Supervising electrician's lie.' 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 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 determine that an
Authorization To Begin Work is null and void if it does not
meet applicable land use laws and local ordinances.
\
I Description
Qty.
Ea.
Total
I ],000 sq. n.. or]ess
lEa. addl 5:00 sq. n. or portion
I-Limited energy, residential
(with above Sq, ft.)
I-Limited energy"multifamily
residential (with above sq, ft.)
I - Limited,ener~, commercial
(WIth above sq, ft.)
I - Stand.a!one Iimi!ed energy,
residential. .
I - St<lnd-<llone limited energy,
multi-fami]y
I - Stand-a.!one limited energy,
commercia]
1200 amps ~r less
I 20] amps to 400 amps
40] amps to 599 amps
1200 amps or less
I 20] amps ~o 400 amps
140 I amps to 599 amps
Il~.r?!icil:~.ifCJ!~~~~~EW~~EraJ~~12,~:~~te,;si~~'~~P!r,j)~Cl"
lA, Fee for branch circuits with
service or feeder fee, each
branch circuit.
I I B. Fee for branch circuits
I without service or feeder fee,
, first branch circuit:
I i each addl branch circuit
I
I
I
1
1
1
1
$50,00
$50001
$]0,00
2
$5001
:~
I Service reconnect only
I Each manufactured or modlll~r
dwelling.'service and/or feeder
I Plllnp or irrigation circle
I Sign or outline lighting
I Signal circyit(s) or li.mited-
energy panel, a]teratlon, or
extension.
Subtotal $60.00 I
State Surcharge (12% of permit fee) $7.20 I
City Of Springfield fees" $9.00 I
I TOTAL PERMIT }<'EE $76.20 I
" City Of Springfield fees: ] 0% Administration Fee; 5% Technology Fee
Ca-ri~0lJ 0 - D Lt-'+ 3
q -30- ol(
f\iO>
This Authorization To Begin Work must be posted at the job, site until replaced bya Permit
City of Springfield Official Receipt
Development Services Department.
Public Works Department
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM200S-0 1443
COM200S-01443
COM200S-0 1443
COM200S-01443
COM200S-0 1443
Payments: ,
Type of Payment
ONLINE CHGS
cRcceintl
RECEIPT #:
3200800000000000679
12:33:09PM
Date: 09/3012008
D.escription
Add, Alter, Extend Clrc
Add, Alter, Extend Clrc Ea Add
+ 5% Technology Fee
;l- 12% State Surcharge
+ 10% Administrative Fee
Amount Due
50,00'
10.00
),00
7,20
6,00
$76.20
Paid By
ONLINE PERMIT CHGS
Item Total:
<":heck Number ~uthorjzation
Received By Batcb Number Number How Received
Amount Paid
njm
ONLINE gmd elect Online
Payment Total:
$76.20
$76.20
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