HomeMy WebLinkAboutPermit Mechanical 2008-10-1 (2)
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01492
ISSUED: 10/0112008
APPLIED: 10/oi/2008
EXPIRES: 04/02/2009
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone'
541-726-3676 Fax
541-726-3769 Inspection,Line
SITE ADDRESS: 4631 DAISY ST
ASSESSOR'S PARCEL NO.: 1702324307802
Springfield TYPE OF WORK: Heating System
, TYPE OF USE: Alteration
PROJECT DESCRIPTION: INSTALL NEW AMERICAN STANDARD HEAT PUMP SPLIT SYSTEM
Residential
Owner: BROOKS DONNA ANN
Address: 4631 DAISY ST
SPRINGFIELD OR 97478
I CONTRACTOR INFORMA TION ,
Contractor Type
Electrical
Mechanical
Contractor
REVOLUTION ELECTRIC, 1NC
MARTIN CASTLEMAN LLC
License
179066
169547
Expiration Date
10/30/2009
04/0712010
Phone
541-505.8351
541-736-3438
,BUILDING INFORMATION ~
# of Units:
Primary Occnpancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Strncture
Type of Heat:
Water'Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft I st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
nla
I DEVELOPMENT INFORMATION I
,
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Street Improvements:
I ~UBLIC IMPROVEMENTS I '. .' , '"
Sidewalk Type:
NOnCE: Downsp'outslD.r~ins,: K
THIS PERMIT SHALL EXPIRt 11- I HE WOR
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMEN,CED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Storm Sell;erlaNiffilbl~Oregon lavv requires you to
Special IiDlIllUct\\lieS adopted by tile Oregon Utility
Notification Center. l;l1ose rules are set tortl1
Notes: In OAR 952-001-0010 through OAR 952-001-
0090. You may obtain copies of the rules by
calling the center. (Note: the telephone
llIlmber for the Oregon Utility Notification
Center is 1-800-3S2-2S44).
Page 1 01'3
Status
, Issued
225 Fifth Street, Springfield, OR
541.726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descriotion 1
Description
Tvpe of Construction
$ Per Sq Ft
or mnltii>lier
Square Footage
or Bid Amount
Total Value of Project
!<,pp" P'\iaJ
Fee Description
......Mechanicallssuance Fee......
+ 10% Administrative Fee'
+ 12% State Surcharge
+ 5% Technology Fee
Air Handling Unit Up to 10,000
Heat Pump
MinimumlAdjustment Mechanical
+ 100/0 Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Amount 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
Total Amount Paid
$169.59
I Plan Reviews I
Date Paid
1011108
10/1108
10/1108
10/1108
10/1108
10/1/08
10/1/08
1012108
1012/08
1012108
10/2108
10/2108
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-01492
ISSUED: 10/01/2008
APPLIED: 10/01/2008
EXPIRES: 04/02/2009
VALUE:
Value
Date Calculated
Receipt Number
2200800000000001465
2200800000000001465
2200800000000001465
2200800000000001465
2200800000000001465
2200800000000001465
2200800000000001465
3200800000000000683
3200800000000000683
3200800000000000683
3200800000000000683
3200800000000000683
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, Rp'\ll.i,rprJ Im,npPt;\,W
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete. '
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Pa2e 2 of 3
_~~Il'f~!\il~l:I:;~.
t
i'
Status
Iss u ed
225 Fifth Street, Springtield, OR
541-726-3753 Phone
541.726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-01492
ISSUED: 10/01/2008
APPLIED: 10/01/2008
EXPIRES: 04/02/2009
VALUE:
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 fnrther certify that any alld all work performed shall be done ill accordance with
the Ordinances of the City of Springtield and the Laws of the' State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will bemade of any structnre withont permission of the Community Services Division, Building Safety.
I further certify that only contractors and',employees who arein compliance with ORS 701.005 will be used on this project. '
I fnrther agree to ensnre 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 approved set of plans will remain on the site at all
times during constructioll.
Owner or Contractors Signatnre
'.
Paee 3 of 3
Date
Electrical Authorization To Begin Work
E-mailedTo:revolutionectric@comcast.net
Receipt # EC539122
10/112008 5:20:50 PM
City of Springfield
Check on status of permit
By Phone: (541)726-3753 or Email: permitce~ter@ci.springfield.or.us
ID New cons~;uction
o Addition/altcrationlrcplacement
Qty.
Ea.
Total
IJob no.: IJob address: 463] DAISY S1'
ICily/State/ZIP: SPRINGFIELD, OR 97478.6661
Suitc/bldg.lapt.no.:
I P~oject name:
Cross street/directions t~ job site:
11,000 sq. ft. or less
Ea. addl 500 sq. ft. or panion
10 1 or2 family dwelling
D Multi-family
D Commercilll J Industria]
I Subdivision:
I Tax map/parcel no.: 1702324307802
I Lot no.:
~ Liinited energy, residential
(with above so. [1.)
I-Limited energy, multifainily I
residential (with above SQ, [1.)
I-Limited energy, commercia-l .1
(with above so. [1.)
I - Stand-alone limited energy, 1
residential
I" - Stand-alone limited energy, I
multi-family
1- - Stand-arori~ limited energy, I
commercial .
Ir~ryi,~~tQ~1~;~~Lrr.s~jJiif0li:a-l"t~~~~N,i5L'i~1~I~J~_il~\i:"',~_~!
1200 amps or less 1
120 I amps to 400 amps I
! 40] amps t.o 599 amps
New-HVAC system
1200 amps or"]ess ~ _ 1
129] amps to 400 llmps I
Ij:~~~!:~i~!~i:~i~~Y!iit~"io'i;1fs!c!l;~1ti'Ji]iiii~P&:pjl'~I;~~~~,:z,1
I A. Fcc for branch circuits with I
servIce or feeder fcc, each
branch circuit.
18. recforbranch circuits
without service or feeder fee,
first branch cHcuit:
I each addl branch circuit
$50,00
$50,001
$15,001
J Name: Climate Control
I Phone:
Itmail:
IF."
I EI. lie. no:: C354 I CCB lie. no.: 179066
I Bu"~jness NJJmc: REVOLUTIQN ELECTR1C INC
I Contact: Malt Schultz
IAddress:- 2] 71 BIRCHWOOD AVE
'9ty/Stater.lIP: EUGENE OR 97401.7409
I Phon., (541 )5058351 I Fax: (541)5058454
I Em:liI: revo]utioneClric@comcastnet
IMctr~lic. no.: I City. lie. no.:
ISupcn'ising electrician's lie. no.: 52475
"I Supervising electrician's nllme: MATTHEW L SCHULTZ
3
$5,00
I Service reconnect only
[' Each manufactured or iilOdular
dV;'elling" service andlor feeder
! Pump or irrigation circle
Sign or outline lighting
circuil(s) or limited.
energy pane], alteration, or
~xtension,
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 sch~dule 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 jf it does not
meet applicable land use laws and local ordinances.
I SubriJral I $65.00 I
I State Surcharge (12% of permit fee) $7.80 I
I City OfSpringfieJd fees'" $9.751
I TOTALPERJ\IIT FEE $82.55
'" City Of;Springfield fees: 10% Administration Fee; 5% Technology Fe!;
Qom ).(fb8" -at.,q~'
\o'-o~-Oq
This Authorization To Begin Work ~~st be posted at the jOtJ site until replaced by a Permit.
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
J'ublic Works Department
Job/Journal Number
COM2008-0 1492
COM2008.0 1492
COM2008-0 1492
COM2008-0 1492
COM2008-0 1492
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
3200800000000000683
Date: 10/02/2008
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 5.% Technology Fee
+ 12% State Surcharge
+ 10% Administrative Fee
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
njm
ONLINE Revolution Online
Payment Total:
Page I of I
7:20:28AM
Amount Due
50,00
15,00
3.25
7,80
6,50
$82.55
Amount Paid
$82,55
$82.55
, '
10/2/2008