HomeMy WebLinkAboutPermit Mechanical 2008-10-9
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01S19
ISSUED: 10/09/2008
APPLIED: ] 0/09/2008
'EXPIRES: 04/13/2009
VALUE:
Status' Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone'
54] - 726-3676 Fax
54]-726-3769 Inspection Line
SITE ADDRESS: 24]9 ]7TH PL
ASSESSOR'S PARCEL NO.: ] 703243400347
Springfield TYPE OF WORK: Heating System
TYPE OF USE: ,New
Residential
PROJECT DESCRIPTION: Replace heat pump and gas furnace
Owner: DAVIS RON K
Address: '24]9 17TH PL
SPRINGFIELD OR 97477
Phone Number: 541-744-0066
I CONTRACTOR,INFORM~!ION I
Contractor Type
Electrical
Mechanical
Contractor
GMD ELECTRIC INC
COMFORT FLOW
License
162]9]
460
Expiration Date
11/19/2008
06/27/2009
Phone
54] -726-860 I
541-726-0100
I BUILDING 1l':~?RMATlO~1
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft ]st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVE,WP~ENT INFORMATION I
, Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMP,ROV,EM~NTS I
Street Improvements:
Storm'Sewer Available:
Special Instruction:
" Sidewalk Type:
.: Downspouts/Drains:
Not'NOTICE:
THIS PERMIT SHAll EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
ATTENTION: Oregon law requIres you to
follow rules adopted by the Oregon Utility
Notification Center. Those rules are set fort~
In OAR 952-001-001 0 through OAR 952-Q01.
0090. You may obtain copies of the rules b) .
calling the center. (Note: the telephone .
number for the Oregon Utility Notification
'Center is 1-800-332-2344).
Paee I of 3
'.
Status
Issued
225 Fifth Street, Springfield, OR
54]-726-3753 Phone
54]-726-3676 Fax
54]-726-3769 Inspection Line
Description
Type of Construction
Fee Description
-Mechanical Issuance Fee-
+ ]0% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Air Handling Unit Up to ]0,000
Furnace - up to 100,000 btu
Heat Pump ,
.Minimum/Adjustment Mechanical
+ ]0% Administrative Fee
+ ]2% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Total Amount Paid
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01S19
ISSUED: 10/09/2008
APPLIED: 10/09/2008
EXPIRES: 04/13/2009
\;ALUE:
I Valuation Descriution ,
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
Fee~ Paid I
Amount Paid
Da.!e Paid
Receipt Number
$21.00
$5.20
$6:24
$2.60
$10,00
$]5.00
$]5.00
$12.00
$5.20
$6.24
$2.60
$52.00
]0/9/08
]0/9/08
]0/9/08
]0/9/08
]0/9/08
10/9/08
10/9/08
]0/9/08
10/13/08
] 0/13/08
.] 0/13/08
] 0/13/08
3200800000000000699
3200800000000000699
3200800000000000699
3200800000000000699
3200800000000000699
3200800000000000699
3200800000000000699
3200800000000000699
120080000000000]058
]20080000000000]058
]20080000000000]058
]20080000000000]058
$]53.08
I Plan Reviews I
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.
~.~rl.~ired I~spec!ions I
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is ~omplete.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Page 2 01'3
_~~I!~tlil'I!A~J
I
Status
Iss u ed
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
.CITY OF SPRINGFIELD
I
Building/Combination Permit
PERMIT NO: COM2008-01519
ISSUED: 10/09/2008
APPLIED:, 10/09/2008
EXPIRES: 04/13/2009
VALUE:
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and] 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 structnre withont permission ofthe 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 further agree to ensure that all required 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 Signatnre
Paee3 of 3
Date
City of Springfield
,
Electrical Authorization To Begin Work
E-m!lil~d 'Ib: gmdeiectric@comcast.n,ct
Receipt # ECS3978]
10/13/20089:10:20 AM
Check on st,atus of permit
By Phone: (541)726-3753 or Email: permitcenter@ci:springlield.or.ns
D New construction
0. Addition/alteration/replacement
I [K] ] or 2 family dwelling 0 Multicfamily D Commercial/Industrial
1~-~~~;~jjg~~llo'BTs'ifEtfNEORMATI(fN'fA'ND"LBcAiYCfN5~-,f;'#~'s!"7~l\=h' "~I
~~~~ _"5b-~~~,,,, -__,,^,,'~~""';~~_~4~~:;:s;;;,:2i:!f~.~=~~
I J(lb no.: I Job address: 24] 9 17TH PI. I
ICitY/~late/ZIP: SPRINGFIELD, OR 47477-1614 I
I Suite/bldg.lapt.no.: ' I
I Project name: I
Cross street/directions to job site: Mqhawk Blvd (L) Hayden Bridge Roa9 (R) onto
17lh PI North.
I Subdivision:
. \Tax map/parcd no.: 1703243400347
ILot no.:
Gas Fum Retro and Ale Swap
I Name: Ron Davis
I Phone: (541) 744-0066
IEmail:
I,
IEI,lie,lIo.: 20-537C ICCBlic.llo.: 162]9]
I Business Name: GMD ELECTRIC lNC
1 Contact: Mike Gowins / Sue Gowins
IAddress: 957 NORTHRIDGE AVE
\Cit:dStllh.rLIP: SPRlNGFIELD OR 97~77
IPhone: (541)7417369 IFax: (541)9881800
I E,:uail: gmde]ectric@comcas1.net
1 Metro lie. no.: 1 City lie. no.:
I Supen'ising electrician's lie. no.: 4874S
ISupcn'ising e1l'etricillo's mIme: M1CHAEL.K GOWINS
I Fox:
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 us'e laws and local ordinances.
11,000 sq. ft, or less
addl 500 sq. ft. or portion
I .Limit~d energy, residential
(wlthubOve so. ft.)
" Limited energy, multifamily
residenlial (with above Sq. ft.)
- Lirniled energy, commercia-l
(with abovesq, ft.)
- Stand-alone limited energy,
residential
- Stand-[llone limited energy,
multi-farriilv
I - Stand-alone limited energy,
commercial
':1
1200. amps or less
1201 amps'lO 400 [Imps
I 401 amps to 599 amps
1200 amps or less
1201 amps'to'400 amps
1401 amps to 599 amps
~J~I~'iiLili~SJ~!L~~i~~Ef~ll~;~;~<j13:,cxJ~~;~lori,
A. Fee for branch circuits with
service or feeder fee, each
branchcircuil
lB. Fee for branch circuils
without service or feeder fee,
first branch circuit
I euch addibranch circuit
, -'1
"''';,~:t~':
$50,00
$50001
I
~"I
I
I
I
I
I SerVice reconnect only
I Each manufactured or modular
dwelling, service and/or fceder
I Pump or irrigation circle
1 Sign or outline lightitig
I Signalcircuit(s) or lim.ited-
energy panel, alteratIOn, or
exlenSlOn. '
I-
I
I
I
I
L TOTAL PERMIT fEE, $66,04 I
'" City,Of~pringfield fees: IO%Administration Fee;5% Technology fee
Subtotal
Minimum fee used instead of Subtotal
State Surcharge (12% of pennit fee)
City Of Springfic]d fees '"
$50,00 I
$52,001
$6,24 I
$7,80 I
COM.~rm -D\5\ C\
RCPU \ (x')lJ6 ~ \ ():--. i<
DATE PROCESSED: \ D \ \3\ 0<6
This Authorization To Begin Work must be posted at the j lb ,site' until repla~e9 bH Permit.
, ~ROCESSED BY: K. _ <1<"0 ~.:si.
./
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
~OM2008-0 1519
COM2008-0 1519
COM2008-015I9
COM2008-0 1519
Payments:
Type of Payment
ONLINE CHGS
cReceiotl
"
City of Springfield Official Receipt
Development Servic.es Department
Public Works Department
RECEIPT #: . 1200800000000001058
Date: 10/13/2008
Description
Add, Alter, Extend Circ
+ 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
KR
ONLINE GMD Online
.ELECTRIC
Payment Total:
Page I of I
9:52:49AM
Amount Due
52,00
HO
6.24
5.20
$66.04
Amount Paid
$66.04
$66.04
10/13/2008