HomeMy WebLinkAboutPermit Mechanical 2008-10-7
Status
Is.sued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01510
ISSUED: 10/0712008
APPLIED: 10/07/2008
EXPIRES: 04/0712009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1167 SEQUOIA AVE
. ASSESSOR'S PARCEL NO.: 1703273402808
Springfield TYPE OF WORK:~eating System
TYPE OF USE: Alteration
PROJECT DESCRIPTION: PANEL CHANGE AND HEAT PUMP INSTALLATION
Residential
Owner: BROWN THOMAS W& KIMBERLY B
Address: 1167 SEQUOIA AVE
SPRINGFIELD OR 97477
" .
I CONTRACTOR INFO~~A TION I
Contractor Type
Electrical
Contractor
C & SELECTRIC
License
3849
BUILDING INFORMATION I
Expiration Date
09/01/2010
Phone
541-741-2236
# 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 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
SqFt Garage/Carport
Sq;Ft Other:
Occupant Load:
n/a
. I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rq'd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicappcd:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
\Sly.
~o-\~
v: . .
ATTEN11ON: Oregon law requires you to
follow rules adopted by the Oregon UtIIItl
I'IQlnlCllllon \IUt ntn. 'I'~ IU'V/i:II -=*IU 0Ctl ~ Iff
In OAR 952.(lON1010 through OAR 952-oo'l-
0090. You may Obtlln copies of the Nleat ,
C8111n1l. the center. (Note: the telephone
tlU/IIbeI"ftWthe Orelioft'UtiIltyINdUfllsbtlDll
CenIer Is 1-eooa.2344).
:Downspouts/Drains:
'Notes:
NOTICE:
THIS Pt:KMII ~I1ALL 1:}I.t'IKt I~ '.1'l/I'I:\
AUTHORIZED UNDER THIS PE ~fi'jfDescriDtion I
COMMENCED OR IS ABANDON~9 F~ Ft
DescriPtioIf\NY 18G.aPif~IOOJion . erl,ql'
, or mu tip Iff
,
Square Footage
or Bid Am~unt
Paee I of2
Gk\IlINIliP,I_:
-..'T11,...'"lt'';",.".w..,',....:;,...'''
1I.,- .
.1
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541- 726-3676 Fax
541-726-3769 Inspection Line
Fee Description
+ 10% Administrative.Fee
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ Ea Add
Perm ServlFdr 200 amps or less
Amount Paid
$8.30
$9.96
$4.15
$10.00
$73.00
Total Amount Paid
$105.41
Total Value of Project
~ees Pa.i~ I
I Plan Reviews I
Date Paid
10/7/08
10/7/08
10/7/08
10/7/08
10/7/08
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01S10
ISSUED: 10/0712008
APPLIED: 10/0712008
EXPIRES: 04/0712009
VALUE:
Receipt Number
1200800000000001044
,1200800000000001044
,1200800000000001044
1200800000000001044
'1200800000000001044
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. .,
Reoll.,irerl, T,!l~q~ction\ I
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
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 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 t~e work described herein, and
that NO OCCUPANCY 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 with ORS 701.005 will be used on this project.
I further agree to ensu~e 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 construction.
Owner or Contractors Signature
Page 2 of2
"
Date
City of Springfield
Electrical Anthorization To Begin Work
E-mailed To:awood@cselectric.org
Receipt # EC539478
10/7/20081:55:58 PM
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.ns
I ~ I or2 family dwelling
o Multi-family
o Commercial/Industrial
11,000 sq. ft. or less
I Ea, add] 500 sq. ft. or portion'
I 0 New construction
[X] Addition/alteration/replacement
II Description
IJob no.: IJob address: 1167 SEQUOIA AVE
/City/Statl'/ZJP: SPRJNGFIELD, OR 97477-3552
I Suite/bldg./apt.no.:
I Proj~ct name:
Cross strcct/dircctionsto job site:
I Subdivision:
'ITax map/pan:elno.: 1703273402808
ILot no.:
I-Limited energy, residential
(with above SQ. f1.) .
I - Lirriited energy, multifamily
residential (\vith above sa, ft)
I-Limited energy, commercial
(with above sa. ft.) .
I -Stand-alone limited energy,
residential
I _ - Stand-alone limited energy,
mu]ti-family
limited energy,
I
I
I
panel change and heat pump installation
1200 amps or less
I 20] amps to 400 amps
140] amps to 599 amps
$73.00
$73.001
I
I
I 200 amps (lr less
1 20] amps to 400 a1rips
1401 amps to 599 amps
Name: Tom Brown
I Phone: (541) 51 0-503-g
I Email: mgehrke@cselectric.org
2
IF""
I [I. lie. no.: 20-14C ICCBlic; no.: 3849
I Business Name: C & S,ELECTRIC INC
I Contact: Dave Gehrke
IAddress: PO BOX 1482
ICily/State/ZIP: SPRINGFIELD OR 97477
I Phon" (54])74]2236 IF,,, (54])74]2473
, Email:awood@cse]ectric.org
I Metro lie. rio.: I City lie. no.:
I Supervising electrician's lie. no.: 48945
I Supervising electrician's name: DAVID E GEHRKE.
A. Fee for branch circi.tits with
service or feeder fee,-each
branch circuit. .
S, Fee for branch circuitS
without service or feeder fee,
firs! branch circuit
I each add] branch circuit
$5.00
NOTE: This Authorization To Begin Work expires within 180
days if a permit is not obtained. .
I Service reconnect only
I Each manufactured or modular
dwel1in,g,service arid/or feeder
1 Pump or irrigation circle
1 Sign or ou~line lighting
I S,igrial circuit(s)or]i.~ited-
energy panel, alteratIOn, or
extension.
Imt~fii\ft~~'E~t(n~i~b~~~~:FfMT~{fE~!~~ik-:;~~-,~,. .,i'i:1
I Suh'ota] I $83.00 I
I State Surcharge (]2% of:pennit fee) $9.96 I
[ City Of Springfield fees'" $12.45 I
I TOTAL PERMIT FEE $105.4] I
.. City Of Springfield fees: 10% Administration Fee; 5% Techno]ogy Fee
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 y~)Ur inspection.
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.
COM: :J.n('f;( - f) 1..5.1 0
RCPTII: \a.ro<g'- \'D4L\
DATE PROCESSED:lf2blQ.c;<:
This Authorization To Begin Work must be posted at the job site until replaced by a Permit
PROCESSED By:.....L..D. ()
, . . ~~, ~
/
.-'
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2008-0 151 0
COM2008-0 IS! 0
COM2008-0 151 0
COM2008-01510
COM2008-015I 0
Payments:
Type of Payment
ONLINE CHGS
cReceintl'
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
2:14:I1PM
1200800000000001044
Date: 10/07/2008
Description
Penn Serv/Fdr 200 amps or less
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Administrative Fee
Amount Due
73.00
10.00
4.15
9.96
8.30
$105.41
Paid By
ONLINE PERMIT CHGS
Item Total:
l.:heck'Number Authorization
Received By Batch Number Number How Received
KR ONLINE C&S Online
ELECTRIC
Payment Total:
$105.41
Amount Paid
$105.41
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