HomeMy WebLinkAboutPermit Mechanical 2008-12-30 (2)
225 Fifth Street, Springfield, OR
541-726-3753 Phone II
541-726-3676 Fax .
541-726-3769 Inspection Li~e
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SITE ADDRESS: 22421ltTH ST
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ASSESSOR'S PARCEL NO.: 1703261106900
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PROJECT DESCRIPTION: Install heat pump and air handler
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Status
Issued
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CITY OF ~nuNGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01813
ISSUED: 12/30/2008
APPLIED: 12/29/2008
EXPIRES: 07/01/2009
VALUE:
Springlield TYPE OF WORK: Heating System
TYPE OF USE:
New
Residential
Owner:
Address:
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. NOWAK DENNIS L & DIANNE M
6867 HOLLY ST
SPRINGFIELD OR 97478
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Contractor Type
Electrical
Mechanical
I CONTR;\CTOR INFORM~T10N I
Contractor
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GMD ELECTRIC INC
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CpMFORT FLOW
License
162191
460
Expiration Date
1111912010
06/27/2009
Phone
541-726-8601
541-726-0100
BUILDING INFORMA nON I
# of Units:
Primary Occupancy Group:
'I
Secondary Occupancy Group:
P' C . T II
nmary onstructlOn ype
Secondary Construction Type:
# of Bedrooms:
II
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il \.~c '.
R ~,
N~~ I~;RMIT SHkl EXPIRE IF T\'r{~~ie.'}MPROVEMENTS I
Street h~'l1~\i!f;D UNpER THIS PE~~~'F~RI .
Storm seOO1At1'llii'llibiiP O~ IS ABANDO
Speciall~H'1f<1l9i}:DAY PERIOD.
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Notes:
# 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:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Total:
Handicapped:
Compact:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Sidewalk Type:
A~flJ!~~Pr"law requIres you to
toll ow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth
in OAR 952-001-0010 through OAR 952-001.
0090. You may obtain copies of the rules by
calling the center. (Note: the telephone
numl;)er for the Ofegon Utility Notification
Centef is 1-800-332-2344).
Paee I 013
Status
Issued
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225 Finh Street, Springfield, OR
541-726-3753 Phone ::
541-726-3676 Fax . i'
54t-726-3769 Inspection Lioe
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Description Type of Construction
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Fee Description II
-Mechanical Issnance Feei.1
+ 100/0 Administrative Fee!
+ 12% State Snrcharge
. + 5% Technology Fee II
Air Handling Unit Up to 10,000
Heat Pump . II
Minimum/Adjustment Mechanical
+ 100/0 Administrative Feeil
+ 12% State Surcharge I
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+ 5% Technology Fee
Add, Alter, Extend Circ :1
Add, Alter, Extend Circ Ea Add
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Total Amount Paid
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-0I813
ISSUED: 12/30/2008
APPLIED: 12/29/2008
EXPIRES: 07/0112009
VALUE:
I Valuation Description I
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
Fees Pai~J
Amount Paid
Receipt Number
2200800000000001781
'2200800000000001781
2200800000000001781
2200800000000001781
2200800000000001781
2200800000000001781
2200800000000001781
2200800000000001789
2200800000000001789
2200800000000001789
2200800000000001789
2200800000000001789
Date Paid
$21.00
$5.20
$6.24
$2.60
$10.00
$15.00
$27.00
$6.00
$7.20
$3.00
$50.00
$10.00
12/30/08
12/30/08
12/30/08
12/30/08
12/30/08
12/30/08
12/30108
12/31/08
12/31/08
12/31/08
12/31/08
t 2/31/08
$163.24
I Plan Reyiews I
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To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00
a.m. will be made the s~me working day, inspections requested after 7:00 a.m. will be made the following
work day. II
I.Re'1",i~ed T~s!lections I
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Rough Mechanical: !Prior to' Cover
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Final Mechanical: When an mechanical work is complete.
Rough Electric: Pri~r to Cover
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Final Electric: When an electrical work is complete.
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Status
Issued
225 Fifth Street, Springfieldi OR
541-726"3753 Phone
541-726-3676 Fax ,"
541-726-3769Inspectioit Lirie
LU Y OFSPKll'l\.Jl'IELD
Building/Combination Permit
PERMIT NO: COM2008-01813
ISSUED: 12/30/2008
APPLIED: 12/29/2008
EXPIRES: 07/01/2009
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 I further certify that any and all work performed shall be done in accordance with
the Ordinances of the City 6f 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 Community Services Division, Building Safety.
1 further certify that only cdntractors and employees who are'in compliance with ORS 701.005 will be used 'on this project.
I further agree to ensure th~t all required iuspections 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.
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Owner or Contractors Sign~ture
Page 3 of 3
Date
City of Springfield
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Electrical Authorization To Begin Work
E-rnailed To: gmdelectric@comcast.net
Receipt # EC544317
12/31/20088:25:09 AM
Check on status of permit
By Phone: (54t)726-3753 or Emaii: permitcenter@ci.springfield.or.us
[Xl ] or 2 family dwelling
D Multi-family
D Commercial I Industrial
!XJ Addition/alteration/replacement
no.: IJob address: 2242 11TH 5T
I CilyfStatclZlP: SPRiNGFIELD, OR 97477-2430
I Suitefbldg.lapt.no.:
I Project name:
Cross slreet/dircl:tions 10 job site: Mohawk Blvd becomes 19th and onto-Hayden
Bridge onto 10th to 11 th
) Subdivision:
ITax map/parcel no.: 1703261106900
JL01 no.:
-Limited energy. residential
(with above so. fU
I-Limited energy, multifamily
residential (with above sa. ft.)
I-Limited energy, commercia"]
(with above sq. f1.)
I - Stand-alone limited energy,
residential
I - Stand-alone limited energy,
multi-family
I - Stand-alone limited energy,
commercial
1200 amps or less [2]
1201 amps to 400 amps [2)
1401 amps to 599 amps [2]
Heat Pump with Air Haridler and outside receptacle
I N1tme: Dennis Nowak
IPhone:
I Email:
IFax:
1200 amps or less [2]
120 I amps to 400 amps [2]
401 amps to 599 amps [2]
Upon review and,approval by your local jurisdiction, your
permit will be e-mailed or faxed within'one busi.ness day,
with instructions on how to schedule your Inspection.
I A. Fee fofbranch circuits ~ith
service or feeder fee, each
branch circuit
B. Fee for branch circuits $50,00 $50.001
without service or feeder fee,
first branch circuit [21,' ~
';l~=;:~~~~~~~~lt;~~;~~~~!~tJirtl'~;
Sc Icl WU\1"u" _POin h[;""'lh ~AR 952~01. I
~_" c QU,_~1ffair copies j the r~le oy I
121 ~QIJinglbe center. Note: th telep 0 e
Pum inb!!jotG~<m'\Il!JOre! on Ulilll~_ NOllll\,i,,"UII I
. Sign or oul!;nc GeB~~JiS l-c vu-o)o)"-"r")' I
Signal circuit(s)or Ii.mited- I I I
energy panel, alterallon, or
extension 121
.~lfr~~$y:k~;~fj:~~,~EIJ~[~~gK~!t~~g~~ :~'1~~1:~J
I Subtotal I $60,00 I
I State Surcharge (12% of permit fee) $7:20 1
I CitY Of Springfield fees" $9.00 I
1 TOTAL PERMIT FEE 1 $76.20 1
.. City or Springfield fees: 10% Administration Fee; 5% Technology
Fee
{Defaul number ofiFl\e~a~wedJ
COM: e>'.I:.Vt::> - ('i) I A 1.:"1
RCPT#: ;::j;:)t:OR~ I 'l~q
'. . DArE PROCESSED:l-:9 I ~ J I Of:,
This Authorization To Begin Work must be posted at the j Jb site u.ntil replal(ejlln\a P,l1rmlt.
. . . . PROCESSED BY:'&"k'Q rL:i<:""
lEI. lie. no.: 20~537C ICCBlic.no.: 162191
I Business Name: GMD ELECTRIC me
:~::::::: ~i;:fl!+rii1. ;SSHMJ.-E1lP1.J:l1= 11= THF WORK
ICitY/SI.tcJZJP:~I~\t:, ~~m TLJIC P!:J:lMIT I~ NOT
IPhon" (541)74!!'l,6?. ._.!~-" 0f11<' J'3'Mjt1Ij'l!l{l~q:OR
I. L..\ 1~'IlVIL!\JIJLL.J t v 1\ . .
Emad; gmdelecl.n~~~Ofl1.f~t.~li.. , f""r-r1I"~
I . .'njt lUV un\ I Loll v '. .
Metro he. no.: . \. City he. no,:
I Supervising electrician's lie. no.: 4874S
I Supervising electrici1tn's name: MICHAEL K GOWINS
NOTE: This Authorization To Begin Work expires within 180
days if a permit ;s not obtained.
The local buildi,ng 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.
225 Fifth Street
Springfield, Oregon 97477
541-V26-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
C0M2008-0 1813
COM2008-01813
COM2008-0 1813
COM2008-01813
COM2008-01813
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
Date: 12/31/2008
2200800000000001789
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
ONLINE
GMD Online
Electric
Payment Total:
kr
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Page I of t
8:33:59AM
Amount Due
50.00
10.00
3.00
7.20
6.00
$76.20
Amount Paid
$76.20
$76.20
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12/31/2008