HomeMy WebLinkAboutPermit Mechanical 2008-12-17 (2)
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01780
ISSUED: 12/1712008
APPLIED: 12/16/2008
EXPIRES: 07/05/2009
VALUE: '
225 Fifth Street, Springfield, OR
54] -726-3753 Phone
54] -726-3676 Fax
54]-726-3769 Inspection Line
SITE ADDRESS: ' 22]] BEVERLY ST
ASSESSOR'S PARCEL NO.: ]703272207506
Springfield TYPE OF WORK: Heating System
TYPE'OF USE: New
Residential
PROJECT DESCRIPTION: Install furnace and heat pump
Owner: GLENZ TODD R & MISHELL
Address: 22]] BEVERLY ST
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Mechanical
Contractor
JB ELECTRIC
PACIFIC AIR COMFORT INC
License
]04929
39237
Expiration Date
03/]4/20]0
03/25/20]0
Phone
54]-687-5770
54] -672-95] 0
BUILDING INFORMATION I
# 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: I
Energy Path: I
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/iI
I DEVELOPMENT INFORMATION 1
'REQUIRED PARKING
I
Overlay Dist: ATTENTION: Oregon law rGloJ~~s you to
# Street Trees Rqdfollow rules adopted bYlheI[~~,~,iS!,PI]~~iy
Paved Drive RqdNotification Center, Those ruG~Il]P.l'st,;t forth
% of Lot CoveraQI'l:OAR 952-001-0010 through OAR 952-001-
0090. You may obtain copies of the rules by
AIC'-- ,....,11:......... fh.... ......~...f..._ n.I_.L_. .t,,-_ J._' ,
, THi; ~1.1:: ,I PUBLIC IMPROVEMERi]1$Iler f~r the Oreg:on Utility !~~;;i;~;ti;n
, ^, ,-. ERMIT SH ' Center IS 1-800-332-2344)
Street Improvem~i1~s: HORIZE ALL EXp , Sidewalk Type: '
,.", "1 0 UNDER IRE IF T.HE
Stor~ Sewer A~~,i1,~I~:, ENCEO' THIS p ,WORK Downspouts/Drains:
SpeCial InstructIOn: ~ i ~'C! nA" OR IS ABANO ERMIT IS NOT
, -, PERIOD, ' ONEO FOR
Notes: ~
\~~
t~
Frontyard Setback:
Side] Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Page] of 3
Status
Issued
225 Fifth Street, Springfield, OR
54]-726-3753 Phone
54] -726-3676 Fax
54]-726-3769, Inspection Line
Description
Tvpe of Construction
Fe~ Description
-Mechanical Issuance Fee-
+ ] 0% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Air Handling Unit Up to ]0,000
Heat Pump
Minimum/Adjustmeut Mechanical
+ ]2% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ Ea Add
Perm Serv/Fdr 200 amps or less
Total Amount Paid
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01780
ISSUED: 12/17/2008
APPLIED: 12/16/2008 '
EXPIRES: 07/05/2009
VALUE:
I Valuation Descrintion I
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
~ ~PI~< P,LIU
Amount Paid Date Paid Receipt Number
$21.00 ]2/17/08 220080000000000]746
$5.20 ]2/17/08 220080000000000]746
$6.24 ]2/] 7/08 220080000000000]746
$2.60 ]2/]7/08 220080000000000]746
$]0.00 ]2/]7/08 220080000000000]746
$]5.00 12/] 7/08 220080000000000]746
$27.00 12/] 7/08 220080000000000]746
$]3.32 1/5/09 3200900000000000002
$5.55 1/5/09 3200900000000000002
$30.00 1/5/09 3200900000000000002
$81.00 1/5/09 3200900000000000002
$2]6.91
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.
L-Rpollirpfi Upr:tinniJ
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. ,
Electric Service: Approval required prior to utility company energizing service.
Page 2 of3
_G!j';~W:'lg!ilI~~,
r
. CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2008-01780
ISSUED: 12/17/2008
APPLIED: 12/16/2008
EXPIRES:' 07/05/2009
VALUE:
225 Fifth Street, Springfield, OR
54]-726-3753 Phone
54] -726-3676 Fax
54]-726-3769 Inspection Line
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 the 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 co~tractors and employees who are in compliance with'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 approved set of plans will remain on the site at all
times during construction.
Owner or Contractors Signature
Date
Page 3 of3
City of Springfield
Electrical Authorization To Begin Work
E-mailedTo:dana@jbelectricinc.com ';
Receipt # EC544500
]/5/2009 12:44:56 PM
Check on status of permit
'By Phone: (54])726-3753 or Email: permitcenter@ci.springfield.or.us
D New construction .
[K] Addition/alteration/replacement
ILKJ,' J Dr 2 family dwelling
o Multi-family
D Commercial/Industrial
IJob no.: I.Job address: 2211 BEVERLY ST
ICity/StatelZIP: SPRINGFIELD, OR 97477-1906
I Suite/bldg./apt.no.:
I Project name: Todd Glenz Rcmodle
Cross street/directions to job site:
I Subdivision:
ITax niapJp:ucel no.: 1703272207506
I Lot no.:
change and bathroom remodle
I Name: Kelly Kersey
jPhone: (54]) 687-5770
I Email:
I Fax: (541) 687~5770
lEI. lie. no.: 37-5lbc ICCBlic. no.: 104929.
I Business Name: 18 ELECTRIC INC
'Co.otaet: John Bnlmback
/Address: 4685 ISABELLE ST
City/State/ZIP: EUGENE. WEST OR 97402-9765
I Phon" (541)687S770 IFaXl (541)3028296
I Email: dana@Jbelectricinc.com
I Metro lie. no.: I City lie. no.:
I Supervising electrician's lie. no.: 3872S
I Supervising electrician's name: JOHN BRUMBACK
Upon review and approval by your local jurisdiction, your
permit will be e-mai.led 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 I Qty. l Ea. I Tot:i1 I"
Il,l!cj,~,d.C~l~.I~~l~~~,E;rORFnWlrz~frri,'!U. flf.{,d. W,'~il..i~~;uni~Jncllr~cs
~t~~!!~,~g~~g~\y~~~~~~~, ,,_ _
1',000sq,ft,or'ess[4]
lEa, addl 590sq, ft. or portion
I -.Limite~energy, residential 1',::
(with above Sq. f1.)
I-Limited energy, multifamily
residential (with above Sq. ft.)
I - Limited energy, commercia-I Inot olTered online at this jurisdiction
(with above SQ. ft.)
I - Stand-al~ne limited energy,
residential"
I - Stand-al.~ne limited energy,
multi-family
I - Stand-alone limited energy,
commercial
1;~~~~:tt.~i!~m!J!~~iitrg~lill~~~9l~-!LilLo~~4iil
I 200 amps or less 121 $81.00 $81.001:,
1201 ampslo 400 amps [2] L
1401 amps to 599 amps [2] I,;
l~t~~hUIQR.:j,'~,',R,"~,'~~\f~, '~~,~\~':f&~llati~IiCl1liiOJ1,
;:~WlqJ~1~~'1C!!~~-&~~~r. ~
I I'
200 amp~ or less [2]
I 20 I amps to 400 amps -[2] III
[401 amps to 599 amps [2} I:'
I A. Fee for branch circui~s with
service or feeder tee, each
branch circuit .
lB. FecTor branch circuits
withoUl service or feeder f~e,
first branch circuit f21
I each addl branch circuit
$6,00
$30001
I'
Ii
5
reconnect only [2]
I Each manufactured or modular
dwelling, serviceandfor feeder
121'
I Pump or irrigation cirCle [2]
I Sign or outline lighting [2i
I Signal circilit(s) or limited-
alteration, or
Subtotal I
State Surcharge (12% of permit fee) I
City Of Springfield fees'" I
I TOTAL PERMIT FEE
... City Of Springfield fees: 5% Technology Fee
(Defalllt nll'rlber of inspections allowed)
C~LOi) 0- 017(2)
o I - 0 S ,- 0'-1
i"'-\I"'--'"
$111.00 I'
$13,32 "
$5,551
$129,87 I
This Authorization To Begin Work must be posted at the job ,site until replaced 'by a Permit.
225 Fifth Street
, Springfield,_ Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department"
Public Works Department
RECEIPT #:
3200900000000000002
Date: 01105/2009
]:12:2]PM
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number Authorization
Receiv.~d By Batch Nurnber Number How Received.
Amount Due
30,00
13,32
5,55
81.00,
$129.87 ,
Job/Journal Number
COM2008-0 1780
COM2008-0 1780
COM2008-0 1780
COM2008-0 1780
Description
Add, Alter, Extend Circ Ea Add
+ 12% State Surcharge
+ 5% Technology Fee
Perm Serv/Fdr 200 amps or less
Payments:
Type of Payment
ONLINE CHGS
Amount Paid
NJM
ONLINE JB ELECT Online
Payment Total:
C' $129,87
$]29.87
cReceintl
Pa!!e 1 of 1
1/5/2009