HomeMy WebLinkAboutPermit Mechanical 2009-1-5 (2)
CITY OF ~rK11"\..TJ'1J!,LD
Status
Issued
Building/Combination Permit
PERMIT NO: COM2009-00009
ISSUED: 01/05/2009
APPLIED: 01/05/2009
EXPIRES: 07/09/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: HOI 16TH ST
ASSESSOR'S PARCEL NO,: 1703253404800
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Install electric furnace
Owner: VENTIS INVESTMENT PROPERTIES LLC
Address: 1l0l16TH ST
SPRINGFIELD OR 97477
I ,CONTRACTOR INFORMATION I
Contractor Type
Electrical
Mechanical
Contractor
RITE ELECTRIC
EUGENE HEATING & COOLING
License
178518
149452
Expiration Date
09/24/2009
10/2212009
Phone
541-895-4466
541-726-7654
BUILDING INFORMATION I
#ofUnits:
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 I st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
nla
Frontyard Setback:
Side I Setback:
Side 2 Setback: 4'0r,
R~aryard Setbackf/ilS 7C~. '
Solar Setbacks: 4url' PE',9,--
I"~ n'!,;; fWI...
4;):vfli1E'4t!E'O'/~'/i41.1. I PUBLIC IMPROVEMENTS I
1 R VE'O <14'0 ~
Street Improvemen~~ 0"", 01( 'el( 1'/J JOIl(r
. 'lr A IS 'tis <'-1/:...
Storm Sewer Available: '('1(10 484~ PE',9, '1tE'1,.
Speciallnstruction: ~ . '()04'(j'l/111'//1/01(1(
. () FO 4'0..
Notes: ~\$.J.cf\ '1/ I'
\:\., ,
~~,
I DEVELOPMENT INFORMA'pI2fN~
' /V0t.. ~If., I'lJl O/V: O~ REQUIRED PARKING
~ If!Oflr e8 flet. ego"
Overlay Dist: 0.'1) O"1.1i' (}IO" Ce OPted 61flJtjtli
# Street Trees Rqd: 'OBO. YO 'S<-oOl~er. .,.;, :lttb9~~~
Paved Drive Rqd: n Ofllling /'I17f1y 0 ala t;,~8~!@flO" ~~ fo
% of Lot Coverage: 1J1176er" he oent. 6tfli" 00 O~g;, OA fire Set fility
Or th er, /M 'Ple$ ".Ii' Bs. 10rt"
Cent"" ~ Ore,,':"Ote: I!. _Oft;,,,,.. ~'OOI
'V 1-80 ., Uil/it . '''Iep .'''86 '
0-33~ Y /V0t.. . ;'one ~
"'-<34 If!Oflr
Sidewalk Type: 4). 101/
DownspoutslDrains:
Pa2e I of 3
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00009
ISSUED: 01/0512009
APPLIED: 01/0512009
EXPIRES: 07/09/2009
VALUE:
$~AINQl\;llill.-Oll
, _. - >;r;-;~'.;::r;";.",;~, .".,-...';? --:" 'l:-""~-
. "->1
Status
Iss u ed
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuati?n Descrintion I
Description.
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Total Value of Project
F,~~.~ ~aid J
Fee Description
+ 12% StateSurcharge
+ 5% Technology Fee
Furnace - up to, 100,000 btu
Minimum/Adjustment Mechanical
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Amount Paid
Date Paid
1/5/09 .
1/5/09
1/5/09
1/5/09.
1/9/09
1/9/09
1/9/09
1/9/09 .
$9.48
$3.95
$17.00
$62.00
$7,32
$3,05
$55.00
$6.00
Total Amount Paid
. $163,80
I Plan Reviews I
-Yalue
Date Calculated
Receipt Number
2200900000000000007
2200900000000000007
2200900000000000007
2200900000000000007
2200900000000000032
2200900000000000032
2200900000000000032
2200900000000000032
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, Re"uired Inspections.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Rough Electric: Prior to Cover
Final Electric: When all eIectrical work is complete.
Pa2e 2 of3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OFSPRIN<Jl'lJ!.LD
Building/Combination Permit
PERMIT NO: COM2009-00009
ISSUED: 01/05/2009
APPLIED: 01/05/2009
EXPIRES: 07/0912009
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 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 fnrther certify that only contractors and employees who are in compliance witb 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
Pa2e 3 of 3
Date
.i
Electrical Authorization To Begin Work
E:-mailed To: heidi@c-perkins.com
Receipt # EC544ll53
1/91200912: 12: 12 'PM
City of Springfield
Check on status of permit
By Phone: (541)726-3753, or Em.ii: permitcenter@ci.springfield.or.us
[K] 1 or 2 family dwelling
D Multi-fami]y
D Commercia] / Industrial
1 DescriptJon 1 Qty. I. Ea. l Total I
11, !f~~}i~"~I,'!,J1,,.'~!-,.~:r~If.,.'.:!fq:~!ff,m~ul,Jg~lti!!~Y,;;,'~,:;',-}ljing:]:~np,.;I~cli!~~,:"s,"~,' --"I
~\tt~~E!gTg~~~~~~J'it~~~~1!~~tf~
11,000 sq. ft. or less [4] 1
I Ea, add] 500 sq. ft. or portion I
New construction
IKJ Addition/alteration/replacement
IJobno.: IJobaddress: 1]01 16THST
ICity/StateIZIP: SPRINGFIELD, OR 97477-4139
1 Suite/bldg./apt.no.:
1 Project name:
Cross street/directions to job site:
1 Subdivision:
ITax map/parcel no.: 1703253~04800
I Lot no.:
I-Limited energy, residential
(with above SQ. ft.)
I-Limited energy, multifamily
residential (with above SQ. ft.)
I . Limited energy, commercia'l not offered online at this jurisdrction
(with above so. ft.)
I - Stand-alone limited energy,
residential
I - Stand-illonelimited energy;
multi-familv
I - Stand-alone limited energy,
commercial
1200 amps or less [2]
120] amps to 400 amps [2]
1401 amps to 599 ~mps [2]
I;T,~E,~I,fO,_~1J5,Xii:e~jl~()Rt~l;:d,-'''',e,~f.~i~ft!,~I;;t'i~ltcr:aiio~!
~'1~.P'J_9,1~'r~t~~!t~~;f:~:i"~,,:R'.fi', "
1 200 amps or less [2] 1 1
!,j~f;~~~
':llti 11i?,'" It' (h, -Or", ,I,'}n e,-, €I,.,
Iff;;{6}t1f9ffn'lJ('18'~r~rllle;i 'gaA~'600' $55001
I wltnMAltemce Jl<m~"""J) 1191, ire' vIi/. '
first'br~hl{rt.4iJJifet. (.. Co )i~. OAj. S~"I' I,V
II "'h'ddl'\l,ll~~l:&req~.'a/~.;~ aft!:>!, &S.?}~trd) $6001
I 1,',_ -'~""~/5;A",!"g_.k"",f"_'tW_iI:fl''tffI!-'~''1'''''
~~~L4(~~J)ltz~+E~~tln~~IttlJ:t~!if.F~~tt..~;:lilf%J0$:~~~
1 I Service reconnect only [2] !,j;: 2; ~ VOtii~ l:017e - Y
I I Each Inanufactured or modular '--1). '-((f01}
dwellmg, servIce and/or feeder
I 121 '
I I Pump or irrigation circle [2]
I I Sign or outline lighting [2]
I Signal circuit(s) or Iimited-
alteration, or
electrical for hvac equipment
1 Name: heidi
1 Phone:
1 Email:
I Fax:
I EI. lie. no.: C335
I Business Name: RITr\.~)J}IC INC
IContact: Heidi A'~<' "_'l.~.
IAdd"''' PO Ba~ll1)'J{ I"~~i
ICity/Stnte/zl!:<1.F~;~"y~~;
I Phone: (541)895~l69Tf~/lff.'.tb(,/ t4 "'1ljF": (541)8954366
I Email: h"di@c-perkinPc~:_ Of tI~..o ~(o!>
I Metrolk. no.: P.t'~~~.s LI A ~(,r6ill!l-
I Snpervi,ing elcctrk'nn', Ik. nn.: 21ff11/) 'V"'1A~~~~ l 1$'..(" , '
I Supervising electrician's name: CLYQE-I PERK I ~^'1lf /~ }YO.ot_
'.,~ "'M 'j
Upon review and approval by your local jurisdiction, ~r V,.
permit will be e-mailed or faxed within one business da~, .
with instructions on how to schedule your inspection.
ICCB lie. no;: ]785]8
$61.00 I
$7.32 I
$3.05 I
$7137 I
NOTE: This Authorization To Begin Work expires within 180
days if a permit is not obtained.
Subtotal I
State Surcharge (12% of permit fee) I
City OfSpringfie]d fees >I< I
I TOTAL PERMIT FEE I
>I< City Of Springfield fees: 5% Technology Fee
(Default number afinspections allowed)
The local building department may determine that an
Authorization To Begin Work is null and void if it does not
meet applicable land US9 laws and local ordinances.
COM:.8f1 11- (Y'()cP\
RCPT #.'i1'Z5LXf\ -?-G..
This Authorization To Begin Work must be posted at the jc b~o1~ $. \Qj,,;~.
. . PROCESSED BY' \l.. . I-....
225 Fift'b Street
Springfield, Oregon 97477
541-7:26-3759 Phone
Job/Journal Number
COM2009-00009
COM2009-00009
COM2009-00009
COM2009-00009
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
City of Springfield Official Receipt
Development Services Department
Public.Works Department
2200900000000000032
Date: 01/09/2009
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number Authorization
.Received By Batch Number Number How Received
KR
ONLINE RITE Online
ELECTRIC
Payment Total:
,
Page I of I
2:38:49PM
Amount Due
55.00
6.00
3.05
7.32
$71.37
Amount Paid
$71.3 7
$71.37
1/9/2009