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Home My WebLink AboutPermit Mechanical 2008-11-10 (2) Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008"01637 ISSUED: 11/10/2008 APPLIED: 11/10/2008 EXPIRES: 07/20/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Iuspection Liue SITE ADDRESS: 340 36TH ST ASSESSOR'S PARCEL NO.: 1702314204500 Springfield TYPE OF WORK: Mechanical Only TYPE OF USE: New Public PROJECT DESCRIPTION: Four station gas line - furuace Owuer: SHELTON TINA B . Address: 340 36TH ST SPRINGFIELD OR 97478. Owuer: MYERS GLENN 0 Address: 340 36TH ST SPRINGFIELD OR 97478 I CONTRAC~OR INFORMATION' Contractor Type Contractor License Expiration Date Phone BUILDING INFORMATION. # of Units: Primary Occupaucy Group: Secondary Occupaucy Group: Primary Construction Type . Secondary Constructiou Type: # of Bedrooms: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Gal'agelCarport Sq Ft Other: nla 8ccupant Load: , J\TTENTION: reoon law requires you to I DEVELOPMENT INFORMATION' II ules adopted oy me ur8gon UlIlIlY . . '-ion Center ThQ5P" i1P~ ere ~et forth NOTICE' ' .' . 'J{EQUIRED BARKING , _ . In OAR 952-001-0010 thluutJ" un" >JG~-vv ,- FroutyardSl{ib!i'[JBMIT SHALL EXPIRE IF THE W8Mlay Dist: 0090. You may obtain q:otj;l~ of the rules by Side 1 Se\t)i!qI{WRIZED UNDER T~IS PERMIT IS flJS\Teet Trees Rqd: calling the center. (N'l~noi~aP'p~~?hone Side 2 Se~eR~\V1ENCED OR IS ABANDONED FORPaved Drive Rqd: number for the oregc()Jr\\.w~ct~otlflcatlon Rearyardn'j~tf~'bIu DAY PERIOD. % of Lot Coverage: Center IS 1-800-332-2344). Solar Setbacks: # of Stories: Height of Structure Type or Heat: Water Type: Range Type: Energy Path: Sprinkled Building: . I PUBLIC IMPROVEMENTS I Street Improvemeuts: Storm Sewer Available: Special Iustruction: Sidewalk Type: Downspoutsml'ains: Notes: ~~ ~~~ .~ Paee 1 of 3 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-01637 ISSUED: 11/10/2008. APPLIED: 11/10/2008 EXPIRES: 07120/2009 VALUE: 225 Fifth Street, Springfield, OR . 541-726-3753 Phoue 541-726-3676 Fax 541-726-3769Inspectiou Liue I Valuation Descri';ltion "I Description Type of Construction. $ Per Sq Ft or multiplier Square Footage or Bid Amouut Value Date Calculated Total Value of Project Fpp, P"ri.IU $21.00 $10.40 $12.48 ' $5.20 $15.00 $6.00 $31.00 $52.00 $6.96 $2.90 $58.00 11/10/08 11/10/08 11/10/08 11/10/08 11/10/08 II 11 0/08 11/10/08 11/10/08 . 1/20109 1/20/09 1/20/09 Receipt Number 2200800000000001628 2200800000000001628 2200800000000001628 2200800000000001628 2200800000000001628 2200800000000001628 . 2200800000000001628 2200800000000001628 1200900000000000024 1200900000000000024 1200900000000000024 Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee + 12 % State Surcharge + 5% Techuology Fee Furnace - up to 100,000 btu Gas Outlets 1-4 Minimum/Adjustment Mechanical Water Line - 1st 50 Feet + ]2% State Surcharge + 5% Techuology Fee Add, Alter, Extend Circ Amount Paid Date Paid Total Amount Paid $220.94 I Plan Reviews , To Request an inspection call the 24 hour recording at 726-3769. All inspections re'quested 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. R ,..;..~rl Tn.n~~t;nn. . r:.._ Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Water Line: Prior to filling trench aud iucludiug required testiug. Rough Electric: Prior to Cover . Final Electric: When all electrical work is cO",lplete. Paee 2 of 3 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-01637 ISSUED: ,11/10/2008 APPLIED: ll/10/2008 EXPIRES: 07/20/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line By signature, 1 state and agree, that I have carefully examined the completed application and do hereby certify that all information hereou is true and correct, and I further certify that auy and all work performed shall be done in accordance with the Ordiuances of the City of Springlield aud,the Laws of the State of Oregon pertainiug to the work described hereiu, and that NO OCCUPANCY will be made of any structure without permission of tbe Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used ou 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 th ermit card is located at the front of the property, and the approved set of plans will remain ou the site at all :..':~' ;~:"~ ~ / 'C() - oq Ow.,>;;l'.",~"" ,...,,~r 0". Paee 3 of 3 Electrical Permit Application . 225 Fifth Street. Springfield, OR 97477. PH(541)726-3753' FAX(541)726_3689 '~Y;frg~~~~~f;1!~Y~~lr!II~1 -I Permit no tt'Jrn '7 Irf6 - ()\ U611 . I Date: d2do9 I This permit is issued uuder OAR 918-309-0000. Permits are nontransferable. Permits expire if work is not started withiu 180 days of issuance or if work is suspended for 180 days. lif~1f0:c:~L.itG:cD!il:EI;fNME:t;lif::w~eegQY!~~~1 I Zoning approval verified? DYes D No IRlt~<:i~mE:.G:0R,(J:tO~G]>N$mB-l!JjD".il11.0~"'\1i;l:.~ I r:;j Residential I 0 Govenunent I 0 Commercial I 1~0a'i!$fttEWNI;,0BI\I'-~1Jij(:jt;i~ANj;)]jI:!e>Qf,\''nlQN~Y%'lr~tl I Job site address: /)40 ;:z,\JrI=h bt- I I city:?ffinmt\V \ d I StateOQ.. I ZIP:C\i'-\1<6 I Subdi;is~n: \) I Lot no.: r\~~~~~:;Fif;~~~'~~~ I '\...I(\ Om 'f , '. I Ir~~N~P'R0~i:Rit!{4[0WNE:R.':ir;;;-!i'l;'tiJ:~~J;~Wll~$1 I Name: r':';/"vl,^ C' .M! rv ,1-, I I Address: :'\ lJ () .;1.f, tl. S, 1- I I City: ,C:X~,\rI I State: n (( I ZIP: 97479; I Phonesij-7lJt-' 7w' '-i I Fax: I E-mail: This installation is being made on residential or farm property owned by me or a member of my immediate family. This property is not intended for sale, exchange, lease, or rent. OAR 479.540(1) and 479,560(1), Signature: ~~e.QNi:I1~eif:QR:;grNS1li~[!j'l!'~ml.(1)~l,~!~~ I Business name: I Address: I City: I Phone: I E"mail: NOTICE: I CCB licert~~IIloP.ERMIT SHALl~\I(PIIWo~F lAIni'll<" I Signing s\\bbR:iruF!1-li~rJJl>IDER THIS PERMIT IS NOT I Print na~~'{YJ;lj;illb:W,Jtfls~:ABANOONEO FOR I' rlo;', .14G r5fH n:IiIUU. SIgnature of slgnmg supervisor: I State:. I Fax: I ZIP: 440-2584-J (9/08/COM) --~~~'I>E-E\"~rcjljEj;)[!Ji!!Eii!cJ"l"'~,'?_~ ~~AM~.:....:,~~_L____~~.__._m_ ____~~~~~'~ -"""""'f"-""''''''"'''''''''''''''''"='-"'''''~'~liI''~~ ~m1-'''~"'' ~.;;:~1f{'?;"~'l'.;ti;i>;;f;~;1;';;]lJ;r~~#~"(f~;:<:?'~f1<-'~"'-~jt~;'~'" '," Eost '" iotab ~~ ;,Number,;ofimspectlOnsrpentem{\);:rJi\i' Q . ;;.. . .... o~, ,g~~~,iif,;t'U~'1ii~~;;~li~~P:~:h""Ci\~ ~~ =' ~~; ~' _ fQ_S_~l,lh~ Residential, per unit, service included: I I I I I I I I I I I \ I I I I I I I I I I' I I I I I 1,000 sq, ft. or less (4) Each additional 500 sq. ft. or portion thereof $134,00 $ 25.00 Limited energy (2) Each manufactured home or modular dwelling service or feeder (2) $ 32,00 $ 53.00 Services Of feeders: installation, alteratio.n, relocation 200 amps or less (2) $ 81_00 $ . 20 I to 400 amps (2) $ 9MO $ 401 to 600 amps (2) $158_00' $ 60 I to 1,000 amps (2) $205_00 $ Over 1,000 amps or volts (2) $469_00 $ Reconnect only (2) $ 63_00 $ I Temporary services or feeders: installation, alteration, relocation I 200 amps or less (2) $ 63,00 $ I 201 to 400 amps (2) $ 87.00 $ I 401 to 600 amps (2) $126_00 $ I Over 600 amps. or 1,000 volts, see services or feeders section above I Branch circuits: new, alteration, extension per panel I I a. Fee for branch circuits with purchase of a s'ervice or feeder fee: I I Each branch circuit I I $ 6.00 I $ ,I I b, Fee for branch circuits without purchase of a service or feeder- fee: I I Fir~hI1Kllll:(X}regon law re~Uir~s :$05S!OO I $ I E rl:"!~ldrr'U~f?_F_~W~frtjUtUY Ultj vft:)~:ipl$U61.~bYl $ lfI~"f.lfl(.HW1t"'\n~ln~'or CVMt"'\C'o rid",.:' ",..h ...1*\+ "1*\..tI- I Mis'~Ili*~~\l4'1OO1<i!'frnr&n:!l'" i!lF!~~42-o6i~ I I EacJll~~:,~~~,~~~:~~n~~ie~.of,t~I~I$~~~~01i $ I I Each Hll'i'rll5gp~/IV'#lW!fryMt\n I Itilil If ~lnlijf,;!!h~9, $ I I Signal circuit &~Jlihli.teili-eh.;iglOpsnet- !3441. $ 63.00 $ alteratIOn, or extenSIOn (2) 1 I Each additinnal inspection: (1) I $58.00 $ 1~~~~~[GANlf~!'J$~:f.""'~;I;<!~ I (A) Enter subtotal of above fees -' I (Minimum Permit Fee $58.00) $',:)6- I (B) Enter 12% surcharge (.12 x [A]) $ \y ~ 1..,., I I (C) Technology Fee (5%0f[A]) $ d-,~D I I TOTAL fees and surcharges (A through C): $ I PI, '6l1 $ $ $ $ 225 Fifth Street Springfield; Oregon 97477 .541-726-3759 Phone Job/Journal Number COM2008-01637 COM2008-0 1637 COM2008-01637 Payments: Type of Payment CreditCard c~eceintl RECEIPT #: Description . Add, Alter, Extend Circ + 5% Technology Fee + 12% State Surcharge Paid By GLENN MYERS City of Springfield Official Receipt Development Services Department Public Works Department 1200900000000000024 Date: 01/20/2009 Item Total: Check Number Authorization 'Received By Batch Number Number How Received kr 61020A In Person Payment Total: , Page I of I 2:20:44PM Amount Due 58_00 2,90 6.96 $67.86 Amount Paid $67.86 $67.86 1/20/2009