HomeMy WebLinkAboutPermit Mechanical 2009-2-3 (2)
Status
Issued
CITY OF SPRINLiJ<,u<;LD '
Building/Combination Pfrmit
PERMIT NO: COM2009-00162
ISSUED: 02/03/2009
APPLIED: 02/03/2009
EXPIRES: 08/0412009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726.3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 6661 E ST
ASSESSOR'S PARCEL NO.: 1702341403822
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Replace heat pump and air handler
Owner: HOG LEN RICHARD G & EV A
Address: 6,661 E ST
SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Mechanical
Contractor
GMDELECTRIC INC
COMFORT FLOW
License
162191
460
Expiration Date
11/19/2010
06/27/2009
Phone
541.726-8601
541-726~0100
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:
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
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Set hack:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
NOTICE: . , I PUBLIC IMPROVEMENTS ~ '
, Street ImJt.l~.g.wJ'!1IT SHAll EXPIRE IF THE WORK ' ATTEm1f~lYlIIkOJ~I~J!ln law requires you.t,o
, AUTHD.R1fFD UNDER THIS PERMIT IS NOT followo;uJes adqp,WCl py the Oregon Utility
Stor~ Sewrttt~~~b OR IS ABANDONED fOR NotificaN,lirl'tl'ElWMM\'/8~e rules are set forth
SpeCIal InAW\f\'gB:DAY PERIOD ~ in OAR 952-001-0010 through OAR 9,52'00.1.. .
. 0090. You may obtain copies of the rules by
Notes: \.,~~r.r1\ calling the center. (Note: the telephone
r\ :t-y lJ '\ number for the Oregon Utility Nolilication
<T~$ C,",,,;, 1<OO~"'2~2344).
Pa~e 1 of 3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation DescriDtion I
Description
$ Per Sq Ft
or multiplier
Type of Construction
Square Footage
or Bid Amount
Total Value of Project
Fee~ Paid I
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Amount Paid
$9.48
$3.95
$79.00
$6.96
$2.90
$58.00
Total Amount Paid
$160.29
,I Plan Reviews ,
Date Paid
2/3/09
2/3/09
2/3/09
2/4/09
2/4/09
2/4/09
CITY OF SPRIr"tJ1<.lELD .
Building/Combination P~rmit
PERMIT NO: C01\12009-00162
ISSUED: 02/03/2009
APPLIED: 02/03/2009
EXPIRES: 08/04/2009
VALUE:
Value
Date Calculated
Receipt Number
3200900000000000065
3200900000000000065
3200900000000000065
2200900000000000134
2200900000000000134
2200900000000000134
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, Reollired In.nec~jon'l
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Rough Electric: Prior to Cover
FinaI Electric: When all electrical work is complete.
Paee 2 on
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD,
Building/Combination Permit
PERMIT NO: COM2009-00162
ISSUED: 02/03/2009
APPLIED: 02/03/2009
EXPIRES: 08/04/2009
VALUE:
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all.1
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 a~d 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 contractors 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 ofthe property, and the approved set of plans will remain on the site :11 all
times during c!>ostruction. '
Owner or Contractors Signature
Paee 3 of 3
Date
I'
Electrical Authorizatio!l To Begin Work
E-mailed.To:gmdelectric@comcast.net
Receipt # !TS462R7
2/4/2009 12:30:42 PM
,',City of Springfield
,
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
ICKJ 1 or 2 family dwelling
o Multi-family
o Commercial/Industrial
I 0 New construction
[KJ Addition(alteration/repJacement
IJobno.: !Jobaddress: 666] EST
I City/State/ZlP: SPRINGFIELD, OR 97478-7089
I Suite!bJdg.lapt.no.:
I Project name:
Cross street/directions to job sjte: Main Street ((L) onto 66th (R) onto EStreet
\ SubdiviSion:
ITax map/parcel no.: ]702341403822
\ Lot no.:
I-Limited energy, residential
(with above Sq. ft.)
I-Limited energy, multifamily
residential (with above sq. fl:.)
I . Limited energy, commercia-l not offered online at this jurisdiction
(with above Sq. ft.)
I - Stand-alone limited energy,
rcsidcntial
I . Stalid~aloi1e limited energy,
multi-farmly
\. - Stand~~lori.e limited energy, ]
commercial
IL~~J~1:~1~~~MfH~!I~~1E!_?~~~~t;Ii2~Djd.R~~1l~
I 200 amps or less [2] I
1201 ampsro 400 amps [2] I
1401 amps to 599 amps [2] I
Furnace Swap/AC Swap.
Richard Hoglen
IPhone: (541) 726-9342
I Emllil:
I Fa>:
1200 amps or less [2] I
201 amps to 400 amps [2]
401 amps to 599 amps [2] J .I'I
E~~_!~~~~1~~)Yf~tif!~~a.19Jl~~~:4[~~~W~
I A. Fee for branch circuits with 'I,.
service or feeder fee, each
branch circuit
B. Fee for branch circuits ' \ $55.00 $55.00 I
without service or feeder fee.
first branch circuit r21 ~
1!~~;;;~ir;~~~~~ft'~~~~~~1
I ServICe "'II'P.IJ"'i.\PpJ:llllJ, ,,-In "n,-l h.,..!. 10 C'rOG-f"JI"l'-
I I Each mar~Bct'I"~P[ WPtjl<liI' t Th" - ',- roO 1
dwelling, se~\te'3lnii&1tel,(!lif1 E r. ose rules are set forth
I 121 In ~AM 952-001.0)10 throl ah OAR ,1~?nn1_
II Pumpurli\\1ll1/tlon'fli\lkl[t!]l.Y olptain copies olthelrules bv
I I Sign or outi\iii!II\~'i\&hgrr2l cent~r, (Noter the tele )hone I
I[ Signaleir<!IJlt\sl'b1'IUnlte\l,tlle 'rregon U~"IlY Natlilcation
energy panel, alterarillPe1lter is 1'800-3' 2-2344).
extensIon [~l . _. .
I~IifEqlRIC11~![~lill1_t!i!~.E~~~~~
I Subtotal I $55,00
! Minimum fee used instead ofSubtolal I $58.00 I
\ State Surcharge (12% ofpehnit fee) I' $6.96
I City or Springfield fees'" $2.90 I
I TOTAL PERMIT FEE $67,861
... City Of Springfield fees: 5% Technology Fee
l~qnu:TG?tsa/lo~ 2/ L1 / CA
LLro+ \ 34
lEI. lie. no.: 20-537C ICCBlic.no.: 162191
I Business Name: GMD ELECTRIC INC
I Contact: Mike Gowins I Sue Gowins
IAddress: 957 NORTHRlDGE AVE
I City/St.teJZIP: SPRINGFIELD OR 97477
I Phone: (541)74173_69 IF.>: (541)9881800
I Em.;!: gmdeleJM,'@TJ.ftJ;;;'et
I Met'" lie, 00,: I Hr~ PtRMIT SHAll ~Fl,",fF THF wnRI(
IsupervisingeIJWd,.w.l\fll~D4UflIDER THIS PERMIT I~ NOT
'Sopervisingele\:ifi'diAri~[[l\JIO:Elih(JIHG~AmmnMI=n mJ:l '
Upon reviewl\tjJ' aUWvhMIY ~1iRJ~riSdictlon, your
permit will be e.mailed or faxed within one business day,
with instructions on how to schedule your inspection.
NOTE: This Authorizati(m To Begin Work expires within 180
days if a pennit is not obtained.
The local building department may detennine that an
Authorization To Begin Work is null and void if it does not
meet applicable land use I~ws and local ordinances.
This Authorization To Begin Work must be posted at the job site until replaced by a Permit.
225 Fifth Street
Spl-ingfield, Oregon 97477
54t-726-3759 Phone .
Job/Journal Number.
COM2009-00 162
COM2009-00162 ,
COM2009-00 162
Payments:
Type of Payment
ONLINE CHGS
cRcceiotl
RECEIPT #:
Description
Add, Alter, Extend Circ
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
City of Springfield Official Receipt
Development Services Department
Public Works Department
2200900000000000134
Date: 02/04/2009
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
kr
GMD Online
Elcctric
Payment Total: '
ONLINE
Page I of I
1:30:14PM
Amount Due
58,00
2,90
6,96
$67.86
Amount Paid
$67,86
$67;86
2/4/2009