HomeMy WebLinkAboutPermit Mechanical 2009-2-3 (2)
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2009-00161
ISSUED: 02/03/2009
APPLIED: 02/03/2009 .
EXPIRES: 08/06/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541'726-3769 Inspection Line
SITE-ADDRESS: 1621 RAMBLING DR
ASSESSOR'S PARCEL NO.: 1703252103100
Springfield TYPE OF WORK: Heating System
TYPE OF USE: ' New
Residential
PROJECT DESCRIPTION: Install heat pump & air handler
Owner: PERDUE ROBERT J & MARGARET N
Address: 1621 RAMBLING DR
SPRINGFIELD OR 97477
Phone Number: 541-746-1357
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Mechanical
Contractor
RITE ELECTRIC
MARSHALLS INC
License
178518
25790
~UI~DlNG I,NFORMA !ION I
Expiration Date
09/2412009
12/2312009
Phone
, 541-895-4466
541-747-7445
# 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 1 st 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 Setback:
Solar Setbacks:
~1'
~~~
~
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
0/0 of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
IPUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewe.oordlil&:
Speciallnstr~rpERMIT SHAll EXPIRE IF THE WORK
Notes' ' AUTHORIZED UNDER THIS PERMIT IS NOT
. COMMENCED OR IS ABANDONED FOR
ANY 1 SO DAY PERIOD.
Sidewalk Type:
ATTB~~Ib~w requIres you to
follow 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
number for the Oregon Utility Notification
Center is 1-800-332-2344).
Pal!e 1 of3
Status
Iss \J ed
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
Tvpe of Construction
Square Footage
or Bid Amount
Total Value of Project
Fees PaidJ
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
+ 12% State Surcharge
+ 5% Technology .Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Amount Paid
$9.48
$3.95'
$79.00
$7.32
$3.05
$55.00
$6.00
Total Amount Paid
$163.80
I Plan Reviews I
Date Paid
2/3/09
2/3/09
2/3/09
2/6/09
2/6/09
2/6/09
2/6/09
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00161
ISSUED: 02/03/2009
APPLIED: 02/03/2009
EXPIRES: 0'8/06/2009
VALUE:
Value
Date Calculated
Receipt Number
3200900000000000064
3200900000000000064
3200900000000000064
2200900000000000146
2200900000000000146
2200900000000000146
2200900000000000146
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. ,Re8}1i~~.cllns.r~ction~ I
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.
Paee 2 of 3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone .
541-726-3676 Fax
541-726-37691nspection Line
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00161
ISSUED: 02/03/2009
APPLIED: 02/0312009
EXPIRES: 08/0612009
VALUE:
By signatnre, I state and agree, that I have carefnlly examined the completed application and do hereby certify that all
information hereon is trne and correct, and I fnrther 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 strnctnre 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 eacli 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 at all
times during construction.
Owner or Contractors Signature
Pa\!e 3 of3
Date
City of Springfield
Electrical Authorizatio,n To Begin Work
E-mailedTo:c-perkins@yamil.com
RCCl,ipl # EC5463112
2/6/2009 8:01 :09 AM
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
I D New construction
[KJ' Additionlalterati?nJreplacement
I [K] I or 2 family dwelling
D Multi-family
o Commercial / Indlls~rial .
l.Jobaddress: 162] RAMBLING DR
SPRINGFIELD, OR 97477-24]2
I Suitelbldg.lapt.no.:
I Project name:
Cross street/directions to job site:
I Subdivision:
I Tax map/parcel no.: ] 703252] 031 00
ILot no.:
electric for hvac equipeni.n\
I Name: heidi
I Phone:
!Email:
I FlIx:
IceB lie. no.: 178518
Upon review and approval by your local jurisdiction, your
permit will be e-mailed 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 pennit 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.
11,000 sq. ft. or less [4]
] Ea.addl 500 sq. ft. or portion
I I - Limited energy, residential
I (with above SQ. ft,)
I-Limited energy, multifamily
1 residential (with above SQ. ft,}
., - Limited energy, commerCial not offered online at this jurisdiction
(with above SQ. l't.)
- Stand-alone limited energy,
residential
I - Starid~alonelimited energy,
multi-family
I - Stand-alone limited energy,
commercial
1~.~~li.!.~~~g!i!€~~~~n;~J!~si.~~~~liii~1~"plQ,~~~~?!~~tl
1200 amps or less [2]
1201 amps to 400 amps [2]-
1401 amps ~o 599 amps P]
, .
200 amps or less [2]
1201 amps to 400 amps [2]
1401 amps to 599 amp's [2]
I A. Fee for branch cir~uits with
service or feeder fee, each
branch circuit
I B. Fee for branch Circuits I $55.00 $55.00 I
W;tho. o~' .r'-'"I"'. ~ N:'Oret,on law r lqulres y )u to
fi'5' b, "!l:\Ill J . J L 'I - "'1'[
each a" wth\ ~ P Q utJt . '1 t la-"."'C~~bb Ull I 6.00
, , S':';/.':'I,,~Th03C.r 103,a.C3,. _
la -_'S5"~~".""_'"'''-'''t 'w':=.......'.-~'f"','"''''7--"''''~~4''.,,.''r..~,,'''J
, . "', '. .~. 'f .- --. ... . r,' .', J.' ...~ "";5
S"";'fIrnmn'Vllrl~y nht IiI] nnnie 1 the 1.
Each mmJIIlM\lIl14 ~I!IO~i1l\l\tel. (Note: lhe telep
dw,llmg,~ffilllI\ln ;rf,iil!! Ut"t N t'l'
121 number or me 013gon II y 0 I t
I Pomp m ;mgat,onGte6\er is ~-80Q-~, ",;;4'1).
1 Sign or outline lighting [2]
I Signal circuit(s) or limited-
alteration, or
I
I
I
I TOTAL PERMIT FEE
. City Of Springfield fees: 5% Technology Fee
[Default number afinspections allowed}
QCj-\l.Q1 ~
Subtotal
State Surdiarge (12% of penn it fee)
City Of Springtield fees.
$61.00
$7,32
$3,05 I
$71.37 I
2.\u 109
This Authorization To ~egin Work must be posted at the job site until replaced by a Permit.
225 'Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-00 161
COM2009-00 161
COM2009-00 161
COM2009-00161
Payments:
Type QfPayment
ONLINE CHGS
cReceint I
RECEIPT #:
City of Springfield Official Receipt
Development Services Department
Public Works Department
2200900000000000146
Date: 02/06/2009
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.Electric Online
Payment Total:
Page I of I
8:18:41AM
Amount Due
55,00
6,00
3,05
7,32
$71.37
Amount Paid
$71.37
$71.37
2/6/2009