HomeMy WebLinkAboutPermit Mechanical 2009-2-9
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00I87
ISSUED: 02/09/2009
APPLIED: 02109/2009
EXPIRES: 08/0912009
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1994 INLAND WAY
ASSESSOR'S PARCEL NO.: 1803023306400
Springfield TYPE OF WORK: Heating System
,
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Circnits for fnrnace and heat pump
Owner, OLMSTED COLLIN A & 0 F
Address: 1994 INLAND WAY
SPRINGFIELD OR 97477
I . CONTRACTOR INFO~MA TION ,
Contractor Type
Electrical
Contractor
CHRISTENSON EUECTRIC INC
License
458
Expiration Date
05/0112009
Phone
541-688-6121
I BUILDING INFOR~A :101'1'
# of Units: l
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Constrnction 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 FtGarage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DE~ELOPM~,NT INFORMATION'
REQUIRED PARKING
Frontyard Setback: Overlay Dist: '
Side I Setback: # Street Trees Rqd:
Side 2 Setback: Paved Drive Rqd:
Rearyard ~,tlliIf!i: % of Lot Coverage:
Solar Setbadls! t.;E: ATTENTION: Oregon law requires you 10
TUIC' nr-r....II",.7 ....llhL. -. . . "_11_... ....I....... ......4........+a"j hH tho ;()r~nnn IJtilitv
AUTHOFlIZED UNDER 'THit; Ir, \ir'tnf~~PROVEMEJNmg;'tion Center. Those rules ale set_fort~
rnWfll:W' ER~_ I... '" v~" 952-091-0010 through OAR 952001
Street Improvemem"EO OR is ABANDONED FOR 0090. You r!?W<'!L,ylliif);BpieS of the rules by
Storm Se~!t.~t~Ra{MY PERiOD. calling th(jjOWl~1JJ~FD'talJ;1l !!l telephone
Special Instruction: number for the oregon lJtllty Notification
Center is 1-800-332-2344).
Total:
Handicapped:
Compact:
Notes:
I Valuation Descrintion I
Description
Type of Construction
$Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Page'l of2
Status
Iss u ed
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00187
ISSUED: 02/09/2009
APPLIED: 02/09/2009
EXPIRES: 08/0912009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees Paid I
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Cire
Add, Alter, Extend Circ Ea Add
Amount Paid
Date Paid
Receipt Number
$7.32
$3.05
$55.00
$6.00
2/9/09
2/9/09
2/9/09
2/9/09
3200900000000000075
3200900000000000075
3200900000000000075
3200900000000000075
Total Amount Paid
$71.37
. 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.
Reouir~d Insnections ,
Rongh Electric: Prior to Cover
Final Electric: When all electrical work is complete.
By signature, I state,and agree, that I have carefully examined the completed application and do hereby certify tbat 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, Bnilding 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 Jrom 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 2 of 2
City of Springfield
Electrical Authorization To Begin Work
E-mailed To: d,eborah.perdew@ctiristenson.coin
Receipt # 1<:C546464
2/9/20099:31:44AM
: Check on status of permit
, By Phone: (541)726-3753,or Email: permitcenter@ci.springfield.or.us
I [K) 1 or 2 fami~y dwelling
O-Multi-family
o Commercial/Industrial
10 New construction
[K] Addition/alteration/replacement
I Description
IJohno.: 41797 !Jobaddress: 1994 INLAND WAY
I City/StatelZIP: SPRINGFIELD, OR 97477.5358
I Suite/bldg.lapt.no.:
I Project name: OLMSTED
Cross street/directions to job site:
ISubdivision:
I Tax map/parcel no,: 1803023306400
I Lot 00.:
I-Limited energy, residential
(with above Sq. fU
I-Limited energy, multifamily
residential (with above Sq: ft,)
I-Limited energy, comrilerciii.-l not offered online at this jurisdiction
(with above Sq. [t.)
I - Stand-alone limited energy,
. residential .
I - Stand-alone limited energy,
multi-fami]y
I * Stand-~Ione limited enc:gy,
commercIa]
CIRCUITS FOR FURNACE AND HEAT PUMP
1200 amps or less [2J
120] amps to 400'amps [2]
401 amps to 599 amps [2]
I Name: PAUL HORVATH
IPhone: (541) 501-8~46
jEmail:
I Fax:
1200 amps or less [2]
201 amps to 400 <l;mps [2]
1401 amps to 5~9 amps[2]
I)Br.l""I'al;circ'"its~:NE\V;ialteratftn,'iOR:e~f~per:pan~l~J~d~S01
t... "..' '.....t.' .~=.. '""<;,~sn:"k'j"'U"". ~'. ".",..'".... ,. j'.i~.~;~~"1.,,?>',1$""',~_."''''',.=~,_.,,.EJf~
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.
I A. Fee for branch cirCl.iits with I I
~:~~~ ~t!ft10'tQ: Ore$On lav.: rrqulres y )u,;,~
I I B, Fee OOJetalithl'dilt:\li>; aUUfJt,J Ly ".~ 101 ~f66 Uttl'o'-1l':-oo
I witho'l\'\S\'il>el\'tfEffieU;mter. Those r ' es af c S l r1l1
I ii~i.~i~;~~~~&}~;~~~;;~~
I Smice 'f1i'1P11t>~rof2fhe 0 egon Uti ity NOli1l :alion
I I Each manui-actured(Jfeq.rtl,yjaqS ,-tlUU-;j;j, :-~.jqq to I
dwelling, service ana/or feeder
I 121
I 1 Pump or irrigation circle [2] I
I I Sign or outline lighting 12J I
I I Signal circuit(s) or limited-
panel, alteratIOn, or
I EI. lie. DO.: 26-34C I CCB He. no.: 458
1 Business Name: ~flfft~N ELECTRIC INe
ICootact: Debomn~<!l:w -';BALL D\rm:: Ir TI:-C W~~y.
IAddress: III sw1JdL~4~~ ~E -n ~111'O...l:'r-nrAIT I" t'-QT
ICily/StatefLIP: ~~IJ;~@.~~_..Ml;.D';, , ~: ~ 0.'1 .
Phooe: (541)68861'irlV,fVlcI<"cu I,jn l~btjHNb?-F '
'. ':",i',' i.;;;;, [1/,',' f-'EFlluD. '
Emall.deborah.perdew@tffil5tenson.com
Metro lie. no.: I City lie. no.:
I Supervising electrician's lie. no.: 40795
1 Supervising electrician's name: PAUL E HORVATH
NOTE: This Authorization To eegin Work expires within 180 .
days if a permit is not ob~ined.
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.
Subtotal I
State' Surcharge (12% of permit fee)
City.OrSpringfield fees" I
I TOTAL PER1\UT FEE
.. City Of Springfield fees: 5% Technology Fee
. (Default number of inspections allowed)
~~-\~1 \d
~OOC1-I'5
$61.00 I
$7,32 I
$3.05 I
$71.37 I
2.\ g \ 09
This Aulhorizalion To Begin Work must be posted al Ihe job sile unlil replaced by a Permit
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone,
Job/Journal Number
COM2009-00 187
COM2009-00 187
COM2009-00 187
COM2009-00 187
Payments:
Type of Payment
ONLINE CHGS
cReceintl
. RECEIPT #:
3200900000000000075
Description
. . Add, Alter, Extend Circ
Add, Alter, Extend Circ.Ea.Add
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
City of Springfield Official Receipt
'Pevelopmcnt Services Department
Public Works Department
Date: 02/09/2009
9:37:45AM
Amount Due
, 55.00
6.00
3.05
7.32
$71.37
[tern Total:
t.:heck Number Authorization
Received By Batch Number Number How Received
KR
Page I of 1
Amount Paid
ONLINE Christenson Online
Electric
Payment Total:
$71.37
$71.37
2/9/2009
Status
Issued
CITY Vi< I'lrKlNGFIELD .
Building/Combination Permit
PERMIT NO: COM2009-00I87
ISSUED: 02/09/2009
APPLIED: 02/09/2009 '
, EXPIRES: 08/09/2009
VALUE:
, 225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1994 INLAND WAY
ASSESSOR'S PARCEL NO.: 1803023306400
Springfield TYPE OF W~RK: Heating System
TYPE OF USE: New Residential
PROJECT DESCRIPTION: Replacing heat pump and indoor furnace & circuits for fnrnace and heat pnmp
Owner:
Address:
OLMSTED COLLIN A & D F
1994 INLAND WAY
SPRINGFIELD OR 9747i
I CONTRACTOR INFO~MA TI?N ~
Contractor Type
Electrical
Mechanical
Contractor
CHRISTENSON ELECTRIC INC
JCOO INC
License
458
169209
Expiration Date
05/01/2009
04/12/2010
Phone
541-688-6121
541-746-7065
BUlLDI!"G INFO~MATlON I
# of Units:
, Primary Occnpancy Group:
Secondary Occnpancy Group:
Primary Construction Type
Secondary Constrnction 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: ,
Occnpant Load:
n/a
I DEVELOPMENT INFORMATION'
REQUIRED PARKING
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
"'QTII'F'
"' - -. - _. ATTENTION' uregon 'dV'l'''YU''uv y~~ --
THIS PERMITSHALL EXPIRE IR ~I!~~PROVE~ENTS 'follow rules ~dopted by the Oregon Utility
Street ImprJHhI'e'n'1EED UNDER THIS PERIV~n:) NU I NotifiSide.walks'I1yPe: Those rules are set forth
,I')[vlfifi."~IGED OR IS ABANDONED FOR in OAR 952-001-0010 through OAR 952-001-
Stor~ Sewe~,f~~f~~Jj~AY PERIOD . 0090D~U'IHW~~t~i9,U!ir~tlpies of the rules by
SpecIal InstructIOn. . calling the center. (Note: the telephone
number for the Oregon Utility Notllicalton
Center is 1-800-332-2344).
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
_ Handicapped:
'. Compact:
Notes:
Page I of3
-~~"~~~~~~';~';~,f,~~~~~i;i
Status
Iss u ed
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Description, I
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Total Value of Project
Fe~s Paid I
Fee Description
+ 12% State Surcharge
+ 12% State Snrcharge
+ 5% Technology Fee
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Air Handling Unit Up to 10,000
Heat Pnmp
Minimum/Adjustment Mechanical
Amount Paid
$7.32
$9.48
$3.05
$3.95
$55.00
$6.00
$17.00
$17 .00
$45.00
Total Amount Paid
- $163.80
Plan Reviews I
Date Paid
2/9/09
2/9/09
2/9/09
2/9/09
2/9/09
2/9/09
2/9/09
2/9/09
219/09
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00187
ISSUED: 02109/2009
APPLIED: 02/0912009
EXPIRES: 08/09/2009
VALUE:
Value
. Date Calculated
Receipt Number
3200900000000000075
3200900000000000076
3200900000000000075
3200900000000000076
3200900000000000075
3200900000000000075
3200900000000000076
3200900000000000076
3200900000000000076
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 Reouir~d I~sn~cdons ,
Rough Electric: Prior to Cover
I;inal Electric: When all electrical work is complete.
Rongh Mechanical: Prior to Cover
Final Mechanical: When all mechanicai work is complete.
Page 2 of 3
Status
Iss u ed
225 Fifth Street, Springfield, OR
.541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY V]11')rKml:tFIELD
Building/Combination Permit
PERMIT NO: COM2009-00I87
ISSUED: 02/09/2009
APPLIED: 02/09/2009
EXPIRES: 08/09/2009
VALUE:
By signatnre, I state and agree, that I have carefnlly examined the completed application and do hereby certify that all
information hereon is true and correct, and I further certifY that any audall work performed shall be done in accordance with
the Ordinances of the City of Springfield and the Laws of the Slate 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 reqnested 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
Pal!e 3 of3 .
Date
.City of Springfield
Mechanical Authorization To Begin Work
E-mailedTo:jeanette-jco@comcast.net
Receipt # EC546477
2/91200911:18:01 AM
Check on status of permit
By Phone: (541)726-3753 or Em.i!: permitceuter@ci.springfield.or.us
I D New construction [KJ Addition/alteration/replacement
1~~'~~\;.ATrGORY'OF'cf6Ns-rRUCTloN1I'-11\ffij~'-"f11;"'i,lt\'1"""'!I,'1::"''-'<;1
"'~_., _, , ,~~,~_,_~,"";l!""....__~_~,_;tll'i\h"''1$,'''''Kli["",.'';j\!t'"
I [KJ 1 or 2 family dwelling D Multi-family D Accessory Building I
~~~~lJ'9L~::::::;~~~li~N~~~l~~~T12]~~!~HJ!~11
I City/StafefLIP: SPRINGFIELD, OR 97477-5358 I
I Suitelbldg./apt.no.: I
I Project name: Olmstead I
Cross street/directions to job site:
I Subdivision:
map/parcel no.: 1803023306400
I Lot no.:
Replacing heat pump and indoor furnace.
L
) Name: Dorothy Olmstead
I Phone: (54])741-8843
I Emaii: MOTI,.!::,
I Fax:
ICCBlic.no.: WUKK.
IBnsinessName: Jc6o~rN~Z~D U~J3~F; nm; FCrllVl1I J:> NUl
I I .,.,...;;8:=;:; O;l i3 A5AilJuu/'lltU rUIi
Contact: BnanTIller ~ r. -, .-.. ^' I ~C"r:-l':l;-
IAddress: 5729 MAIN ST#23jfi I ,LnIVU.
I City/StatelZlP: SPRINGFIELD, OR 97478
I Phon" (541)7467065 IF"" (541)6885816
I Email: jeanette-jco@comcast.net
I Metro lie. no.: I City lie. no.:
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 sche~ule 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!t does not
meet applicable land use laws and local ordinances.
I Description
Total
Ea.
I Fumace- up to 100,000 BTU
I Furnace - above 100,000 BTU'
I ElcctricFurnace
I Duct alterations and additions I I
I Gas heater units/ in-wall, in- I I
duct susoended. etd
I Vent, flue, liner for above I . . I
I Air Conditioner I I I
I He", Pomp I II $17, ,001 $17,001
I A;, Hoodl" I I $17,00 $17,OOJ
IlgJR~~f~[Dl'~~mr:lPJW}1ftf~1iA'liif~~~1.m~~_~1
I Waterhe~ter I I
Gas fireplace/insert/stove
Gas log! log lighter
Gas clothes dl)'er
Gas stove/range I
I Pool or spa heater, kiln - I
I Wood/pellet stove/insert
~ood firep~r:t-ITln"I' nr :r.f"]nn I~w rp.nllirA~ VOl I to_
Ch;mneY/VB1f~W/Hl'Ie"$oadO lied by tile Orego i Utility
apphance _ -. , ." 'I
;>E'nvjr:&nlr\V~lWJI~t"UliSPA'NB1+Viilllafi6n\;}~~~V~~~~~S::~~IYl~""'HI
:~~:~~r~~f~d~r'~S~~X1.~-:~%'~r~~~:~ I
I S;~gle.d",L.l' "J!il, alh'~~'Rl;, regon ~tiIity Notification I
tOilet corr./l. JJ:r:'.:J:. ~tll\ly
mom,) Center i 1-800-3 2-2344).
I Att;c/cmwlsp"" fans I I I I
I upto first 4 outlets(enter Qty=l)
I each additional outlet
Subtotal I
Minimu'ni fee used instead of Subtotal
State-Surcharge ([2% of permit fee)
City Of Springfield fees *1
I TOTAL PERMIT FEE I
* City Of Springfield fees: 5% Technology Fee
$34.00 I
$79,00 I
$9.48 I
$3,95 I
$92,43 I
C9- \ ~1 \(Q.
::'d.OOq- '\ U
2.\ ~ \Dg
This Authorization To Begin Work must be posted at the job site until replaced by a Permit
225 Fifth Street
Spr;ingfield, Oregon 97477
541-726-3759 Phone
City of Springficld Official Receipt
Development Services Department,
Public Works Department
Job/Journal Number
COM2009-00 187
COM2009-00187
COM2009-00187
COM2009-00] 87
COM2009-00 187
Payments:
Type of Payment
ONLINE CHGS
cReceint]
RECEIPT #:
3200900000000000076
Date: 02/09/2009
Description
Heat Pump
Minimum! Adjustment Mechanical
+ 5% Technology Fee
+ ] 2% State Surcharge
Air Handling Unit Up to 10,000
Paid By
ONLINE PERMIT CHGS
Item Total:
t:heck Number Authorization
Received By Batch Number Number How Received
KR
ONLINE J Coo Inc. Online
Payment Total:
Page I of I
1l:34:22AM
Amount Due
17.00
45.00
3.95
9.48
17.00
$92.43
Amount Paid
$92.43
$92.43
2/9/2009