HomeMy WebLinkAboutPermit Mechanical 2009-2-18
City of Springfield
Electrical Authorization To Begin Work
E-mailedTo:deborah.perdew@christenson.com
Receipt # EC546842
2/17/20098:34:56 AM
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Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.sprioglield.or.us
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[ Description I Qty. I Ea. J lbtal
I', R'c5ideniialSING(E~OR~iii;ulti~famiff'l.hl1.~fHn"i(Uliit;{lncludes:~ ~.. :1/1
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[1,OOOsq,ft,orless[4l I [ I
I Ea. addl 500 sq. ft. or portion
I ,Limfted!Energy~r'?~,,'''';2~~,'~~';d.!~ !"J}::'" .!r;,', "~:&:';;i:t,ittr.n'~~,~t!r<'~ ,.':-; I
. '~~'.""'_~' .L"..'.i'i.'ifl:.~..,." ....""'~_...<~. ,<....,.~~~_M.~""._t.: ..;. ,..,,~
I ~ Limited energy, residential I I
(with above SQ, ft.)
I ~ Limited energy, mu]tifamily I I
residential (with above SQ. ft.)
I-Limited energy, commercia-]
(with above SQ. ft.)
I - Stand-alone limited energy,
residential
I - Stand-alone lim!ted energy,
A 'rtt:; multi~family
I I "';;',io ~f~iU'N. I - Stand-?Ione limited energy,
Subdivision: Lot no . 11. l~. r ^ I
.. lW"~..."v 111_ ., 't- commercia
ITaxmap/parccl no.: 170326420]20] in r)~)=qtio~\'~ qcto~:f:!OI eiiJ~s~J.21~~fe~s~Jll!~,t~JIE!~ft~~~~~~Li,6]t6~j?lq~~':~e,!.!l:~~lliW,t~~:~ .~~
, o.,;;::r'Gi\;\J~DE[i:~il'Jlg~3?~~o~W9&o'i l:~S.?'n;;"ntefJ~,#1b f ~il'..!,ss [2J
CIRCUITS FOR NEW EXHAUST FANS Vli//in) u/J mli -1'UOt o/e Sd>~"\"I~s~~"""'Ilt]
l1/Jmb/! the c: Obtliin 'hr, )4<19/~,j\,;l1\'j ~~l.MPfltJ,] I
;...'or the I1ter. /A ,coj itl>JEM P,~RV .~, '~:i'f'ip',61~.fl'C 'd,'''',in, ~1"1!~!~"~~,';',!ie'i"i,;o":';!.iP ,I ..il
"en, Ore ,'volS,';\M)""R "i1?fdm~/'l.. "I~ .,'" ',".'.", ",,,,,. ci "
"ler is 1.o€on U, ,. nlioli ''1'',~!;> urrt","M, "-",,... '~".....'", " '
,."~,,*,, " ,...._.'_,..~"..~"" '~'-"'---""_._''''~''''_' ,-"v'" '. /, ,; ~,~!f1I.. Plll" I
;',\.'. 'i-c,}:;<:-".:1:"I}':"i'H:t{\'ffiSf1-'T;;::w~t'" ,:;;,SITE.CONTAC1,'t.;, -<;P-PZijl\ "', ".-i~,.{{.~-t'~~'tJ\i?:\:;':"v~~l,- . nti~..:"\Jl.Ul - I
..,.y. "....'" ,.,,~ ."w.,~ ,,, ,....' "~"......,,,""'..".lSii;,. ",'~". ~."" ,,"",,_ C" .. i'.Jl ''''fFD'!~,\J\R1mps [2]
IName: PAUL 1I0RVATII I 140f)"",PS to'\Wlamps [2]
I Phone: (541) 501-8846 I Fax: II)Jt~~1€~rcuits.:.~~y,'~alt~!1i!ioli;~~~f~~ten~~~!!~~p~~p'an~11:~~l~
11.~,~:-:~;;:~.t><~,f~W!"W.'I1C\"I'f!ti,.;~ft5t~"C'0'N'" .T.'....'RA.........'F"C.,. 'T' 'O'R' t',I""~'f$~ffi;.jJ;"'iti;4L1f.;;;;-J.t"."(.-i'.:>;g':':w~"<: I ~.~.~: ~: ~~adneCrhf~~:ce~~~
with
c'1[~4E:i,'5V....t..t,?~"'~. ~::h<\,r~:..._".,,""'-'''_ .<_'. ." ,~~!.'1Jf.jj 1J:;:t..::,...\f4~f.4\1L'1\~::iI~~;i4.;;.-:.: branch circuit
I EI. lie. no.: 26.34C r' rl.Jr,J ceB lie. no.: 458 I B: Fee fOf branch circuits
. ,:' , .- ~ _\-...:. without service or feeder fee,
I Dusmess Name: CHRISTENSON J;:,L.EQfR)~N\-. first branch circuit r21
I Contact: Deborah Perdew . .:'~ I/'/f),,(rrl//h.... I euch add] branch circuit $6.001 $6.001
IAddress: III SW COLUMBI~ S.ljiTjt4~O ~ j{?f'~ I Sk A . IJ'~~~~lIa.ii~u~!i~~~~~~;.~~;:~j~~t~...:;i~-~~.,t~~~:~~%4:,;~,f .,{!
ICity/StatefZIP: PORTLAND oi{ 97)9~;"~FG~/')- Ul];/)~(( ~~_ SelVice reconnect only [2]
I Phone: (54\ )6886] 2] U4 yJ~~~,J9<~~f(sP1ii'l;tJ,"9,(', ,':.. Each manu]actured or modular
. .....- 'II. ~ _ dwelling, service and/or feeder
IEmail: deborah.perdew@christenson.com tt9/~~ 4!l1' U p~,... ,.'X.... r21
I Metro lie. no.: I City Iic~o.: VOOA1!1i1/)- I. J1/n Pump or irrigation circle [2) I
Supen'ising electrician's lie. no.: 4079S "1:0 tC'"1"\'.O'I1tI'l.~ I Sign or outline lighting [2J I
I v,.., - , I Signa] circuit(.s} or limited- j
Supen'ising electrician's name: PAUL E HORVATH .; -
energy panel, alteration, or
extension J2)
1~~~1i~=~;.~~~(l~.9JR!~~~e~I{MIT.-FEI:,~~ '~~'~'r~)~t '~:r ~ <. .
I Sublo,"1 I $61.00 I
I State Surcharge (12% of penn it fee) I $7.32 I
I City OfSpringfie]d fees. 1 $3.05 I
I TOTAL PERMIT FEE $71.37 I
. City Of Springficld fees: 5% Techno]ogy Fee
I Default number of inspections allowed)
CB- '\iS~ ~
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10 New construction IX] Addition/alteration/replacement
I i:} ~~{.-,~:.:t:h:~rit~~tf~;r:2~itg~~~'{,9~:E.9~~~t~~'~!C~R~-;~~l~~~~S'"ti'~~' ~~ri;.tt}.
10 I or 2 family dwelling 0 Multi~family !KJ Commercial/Industrial
1':'"",~"Z~!lt<~oEfSifE'ijNF6RMAfI6NYAND:[ocAfjoN'\'Wg'."4,;"
"-.-' 'b ..' ~..#l\ .,'. ....t<1-.,l.~_~_~.....oJ-...."..''''.._,. .,.""""_"-__,,,,,,,,,,.] .", _.,....~..._'... "",''"~.....' i'l"._.""",~....L~_
IJobno.:41312 IJobaddress: 1475 5THST
I City/State/ZIP: SPRINGFIELD, OR 97477-3052
I Suite/bldg./apt.no.:
I Project name: FIRESTATION #4
Cross street/directions to job site:
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.
~~~~.
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~~
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 it does not
meet applicable land use laws and local ordinances.
Inol offered online at this jurisdiction
$55,00
$55,00
21 nlo9
This Authorization To Begin Work must be posted at the job site until replaced by a Permit.
Status
Iss u ed
CITY OF SPRINGFIELD
'Building/Combination Permit
PERMIT NO: COM2008-01658
ISSUED: 11114/2008
APPLIED: 11/14/2008
EXPIRES: 08/17/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line .
SITE ADDRESS: 1475 5TH ST
ASSESSOR'S PARCEL NO.: 1703264201201
Springfield TYPE OF WORK: Heating System
TYPE OF USE: Alteration Public
PROJECT DESCRIPTION: Install exhaust extraction system
Owner: CITY OF SPRINGFIELD
Address: CITY HALL
SPRINGFIELD OR 97477
Contractor Type
Electrical
Mechanical
I CONTRACTOR INFORMATION I
Contractor . !l!i.;r/~lVrIO. L,icense Expiration Date
CHRISTENSON ELECTRlQ\,'O}I<%W rUleslV. O~?Ib . 05/01/2009
HARVEY & PRICE CO in n~I~a.tion ,,:!do{J/?',.; ~/a.w ren,.:, 10/31/2010
I BUIL'~(; ii'6RMA,i1cf~~e'~~ Oreg;,(ou to
!!!/f/g th .Jy ObI : 11,,0u es a.re Utility
nl1t:h" , e c a.m 9h OA se1Ci
# or"'TiWi%r t enter. ~ COPies 0 R 98~! ~
Height ~~Htu~~a,eg Note: the' the rfj~ PIst Floor:
, Type of Heatrr IS 1-80~n Utility ~elep1M,l{>Jlnd Floor:
Water Type: -332"23440tlficJiIb~t Basement:
Range Type: ~. Sq ilt Garage/Carport
Energy Path: Sq Ft Other:
Sprinkled Building: n/a Occupant Load:
Phone
541-688-6121
541-746-1621
# of Units:
Primary Occupancy Group:
, Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Vlhr
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Sethack:
Solar Setbacks:
LDEVELOPMENT INFORMATION..'
"Uffe
TI 'E'
flS PEi'verlay Dist:
/JUTHORl U:E8"jl1~ees Rqd:
OMM . ~MkI..61fl1lb "
ANy f 8%NC'SlfltJdMEilD'it1r1jpf IF THf
DAy PFP~~A,8AAin~~~~/T /('~~RK
, I PUBLIC IMPROVEMENTSl FOR I
Sidewalk Type:
Downspouts/Drains:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer Available:
Special Instruction: "
Notes:
~'v\~~,
~\'tJnv
~ l.{)\<:
~
Paee I of 3
Status
Issued
CITY OF Snul~GFIELD
'Building/Combination Permit
PERMIT NO: COM2008-01658
ISSUED: 11114/2008
APPLIED: 11114/2008
EXPIRES: 08/17/2009
VALUE:
225 Fifth Street, Springfield, OR
541~726-3753 Phone
541-726-3676 Fax .
541-726-3769 Inspection Line
1 Valuation DescriDtion" I
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
Fe~,s Paid I
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Miscellaneous Mechanical
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter; Extend Circ
Add, Alter, Extend Circ Ea Add
, Amount Paid
Date Paid
Receipt Number,
$21.00
$5.20
$6.24
$2.60
$52.00
$7.32
$3.05
$55.00
$6.00
11/14/08 '
, 11/14/08
11/14/08
11/14/08
11/14108
2/17/09
2117/09
2/17/09
2117/09
1200800000000001141
1200800000000001141
1200800000000001141
1200800000000001141
1200800000000001141
1200900000000000110
.1200900000000000110
1200900000000000110
1200900000000000110
Total Amount Paid
$158.41
I Plan Reviews "
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. '
Reouired T nsnections I
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Rough Electric: Prior to Cover
Final Electric: Wheri all electrical work is'complete.
Paee 2 01'3
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01658
ISSUED: 11/1412008
APPLIED: 1111412008
EXPIRES: 0811712009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541_726-3676 Fax
541-726-3769 Inspection Line
By signature, I state and agree, that I have carefully examined the completed application and do herehy certify that all
information hereon is true and correct, andI 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 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 of the property, and the approved set of plans will remain on the site at all
times during construction.
Owner or Contractors Signature
Date
"
Paee 3 of 3
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2008-0l658
COM2008-01658
COM2008-0 1658
'COM2008-01658
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
City of Springfield Official Receipt,
Development Services Department'
Public Works Department
120090000000000011~
Date: 02/17/2009
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' Christenson Online
Electric
Payment Total:
, Page I of I
9:25:19AM
Amount Due
55,00
6,00
3,05
7.32
$71.37
Amount Paid
$71.37
$71.37
211712009