HomeMy WebLinkAboutPermit Mechanical 2009-2-17
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01696
ISSUED: 1l/24/2008
APPLIED: 1l/2l/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: 1225 28TH ST
ASSESSOR'S PARCEL NO.: 1702312200700
Springfield TYPE OF WORK," Heating System
TYPE OF USE: Alteration Public
PROJECT DESCRIPTION:" Install exh~ust extraction system and Circuits for system
Owner: CITY OF SPRINGFIELD
Address: CITY HALL
SPRINGFIELD OR 97477
I, CONTRACTOR INFORMATION'
Contractor Type
Electrical
Mechanical
Contractor
CHRISTENSON ELECTRIC INC
HARVEY & PRICE CO
License
458
77
Expiration Date
05101/2009
10/31/2010
Phone
541-688-6121
541-746-1621
BUILDING INF?RMATlON I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Vlhr
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Rauge 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 I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
'Compact:
'...~ .<"
" I PUBLIC IMPROVEMENTS' ATTENTION: Oregon law requires you to
St eet 1m rovNnlll;E: ,"" follo~(J.!lI\!;t'lf!o.p.t.ed by the Oregon Utility
r p ilP~RMIT SHALL EXPIRE iF THE WORK Notifl1!atiN"'Cefrt~F.' Those rules are set forth
Stor'." Sewer lIRIZED UNDER THIS PERMIT IS NOT In OAA,~PlllikSZllr~~ro~gh OAR 952-001-
SpeclalInstru. S ABANDONED FOR " 0090. You may obtain copies of the rules by
COMMENCED OR I calling the center. (Note: the telephone
Notes: ANY 180 DAY PERIOD. number for the Oregon Utility Notification
Center is 1-800-332-2344).
Paee I of3
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01696
ISSUED: 1l!24/2008
APPLIED: 11/2112008
EXPIRES: 08/17/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726~3676 Fax
541-726_3769 Inspection Line
I ': aluation Descri"tion ,
Description
Tvpeof Construction
$ Per Sq Ft
or multiplier
,Square Footage
or Bid Amount
Value
,Date Calculated
Total Value of Project
Fees P~id 1
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
11124/08
11124/08
11124/08
11124/08
11/24/08
2117/09
2/17/09
2/17/09
2/17/09
1200800000000001171
1200800000000001171
1200800000000001171
1200800000000001171
1200800000000001171
1200900000000000108
1200900000000000108
1200900000000000108
1200900000000000108
Total Amount Paid
$158.41
I Plan Reviews I
To Request an inspection call the 24 hour recording at 726-3769. All inspecti!lns 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 R,efl~i,~ed Insoection~ 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 of3
Status
Issued
225 Fifth Street, Springfield, OR '
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD
Uuilding/Combination Permit
PERMIT NO: COM2008-01696
ISSUED: 11I2412008
~PPLIED: 11I2l!2008
EXPIRES: 08/1712009
VALUE:
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and I further certify that any aud 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 701.0~5 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 cOllstructio~.
Owner or Contractors Signature
Paee 3 of 3
Date
225 Fiffh Strcet
Springfield, Oregon 97477
541-126-3759 Phone
Job/Journal Number
COM2008-0 1696
COM2008-0 1696
COM2008-01696
COM2008-01696
Payments:
Type of Paymeot
ONLINE CHGS
cRcceintl
RECEIPT #:
City of Springfield Official Receipt
Development Services Department
, - Public Works Departmcnt
1200900000000000108
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 CHOS
Item Total:
Check Number Authorization
Received By Blttch Number Number How Received
KR ONLINE Christenson Online
Ele,ctric
Payment Total:
Page 1 of 1
9:03:47AM
Amount Due
55,00
6,00
3,05
7,32
$71.37
Amount Paid
$71.37
$71.37
211712009
City of Springfield
Electrical Authorization To Begin Work
E~mailed To: deborah.perdew@christenson.com
Receipt # EC546845
2/17/20098:38:49 AM
Check on status of permit
By Phone: (541)726-3753 'or Email: permitcenter@ci.springfield.or.us
o New construction
[KJ Addition/alteration/replacement
10 I or 2 family dwelling
o Multi-family
[X] Commercial I Industrial
IJob no.: 41311 IJob address: 1225 28TH 5T
ICity/StateIZIP:' SPRINGFiELD,"OR 97477-4387
I Suilc/bldg.lapt.no.:
I Project name: FlRESTATlON#3
Cross street/directions to job site:
<!Subdivisiim:
I Tax map/parcel no.: 1702312200700
ILol no.:
FOR NEW EXHAUST FAN
11,000 sq, f1. Of less (4J
I Ea. addl 500 sq,J't or portion
- Limited energy, residential
(with above sa. ft.)
I-Limited energy, multifamily
residential (with above SQ, f1.)
I-Limited energy, commercia"1 not offered online at this jurisdiction
(with above sa, f1.)
- Standcal6ne limited energy,
residential
- Stand~a]one limited energy, .
multi-familv
I - Stand~alone limited energy,
commercia!
1200 amps or less [2]
120 I amps to 400 amps [2]
1401 amps to 599 amps [2}
1200 amps or less [2J 1
120] amps to 400 amps {2] I
IName: PAUL HORVATH 1401 ampsto 599 amps [21, '_
J Phone: (541) 501-8846 I Fax: 11.~1:€~t~:~tr~lll~t;:~~~t~fa~i~IJ;2B',~,~~~JEnJ:'fl;er~lm:Si~#~;f~~ll
I Email: ',"'QTIl'~' I A FceA;f1!"rJi1M>TcJ@Nl\(jljleg m law re Wires y~ to I
1"~~~1~'tl'~~if5R\4ff~~Il)"''''!'P'-T=A0 ~!d-D''''''"'',,'441 servl~M1r~<;Q"f/iTe~'ildOPtEd by the Jregon lhtility
--\'-'~rflIS>l"~ ~ - 0 ~rlJ:-:tHE'W0QJ(-.,.~~,,,,,,,{ bran. '<'IIMll.. _., ,
lEI, He. no.. 26-31." I Gjlill,~'ll'I:.$ffl6IT I~ MI).T I B Flll>\f_'o\tt"""l"'. IlIu~''''1I,~,,~s'lJO fu,J1500
I .,dH9RllED'J ....,.-, 1 Wllhmt@"~~()ft.001)throug~OAR95:-oof.
Bnsiness Name: ~~j~Y:!H~tt-m~ ~.'8.^.ND9~!t(l ~OP. first~b:''Yt>\l1lAa-y obtan sopig~ of thg ry
IConlael: Debor~~I\}lr33 8/\Y rE~l~9-. 1:~~::~0~'~~f::wt~!~;'1!~:V~!P~~~J;J;e, :~~
IAddress: III SW COLUMBIA SUITE 480 I' ~~\WjffM!iit'lmthe!@re,q.on~8tlilt,,1tfotlflcallon.;\!i~
'City/SlaleIZIP: PORTLAND OR 97201 I I Service re<:onneeGlIIlIWr is 1. 300-332-~344). I
I Phone: (54] )688612] 1 FaX:(541)6886528 I I Each manufac~urcd or modular
. dwellmg, servIce and/or feeder
. Email: deborah.pcrdew@christenson.com I f21
I Metro lie. no.: ! City lie. no.: J I Pump or irrigation circle [2]
I Supervising electrician's lie. no.: 40795 I I S~gn or ~utli.ne light~n~ [2]
.Slgnal ClrcUlt(s) or hmlted-
I Supervising electrician's Qlime: PAUL E HORVATH 1 alteration, or
Upon review and approval by your local jurisdiction, your
permit will be 8-mailed or faxed within one business day,
with instructions on how' to s.chedule y.our inspection.
NOTE: This Authorization To Begin Work expires within 180
days if a permit is not. obtained. \
The local building department may determine that an \ ~, 0\
Authorization To Begin Work is null and void if it does not \). \ ~
moot applieablo land uso laws and local ordinancos, b .\t(;~
~~
. Subtotal I
State Slirchlirge (J2% ofpermJI fee)
City Of Springfield fees *1
I" TOTAL PERMIT FEE I
. City Of Springfield fees: 5% Technology Fee
[Default number of ins pecti om allowed)
tGe.
$61.00 I
$7,32 I
$3.05 I
$71.37 I
C,B- \ u'1Le
, '( GLPl-1 O'is'
2\n\cPt
This Authorization To Begin Work must be posted at the job site until replaced by a Permit.