HomeMy WebLinkAboutPermit Mechanical 2009-2-19
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00216
ISSUED: 02/13/2009
APPLIED: 02/13/2009
EXPIRES: 08/13/2009
VALUE:
SITE ADDRESS: 3127 W ST
ASSESSOR'S PARCEL NO.: 1702193400627
Springfield TYPE OF WORK: Heating System
PROJECT DESCRIPTION: Instanation ofHVAC
TYPE OF USE: New
Owner: SELLAND RONALD M & JULIE K
Address: 3127 W ST
SPRINGFIELD OR 97477
Contractor Type
Electrical
Mechanical
I CONTRACTOR INFORMATION I
Contractor License
COMPLETE ELECTRICAL INSTALLATION 184274
INNOVATIVE AIR INC 161742
BUI,LDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type .
Secondary Construction Type:
# of Bedrooms:
Frontyard Sethack:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Euergy Path:
Sprinkled Building:
r DEVELOPMENT INFORMATION I
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
I PUBLIC IMPROVEMENTS I
Paee I of 3
Expiration Date
. 10/14/2010
10/1112010
n/a
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
Residential
Phone
541-225-7827
541-746-1040
REQUIRED PARKING
Total: .
Handicapped:
Compact:
Sidewalk Type:
DownspoutslDrains:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone .
541-726-3676 Fax
541-726-3769 Inspection Line
I Val~ation DescriDtion I
Descriotion
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Total Value of Project
~PP:~ P'lirl I
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Air Handling Unit Up to 10,000
Heat Pump
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Minimum/Adjustment Electrical
Amount Paid
$13.56
$5.65
$79.00
$17.00
$17.00
$6.96
$2.90
$55.00
$3.00
Total Amount Paid
$200,07
I Plan Reviews ,
Date Paid
2/13/09
2113/09
2/13/09
2/13/09
2/13109
2/19/09
2119109
2119/09
2119/09
CITY OF :"lrluNGFlELD
Building/Combination Permit
PERMIT NO: COM2009-00216
ISSUED: 02/13/2009
APPLIED: 02/13/2009
EXPIRES: 08/13/2009
VALUE:
. Value
Date Calculated
Receipt Number
2200900000000000177
2200900000000000177
2200900000000000177
2200900000000000177
2200900000000000177
3200900000000000102
3200900000000000102
3200900000000000102
3200900000000000102
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 n"nl"ir.." InSDectionsl
Rough Mechanical: Prior to Cover
Final Mechanical: When an mechanical work is complete.
Rough Electric: Prior to Cover
Final Electric: When an electrical work is complete.
Paee 2 of 3
Status
Issued
CITY OF SPRINGFIELD
,Building/Combination Permit
PERMIT NO: COM2009-00216
ISSUED: 02/13/2009
APPLIED: 02/13/2009
EXPIRES: 08/13/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
By signature, J state and agree, that J have carefuny examined the completed application and do hereby certify that an
information hereon is true and correct, and I further certify that any and an work performed shan 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.
J further agree to ensure that an required inspections are requested at the proper time, that each address is readable from the
street, that the permit card is located at'the t'ront of the property, and the approved set of plans will remain on the site at an
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
COM2009-00216
COM2009-00216
COM2009-00216
COM2009-00216
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
City of Springfield Official Receipt
Development Services Department
Public Works Department
3200900000000000102
Date: 02/19/2009
8:58:I9AM
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
njm ONLINE complete Online
elect
Payment Total:
Amount Due
55.00
3.00
2.90
6.96
$67.86
Description
Add, Alter, Extend Circ
Minimum/Adjustment Electrical
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
Amount Paid
$67.86
$67.86
Page I of 1
2/19/2009
City of Springfield
Electrical Authorization To Begin Work
E-mailedTo:electricmanl@centurytel.net
Receipt # EC546998
2/19/20098:04:52 AM
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
10 New construction [i] Addition/alteration/replacement
1~~~JlD:g~T~[9'~~2!i92@!~Y:9~!IQ~~'r1~%~t>i.,~#1I.l!iL~~:iY1_
[X] I or 2 family dwelling 0 Multi.family 0 Commercial/Industrial
-'-~~B!f6B:SITE'INFORMATioNrp;Njj1t6c;AT[ON~8'?~."V".,i!;'~;);?~
m.lllER1:ii~_vpsi;'ii.ljla~:~~:~,!:,&,:_~,_~~"""c-=__.""",,,",,.,.~..,,,,_~EJ'i;,;'f!f[/M~,t", ~",j;"!LiJ",~
IJob no.: 2024 jJob address: 3127 .W ST
!CUy/StatefZIP: SPRINGFIELD: OR 97477~7905
I Suitelbldg.lapt.no.:
I Project name:
Cross streelldirections to job site:
I Subdivision: I Lot no.:
ITax map/pufeel no.: 1702193400627
1~i'1'i!f'.~~~~jjESCR1p.TfoN=;OF;Wo:.R. K. f.ij,-~. ''It,.l:.''.''Jir'. ':'~.J.;t=.;if.
-.~....::u:'i'.!a~~ _ __,~~~_-..-.........""c"\;='-~__" ~.,-:a:~';t_~ .tp - ,.J :'.__
Extend existing circuit to install an exterior GFCI.
I Name: Matt Grover
1 Phone: (54]) 225-7827 1 Fax:
I Email:
Ir~;k~~>:~t~~~~~~:':Q'CON1M9.t9.R:~~~';,C::>~t~~?;'~_.,;~:V~~4': ':;:~it:1
1 EI. lie. no.: C441 ICCB lie. no.: 184274
I Business Name: COMPLETE ELECTRICAL INSTALLATIONS INC
1 Contact: matt grover
IAddress: 33024 CAMAS SWALE RD
1 City/StatelZlP: CRESWELL OR 97426
1 Phone: (541)8953922 11'81: None
1 Email: e]ectricmanl@centul).tel.net
1 Metro lie. no.: I City lie. no.:
1 Supen'ising electrician's lie. no.: 5367S
1 Supervising electrician's name: MATTHEW E GROVER
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. ~~lf1'"
. \\2~
1~~!'!i1I!f~~,!F,g~;~:CH.EDuIg~~"
Description l Qt).. J Ea, l Total .
:,~~.~~!i~L~,E,~~~'gRim:.UI....~~;fU~~il)~~~c.f~!%;Uii~'i:<.,lncIUdCS' , Jg~
'iittllched'gal;llgc~o4hgiQ'i(~..t1'1t:;.i,;r:<;~'7t~'91M .: . . \ '.!#
L";"-~'..(,.."h_~l*)",,,,I:;J~lhd,;',&1i'T)!,f. A' ,p;f>-."...:;&?",b~~ .. . '",.-.&:$
11.000 sq. ft. or less [4] I I
1 Ea. addl 500 sq. ft. or portion
I-Limited energy, residential
(with above sa. ft.)
I-Limited energy, multifamily
rcsidential (with above Sq. ft.)
I-Limited energy, commercia-I not offered online at this jurisdiction
(with above SQ. ft.)
I - Stand-alone limited energy,
residential
I - Stand.alone limited energy,
multi-family
I . Stand-alone limited energy,
commercial
I{S~'!!~~q!J~~~.~!s1i~ii,~.li~!,i~g~F~,~:r~i~,21J~~~J2i~!frc~~~1F~,~~;
1200 amps or less [2J I
1201 amps to 400 amps [2]
40] amps to 599 amps [2] [
TEMPORA."RY.,.-serVjces'ORffeidfrs1ilisialliit!oiifa-Ueratioli~f:W'GJ.l~.<';.1
.- -.'- _"'ll!", ~ "~,;"","""""""~"'Ji!ij.",,,,.
'A~o,~Q.~~rtl.2saJ!9:~.y.l~.,..~.l,:'";::, f.$~i~~~*i:::~"l:~~~Jh-.~~~~0
, 200 amps or less [2J I 1
1201 amps to 400 amps [2] I . I
1401 amps to 599 amps [2J 1
l.tidlncti,cin:'llii~~NE\V.~-:liicr;ltiolk6IPeXtcn~i~per:paneiem)*~~.I
~"."".,~"=,"""_-c""">;&_"'=""."""",,,,-,,,,,~,,,,-,"",,,,,,',,..,.,=m,~'_.,,,.""',,~~~~~
I A. Fee for branch circuits with I
service or feeder fee, each
branch circuit
lB. Fee for branch circuits $55,00 $55.001
without service or feeder fee,
first branch circuit f21
I each addl branch circuit 1
j Service reconnect only [2}
Each manuCactured or modular
dwelling, service and/or Ceeder
121
Pump or irrigation circle l2]
1 Sign or outline lighting [2J
I Signal cireliit(s) or Iiinited.
energy panel, alteration, or
eXlension [2)' _
1~J.;.~~~~i~flj~~~~$~r:RtC~-~&E'RMiJJ[t~~lii~vr~1
I Subtotal $55.00 !
I Minimum fee used instead of Sublota] $58.00 I
I State Surcharge (12% of penn it fee) $6.96 I
I City OfSpringiield fees. $2.90 I
I TOTAL PERMIT FEE $67.86 1
. City Of Springfield fees: 5% Teclmology Fee
[Defaull number of inspections allowed}
Com2.60OJ - 002 \ tp
NM 2.--1 ~ -0<1
This Authorization To Begin Work must be posted at the job site until replaced by a Permit.