HomeMy WebLinkAboutPermit Mechanical 2009-2-19
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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 SPRIr'<lul'lJ!.LD
Building/Combination Permit
PERMIT NO: COM2009-00199
ISSUED: 02111/2009
APPLIED: 02/11/2009
EXPIRES: 08/19/2009
VALUE:
SITE ADDRESS: 1288 W OLYMPIC ST
ASSESSOR'S PARCEL NO.: 1703273203600
Springfield TYPE OF WORK: Heating System
PROJECT DESCRIPTION: Installation of HV AC system
Owner: POLING PAMELA R
Address: 1288 W OLYMPIC ST
SPRINGFIELD OR 97477
TYPE OF USE: Addition
Residential
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Mechanical
Contractor License
COMPLETE ELECTRICAL INSTALLATION 184274
INNOVATIVE AIR INC 161742
Expiration Date
10/14/2010
10/11/2010
Phone
541-225-7827
54 I -746-1 040
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
BUILum" INFORMATION I
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Patb:
Sprinkled Building:
nla
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Otber:
Occupant Load:
I DEVELOPMENT INFORMATION I
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
I PUBLIC IMPROVEMENTS.
Street Improvements:
Storm Sewer Available:
Special Instructi01l-E 1<
NOT 1I : l EXPIRE IFTHE WOR
Notes: THIS PERMIT SHA~R THIS PERMIT IS NOT
AUTHORIZED UONROIS ABANDONED FOR
COMMENCED
ANY 180 DAY PERIOD.
Paee I 00
REQUIRED PARKING
Total:
Handicapped:
Compact:
Sidewalk Type:
AT1iSiN.l/~uGID[;rin!/;Jw requires you to
foHow 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).
-iii(1fIi
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descriotion I
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Total Value of Project
Fee. tlW!.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
Add, Alter, Extend Circ Ea Add
Amount Paid
Date Paid
$13.56
$5.65
$79.00
$17.00
$17.00
$7.32
$3.05
$55.00
$6.00
2/11109
2/11/09
2/11109
2/11109
2/11/09
2/19/09
2/19/09
2/19109
2/19/09
Total Amount Paid
$203.58
I Plan Reviews I
CITY VI<' ~rKll'\juI<lJ!.LD -
Building/Combination Permit
PERMIT NO: COM2009-00199
ISSUED: 02111/2009
APPLIED: 02/11/2009
EXPIRES: 08/19/2009
VALUE:
Value
Date Calculated
Receipt Number
3200900000000000078
3200900000000000078
3200900000000000078
3200900000000000078
3200900000000000078
2200900000000000183
2200900000000000183
2200900000000000183
2200900000000000183
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.
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
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CITY VI< ~rKlI'\j\.iI<lJ!.LD'
Status
Issued
Building/Combination Permit
PERMIT NO: COM2009-00199
ISSUED: 02/11/2009
APPLIED: 02/11/2009
EXPIRES: 08/19/2009
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 hereby certify that 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, 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
Paee3 00
I
225'Fifth Street
SpJ"ingficld, Oregon 97477
541-726-3759 Phone
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City of Springfield Official Receipt
Development Services Departmeot
Public Works Department
RECEIPT #:
2200900000000000183
Date: 02/19/2009
8:57:55AM
Paid By
ONLINE PERMIT CHGS
Item Total:
l.:heck Number Authorization
Received By Batch Number Number How Received
Amount Due
55.00
6.00
3.05
7.32
$71.37
Job/Journal Number
COM2009-00 199
COM2009-00 199
COM2009-00 199
COM2009-00 199
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 12% State Surcharge
Payments:
Type of Payment
ONLINE CHGS
Amount Paid
kr
ONLINE Complete Online
Electrical
Installations
Payment Total:
$71.37
$71.37
cReceintl
Page I of I
2/1912009
City of Springfield
Electrical Authorization To Begin Work
E-mailedTo:electricmanl@centurytel.net
Receipt # EC547003
2/19120098:13:07 AM
~
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
" t~rWOR'
o New construction
[iJ Addition/alteration/replacement
r:: _< .'~ . ~rrC:O.!~'j'31!~~~~:rfMi.C1LdN
[K] 1 or 2 family dwelling 0 Multi.family D Commercial/Industrial
PB'.~It~NI'.9EM!\ndr:l'~!\NtjeQC'ATtQ.N ~~_..""..- -- ~
" ,.',..L ,',.' _'""., _,_
Job no.; 2025 Job address: 1288 W OLYMPIC ST
ICitYlStatelZlP: SPRINGFIELD. OR 97477-2714
Suilelbldr,JapLno.:
I Project name:
Cross strett/direc:tlons to job site:
I Subdivision:
Tax map/parcel DO.:
1 Lot n..:
J 703273203600
(::::.:~~....: _.~PES~tlf~'!fOE2pwO~K.:'::':::: :~~ ~---,
Extend ex.isting circuit to lnstall an exterior GFCl. Extend an eXlsting circuit to provide
power for split unit HVAC.
r,~' -WW:'::::,
:~~" ,5ITIrC'd!i!iI~:.."'''''''.
...:
Name: Matt Grover
IPhnne: (541) 225-7827
I Email:
~ : ..\=ONTRACrOR
IEJ.Uc.n~,: C':J~~" . ~n..: J~;4
I Business Name: COMPLETE ELECTRICAL INSTALLATIONS INC
I Contact: matt graver
IAdd..,,, 3302~ \,\LE RD
ICitylStalelZlP: 7 ,,:..:.. ijlrlM Ir TJ.IE 'NORK
Iphnne: (541)89 :X1:rr.Jfffie''Fcr..f.m Ii: '~T
I [mail: electric ant t
I V Or.
Metro lie. no.: ~I ~'I I Y I.no.:
!Supervlsing e1eflHdso's"fi't'. rWl!:' 'S:16t!; I
!Supen'ising eleclridan's Dame: MAITHEW E GROVER
IFa"
Upon review and approval by your local Jurisdiction, your
permit will be a-mailed or faxed within one business day,
wtth instructions on how to schedule your Inspection.
NOTE: This Authorization To Begin Work expires within 180 ~ I
days If a permit Is not obtained. _ t\.V r<1
The local building department may determine that an \,Ji~\\~'
Authorization To Begin Work Is null and void If It does not t), ~ ~ l"l ~
meet applicable land use laws and local ordinances. 0' <<.
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. FSitSCflSOp'C.E
Description Qty. Ea. Total
'Residtntiat SINCLEI'OR'mltltl~raRiili(d\l'clliil'g''ilrilt.'1t1t16'des'' ~
;alt!,!chet:!"garage
1,000 sq. n. or less [4)
1 Ea. add! 500 sq. ft. .r
Hrilu@'l:il.
. Limited energy. residential
(wil~ allpw '" ft.l
I . Limited energy, multifamily
residential (with ubo'Ye SQ. ft\
. Limited energy, commercia) not olTered online at this jurisdiction
(with above s$l/ ft.)
. Stand-alolfe hnfited energy,
re~qential
I - Slan~-alone limited energy.
multi.familv
. Stand-alone limited energy, I
commercial
~<!Oll:fe~!l!ti\,r'II.(llll!!'Mi..ni'tl.i\\"J.lmp.!!,ielOca"tl6i\~
200 amps or less [2)
1201 amp". 400 amp' [2]
401 amp". 599 amp' [2J I
- l\WOAA1t~tS'()R"'re@tl$-'iiiS(anatroffillf(illo ,
, N.o/q~ ':tl.ocat,i<;l!!~
200 amps or less [2}
4 1201 amp". 400 amp' [2J
401 amp". 599 amp' [2] I I
B'~D1b~i~~~~~lief~t~O'r~:"eItensl~i1i~ne
A M'1ll!':~ . , rw>gon a
Brl~~~~~e~; .~~~~~~ 19on Util ty $5500
'1i'1'@l'\~f!rOOjhOO,l 0 tlrough Q ~R g\j2~ 1- I
rij c" . '''r;po nl thA rule bv
. G"~ ate: thEl~\e~~! $6001
iJ.L.i!.lu....u III
r 1VVlT!1_
Serv;ce rc:c.n.e&~f[i~ 1-8( 0-
I Each manufacrureJ or nfodular
dwelling, service and/or feeder
121
I pUJTIp or irrigation circle (2]
I Sign or outline lighting [2] I
Signal circuit(s) or limited.-..J
energy panel, alteration, or
~~~CJ6~'~PER,M)t~EE~c.
Subtotal
Stale Surc'J..iIp'e (12% .r""'I'Iilfee) I
CIty OfSprif\ifie1d lees.'
I TOTAL PEIlMIT FEE I
. City Of Springfield fees: 5% Technology Fee
ICqu~er(~:r~nswlow~
2.2.DYi- \ ~
$61.00
$7.32
$3.05
$7l.37
2.1 \ '1 \C8
This Authorization To Begin Work must be posted at the job site until replaced by a Permit.