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Home My WebLink AboutPermit Mechanical 2009-7-17 qity of Springfield. 69600-BMC-09-00032 Mechanical Authorization To Begin Work E-mailed To: 7/17/2009 8:53 am Approval Code: 017184 Check on status of permit By Phone: 541-726-3753 or Email: permitccnter@ci.springfield.of.us 10 NewConstruction o Addition/alteration/replacement I 0 I ,,2 [.nlly dwe'H" 0 Mohl-[,mlly 0 Comm,,"" D^,,""'y Boll"" }*::':'"",!00~;~o-B~SITE~iNFORMATlot.fft.Nb1t!(ic'ATlON<y...~".;t;"r!11~~~rr I Job Address: 4162 FORSYTHIA $T I CityfState/ZIP: SPRINGFIELD, OR 97478 I Suitefbldg.lapt.no.: I Project Name: JlMCQ-40910QS I em" S,,,,tld;c,,rio,, to j,b ,it, I Tn,p/pm",o.:'f,OJ-m:?J-. ,.W~ ,'," ',' I 1:t:'~~~k'&,y;~~y.:t~i~:~~;,rl'ESCRI~iiONfoF;f.WORK:~~!:~~~{.;:;~f\t;~';, !!i:~,,~r~1 INSTALL GAS LINE FROM GENERATOR TO PROPANE TANK Ii -, c: - 40;,;tl""!.lI"~!\liEt~C-~:::-sTfE'c(ji-iTXCJ;;;1ill;:j";;iSi:;~::tf<;ifi'~w{l~I I N'm, MAINSTR;t~I(jP'PSi'JqM'T c:U~~, ")I. I Phoo" AUTHOR/7m "~'~'l-h ~f~fiE-,r I Nt WORK I Em.1I COMfVlENr.Ff) no-,;: I ~ :1.~!_Ct\IVIJ I /~ NOT I T~ ":c';""!iAt\t1.Rt';-.'"~; ;,; ':'_".-'<_11~6'R v &1:1 1~IJUJiif5IJlH-~' :c_ ---.,;Y"'-""'-.~,-F'l; LD~\7-#LC~~;5fT ''''''''''-Te'-d-, .";;-., -",-;- CCBIk.no.:40395 . I Business Name: LEBANON SERveo INC I Contact: I Address: 1'0 BOX 99 I City/Stale/ZIP: LEBANON', OR 973550099 I Phone: 541-451-5090 I Em,lI \ i"'-!)\'i\ (OJc;(JVl{rO if$. VI}} I Metro lie. no.: Fllx: 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 schedule your inspection. Desrription firsl Appliance Fee Total I ,[ $79.00.1 "I $7900 I $9.481 .$3.951 $91..431 Sllblotal Slale surchargt;: (12% of penn it tOlal) Technology fee (5% of permit total) . TOTAL PERMIT FEE C-C1-3~q 1iL1 n(M ATTENTION: Oregon law requires you to , foilow rules adopted by the Oregon Uiility Notification Center. Those rules are set forth', in OAR 952-00H010 through OAR 952-001- 0090. You may obtain copies of the rules by cailing the center, (Note: the telephone number for the Oregon Utility Notification Center is 1.800-332-2344). .~ "~~~D ~ ,,"l:~ \$: V' ~'b'cf\ fl'~~ ~t6< \}\ 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 flull and void if it does not meet applicable land use laws and local ordinances This Authorization To Begin Work must be posted at the job site until replaced by a Permit Status Issued CITY OF ~t'Kll'iGFIELD Building/Combination Permit PERMIT NO: COM2009-00364 ISSUED: 04/28/2009 APPLIED: 03/19/2009 EXPIRES: 10/29/2009 VALUE: 225 Fifth Street, Springfield, OR, 541-726-3753 Phone 541-726:3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 4162 FORSYTHIA ST ASSESSOR'S PARCEL NO.: 1802052200404 Springfield TYPE OF WORK: Miscellaneous TYPE OF USE: Remodel PROJECT DESCRIPTION: Fire Alarm System and Electrical Permit for Service/Circuits Install gas line from generator to propane tank Residential Owner: Address: MAINSTREAM HOUSING INC 180 E 18TH AVE EUGENE OR 97401-4160 . .J CONTRACTOR ~NFORMATION , Contractor Type Electrical Fire Contractor Mechanical Contractor License JIMCO ELECTRICAL CONTRACTING INC 1466 OMLlD & SWINNEY FIRE PROTECTION 62730 FERRELLGAS LP 101244 , BUILDING INFORMATION I Expiration Date 06/3012011 12/15/2011 OS/23/2010 Phone 541-258-6111 541-741-1775 541-688-8155 # of Units: # of Stories: Lot Size: Primary Occupancy Group: ' R-3 Height of Structure Sq Ft Ist Floor: Secondary Occupancy Group: Type of Heat:, Sq Ft 2hd Floor: Primary Construction Type VB Water Type: SQ Ft Basement Secondary Construction Type: Range Type: ATTENTIC:S~:ftl.Gafa~gb7G~rpO"jres you to # of Bedrooni.~O Energy Path: follow ruleSg~Ff-O'th~r~y the Oregon Utility I neE: Sprinkled Building: ~'i\Y~ication6fc'Utp',[nil"iJoaa:rules are sel forth TH'c: Oc:n. ',\7 _, In UAR 952-001-0010 throlJnh OAR Q~?-nn1_ AUTHORIZE"O" UUfJliLL tXP/F\fnEVFiEOIl/mlNT INFORMATIdN:',fJ., You may obtain copies of the rules by CO NDER THIS . I ; Ii " - IIlng the center "IAfA. thA '~IG~h__- , MIVIENCED OR IS ABAN ren/VII IS NOT number for theor~~o9,1U~~N6i~)fJIi'o9. Front yard S~ffi;(cRSO DAY PERIOD DONED F6&rlay Dist: . Center is 1T:otiil:332-2344). Side 1 Setback: ' ' # Street Trees Rqd: Handicapped: Side 2 Setback: Paved Drive Rqd: Compact:. Rearyard Setback: % of Lot Coverage: Solar Setbacks: I PUBLIC IM~ROV~MENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Downspouts/Drains: Notes: Pa2e 1 01"3 ' _~~~t~.~~~~~:,~,;:!ltri!~lh!'I~'!' ;'~ "',",','~~ Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line Description Tvpe of Construction Fee Description + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 200.amps or less + 12% State Surcharge + 5% Technology Fee 1st Appliance + 12% State Surcharge + 5% Technology Fee 1st Appliance Total Amount Paid Initial Review 03/19/2009 Fire Department Review 03/19/2009 I Valuation Description I $ Per Sq Ft or mnltiplier Sqnare Footage or Bid Amount CITY OF SPRINGFIELD BuildingiC~mbination Permit PERMIT NO: COM2009-00364 ISSUED: 04/2812009 APPLIED: 03/1912009 EXPIRES: 10/2912009 VALUE: Value Date Calculated Total Value of Project Fees Paid I Amount Paid Date Paid Receipt Numher 3200900000000000178 3200900000000000178 3200900000000000178 , 3200900000000000178 1200900000000000310 1200900000000000310 1200900000000000310 2200900000000000808 2200900000000000808 2200900000000000808 Plans submitted by Omlid and Swinney for Fire Alarm and Access Control System. Replace existing I security panel and keypod. Plans forwarded to Gilbert Gordon. Plans submitted by Omlid and Swinney for Fire Alarm and Access Control System. Rcplace existing security panel and keypod See attached document for Fire Department Plans Review Comments for the fire alarm system.. To Request an inspection call the 24 hour recording at 726-3769.~'AII inspections requested before 7:00 a.m. will he made the same working day, inspections requested after 7:00 a.m. wilt be made the following work day. $21.24 $8.85 $96.00 $81.00 $9.48 $3.95 $79.00 $9.48 $3.95 $79.00 3123/09 3123/09 3/23/09 3/23/09 4/28109 4/28109 4/28/09 7/17109 7/17/09 7/17/09 $391.95 I Plan Reviews I 03/19/2009 APP LLH . 04/0l/2009 APP GRG Paee 2 of3 Status Issued CITY OF SPRINGI<u,LD Building/Combination Permit PERMIT NO: COM2009-00364 ISSUED: 04/28/2009 APPLIED: 03/19/2009 EXPIRES: 10/29/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 54l-726-37691nspection Line I ~e{l.uIred ~ ~~ll~cti~)~,sJ R~ugh Electric: Prior to Cover Final Electric: When all electrical work is complete. Electric Service: Approval reqnired prior to utility company energizing service. Rough Gas: After line is installed and required testing and capped if not attached to an appliance. Final Gas: When all gas ~ork is complete. 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 1 further certify that any and allwork.performed shali 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. 1 further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. 1 further agree to ensure that all required inspec!ions 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 Page 3 of 3 225.Fifth Street Springfield, Oregon 97477 541-0726-3759Phone Job/Journal Number , COM2009-00364 COM2009-00364 COM2009-00364 Payments: Type of Payment ONLINE CHGS cReceintl RECEIPT #: Description 1st Appliance + 5% Technology Fee + 12% State Surcharge Paid By ONLINE PERMIT CHGS 2200900000000000808 City of Springfield Official Receipt DevelopmentServices Department' Public Works Department Date: 07/17/2009 Item Total: Check Number Authorization Received By Batch Number Number How ~eceived KR Page I of I ONLINE LEBANON Online SERVCO INC Payment Total: 9:20:04AM ' Amount Due 79.00 3.95 9.48. $92.43 Amount Paid' $92.43 $92.43 7/17/2009