HomeMy WebLinkAboutPermit Mechanical 2009-12-14 (2)
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2009-01784
ISSUED: 12/14/2009 '
APPLIED: 12/14/2009
EXPIRES: 07/0112010
VALUE:
225 Fifth Street, Springfield, OR
541.726.3753 Phone
541.726.3676 Fax
541.726.3769 Inspection Line
SITE ADDRESS: 1139 DONDEA ST
ASSESSOR'S PARCEL NO,: 1802061311600
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
PROJECT DESCRIPTION: Installation of mini split heat pump system in residence,
Residential
Owner: STEINHAUER RACHELLE K
Address: 1139 OONOEA ST
SPRINGFIELD OR 97478
I CONT~CTOR INFORMATION ,
Contractor Type
Electrical
Mechanical
Contractor
GMD ELECTRIC INC
SUNSET HEATING & AIR INC
License
162191
171706
Expiration Date
1l/19/2010
08/18/2010
Phone
541.726.8601
541.988.3181
BUILDING INFORMATION'
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Coustructiou Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
, Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq, Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
nla
I DEVELOPMENT INFORMA T~ ..uN: Oregon law requlre8iUt~,. -
, ' iQlfcwt"rules adopted ~~@.Qr.ll9q11setfOtthG
, Notification Center. Those rules~are .
~~ontyard Setback: :,:;-!!.i9;;h,;,,;(;::2y~rlay D.st: In OAR 952-OO1.oo10t\lllMl;)h OAR 952-001
S.de I SetbacRTICE:!! ' ,. # Street Trees Rqd: 0090 You may obtalnI4~1>\llIl rules bV
Side 2 Setbt~~s DER~mSHALL EXPIRE IF THE WGBKOrive Rqd: caliing the center. (lIIolsp,A,\le tel~~hone ,
Rearyard sxf~aMiRIZED UNDER THIS PERMIT lS'oWilJ:,o,t:,Coverage: number for the Oregon Utility Notification
Solar Setbacks1 S ABANDONED FOR ".:," Center Is 1-800-332-2344).
rmn~nnll~~n OR I.;:..,,'.
ANY 180 DAY PERIOD. I PU,BUC ,IMPROVEMENTS I
Street Imp..ovemel~ts:
Sidewalk Type:
Downspouts/Drains:
Storm Sewer Available:
Special Instruction:
Notes:
-:t
Paee I of 3
Status \ Issued
225 Fifth Street, Springtield, OR
541.726.3753 Phone i:
541.726.3676 Fax
541.726.3769 Inspection Line
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2009-01784
ISSUED: 12/14/2009
APPLIED: 12/14/2009
EXPIRES: 07/01/2010
VALVE:
I v aluati.o~ Description ,
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
Fe~~ P~id .1
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend drc Ea Add
Amount Paid
Date Paid
Receipt Number
$9.48
$3,95
$79,00 '
$7,32
$3,05
$55,00
$6.00
12/14/09
12/14/09
12/14109
12/31/09
12/31/09
12131/09
12/31/09
1200900000000001327
1200900000000001327
1200900000000001327
1200900000000001373
1200900000000001373
1200900000000001373
1200900000000001373
Tutal Amount Paid
$163,80
Plan Reviews I
",f.,
To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00
a,m, will be made ~he same working day, inspections requested after 7:00 a.m. wilLbe made the following
work day.
I Reouired Jnsoections 1
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,
,;
Page 2 of 3
CITY OF I'lrKll~t..t<lJ!.LD
Status
Issued
Building/Combination Permit
PERMIT NO: COM2009-01784
ISSUED: 12/14/2009
APPLIED: 12/14/2009
EXPIRES: 07/01/2010
VALUE:
225 Fifth Street, Springfield, OR
541.726.3753 Phone
541.726.3676 Fax
541.726.3769 Inspection Line
By signaturc, 1 state and agree, that J have carefully examined the completed application and do hereby certify that all
information hereon is'true and correct, and J fnrther certify that any and all work perfonued shall be done in accordance with
the Ordinances of the,City of Springfield and the Laws of tbe 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, Bnilding 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 ens~re that allreqnired 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 Signatnre
Date
.r
Page 3 of 3
SP~IN~:~,~
~~";;;j;..~R.:::Zj_-ff4I
~OREGON
City Of Springfield
225 Fifth St'
Springfield, OR 97477
Phone: 541-726-3753
Email: permitcenter@ci:springfield.or.us
I 0 New Construction
[K] Addition/alteration/replacement
I 00 1 or 2 family dwelling 0 Multi-family 0 Commercial 0 Accessory
1~'I?~~oB!sTfi'EnNF"ORNiAl:iaNrANDfiZaCATiON~~~
I Job Address: 1139 DONDEAST
City/StatefZIP: SPRINGFIELD, OR 97478
Suitelbldg.lapt.no.:
Project Name: Steinhauer
I Cross StroeUdireetions to job site. Josper Roed
I Tax map/parcel rio.: 1802061311600
Ductless/outside receptacle
I Name:
I Phone:
Fax:
Emall:
I Elec lie. no.: 20-537C eea lie. no.: 162191
I Business Name: GMD ELECTRIC INC
I Contact:
I Address: PO BOX 72206
I City/State/ZIP: EUGENE, OR 974010291 ,.. . :~-::,:.1;,'>'';'':',~'~''
I ",.-."fle;:; r: II: T....t vvufil~
Phone. 5417'!.!:;B~ 'fliT c.I-1ALL E'AP.lR"'8m"~:..... lnT
I ' (,1" PEP.... HI" t-'t\"l'v,\ I tv t - -
Emall. gmdeleRr~~l'J'ffi UNDER T v_~ cnR
I ,- OR \~ AKI-\\'i.J;J.1Er '
Metro lie, no"COMMEN8ED __ '-1" e;ty Ie. no,'
'I H'I -1 !=IJ! nilY rr:nIULI.
Supervising E,e,t:;trician'S 1iC.'Ji6.~ 48745
Supervising Electrician's Na~e:
MICHAEL K GOWI,NS
Number of inspections included.in paid services:
Residential Service: 4
Reconnect Only: 1
All Other Services: 2
Upon review and approval by your local Jurisdiction, your pennlt will be e.malled or faxed
within one business day, wllh inslrUctlons on howto schedule your Inspection,
NOTE: This Authorization To Begin Work expires within 180 days If a permit Is not obtained.
The local building department :nay detennine that an Authorization To Begin Work 15 null and
vojdilit does nol meet applicable land use laws Ilnd localordlnan ces.
Residential Electrical Authorization To Begin Work
69600.BEL.09-00316
Approval Code: 025133 12/31/2009 12:08 pm
E-mailed To: gmd@gmdelectri"com
Please check all that apply:
o A service or feeder beginning
at 400 Amps where the
available fauit currenl exceeds
10,000 Amps al150 Volts or
less to ground exceeds
14,000 Amps for ail other
o Hazardous locations
o A service or feeder rated at
600 amps or more
"0 Buildings more than three star
'0 Marinas and boal yards
o Floating buildings
o Commercial-use agricultural
buildings
"0 Installation of a 150 'rWA or
larger seperately derived sys
D "A", "E", or "1-2" or "1-3"
o Recreational Vehicle Parks
,: 0 Supply voltage for more than
600 supply volls nominal
D Fire pumps
o Emergency systems
o Addition of a new motor load
of 100 HP'or more
o Six or more residential units in
one structure
o Heafth care facilities
Description
Total
I Branch circuits without service or
feeder
I Branch circuits each additional
circuitwithoul service
$55.00
$55,00
$6.00
'$6.00
I Subtotal
I Slate surcharge (12% of permit
total)
I Technology fee (5% of permit tolal)
I TOTAL PERMIT FEE
$61,00
$7.32
$3.05
$71,37
C~ - \1't"\
~
\2- 3t'~
A1TENnON: Oregon law requlr81 you to
follow rules adopted by the Oregon UtHI1Y
Notification Center. Those rules are set forth
In OAR 952-001-0010 through OAR 95~-001'
0090. You may obtain copies of the rules by
calling the center. (Note: the teleph()ne
number for the Oregon Utility NotiliC!!li91l
Center is 1-600-332.2344).
lnspecti~ns P~o~e: 541-726-3769
This'Authorization To Begin Work '!lust be posted at the job site until replaced by a Permit
225 Fifth Street
Springfield, Oregon 97477 .
54'1 - 726-3759 Phone
City of Springfield Official Receipt
Developmept Services Department
Public Works Department
Job/Journal Number
COM2009.0] 784
COM2009.0 1784
COM2009.0 1784
COM2009.0 1784
Payments:
Type of Payment
ONLINE CHGS
cRcceintl
RECEIPT #:
Date: 12/31/2009
1200900000000001373
De-scription
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ i 2% State Surcharge
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
KR
ONLINE GMD Online
ELECTRIC
Payment Total:
Page 1 of 1
1:26:21PM
Amount Due
55,00
6,00
3,05
7,32
$71.37
Ainount Paid
$71.37
$71.37
12/31/2009