HomeMy WebLinkAboutPermit Mechanical 2009-12-3 (2)
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Status
Issued
CITY; OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01725
ISSUED: 12/03/2009
APPLIED: ]2/03/2009
EXPIRES: 07/01/20]0
VALUE:
225 Fifth Street, Springfield, OR
541.726.3753 Phone '
541.726.3676 Fax
541.726.3769 Inspection Line
SITE ADDRESS: ,2727 VILLA WAY
ASSESSOR'S PARCEL NO,: 1703233300205
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
PROJECT DESCRIPTION: Installation of mini split heat pump system in residence,
Residential
Owner: ZIMMERMAN BETTY L
Address: 2727 VILLA WAY
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Mechanical
Contractor
GMD ELECTRIC INC
SUNSET HEATING & AIRINC' r
License
162191
171706
Expiration Date
11/19/2010
08/18/2010
Phone
541.726.860 I
541.988.3 I 81
BUILDING INFORMATION.
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction 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 2hd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
nla
I DEVELOPMENT INFORMA nON , , " "
NOTICE'U,^",' , ' , AI' ENTION: OregQll~l\INIr_fil.yumt<<;
., , " \,(. follow rules adopted by the Oregon Utility
Front yard Setllajl)f: PERMIT SHALL EXPIRE IF THivWGflfllSt: Notification Center, ,iffif~lirules are setforth
Side I Sctback:,UTHORIZED UNDER THISPERMllf $SfffflTrees Rqd: in OAR 952.001-001ctlIlP6l!@l'l!llI!R952-001-
Side 2 Setback':;CHvlMENCED OR IS ABANDONED1ffi1\d Drive Rqd: 0090, You may obtail'tW/lIl:!S'ofthe rules by
Rearyard SetbJ:fN 180 DAY PERIOD, .0/0 of Lot Coverage: calliflg the center! (Note: the telephone
Solar Setbacks:,,' number for the Oregon Utility Notification
S_..L:~.: ~'::: ~:,~ ~:~:}.
'CT.>
I PUBLIC I~PROVEMENTS ,
Street Improvements:
Storm Sewer Available:
Special Instruction:
".'1
I
Sidewalk Type:
Downspouts/Drains:
Notes:
Paee I of 3
_e~Il!i~IN~FiIl:!;I.l?,~
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Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2009.01725
ISSUED: 12/03/2009
,APPLIED: 12/03/2009
EXPIRES:' 07/01/2010
VALUE:
225 Fifth Street, Springfield, OR
541.726.3753 Phone
541.726.3676 Fax
541.726.3769 Inspection Line
I Valuation Descriotion I
, r r
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
F~~,~ PlIill I
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Cire
Add, Alter, Extend Circ Ea Add
Amount Paid
Date Paid
Receipt Number
$9.48
$3.95
$79,00
$7,32
$3.05
$55,00
$6.00
12/3/09
1213109
12/3/09
12/31/09
12/31/09
12/31/09
12/31/09
1200900000000001298
1200900000000001298
1200900000000001298
1200900000000001374
1200900000000001374
1200900000000001374
1200900000000001374
Total Amount Paid
$163,80
I Plan Reviews I
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,
Reej lIir~1l I ~,sne~ti,~n~ I
Rough Mecha~ical: 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 on
Status
[55 U ed!
225 Fifth Street, Springfield, OR
541.726.3753 Phone
541.726.3676 Fax
541.726.3769 Inspection Line
CITY OF SPRINGFIELD'
Building/CQmbination Permit
PERMIT NO: COM2009-01725
ISSUED: 12/03/2009'
APPLIED: 12/03/2009
EXPIRES: 0:7/01/2010
VALUE: '
By signature, I state a,nd agree, that I have carefully examined the completed application and do h~reby certify that all
information hereon is'true and correct, and [ further certify that any and all work performed sha]~ 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 hereiu, and
that NO OCCUPANCY will be made ofany structure without permission of the Community Services Division, Building Safety,
I further certify that only contractors and empluyees 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 a~dress is readable from the
street, that the permilcard 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
}-
Page 3 of 3
Date
'I'
SP,~:N~~~
tlr "~:EGON
City Of Springfield
225 Fifth 5t
Springfield, OR 97477
Phone: 541-726-3753
Email: permilcenter@cLspringfield.or.us
Residential Electrical Authorization To Begin Work
69600-BEL.09-00317
Approval Code: 071668 12/31/2009 12:22 pm
E-mailedTo:gmd@gmdejec~~i~..com
I 0 New Construction Ii IRJ Addition/alteration/replacement
I_B~~!lfll!!Qe.I~G9}N~Q~[c:'QN'~[RU_Q:ti9~~~1Wf~~~~
I (Z] 1 or 2 family dwelling P Multicfamily 0 Commercial 0 Accessory ,
1_~OB;5fTE1INF.ORMATIONrANDli!o'CA'tlo~~~'li
I Job Address: 2727 VILlA WAY
I City/StatefZIP: SPRINGFIELD, OR 97477
I Suitelbldg.lapt.no.:
I Project Name: Zimmerman
I Cross Street/directions to job site: Hayden Bridge Way (L) onto Manor (R)
Allen(L) Villa
I Tax map/parcel no.: 1703233300205
Ductless/Receptacle
I Name; Bettv Zimmerman
I Pho':!e: 541~746~52B8
I Email:
Fax:
I Else lie. no.: 20-537C
I Business Name: GMD ELEC~,RIC INC
I Contact:
I Address: PO BOX 72206
I CitylStatelZlP: EUGENE, OR ,974010291
I Phone: 5417417~69
I Email: gmdelectr~Wffl~et
I Met,o nc. no T-His 'PF-RMIT SHALLcl!M~IRf IFTHE W~~~
I Sup.",','n. EI.ctriEi!~"(M~!!!-ED UN.~R THIS PI:KIVlll~ Iv I~U I
I '~A~IIC~I!'I:U Ill-< I" At\A,~uul~E[; ,811
Supervising Electrlcian'~ ~a:nei . \. ~~~~!L' K"GOWINS .
~ OV: UMI 'Li\lu3.
Number of inspections inclu~,ed in paid services:
Residential Service' 4
Reconnect Only: 1
,'.-....
All Other Services: 2 :
cee lie. no,:
162191
Fax: 5419881800
'. " ,~~'?'.
Upon review and approval by' your local Jurisdiction, your permit will be e.mailed or faxed
within one business day, with Instrocl10ns on howlo schedule your Inspection.
NOTE: This Authorization To Begin Work expires within 180 days if a pennlt Is nol obta1ned.
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.
1""'""-'''''..'....." "",.'...., ......,. ,..,-_.. '''''''''''''',",''.2~~''''''''',,-=
JY>:.<<:lfi{J;Ci~Jc:~al;\ZSti~;;'i:",;j{;!?q.!'113,Rt:ANIREVIEW~~#;'f.-tV:fP,~i<d:EJ~a"1fifJ
Please check all that apply: 0 Hazardous locations
o A service or feeder beginning 0 A service or feeder rated at
at400 Amps where the 600 amps or more'
available fault current exceeds D '
Buildings more than three star
10,000 Amps at 150 Volts or
less to ground exceeds ,0 Marinas and boat yards
14,000 Amps for all other ,0 Floating buildings
o C~mmercial-use agricultural
buildings
,0 Installation ofa 150 KVA or
, larger seperately derived sys
:.0 "A", "E", or "1-2" or "1-3"
,0 Recreational Vehicle Parks
':0 Supply voltage for more lt1an
600 suppiy volts nominal
o 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 Health care facilities
Total
I Description
$55.00
I Branch circuits without service or
feeder
I Branch circuits each additional
circuit wilt10ut service
$55.00
$6.00
$6.00 I
I Subtotal
I State surcharge (12% of permit
total)
I Technology fee (5% of permit total)
I TOTAL PERMIT FEE
$61.00
$7.32
$305 I
$71,37 I
C0- \1 df) ~Q-
\ '0 \2JllcPI
ATTENTION: Oregon law requires you to
follow rules adopted by the Oregon Utility
Notification Center. Those rules are set lorth
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 lor the Oregon Utility Notificallon
Center Ie 1-800-332-2344).
Inspections Phone: 541-726.3769
This Authorization To Begin Work must be posted at the job site until replaced by a 'Permit
.",
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone'
ii~'
Job/Journal Number
COM2009.0 I 725
COM2009.0 1725
COM2009.0 1725
COM2009.0 1725
Payments:
Type of Payment
ONLINE CHGS
cReceintl
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
1200900000000001374
Date: 12/31/2009
D~:scription
Add, Alter, Extend Circ
, -
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
t 12% State Surcharge
Item Total:
Check Number Authorization
Received By Batch Number Number How 'Received
Paid ~y
ONLINE PERMIT CHGS
Page] of 1
KR
ONLINE GMD Online
ELECTRIC
Payme,nt Total:
I :36:33PM
Amount Due
55,00
6,00
3,05
7,32
$71.37
Amount Paid
$71.3 7
$71.37
12/3 1/2009