HomeMy WebLinkAboutPermit Mechanical 2010-1-21
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00085
ISSUED: 01/21/2010
APPLIED: 01120/2010
EXPIRES: 07/21/2010
VALUE:
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1629 T ST
ASSESSOR'S PARCEL NO.: 1703252400408
TYPE OF USE: New
PROJECT DESCRIPTION: Install heat pump arid 'air haudler in residence.
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Springfield TYPE OF WORK: Heating System
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Residential
Owner: SKINNER MARJORIE JEAN
Address: 1629 T ST
SPRINGFIELD OR 97477
Phone Number: 541-741-9102
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Mechauical
Contractor
RITE ELECTRIC
MARS HALLS INC
License
178518
25790
BUILDING INFORMATION I
Expiration Date
09/25/2011
12/23/2011
Phone
541-895-4466
541-747-7445
# of Uuits:
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:
EnergyP~,th:
Sprinkled'Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
, ,
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Frontyard Setback: Overlay Dist:
Side I Setback: # Street Trees Rqd:
Side 2 Setback: Paved Drive Rqd:
Rearyard Setback: % of Lot Coverage:
Sola't-retf're'E: ,',,',
fHIS PtKIVlI1 ~HALL ~^t'Inc .1- -,-;;;: \'4f,ft~
AUTHORIZED UNDER THIS PERMIT If\jWliC IMPROVEMENTS b N' on law requIres you to
Stre'tmMWIrnVEUtlR IS ABANDONED FOR ' t,uow ~svllVo~a:by the Oregon Utility
Storrfl,~Vw~f!.flM\iRe;RIOD. ' " , . NotiflCatNl",~./DMM:rulesaresetfO~
Special Instruction: In OAR 952-001-0010 through OAR 95ru12-OO.....
0090. You may obtain copies of the es ..,
calling the center. (Note: the telephone
number for the Oregon Utility NotllicatiCln
Center 18 1-800-332-2344).
Total:
Handicapped:
Compact:
Notes:
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Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00085
ISSUED: 01/21/2010
APPLIED: 01/20/2010
EXPIRES: 07/21/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descriotion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
FeesPairl ~
Fee Description
+ 12% State Surcharge
+ ]2% State Surcharge
+ 5% Technology Fee
+ 50/0 Technology Fee
1st Appliance
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Heat Pump
Amount Paid' Date Paid Receipt Number
$7,32 1/21/10 1201000000000000064
$11.52 1/21/10 1201000000000000062
$3.05 1/21/10 1201000000000000064
$4.80 1/21/10 1201000000000000062
$79.00 1/21/10 120]000000000000062
$55.00 1/21/10 ]201000000000000064
$6.00 1/21/10 1201000000000000064
$]7,00 1/21/]0 ]20]000000000000062
Total Amount Paid
$183.69,
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, in~p_e,ctio~.srequested after 7:00 a.m. will be made the following
work day. f' ,: .t,
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Reo'nirerl Insoections I
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 01'3
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00085
ISSUED: 01/21/2010
APPLIED: 01120/2010
EXPIRES: 07/21/2010
.y ALUE:
Status
Issued
225 Fifth Street, Springfield, OR
54] -726-3753 Phone
54]-726-3676 Fax
54 ]-726-3769 Inspection Line
I
I
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is tru'e and correct, and I further certify that any and all work performed shall be done in accordance with
the Ordinances of the Ciiy of Springlield and the Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any st~ucture without permission ofthe 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 rcadable from the
street, that the permit card is located at the front of the property, and the approved setof plans will remain 011 the site at all
times during construction.
Owner or Contractors Signature
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Date
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Page 3 of 3
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.,,;'\7':'. '.'>. OREGON
City Of Springfield
225 Fifth 51
Springfield, OR 97477
Phone: 541-726-3753
Email: permitcenler@ci.springfield.or.us
Residential Electrical Authorization To Begin Work
69600-BEL-10-00033
Approval Code: 001058 1/21/2010 9:16 am
E-mailedTo:c_perkins@ymail.com
1KI Addition/alteration/replacement
Please check all that apply:
o A service or feeder beginning
at 400 Amps where the
available fault current exceeds
10,000 Amps at 150 Volls or
less to ground exceeds
14,000 Amps for all other
I !RJ 1 or 2 family dwelling 0 Multi-family 0 Commercial 0 Accessory
It;3.;l;~:;;!t;.;,!~;-j6B'SlfE:iINF.6RM.ti:r16NiAND1ITQcA'tION~i.''!fl::'1!!'~'li-~
I Job Address: 1629 T 8T . ;; ,; r','
I CitylState/ZIP: SPRINGFIELD, OR 97477
I Suite/bldg.fapt.no.:
I Project Name: M1 0-11 0 I Skinner
I Cm" S,,...dl..cUon, to job ,it.,
I Tax map/parcel no.: 1703252400408
D Fire pumps
D Emergency systems
D Addition of a new motor load
of 100 HP or more
D Six or more residerytial units in
one structure
D Health care facilities
o Hazardous'locations
o A service or feeder rated at
600 amps or more
o Buildings more than three star
o Marinas and boat yards
o Floating buildings
'0 Commercial-use agricultural
buildings
'0 Installation of a 150 K!JA or
larger seperately derived sys
. 0 "A", "E", or"I-2" or "1-3"
o Recreational Vehicle Parks
o Supply v,ollage for more than
600 supply volts nominal
I Description Qty, I Eo, Total I
...,11
I Branch circuits without service or $55.00 $55.00 I
feeder .
I Branch circuits each additional $6,00 $6.00 I
circuit without service
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I Subtotal $61.00
I State surcharge (12% of permit $7.32
total)
I Technology fee (5% of permit total) $3,05
I TOTAL PERMIT FEE $71.37
C\D~,~~ 1SQ... Ij1-111D
electrical for heat pump exchange
I Name: Rite Electric
Phone; 541-895-4466
Fax: 541-895-4366
Email:
I Elec lic. no.: C335
I Business Name: RITE ELECTRIC INC
I Contoct NOTICE:
I Add.... PO nwSt:PERMIT SHALL EXPIRE IF THE WORK
I c;tyIS"t.IZIP~H~~I~l!,,lJ.JIlU;ti I "I:> t'tn~viiT JS j;JT
I "ulvllvlEIJ"Hj Eh Iv ABAND:JII~B mn
Phone: 54189,,"\\Vij 1 g(l ()AV DCDlnnFax: 5418954366
I Email: heidi@c~~~r<kin~.~o~ - -.. . -- -- - - -
I Metro tic. no.: City lic. no.:
I Supervising Electrician's lic. no.: 2970S
I Supervising Electrician's Name: CLYDE I PERKINS
CCB lie. no.:
17~"5'18
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ATTENTION: Oregon law requires you to
toIIow RIles adopted by the Oregon Utility
Notification Center. Those rules are set forllt
In OAR 952-G01-ClO10through OAR 952-001-
0090. You may obtain copies of the rules bJ
oaIIlng the center. (Note: the telephone
IlUIIlbIr far the Oregon Utility Nolllioatloll
Center II 1-1100 "'2-2344).
Number of inspections included in paid services:
Residential Service: 4
Reconnect Only: 1
All Other Services: 2
Upon review and approval by your local Jurisdiction, your permit will be e.malled or faxed
within one business day, with Instructions on how to schedule your Inspection.
NOTE: This Authorization To Begin Work expires withIn 180 days If a permit is not obtained.
The local building department may determine that an Authorization To Begin Work 15 null and
void If it does not meet applicable land use laW$ and local ordinances.
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Inspecti~n~ Pho~e: 541-726,3769
This Authorization To Begin Work m~st be posted at the job site until replaced by a Permit
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM20 I 0-00085
COM20 1 0-00085
COM20 1 0-00085
COM20 I 0-00085
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
1201000000000000064
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
ONLINE PERMIT CHGS
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 01121120] 0
Item Total:
. Check Number Authorization
Received By Batch Number Number How Received
KR
Pa~e I of I
ONLINE RITE Online
ELECTRIC
Payment Total:
10:19:14AM
Amount Due
55,00
6,00
7,32
3,05
$71.37
Amount Paid
$71,37
$71.37
1/21/2010