HomeMy WebLinkAboutPermit Mechanical 2007-7-11
/1.... _
V\J~/0 \ (l/
." .A? fvtfJ
~ ~ V-O'
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax ,
541-726-3769 Inspection Line
SITE ADDRESS: 131 65TH PL
ASSESSOR'S PARCEL NO.: 1702344200600
Springfield
PROJECT DESCRIPTION: Install heat pump and air handler.
Owner: FRANSEN DAVID E & J R
Address: 131 N 65TH PL
SPRINGFIELD OR 97478
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2007-00840
ISSUED: 06/08/2007
APPLIED: 06/08/2007
EXPIRES: 12/08/2007
VALUE:
TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
Phone Number: 541-726-2665
I CONTRACTOR INFORMATION'
Contractor Type
Electrical
Mechanical
Contractor
GMD ELECTRIC INC
COMFORT FLOW
License
162191
460
Expiration Date
11119/2008
06/27/2009
Phone
541-726-8601
541-726-0100
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:
n/a
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
I DEVELOPMENT INFORMATION.
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special I~~ON: Oregon law requfrn you to
fo".~w r~les adopted by the Oregon Utility
Notes: !"JotIfJcatlon Center. Those rules are setfortb
In OAR 952.001.0010 through OAR 952.0()1-
0090., You may obtain copies of the rules br
callmg the center. (Note: the telephone
number for the Oregon Utility NotiflcatJoa
Center Is 1-800-332-2344).
Page I of 3
REQUIRED PARKING
Total:
Handicapped:
Compact:
Sidewalk Type:
Downspouts/Drains:
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Description I
Description
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Tvpe of Construction
Total Value of Project
~
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Air Handling Unit Up to 10,000
Heat Pump
Minimum/Adjustment Mechanical
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Amount Paid
Date Paid
$10.00
$4.50
$2.25
$3.60
$8.00
$12.00
$25.00
$5.20
$2.60
$4.16
$48.00
$4.00
6/8/07
6/8/07
6/8/07
6/8/07
6/8/07
6/8/07
6/8/07
7/11/07
7/11/07
7/11/07
7/11/07
7/11/07
Total Amount Paid
$129.31
I Plan Reviews I
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: cOM2007-00840
ISSUED: 06/08/2007
APPLIED: 06/08/2007
EXPIRES: 12/08/2007
VALUE:
Value
Date Calculated
Receipt Number
2200700000000000934
2200700000000000934
2200700000000000934
2200700000000000934
2200700000000000934
2200700000000000934
2200700000000000934
1200700000000000904
1200700000000000904
1200700000000000904
1200700000000000904
1200700000000000904
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.
[..ReouireCUnsnections.
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 of3
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: cOM2007-00840
ISSUED: 06/08/2007
APPLIED: 06/08/2007
EXPIRES: 12/08/2007
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
Page 3 of 3
City of Springfield
Electrical Authorization To Begin Work
E-mailedTo:gowins5271@comcast.net
Receipt # EC513835
7/11/20072:38:03 PM
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
o New construction
iii Addition/alteration/replacement
[Xl I or 2 family dwelling
o Multi-family
o Commercial/Industrial
I Job no.: I Job address: 131 65TH PL
I City/State/ZIP: SPR[NGFIELD, OR 97478-7082
1 Suite/bldg./apt.no.:
I Project name:
I Cross street/directions to job site: [-105 to Springfield, left onto Main St (OR-I 26),
~eft onto 65th Place.
Subdivision:
I Lot no.:
Tax map/parcel no.: 1702344200600
: Heat Pump and Air Handler
I Name: Dave & Jeannette Fransen
I Phone: (541) 726-2665
IEmail:
IFax:
P:~t1,:F~qJ,q:R_';'" ,V}>i
ICCBlic.no.: 162191
lEI. Iic. no.: 20-537C
I Business Name: GMD ELECTR[C INC
I Contact: Mike Gowins / Sue Gowins
Address:
City/State/ZIP: SPR[NGFIELD OR 97477
I Phone: (541 )7268601
I Email: gowins5271@comcastnet
I Metro lic. no.:
I Supervising electrician's Iic. no.: 4874S
I,Supervising electrician's name: M!CHAEL K GOW[NS
1 Fax: (541 )9881800
I City Iic. 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.
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 null and void if it does not
meet applicable land use laws and local ordinances.
Description
Qty.
Ea.
Total
1,000 sq. ft or less
I Ea. add I 500 sq. ft or portion
I-Limited energy, residential
(with above sa. fl.)
I-Limited energy, multifamily
residential.<with above sg. f1.)
,. S~~i~~~.ig~'J:~~~insiaiiat!on, ~!t~ra~i~~,~NI)/OR relocation
I 200 amps or less
I 20 I amps to 400 amps
1401 amps to 599 amps
1200 amps or less I
I 20 I amps to 400 amps I
1401 amps to 599 amps I 1
I'B~a~c~:,c!.~l!i~~NEW;aii;;a.i!~h;.QRextehsioii;per paner'.. "
k Fee for branch circuits with I
above service or feeder fee,
each branch circuit
B. Fee for branch circuits $48.00 $48.00
without service or feeder fee,
first branch circuit;
I each add I branch circuit II $4.00 $4.00
Service reconnect only
I Each manufactured or modular
dwelling, service and/or feeder
I Pump or irrigation circle
I Sign or outline lighting
Signal circuit(s) or limited-
energy panel, alteration, or
extension.
, " ..~ "':"-:-', ,0 "0 i"ELECTRICALPERMI'tif:EES',
I
I
I
I
· City Of Springfield
',,,,"',,,
Subtotal $52.00
State Surcharge (8% of permit fee) $4.16
City Of Springfield fees · $7.80 I
TOTAL PERMIT FEE $63.96 I
10% Local Admin Fee; 5% Local Technology Fee
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
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2007-00840
COM2007-00840
COM2007-00840
COM2007-00840
COM2007 -00840
Payments:
Type of Payment
ONLINE CHGS
cReceint J
RECEIPT #:
1200700000000000904
Date: 07/1112007
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
ddk
ONLINE
GMD Online
Electric
Payment Total:
Page 1 of 1
3:33:23PM
Amount Due
48.00
4.00
2.60
4.16
5.20
$63.96
Amount Paid
$63.96
$63.96
7/11/2007