HomeMy WebLinkAboutPermit Miscellaneous 2010-8-13
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CITY OF SPRINGFIELD
Building I Residential Permit.
PERMIT NO: 811-SPR2010-00057
IVR Number: 811109578099
www.c1.springfield.or.us
PROJECT STATUS: Issued
ISSUED: 8/13/10
APPLIED: 8/13/10
EXPIRES: 2/8/2011
. VALUE: $0.00
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitcenler@ci.springfield.or.us
SITE ADDRESS: 1367 N
ASSESOR'S PARCEL NO:
:,ril);,;.
S~OPE: Heating System
WORK INVOLVED: New
TYPE OF STRUCTURE: Residential
Springfield
1703253300400
PROJECT DESCRIPTION:
Service upgrade I ductless
Phone Number:
OWNER:
ADDRESS:
ROSE KAREN L
1367 N ST
SPRINGFIELD OR 97477
CONTRACTOR INFORMATION I
Contractor Type
Contractor Name
GMD ELECTRIC INC
.. Lie Type .
CCB
StilLDlNG INFORMATION I
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# of Units:
o
# of Stories:
I Height of Structure:
Type of Heat:
Water Type:
Range Type:
Hazmal:D, ...1/'1 ,,)j'.': U
# of Bedrooms:
Sprinkled Building:
~-_.._,,--.
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Fire Alanns:
"P':
Elect~i~al.i Specialty Code Edition:
Springfield Fire Code Edition:
Mechanical Specialty Code Edition:
Municipal I Development Code:
Plumbing Specialty Code Edition:
Residential Specialty Code Edition:
Structural Specialty Code Edition:
Site I.nfor~~~ion' :.
Energy Path:
Engineered Fill:
r Fill Volume:
Flood Hazard Area:
Land Hazard Area:
Retain1~ Wall:
sOilSf~/P( ~dql.~J.edlregon law requires you to
o ow rules adopted by th 0
Notification Center Those e I regon Utility
~~~t\952-001-001 ~ throu~~ ~:~e9~~_~0;i~
" ou may obtam Copies of the I b
callmg the center. (Note: the tel r~ es y
number for the Oregon Utility N tefP one _...\\f); .il'1.il ; ..!
C' 0 I Icatlon _.. _ __ '''''" "_._
enter IS 1-800-332-2344),
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Lic No
162191
Lic Exp
11/19/2010
Phone
541-741-7369
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Base",ent:
Sq Ft Garage:
Sq Ft Carport:
Sq Ft Other:
Occupancy Load:
I
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NOTICE: EXPIRE If THE WORK t'
THIS PERMlT SH~~~ THIS PERMIT IS NOTJ
AUTHORIZED UN .. ABANDONED FOR >;t-~:
COMMENCED OR IS . ..,_::::
ANY 180 DAY PERIOD. .' .. >
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Springfield Building Permit..
. "ir.~/13/2010 1:37:10PM
Page 1 of 3
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CITY OF SPRINGFIELD
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225 Fifth St
Springfield,OR 97477
Phone: 541.726.3753
Inspection Phone: 541.726.3769
Fax: 541.726.3676
. www.ci.springfield.or.us
Building (Residertial Permit
PERMIT No:..aj)-SPR26i;o-00057
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IVR Number: 811109578099
permitcenter@ci.springfield.or.us
PROJECT STATUS: Issued
ISSUED: 8/13/10
APPLIED: 8/13/10
EXPIRES: 2/8/2011
VALUE: $0.00
SITE ADDRESS: 1367 N
ASSESOR'S PARCEL NO:
Springfield
1703253300400
SCOPE: Heating System
" WORK INVOLVED: New
,;~:[)'; ',i'TYPE OF STRUCTURE: Residential
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PROJECT DESCRIPTION:
Service upgrade I ductles~
DEVELOPMENT INFORMA TION ~
Frontyard Setback:
Interior Setback:
Sideyard Setback:
Rearyard Setback:
Solar Setback:
Overlay Oist:
# Street Trees Reqd:
Paved Drive Reqd:
% of Lot Coverage:
Highest point on structure to
north property line:
REQUIRED PARKING
Total:
Handicapped:
Compact:
".'
PUBLIC IMPROVEMENTS ~
Street I,:"provements:
Storm Sewer:
Storm Sewer Available:
Speciallnstructon:
Subdivision Accepted:
Notes:
1,<>',
'-:LodT": .."i
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Sidewalk Type:
Downspout/Drains:
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.. .",.Naluatiort"Oescription ~
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Descriotion
TVDe of Construction
Unit Amount Unit TVDe
Unit Cost
Value
L.,.' ..: ::: ,,'-"Y ~l' n~", ~<<_ ,_co." 'ifF!"'} _ ,_ --~:;J.7:1:n,:; ~"~: 'Vy"'it, _,.~~;'\ '1i1;~~Ie~J~-~-;
Description Amount Paid
~ervices 200 amps or less $81.00 _' ~'
Branch circuits with service or feeder each circuit .,. $12.00 ,I
r> ..,,~-~-
~tate of Oregon Surcharge (12% of applicable fees) ....' , $n,w: ",
Technology fee (5% of permit ~otal) ",;,..,>1 ,. ':." '$4~65":"\ 1 , )
Total Amount Paid:' ' "1.', ' $168'81
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Date Paid
08/13/2010
08/13/2010
08/13/2010
08/13/2010
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Receiot #
224437
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224437
224437
224437
Springfield Building Permit
, ~~8A3t2010T'-,1 :37:10~M.
Page 2 of 3
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CITY O~~'SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2010-00057
IVR Number: 811109578099
225 Fifth St
Springfield, OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
" Fax; 541.726.3676
permitcenter@ci,springfield.or,us
PROJECT STATUS: Issued
ISSUED: 8/13/10
APPLIED: 8/13/10..', ,
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EXPIRES: 2/8/2011
'VALUE: $0.00
SITE ADDRESS: 1367 N
ASSESOR'S PARCEL NO:
Springfield
1703253300400
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SCOPE: Heating System
WORK INVOLVED: New
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION: Service upgrade I ductless
E5~-::}c;:};:;,,:,,:~~:i::';; "~,,*'i:~' " ,_~~ --~\""~. - '~-, ~e-:;~'fliR[~b:R~~~. '>. ..:~,,~:
Deoartment Received Due Date ComDlete Result
Permit Issuance 08/13/2010 08/13/2010 08/13/2010 Issued
Application Acceptance 08/13/2010 08/13/2010 08/13/2010 Over the Counter
Initial Review 08/13/2010 08/13/2010 08/13/20,1,9/1' ,o,ver.th~~Coun,ter
Planning Review 08/13/2010 08/13/2010 08/13/2Q1!L. ~9t~~ujred..,
Public Works Review 08/13/2010 08/13/2010 08/13/2010. Not' Required
Structural Review 08J13J2010 08/13J2010 '08/13/20j6,\~: N6fRequired
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Reviewer
Nancy Machado
Nancy Machado
Nancy Machado
Nancy Machado
Nancy Machado
Nancy Machado
Comments
Over the counter permit
Over the counter permit
Over the counter permit
Over the counter permit
INSPECTIONS REQUIRED
~
Inspections
4220 Electrical - Service
4500 Rough Electrical
4999 Final Electrical
By signature, I state and agree, that I have carefully examin_ed the completed application and do hereby certify that all
, I ,.,
information hereon is true and correct, and I further certify th.at any and ,@1l'~9rk. p,~rfqrmed shall be done in accordance with the
Ordinances of the City of Springfield and the Laws of the State'or Qregon'pertaining to the work described herein, and that NO
OCCUPANCY will be made of any structure without permis'sibn of the Community Services Division, Building Safety. I further
certify that only contractors and employees who are I'r:; compl,iance 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.
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Springfield Building Permit
:8/13/2010 1:37:10PM
Page 3 of 3
CapT1!b Summary Portlet
Record ID; 811-SPR2010-00057
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~SummarYl
Application Status:
Application Date:
Help
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Issued
08/.13/2010
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Condition Status: Condition Name
Status
Apply Date
Description of Work: Se~yice..up_grade.!..ductless
Application Detail: P.etgU
Application Type: BuJldi,ng/8-esidentia1/Combo/NA
Address; )JonJ S1, Springfield, OR 9Z4lZ"UZ
Owner Name; ROSE.KAREN.L
Owner Address; J3.oLN.SI,..SER!!'!<:iEIEiJ?,.QlL974lZ
Project Name:
Parcel No.: I ZQ;\22DW400
Job Value: $0,0.0
Total Fee Assessed: $221,J3.
Total Fee Invoiced: $221.1,3
Balance; $0,00
Contact Info:
Licensed Professionals Info.:
., ,
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Name Business Name
:.'~. . ~,;'1" .~, ..
Primary
License
;~umber
1"219.1
License
Type
CCB
GMD ELECTRIC
INC
COMFORT FLOW
HEATING CO
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Status Status Date
Over the Counter 08/13/2010
.... Over the Counter 08/13/2010
Not Required 08/13/2010
Not Required 08/13/2010
Not Required 08/13/2010
Issued 08/13/2010
In Process 08/17/2010
Page 1 of 1
Business License #
162191
460
Action By
Nancy Machado
Nancy Machado
Nancy Machado
Nancy Machado
Nancy Machado
Nancy MachadO
Guy Dixon
https:/ lav,prod,oregon.accela,corn/portlets/cap/capsummary leapT abSurnrnary ,do?mode=ta", 8/20/2010
Yes
160
CCB
Workflow'Status: Task
Appl ication,.Acceptance
InJtial,.Review .;
planning_Bcy)gw,
J:.l,!,Q.!..!,~...w_orks-Rey-.i~~
Structural. Review
l:ermitJssuance
Inspection
IeJl)p_c:gr.t;ifj@t~_oLQccl,l p,q"m:y
Certificate of Occupancy
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Close Out
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Tracking #: 81.1109578099 '
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Inspecfion List Port let
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Page 1 of 1
Record 10: 811-gPR2010-00057
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Ilnspections (6)-)
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Addr.!!.~"5
SJ~.tIJ$_
f.ermit.N.~mp.e1.
D 49.99...F:inal.Electrical
[] VQ.O,.~Q"gh,!1echarl,al
o 4500_J~ough~Electrjcal
D 299,9 Final_Mechanical
o ~22l;.t~!.~,~~[icaL:..$~.rvi(:g
o 1220.olect,jc91-,-SeCY,ic.
1367 N ST, Springfield, '"
1367 N ST I Springfield, .
1367 N ST I Springfield, u.
P?? N ~T , Springfield, ...
1367. ~ ST , Springfield, .
'~'367 N ST I Springfield,
Pending 811.SPR2010-000S:
Pending 811-SPR2010-QOOS:
Pending 811.SPR201O-000S:
Pending 811.SPR2010'OOOS',
Scheduled 811.SPR2010.000S:
Approved 811.SPR2010.000S:
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. .<" OREGON
TRANSACTION RECEIPT
CITY OF SPRINGFIELD
225 Fifth St
Springfield, OR 97477
541-726-3753
www.cLspringfield.or.us
permitcenter@ci,springfield.or.us
RECEIPT NO: 20 I 0000100 RECORD NO: 811-SPR20 1O-90~57 DATE: 08/20/2010
tDESCRIPtI6Nc~;' ; ~J"":,,,,jp~~;'-'l".T"iJS"if.'!''''' <\,,"'Acc,buNT,-C.oPE~~{ ':;"e.Nfl'!lJN:tD_UE....! .,.1,':;:1
Services 200 amps or less 224-00000-426102 $81,00
Branch circuits with service or feeder each circuit 224-00000-426102 $12.00
~late of Oregon Surcharge (12% of ~Eplicable fees) 821-00000-215004 $11,16
l.echnology fee (5% of permillot~) 100-0000~:~605., $4.65
First Aepliance Fee 224-00000-425604 $79,00
Air Handling Unit up to 10,000 cfm 224-00000-425604 $17,00
State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 $11.52
Technology fee (5% of permit total) 100-00000-425605 $4.80
<;-::' ',n:','" TOTAL DUE: $221,13
t-i'i>,AYMEN'fTYPE~' 'c,I'1AYORi';- jCASHIER':bBO'MSB~,7.i;-t',C9M.~g~is1- '::~-. - . ",; :.,2&:t7 ~AMOUN-rrf>~!P---.::!!:-;' t;~.,p1"',l
Credit Card trieber meador ",':.'" " $112.32
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