HomeMy WebLinkAboutPermit Mechanical 2008-7-8 (4)
SCAN~!B
Building/Combination Permit
.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
,
SITE ADDRESS: 484 SCOTTS GLEN DR
ASSESSOR'S PARCEL NO.: 1703271305000
CITY OF ~rKlj'lljt<lJ!,L1J
PERMIT NO: cOM2008-01007
ISSUED: 07/08/2008
APPLIED: 07/08/2008
EXPIRES: 01/08/2009
VALUE:
Springfield TYPE OF WORK: Heating System
PROJECT DESCRIPTION: Install AIH & HIP
Owner: GRISWOLD CHARLES W
Address: 484 SCOTTS GLEN DR
SPRINGFIELD OR 97477
TYPE OF USE: New
Residential
I CONTRACTOR INFORMATION'
Contractor Type
Electrical
Mechanical
Contractor
GMD ELECTRIC INC
ASSOCIATED HEATING & AIR CONDITIO
License
162191
106275
Expiratioo Date
11119/2008
08/3112008
Phone
541 ~ 726-860 I
541-683-2590
BUILDING INFORMATION I
# 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'
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
AITENTION: Oregon ~R",P~~~:'es you to
follow rules adopted by lh~ Oregon Utility
Notification Center, Those rules ,ore set forth
~_I'"\.I\~""'n^,..~ ",....,....
- --- -- ---- -'''-~';:;l'' -.............- ........
I PUBLIC IMPROVEMENTSlf90, You may obtain copies of the rules by
calliQ.? the fjeJ;!.ter,. (Note: the telephone
, numll',,~~1Yial~e'W~'gon Utility Notification
DdWnspoJtsiDf.8ins332-2344) .
Street ImprovemerJtnCE:
Storm Sewer Avaq~~~:PER
speciallnstructiOJ1UTHORIZ~~ J~~LL EXPIRE IF THE WORK
Notes: COMMENCED OR ,~~~~/~;ERMIT IS NOT
ANY 180 DAY PERIOD, ONED FOR
Paee I of3
.
-ii
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descriotion I
Description
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Tvpe of Construction
Total Value of Project
'Fpp~ ~
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Air Handling Unit Up to 10,000
Heat Pump
Minimum/Adjustment Mechanical
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Eo Add
Amount Paid
Date Paid
$20.00
$5.00
$6.00
$2.50
$9.00
$14.00
$27.00
$5.20
$6.24
$2.60
$48.00
$4.00
7/8/08
7/8/08
7/8/08
7/8/08
7/8/08
7/8/08
7/8/08
7/9/08
7/9/08
7/9/08
7/9/08
7/9/08
Total Amount Paid
$149,54
I Plan Reviews I
. CITY OF SPRINGFu,LlJ
Building/Combination Permit
PERMIT NO: cOM2008-0I007
ISSUED: 07/08/2008
APPLIED: 07/08/2008
EXPIRES: 01/08/2009
VALUE:
Value
Date Calculated
Receipt Number
3200800000000000469
3200800000000000469
3200800000000000469
3200800000000000469
3200800000000000469
3200800000000000469
3200800000000000469
2200800000000001048
2200800000000001048
2200800000000001048
2200800000000001048
2200800000000001048
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.
IRPn~
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.
Paee 2 of3
.
. CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: cOM2008-01007
ISSUED: 07/08/2008
APPLIED: 07/08/2008
EXPIRES: 01/08/2009
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769InspectioD Line
By signature, I state and agree, that 1 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 orthe 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 frnnt of the property, and the approved set of plans will remain on the site at all
times during construction.
Owner or Contractors Signature
Date
Paee 3 00
225' Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
.
~
~.
~ty of Springfield Official Receipt
.velopment Services Department
Public Works Department
RECEIPT #:
2200800000000001048
Date: 07/09/2008
9:06:46AM
Job/Journal Number
COM2008-0 I 007
COM2008-0 I 007
COM2008-0 I 007
COM2008-0 1 007
COM2008-0 1 007
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Administrative Fee
Paid By
Item Total:
{,;heck Number Authorization
Received By Batch Number Number How Received
Amount Due
48,00
4,00
2,60
6,24
5,20
$66,04
Payments:
Type of Payment
Amount Paid
ONLINE CHGS ONLINE PERMIT CHGS
NJM
ONLINE
GMD Online
ELECT
Payment Total:
$66,04
$66.04
cReceintl
Page I of 1
7/9/2008
City of Springfield
~
b
-Electrical Authorization To Begin W.
E-mailedTo:gmdelectric@comcast.net
Receipt # EC533539
7/8120083:15:45 PM
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
I 0 New construction
[K] Addition/alteration/replacement
TYPE OF WORK
CATEGORY OF CONSTRUCTION
IlXl' or 2 family dwelling D Multi-family D Commercial/Industrial
I JOB SITE INFORMATION AND LOCATION
IJob no.: IJob address: 484 scorrs GLEN DR
I City/StateILlP: SPRINGFIELD, OR 97477-5907
I SuitelbldgJap1.no.:
I Project name:
Cross street/directions to job sile: Travel east toward Springfield on I-lOS, take
~pringlield City Center Exit, turn left onto Q 51, turn slight right onto Laura St, turn left onto
~cotts Glen Drive.
I Subdivision:
ITal map/parcel no.: 1703271305000
DESCRIPTION OF WORK
I Lot no.:
Electric furnace swap out, add heat pump to manufactured home, install new OFCI
receptacle.
I EI. lie. no.: 20-S37C
I Business Name: GMD ELECTRIC INC
I Contact: Mike Gowins I Sue Gowins
IAddress: 957 NORTHRIDGEAVE
I CltylSt."IZIP: SPRINGFIELD OR 97477
IPhone: (541)7417369
I Email: gmdelectric@comcast.net
r Metro lie. no.:
I Supervising electrician's lie. no.: 4874S
I Supervising electrician's name: MICHAEL K GOWINS
I Name: Charles & Anita Griswold
I Phone: (54])744.7801
I Email:
I
SITE CONTACT
IF."
CONTRACTOR
ICCBJic.no.: 162191
IF." (541)9881800
ICitylic. no.:
Upon review and approval by your local jurisdiction, your
pennlt 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 pennlt Is not obtained.
The local building department may detennlne that an
Authorization To Begin Work Is null and void tf It does not
meet applicable land use laws and local ordinances.
COM:
II
FEE SCHEDULE
I Description l Qty. J Ea. Total
I Residential SINGLE- OR multi-family dwelling unit. Includes
attached garage
11,000 sq. ft. or less
I Ea. addl 500 sq. ft. or portion
I Limited Energy
I-Limited energy, residential
(with above sa. fU
l . Limited energy, multifamily
I residential (with above SQ. n.)
. Limited energy, commercial
(with above SQ. ft.)
- Stand-alone limited energy,
residential
- Stand-alone limited energy,
multi.familv
- Stand-alone limited energy,
commercial
Services OR feeders installation, alteration, AND/OR relocation
200 81?PS or less
20 I amps to 400 amps
40 I amps to 599 amps
TEMPORARY services OR feeders installation, IIl1erutlon,
AND/OR relocation
200 amps or less
201 amps to 400 amps
401 amps to 599 amps
I Branch circuits - NEW, aUeration, OR extension, per panel
I A. Fee for branch circuits with
service or feeder fee, each
branch circuit.
lB. Fee for brunch circuits
without service or feeder fee,
first branch circuit:
I each addl brunch circuit
I Miscellaneous
I Service reconnect only
I Each manufactured or modular
dwelline. service and/or feeder
I Pump or irrigation circle
II Sign or outline lighting
I Signal circuil(s) or limited.
I energy. panel. alteration, or
extensIon.
I
I Subtotal S52.00
i State Surchargefl2% of~nnit feel 56.24
I City OfS~rinsfield fees. 57,80
I TOTAL PERMIT FEE S66,04
. r;k' nf"_I,"..p.....f".u:J.I1.("....~. I not. 1~t1] Admin Fee; 5/0 Local Technology
;::)..~..... O\lll) I
$48,00
$48,001
$4,00
$4,001
not offered online at thisjurisdiclion
ELECTRICAL PERMIT FEES
RCPU >~ 60 r - / 0 ~ <:Y
DATE PROCBSSED''1..;:9,,-()'('
This Authorization To Begin Work must be PPWsf{~~~~~;QV",.:; ;"1
I Permit.