HomeMy WebLinkAboutPermit Mechanical 2007-10-23 (2)
-Wt'd
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225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SCANNED
aITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-0I587
ISSUED: 10/23/2007
APPLIED: 10/23/2007
EXPIRES: 05/01/2008
VALUE:
Status
Issued
SITE ADDRESS: 1345 RAINBOW DR
ASSESSOR'S PARCEL NO.: 1703274303400
Springfield
TYPE OF WORK: Mechanical Only
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Replace gas furnace
Owner: DAVIS FRED S & KAY B
Address: 1345 RAINBOW DR
SPRINGFIELD OR 97477
Phone Number: 541-746-0794
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Mechanical
Contractor
GMD ELECTRIC INC
COMFORT FLOW
License
162191
460
Expiration Date
11/19/2008
06127/2009
Phone
541-726-860 I
541-726-0 I 00
I 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:
Lot Size:
Sq Ft I st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
nla
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Streetlmprovem~f~~EG_Gre-OOg-l Sl JeWs:) qwmJl
Storm Se'to.!!~~..\!al;lle!I!I!ln U05~JO :~ ~JI~UIIJ1lll
Speciallns\!'!lct!on;al a41 :aloN) Jel ABW nOA '0800
"q salnJ a4110 saldo:> U!B\qO HldO U'J
Notes: -WO-G96 BV'O 45nOJ410l0Q-lOQ-G56SOI111ON
41JOllas aJ5IlasJOal~J4al~Oq~a~~~~~;~~~ MOllo.\
"\III1n uo . "'''''I'~
01" nof.. saJlnbal Mill uo6elO .NO.........-
Sidewalk Type:
DownspoutslDrains:
NOTICE:
THIS PERMIT SHAll EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Pa!!e I of 3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Furnace - up to 100,000 btu
Gas Outlets 1-4
MinimumlAdjustment Mechanical
+ 10% Administrative Fee
+ 5% Tecbnology Fee
+ 8% State Surcharge
Add, Alter. Extend Circ
Add, Alter, Extend Circ Ea Add
Total Amount Paid
.
.ITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-01587
ISSUED: 10/23/2007
APPLIED: 10/23/2007
EXPIRES: 05/01/2008
VALUE:
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
Fpp<, Pqitl .
Amount Paid
Date Paid
Receipt Number
3200700000000000703
3200700000000000703
3200700000000000703
3200700000000000703
3200700000000000703
3200700000000000703
3200700000000000703
2200700000000001661
2200700000000001661
2200700000000001661
2200700000000001661
2200700000000001661
$20.00
$5.00
$2.50
$4.00
$14.00
$5.00
$31.00
$5.20
$2.60
$4.16
$48.00
$4.00
10/23/07
10/23/07
10123/07
10/23/07
10/23/07
10/23/07
10/23/07
1111/07
1111/07
11/1/07
11/1/07
1111/07
$145.46
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.
I Rpnllirp'\IIua"::.rtinn~, I
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Rough Gas: After line is installed and required testing and capped if not attached to an appliance.
Final Gas: When all gas work is complete.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Paee 2 of 3
-lji-
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-=ITY OF SPRINGFIELD'
Status
Issued
Building/Combination Permit
PERMIT NO: COM2007-01587
ISSUED: 10/23/2007
APPLIED: 10/23/2007
EXPIRES: 05/01/2008
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
Paee 3 of 3
~
!trical Authorization To Begin Work .
E-mailedTo:gmdelectric@comcast.net
Receipt # EC5 t 9782
11111200711:41:l2AM
',City ~r Springfield
Cbeck on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springlield.or.us
TYPE OF WORK
1 [KJ I or 2 family dwelling
o Multi.family
o Commercial/Industrial
FEE SCHEOULE
Description l Qly. J .:a. Tolal
ResIdential SINGLE- OR multi-family dwelling unit. Includes
attacbed garage
1,000 sq. n. or less
Ea, addl 500 sq. ft. or portion
- Limited energy, residential
(with above sa. nJ
- Limited energy, multifamily
residential (with above sa. n.)
Sen'ices OR feeders installation, alteration, ANDIOR relocutlon
200 amps or less
20 I amps to 400 amps
401 amps to 599 amps
TEMPORARY scn'ices OR feeders Installation, alterallon,
AND/OR relocation
10 New construction
IiI Additionlaltemtionlreplacement
CATEGORY OF CONSTRUCTION
I JOB SITE INFORMATION ANO LOCATION
IJobno.: IJob.dd.....: 1345 RAINBOW DR
I Oly/S'.'clZIP: SPRINGFIELD, OR 97477-2881
I SuitelbldgJapt.no.:
I Proj<<t name:
Cross street/directions 10 job site: Travel north on Coburg Rd, turn right onto Martin
..uther King Jr BlvdlCentennial Blvd. turn left onto Rainbow Drive.
I Subdivision:
ITal. map/partel no.:
Jt.ot no.:
I.'."
200 amps or less
20 I amps to 400 amps
40 I amps to 599 amps
Branch circulls - NEW, alteration, OR extension, per panel
A. Fee for branch circuits with
above service or feeder fee.
each branch circuit.
B. Fee for branch circuilS
without service or feeder fee.
first branch circuit
1 each addl branch circuit
I Miscellaneous
I Service reconnect only
I Each manufactured or modular
dwellin!2.. service and/or feeder
I Pump or irrigation circle
I Sign or outline lighting
I. Signal circuit(s) or limited.
energy panel, alteration. or
extension.
$48.001
$4.001
I
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I
I
I
I
I
Subtotal $52.00 I
State Surcharj;(e (8% of penn it fee) $4.16 I
Ci~ OfS~ri~field fees. $7.80 I
TOTAL PERMIT '''E.: $63.96 I
l()Ofg Local Admin Fee; 5% Local Technology Fee
$48.00
1703274303400
OESCRlPTION OF WORK
New gas furnace and condensate pump.
I
I Name: Kay Davis
IPbon.: (54\)746-0794
I Email:
I
SITE CONTACT
$4.00
CONTRACTOR
Inuc. no.: 20-537C ICCBlic. no.: 162191
1 Business Name: GMD ELECTRIC INC
I Contacl: Mike Gowins / Sue Gowins
I Add.....: 957 NORTfIRIDGE AVE
jCity/SlatefLIP: SPRINGFIELD OR 97477
I Pbone: (54\ )7268601 I Fn" (541)988\800
I Email: gmdelectric@comcast.net
I Metro lie. no.: I City lie. no.:
ISupen'ising electrician's lie. no.: 4874S
ISupen'ising electrician's name: MICHAEL K GOWINS
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.
. not offered online at this jurisdiction
I
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. City Of Springfield
ELECTRICAL PERMIT FEES
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.
This Authorization To Begin Work must be posted at the job site until replaced by a Permit.
225 Fiffh Street
Springfietd, Oregon 97477
541.726-3759 Phone
. TI:'';".1'lI
~
C~ Springfield Official Receipt
D_opment Services Department
Public Works Department
RECEIPT #:
2200700000000001661
Date: 11/01/2007
12:10:34PM
Job/Journal Number
COM2007-01587
COM2007-0 1587
COM2007-0 1587
COM2007-0 1587
I COM2007-0 1587
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Payments:
Type of Payment
Paid By
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
48.00
4.00
2.60
4.16
5.20
$63.96
Amount Paid
ONLINE CHGS ONLINE PERMIT CHGS
ddk
ONLINE GMD Online
ELECTRIC
Payment Total:
$63.96
$63.96
cReceintl
Page I of I
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