HomeMy WebLinkAboutPermit Mechanical 2007-9-27
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2007-01473
ISSUED: 09/27/2007
APPLIED: 09/27/2007
EXPIRES: 04/27/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 7269 A ST
ASSESSOR'S PARCEL NO.: 1702353110900
Springfield
TYPE OF WORK: Heating System
TYPE OF USE: Alteration
Residential
PROJECT DESCRIPTION: Replace heat pump
Owner: SEAL DARLENE R
Address: 7269 A ST
SPRINGFIELD OR 97478
Owner: DORGAN DANIEL J
Address: 7269 A ST
SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Contractor
ALL FAMILY HEATING & COOLING
BUILDING INFORMATION'
License
Expiration Date Phone
503-341-5010
# 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 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:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
NOT' . :... ...1"71e..;~. ult:lyon law requires you to
CE:. I PUBLIC IMPROVEM.rUfes adopted by the 0 U' . .
. . regon tillty
. Street Improvllii~tP:ERMIT SHAll EXPIRE IF THE WORK I ~~~atlon SfmWMkTtyp€: rules are set forth
St S AUT..IZED UNDER THIS PERMIT IS NOT 0"090 v952~010t~~u9.h <?AFi. 932-.001-
orm ewer . JOU "Kl'.Y'v~lW~h;;u:.J;ams,~ I' I ....
Special Instru~~. NeED OR IS ABANDONED FOR calling the center. (N;~':Gt;,~Jt;;~.I,:~ <,' y
Y 180 DAY PERIOD. number for the. Oregon LH;"~/ ~ <'lo.; :~:.,,:)
Notes: Center IS 1-800-3'.J2.L~;..),
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
Pal!e 1 of 3
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2007-01473
ISSUED: 09/27/2007
APPLIED: 09/27/2007
EXPIRES: 04/27/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Description I
Description
TVDe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
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
Amount Paid Date Paid Receipt Number
$20.00 9/27/07 2200700000000001518
$5.00 9/27/07 2200700000000001518
$2.50 9/27/07 2200700000000001518
$4.00 9127/07 2200700000000001518
$9.00 9/27/07 2200700000000001518
$14.00 9/27/07 2200700000000001518
$27.00 9/27/07 2200700000000001518
Total Amount Paid
$81.50
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.
~eouiredJnSDections I
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete,
Pal!e 2 of 3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007.01473
ISSUED: 09/27/2007
APPLIED: 09/27/2007
EXPIRES: 04/27/2008
VALUE:
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
Pal!e 3 of 3
Date
Pty of Springfield
Mechanical Authorization To Begin Work
E-mailedTo:dona.rattray@comcast.net
Receipt # EC517703.
9127/20072:37:58 PM
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
Description
I Furnace- up to 100,000 BTU
I Furnace - above 100,000 BTU
I Electric Furnace
I Duct alterations and additions
I Gas heater units/ in-wall, in-
duct, suspended, etc/
I Vent, flue, liner for above
I A ir Conditioner
I Heat Pump
Air Handler
I
I
II
I
I
I
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I
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I
I
$14001
I
IKJ I or 2 family dwelling
o Multi-family
o Accessory Building
IJob no.: 7323158 IJob address: 7269 A ST
I City/State/ZIP: SPRINGFIELD, OR 97478-7204
I Suite/bldg.lapt.no.:
Project name: Dorgan
Cross street/directions to job site:
$14.00
I Subdivision:
I Tax map/parcel no.: 1702353110900
I Lot no.:
Water heater
Gas fireplacefinsert/stove
I Gas log/ log lighter
I Gas clothes dryer
I Gas stove/range
I Pool or spa heater, kiln
I Wood/pellet stove/insert
Wood fireplace
Chimneyflinerfflue/vent w/o
replace heat pump
I Name: Daniel Dorgan
I Phone: (541) 726-1520
I Email:
I Fax:
ICCBIiC. no.: 17143\
I Business Name: ALL FAMILY HEATING & COOLING INC
Contact: dona Rattray
Address: 23\5 G PRINGLE RD SE
I City/State/ZIP: SALEM, OR 97302
I Phone: (503)3934328
I Email: dona.rattray@comcastnet
I Metro lie. no.: 9334
Range hood
I Clothes dryer exhaust
Single-duct exhaust (bathrooms,
toilet compartments, utility
rooms)
I Attic/crawlspace fans
I Fax: (503)3634614
I upto first 4 outlets(enter Qty=l) t
I each additional outlet
I City lie. no.: 171431
I
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I
I
I
* City Of Springfield
$10 Issuance Fee
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.
Subtotal $14.00 I
Minimum fee used instead of Subtotal $50.00
State Surcharge (8% of permit fee) I $4.00
City Of Springfield fees *1 $27.50
TOTAL PERMIT FEE I $81.50
10% Local Admin Fee; 5% Local Technology Fee;
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 Fifth,Street
Springfield, Oregon 97477
541:726-3759 Phone
Job/Journal Number
COM2007-01473
COM2007-01473
COM2007-01473
COM2007-01473
COM2007-01473
COM2007-01473
COM2007-01473
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
2200700000000001518
Description
Heat Pump
Air Handling Unit Up to 10,000
Minimum/Adjustment Mechanical
~Mechanicallssuance Fee~
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 09/27/2007
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Paid By
ONLINE PERMIT CHGS
ddk
Page 1 of 1
ONLINE All Family Online
Heating &
Cooling
Payment Total:
3:04:12PM
Amount Due
14.00
9.00
27.00
20.00
2.50
4.00
5.00
$81.50
Amount Paid
$81.50
$81.50
9/27/2007