HomeMy WebLinkAboutPermit Mechanical 2007-10-24
Status
Issued
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2007-01590
ISSUED: 10/24/2007
APPLIED: 10/24/2007
EXPIRES: 04/24/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 607 T ST
ASSESSOR'S PARCEL NO.: 1703262404507
Springfield
TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Replace A/H & add HIP
Owner: ARENS NORINE M
Address: 607 T ST
SPRINGFIELD OR 97477
Phone Number: 746-3442
I CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Contractor License
ASSOCIATED HEATING & AIR CONDITIO 106275
BUILDING INFORMATION I
Expiration Date
08/31/2008
Phone
541-683-2590
# 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'
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Sidewalk Type:
Storm Sewer Available: DO'Cfl~out~~uires you to
Special Instruction: ,ATTENTION: d r t9odnb'Y the Oregon Utility
follow rules a op e f rth
Note~H)TiCE: Notification Center. Th,ose rUhleosAa~ :;~-~01-
'f'H in OAR 952-001-0010 tnroug
,IS PERMIT ~HALI ~YPIR/=,/= TH~ '^'QDV 6e.Sg \'nlrrl~V'ht...iJ:l Mnies of the rules by
I~UTHORIZED UNDER THIS PERMIT ~'-h10T ding the center. (Note: the telepno~e
COMMENCED OR IS ABANDONED F 'Rvh11lation Descripti~ . ber for the. Oregon Utility Notification
ANY 180 DAY PERIOD ' Center IS 1-800-332-2344).
. . '. $ Per Sq Ft Square Footage
DescnptlOn Type of ConstructIon It' I' B"d A Value Date Calculated
or mu Ip ler or I mount
Pa!!:e 1 of 2
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-01590
ISSUED: 10/24/2007
APPLIED: 10/24/2007
EXPIRES: 04/24/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees Paid'
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
$5.00
$2.50
$4.00
$9.00
$14.00
$27.00
10/24/07
10/24/07
10/24/07
10/24/07
10/24/07
10/24/07
10/24/07
3200700000000000705
3200700000000000705
3200700000000000705
3200700000000000705
3200700000000000705
3200700000000000705
3200700000000000705
Total Amount Paid
$81.50
I Plan Reviews,
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.
ReQuired Insoections I
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
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
Pa!!:e 2 of 2
City of Springfield
Mechanical Authorization To Begin Work
E-mailedTo:associatedheating@gmail.com
Receipt # EC519226
10/23/20073:47:22 PM
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
lliJ Addition/alteration/replacement
[i] I or 2 family dwelling
D Multi-family
D Accessory Building
Furnace- up to 100,000 BTU
I Furnace - above 100,000 BTU
I Electric Furnace
Duct alterations and additions
Gas heater units/ in-wall, in-
duct, suspended, etc/
I Vent, flue, liner for above
I Air Conditioner
I Heat Pump
Air Handler
I'
II
I
I
I
I
I
I
I
~14001
$9,00
Job no.: 3264A I Job address: 607 T ST
City/State/ZIP: SPRINGFIELD, OR 97477-2312
Suite/bldg./apt.no.:
I Project name:
Cross street/directions to job site:
$14,00
$9,00
Replace A/H & add HIP
I Water heater
I Gas fireplace/insert/stove
Gas log! log lighter
Gas clothes dryer
Gas stove/range
I Pool or spa heater, kiln
I Wood/pellet stove/insert
I Wood fireplace
I Chimney/liner/flue/vent w/o
I Subdivision:
I Tax map/parcel no.: 1703262404507
I Lot no.:
I Name: Nancy Arens
Phone: (541) 746-3442
Email:
I Fax:
I Range hood
I Clothes dryer exhaust
Single-duct exhaust (bathrooms,
toilet compartments, utility
rooms)
Attic/crawlspace fans
CCB lie. no.: 106275
I Business Name: ASSOCIATED HEATING & AIR CONDITION I
I Contact: Brandy Forsman
Address: POBOX412
City/State/ZIP: EUGENE, OR 97440
I Phone: (541 )6832590
I Email: associatedheating@gmail.com
I Metro lie. no.:
I Fax: (541 )6070287
upto first 4 outlets( enter Qty= I)
each additional outlet
I City lie. no.:
I
I
I
I
I
· City Of Springfield
$10 Issuance Fee
Subtotal $23,00
Minimum fee used instead of Subtotal $50,00 I
State Surcharge (8% of penn it fee) $4,00 I
City Of Springfield fees · $27,50 I
TOTAL PERMIT FEE $8150 I
10% Local Admin Fee; 5% Local Technology 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.
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.
COM:~d(jOl- 01690
RCPT ##: '3> '"2" GO I - '70 5
I
I
I
I
f- clIlt.
DATEPROCF:SSL::D: 11J- ~'-f'---Ol
PROCESSED 13 y:.illm ~ 'tv\.- .
This Authorization To Begin Work must be posteu allhl!10~JJ ~i.
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2007-01590
COM2007-01590
COM2007-01590
COM2007-01590
COM2007 -01590
COM2007-01590
COM2007-01590
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
3200700000000000705
Date: 10/24/2007
Description
Heat Pump
Air Handling Unit Up to 10,000
Minimum! Adjustment Mechanical
~Mechanical Issuance Fee~
+ 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
NJM
ONLINE ASSOCIAT Online
ED
Payment Total:
Page I of 1
7:28:42AM
Amount Due
14,00
9.00
27.00
20.00
2.50
4.00
5.00
$81.50
Amount Paid
$81.50
$81.50
10/24/2007