HomeMy WebLinkAboutPermit Mechanical 2007-11-7
Status
Issued
CITY OF SPRINGFIELD"
Building/Combination Permit
PERMIT NO: COM2007-01651
ISSUED: 11/07/2007
APPLIED: 11/0712007
EXPIRES: 05/07/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 743 EDGE MONT WAY
ASSESSOR'S PARCEL NO.: 1703341306300
Springfield
TYPE OF WORK: Heating System
TYPE OF USE: Alteration
PROJECT DESCRIPTION: Install gas furnace, heat pump and gas water heater.
Residential
Owner: DILLOW MICHAEL E & JANEEN M
Address: 743 EDGEMONT WAY
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Contractor
EUGENE HEATING & COOLING
License
149452
Expiration Date
10/22/2009
Phone
541-726-7654
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 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
nla
I DEVELOPMENT INFORMATION I
Frontyard 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: Downspouts/Drains:
Special lAitriDt11ffiIDN: Oregon law requires you to
follow rules adopted by the Oregon Utility NOTICE
Notes: Notification Center. Those rules are set forth :
In OAR 952-001-0010 through OAR 952-001- THIS PERMIT SHALL EXPIRE IF THE WORK
UUI:1U. IUU IIIClY UUlarn copies OT me ~ I nU/"lILtU UI\JUtti I HI\:) rtKIVlI1 I~ l\IU I
calling the center. (Note: the telelP~iifuation Descri titUD MENCED OR IS ABANDONED FOR
number for the, Oregon Utility NotlTl 180 DAY PERIOD.
Center IS 1-800-332.-2344). $ Per Sq Ft Square Footage
Description Type of Construction It' I" B'd A Value Date Calculated
or mu Ip ler or I mount
Paee 1 of2
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Appliance Not Listed
Furnace - up to 100,000 btu
Gas Outlets 1-4
Heat Pump
Minimum/Adjustment Mechanical
Total Amount Paid
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2007-01651
ISSUED: 11/07/2007
APPLIED: 11/07/2007
EXPIRES: .05/07/2008
VALUE:
Total Value of Project
LFees Paid'
Amount Paid Date Paid Receipt Number
$20.00 11/7/07 3200700000000000742
$5.00 11/7/07 3200700000000000742
$2.50 11/7/07 3200700000000000742
$4.00 11/7/07 3200700000000000742
$7.00 11/7/07 3200700000000000742
$14.00 11/7/07 3200700000000000742
$5.00 11/7/07 3200700000000000742
$14.00 11/7/07 3200700000000000742
$10.00 11/7/07 3200700000000000742
$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.
I Reouired Inspections I
Rough Gas: After line is installed and required testing and capped if not attached to an appliance.
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
Paee 2 of2
, City of Springfield
Mechanical Authorization To Begin Work
E-mailedTo:mschilling@automaticheatco.com
Receipt # EC520120
11/7/20079:53:54 AM
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
D New construction
IX] Addition/alteration/replacement
I Description
I Furnace- up to 100,000 BTU
I Furnace - above 100,000 BTU
I Electric Furnace
1 Duct alterations and additions
I Gas heater units/ in-wall, in-
duct, suspended, etc/
I Vent, flue, liner for above
I Air Conditioner
I Heat Pump
Air Handler
$14.00
$14.00
[ij I or 2 family dwelli~g
D Multi-family
D Accessory Building
IJobno,: IJobaddress: 743 EDGEMONTWAY
I City/State/ZIP: SPRINGFIELD, OR 97477-3607
I SuitelbldgJapt.no,:
I Project name: Kline
Cross street/directions to job site:
I
$14001
I
$14.00
I Water heater
I Gas fireplace/insert/stove
I Gas log! log lighter
I Gas clothes dryer
1 Gas stove/range
I Pool or spa heater, kiln
I Wood/pellet stove/insert
I Wood fireplace
I Chimney/liner/flue/vent w/o
appliance
IEn~irolllneD~~t$f~,~~~i,~R5;el!t~,lati?!, ':<,
I Range hood
I Clothes dryer exhaust
Single-duct exhaust (bathrooms,
toilet compartments, utility
rooms)
Attic/crawlspace fans
$7.00
I
I
$7.001
I
I
I
I
I
I
I
I
,I
I
I
I Subdivision: I Lot no.:
ITax map/parcel no.: 1703341306300
I
Install gas furnace, heat pump, and gas water heater
I
I Name: Roger KI ine
I Phone: (541) 255-] 226 I Fax:
I Email:
I
ICCB lie. no,: 149452
Business Name: EUGENE HEATING & COOLING COMPANY
I Fax: (541)7267657
I upto first 4 outlets(enter Qty=l)
I each additional outlet
I "i">F,...'.'", Ji:i.i;!:<<iVfECHANICAL PERMIT "FEES
I . ',,''''','
II
I
I
1
'I
$5.001
I
I
Subtotal $40.00 I
Minimum fee used instead of Subtotal $50.00 I
State Surcharge (8% of permit fee) $4.00 I
City Of Springfield fees *1 $27.50 I
TOTAL PERMIT FEE I $81.50 I
':;~J 3f-Jt":"6~eI8 lQ~~ ~g~~l A ..1-.;... CPP' ,01.. I oral. Tt:'~hn~Jogy Fee;
d)~:uance Fee U>07 -' Of ~.f:; ,
RCPT#: 32007 hA-7
/. lJbJ I'l ,,--1
DATE PROCESSED: ~ I
Contact: Michael Schilling
IAddress: 1650 NE LOMBARD ST
I City/State/ZIP: PORTLAND, OR 97211
I Phone: (541 )7267654
I Email: mschilling@automaticheatco.com
I Metro lie. no.:
$5.00
I City lie. no.:
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.
PROCESSED BY'
This Authorization To Begin Work must be posted at the job site until replaced by a Permit.
225 Fifth.Street
Sp~ingfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2007-0165 I
COM2007-0165 I
COM2007-01651
COM2007-01651
COM2007-0165 I
COM2007-01651
COM2007-0165 I
COM2007-01651
COM2007-01651
Payments:
Type of Payment
ONLINE CHGS
cReceint 1
RECEIPT #:
3200700000000000742
Description
Furnace - up to 100,000 btu
Gas Outlets 1-4
Heat Pump
Appliance Not Listed
Minimum! Adjustment Mechanical
-Mechanical Issuance Fee-
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 11/07/2007
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Paid By
ONLINE PERMIT CHGS
ddk
Page 1 of I
ONLINE EUGENE Online
HEATING
&
COOLING
Payment Total:
11 :39:20AM
Amount Due
14:00
5.00
14.00
7.00
10.00
20,00
2,50
4.00
5,00
$81.50
Amount Paid
$81.50
$81.50
11/7/2007