HomeMy WebLinkAboutPermit Electrical 2007-11-5
City of Springfield
Mechanical Authorization To Begin Work
E-mailedTo:mschilling@automaticheatco.com
Receipt # EC519942
11/5/2007 10:06:03 AM
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
TYPE OF WORK
o New construction
o Addition/alteration/replacement
~ 1 or 2 family dwelling
o Multi-family
o Accessory Building
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, susDended. etc/
I Vent, flue, liner for above
I Air Conditioner
I Heat Pump
I Air Handler
$14.00
$14.00
JOB SITE INFORMATION AND LOCATION
I,Job no,: I Job address: 629 W N ST
I City/State/ZIP: SPRINGFIELD, OR 97477-2860
I Suite/bldg./apt.no,:
I Project name: Cropper
Cross street/directions to job site:
SITE CONTACT
I Water heater
I Gas fireplacelinsert/stove
I Gas log! log lighter
I Gas clothes dryer
I Gas stove/range
I Pool or spa heater, kiln
I Wood/pellet stovelinsert
I Wood fireplace
I Chimney/liner/flue/vent w/o
I Subdivision:
I Tax map/parcel no.: 1703274301600
1
I Lot no.:
Install gas wall furnace
I Name: Pete Cropper
I Phone: (541) 225-7572
IEmail:
I
I Fax:
Range hood
I Clothes dryer exhaust
Single-duct exhaust (bathrooms,
toilet compartments, utility
rooms)
I Anic/crawlspace fans
CONTRACTOR
I CCB lie. no,: 149452
I Business Name: EUGENE HEATING & COOLING COMPANY
I Contact: Michad Schilling
!Address: 1650 NE LOMBARD ST
I City/State/ZIP: PORTLAND, OR 97211
I Phone: (541 )7267654 I Fax: (541 )7267657
I Email: mschilling@automaticheatco.com
I Metro lie, no.: I City lie. no.:
I upto first 4 outlets(enter Qty=l)
I each additional outlet
$5.00
I
$5001
I
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.
I
I
I
I
· City Of Springfield
$10 Issuance Fee
Subtotal I $1900 I
Minimum fee used instead of Subtotal $50.00 I
State Surcharge (8% of permit fee) I $4.00 I
City Of Springfield fees .1 $27.50 I
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.
,\M
. ~\.. \w
'~' \
This Authorization To Begin Work must be posted at the job site until replaced by a Permit.
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-01644
ISSUED: 11/05/2007
APPLIED: 11/05/2007
EXPIRES: 05/05/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 629 W N ST
ASSESSOR'S PARCEL NO.: 1703274301600
Springfield
TYPE OF WORK: Heating System
TYPE OF USE: Alteration
Residential
PROJECT DESCRIPTION: Install gas wall furnace
Owner: PETE GENE CROPPER REVOCABLE LIVING
Address: 8902 MCKENZIE HWY
SPRINGFIELD OR 97478
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 Garage/Carport
Sq Ft Other:
Occupant Load:
nla
I DEVELOPMENT INFORMATION I
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:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Sidewalk Type:
Stor~ \9YENl'i~W~l5tegon law requires you to Downspouts/Drains:
SpeclafJff6Viur<tIlg%:adopted by the Oregon Utility NOT~CE:
Notification Center. Those rules are set forth THIS PERMIT SHALL EXPIRE IF THE WORK
Notesin OAR 952-001-0010 through OAR 952-001- IS NOT
~nM v"" m~y nht~in conies of the rules by A~JTHORIZED UNDER THIS PERMIT__ . .
calling the center. (Note: the tetep~e.!t \"utMENCED OR IS At1J..\I'JULJI\lcu r vf, .
number for the Oregon Utility Notifi "~fifuation Descripti~1 180 DAY PERIOD.
Center is 1-800-332-2344).
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee 1 of2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-01644
ISSUED: 11/05/2007
APPLIED: 11/05/2007
EXPIRES: 05/05/2008
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 I
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Furnace - Unit Heater
Gas Outlets 1-4
Minimum/Adjustment Mechanical
Amount Paid
Date Paid
Receipt Number
$20.00
$5.00
$2.50
$4.00
$14.00
$5.00
$31.00
11/5/07
11/5/07
11/5/07
11/5/07
11/5/07
11/5/07
11/5/07
2200700000000001678
2200700000000001678
2200700000000001678
2200700000000001678
2200700000000001678
2200700000000001678
2200700000000001678
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.
I Reouired Insnections .
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 of 2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2007-01644
COM2007-01644
COM2007-01644
COM2007-01644
COM2007-01644
COM2007-01644
COM2007-01644
Payments:
Type of Payment
ONLINE CHGS
c Receint I
RECEIPT #:
2200700000000001678
Description
Furnace - Unit Heater
Gas Outlets 1-4
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: 11/05/2007
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Paid By
ONLINE PERMIT CHGS
DDK
Page I of I
ONLINE EUGENE Online
HEA T1NG
&
COOLING
Payment Total:
3:18:29PM
Amount Due
14,00
5.00
31.00
20.00
2.50
4,00
5,00
$81.50
Amount Paid
$81.50
$81.50
11/5/2007