Loading...
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