HomeMy WebLinkAboutPermit Mechanical 2007-11-13
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CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-01667
ISSUED: 11/13/2007
APPLIED: 11/09/2007
EXPIRES: 05/13/2008
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2150 LAURA ST SPACE 18
ASSESSOR'S PARCEL NO.: 1703271004400
Springfield TYPE OF WORK: Heating System
TYPE OF USE: Alteration
Residential
PROJECT DESCRIPTION: Replace electric furnace
Owner: WUORINEN LIVING TRUST
Address: 2154 LAW LN
EUGENE OR 97401
Phone Number: 541-344-9249
I CONTRACTOR1NFORMATION 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 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'
Street Improvements: ,
ATT~NTION: Oregon law requires you to
Storm Sew~lJmls!; adopted by the Oregon Utility
Special Insttl!JNfJ9!Uion Center. Those rules are set forth
In OAR 952-001-0010 through OAR 952-001-
Notes: 0090. You may obtain copies of the rules by
calling the center. (Note: the telephone
number tor the Oregon Utlllty t .:.~;fi':';:'~;':';l
Center is 1,-800-332-23 4 aluation Descri
Sidewalk Type:
N Orl'fE:spoutslDrains:
THIS PERMIT SHAl
AUTHORIZED U l EXPIRE IF THE WORK
COMflt1l=fII('1;[' O~~~R. ~HIS PERMIT IS NOT
ANY 180 DAY PE~/O; MIWUI\Jl:D FOR
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Page 1 of2
Status
Iss u ed
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-01667
ISSUED: 11/13/2007
APPLIED: 11/09/2007
EXPIRES: 05/13/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
I Fees Paid I
....
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Furnace - up to 100,000 btu
Minimum/Adjustment Mechanical
Amount Paid Date Paid Receipt Number
$20.00 11/13/07 1200700000000001393
$5.00 11/13/07 1200700000000001393
$2.50 11/13/07 1200700000000001393
$4.00 11/13/07 1200700000000001393
$14.00 11/13/07 1200700000000001393
$36.00 11/13/07 1200700000000001393
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.
Reouired Insnections 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
Pal?:e 2 of 2
I Range hood
I Clothes dryer exhaust
Single-duct exhaust (bathrooms,
toilet oomparlments, utility
rooms)
Attic/crawlspace fans 1
Fuel piping I
I upto first 4 outlets(enter Qty=1) I
I each additional outlet 1
I MECHANICAL PERMIT FEES I
I Subtotal $14,00 J
I Minimum fee used instead of Subtotal $50,00
I State Surcharge (8% of permit fee) $4.00
I City Of SerinP-ield fees · $27.50
I TOTAL PERMIT FEE . $81.50
· City Of Springfield l00,{,LocaI Admin Fee; 5% Local Technology Fee;
$10 Issuance Fee
City of Springfield
Mechanical Authorization To Begin Work
E-mailed1O:associatedheating@gmail.com
Receipt # EC520327
1119/20073:39:35 PM
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfieldor.us
o New construction
TYPE OF WORK
QU Addition/alteration/replacement
Ea.
FEE SCHEDULE
I Qty. I
Subdivision:
I Lot no.:
Description
I Heating/cooling appliances
1 Furnace- up to 100,000 BTU
I Furnace - above 100,000 BTU
I Electric Fwnace
Duct alterations and additions
Gas heater unitsf in.wall, in-
duet, suspended, ek;/
I Vent, flue, liner for above
I Air Conditioner
Heat Pwnp
Air Handler
I Other fuel burning appliances
I Water heater
I Gas fireplacefinsertJstove
I Gas log/log lighter
I Gas clothes dryer
I Gas stovefrange
I Pool or spa heater, kiln
I Wood/pellet stovefinsert
Wood fIreplace
Chimneyflinerffluefvent wfo
aIJPliance
Environmental exhaust AND ventilation
$14.00
I CATEGORY OF CONSTRUC110N
IlKll or 2 family dwelling 0 Multi-family 0 Accessory Building
I JOB SITE INFORMATION AND LOCATION
I Job no.: 3280A I Job address: 2150 LAURAST
ICityfStatelZIP: SPRINUi'lliLD, OR 974TI-2187
I SuiteJbldg.fapt.no.: SPC 18
I Project name:
Cross street/directions to job site:
Tax map/parcel no.: 1703271102100
DESCRIPTION OF WORK
Replace electric furnace
SITE CONTACT
Name: John Sutton
Phone: (541)747-8931 I Fax:
I Fmail:
I CONTRACTOR
ICCBlie. no.: 106275
I Business Name: ASSOCIATED HEATING & AIR CONDITION!
I Contact: Brandy Forsman
Address: PO BOX 412
CityfStatelZIP: EUGENE, OR 97440
IPhone: (541)6832590 IFax: (541)6070287
I Fmail: associatedheating@gmaiLcom
I Metro lie. no.: 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.
This Authorization To Begin Work must be posted at the job site until replaced by a Permit.
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Total I
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$14,00 I
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225 Fin.. Street
Springfield, Oregon 97477
541 -726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2007-01667
COM2007-01667
COM2007-01667
COM2007-01667
COM2007-01667
COM2007-01667
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
1200700000000001393
Date: 11/13/2007
Description
Furnace - up to 100,000 btu
Minimum/Adjustment Mechanical
~Mechanical Issuance F.ee-
+ 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
DDK
ONLINE ASSOCIAT Online
ED
HEA TlNG
Payment Total:
Page I of I
. 10:41:45AM
Amount Due
14.00
36.00
20.00
2.50
4.00
5.00
$81.50
Amount Paid
$81.50
$81.50
11/13/2007