HomeMy WebLinkAboutPermit Mechanical 2007-11-15
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-01686
ISSUED: 11/15/2007
APPLIED: 11/15/2007
EXPIRES: 05/15/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 4795 FRANKLIN BLVD SPACE 28 Eugene
ASSESSOR'S PARCEL NO.: 1803022002900
TYPE OF WORK: Heating System
TYPE OF USE: Alteration
Residential
PROJECT DESCRIPTION: Replace gas furnace.
Owner: KEITH DUANE
Address: 4795 FRANKLIN BLVD SPACE 006
EUGENE OR 97403
I CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Contractor License
ASSOCIATED HEATING & AIR CONDITIO 106275
BUILDING INFORMATION'
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 Ist Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION'
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: Downspoutsillrains:
Speciallrist~N: Oregon taw requires you to
follow rules adopted by the Oregon Utility
Notes:Notification Center. Those rules are set forth NOTICE:
In 9A~ 952-001-001~ thro~gh OA.R 952-001- THIS PFRMIT SHAll EXPIRE IF THE WORK
~J...J,.lvu"'a1 J...lQI/' VVPI<>~ -.!. \lie 101.1",.., L-r .. IZED UNDER THIS PERMII I~ NU I
calling the center. (Note: the telep '~NI' I;\U I HO~
number for the Oregon Utility Notifk!t~.~atlOn Descr~~t~~n CEO OR IS ABANDONED FOR
Center is 1-800-332-~344). $ Per Sq Ft MtbYa~~lERIOD,
Description Type of ConstructIon It' I' B'd A Value Date Calculated
or mu Ip ler or I mount
Page 1 of 2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-01686
ISSUED: 11/15/2007
APPLIED: 11/15/2007
EXPIRES: 05/15/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of PrQject
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
$20.00
$5.00
$2.50
$4,00
$14.00
$36.00
11/15/07
11/15/07
11/15/07
11/15/07
11/15/07
11/15/07
Receipt Number
1200700000000001406
1200700000000001406
1200700000000001406
1200700000000001406
1200700000000001406
1200700000000001406
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 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
Page 2 of2
City of Springfield
Mechanical Authorization To Begin Work
E-mailedTo:associatedheating@gmail.com
Receipt # EC520571
11/14120074:00:24 PM
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
o New construction
iii Addition/alteration/replacement
[i] I or 2 family dwell ing
o Multi-family
o Accessory Building
IJob no.: 328SA IJob address: 4795 FRANKLIN BLVD
I City/State/ZIP: EUGENE, OR 97403-2455
1 Suitelbldg.lapt.no.: SPC 28
1 Project name:
Cross street/directions to job site:
I Subdivision:
I Tax map/parcel no.: 1803022002900
I Lot no.:
Replace Gas Furnace
Name: Duane Keith
Phone: (541) 680-4087
Email:
IFax:
1 CCB lie. no.: 106275
I Business Name: ASSOCIATED HEATING & AIR CONDITION I
Contact: Brandy Forsman
Address: PO BOX 412
1 City/State/ZIP: EUGENE, OR 97440
I Phone: (541)6832590
I Email: associatedheating@gmail.com
I Metro lie. no.:
I Fax: (541 )6070287
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.
Qty.
Ea.
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
II
I
$14001
$14,00
I Water heater
I Gas fireplace/insert/stove
I Gas log! log lighter
I Gas clothes dryer
I Gas stove/range
I Pool or spa heater, kiln
I Wood/pellet stove/insert
Wood fireplace
Chimney/linerltlue/vent w/o
Range hood
I Clothes dryer exhaust
Single-duct exhaust (bathrooms,
toilet compartments, utility
rooms)
Attic/crawlspace fans
I upto first 4 outlets(enter Qty=l)
I each additional outlet
1
I
1 -
I
Subtotal I $14,00
Minimum fee used instead of Subtotal I $50,00
State Surcharge (8% of permit fee) I $4,00
City Of Springfield fees * I $27.50
TOTAL PERMIT FEE $81.50 I
10% Local Admin Fee; 5% Local Technology Fee;
I
I
I
I
* City Of Springfield
$10 Issuance Fee
This Authorization To Begin Work must be posted at the job site until replaced by a Permit.
225 Fifth Street
Springfield, Oregon 97477
541~726-3759 Phone
Job/Journal Number
COM2007 -01686
COM2007-0 1686
COM2007-01686
COM2007-01686
COM2007-01686
COM2007-01686
Payments:
Type of Payment
ONLINE CHGS
cReceint 1
RECEIPT #:
1200700000000001406
Description
Furnace - up to 100,000 btu
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: 11/15/2007
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Paid By
ONLINE PERMIT CHGS
ddk
Page 1 of 1
ONLINE ASSOCIAT Online
ED
HEATING
Payment Total:
8:51:39AM
Amount Due
14.00
36.00
20.00
2.50
4.00
5.00
$81.50
Amount Paid
$81.50
$81.50
11/15/2007