HomeMy WebLinkAboutPermit Mechanical 2007-11-16
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-01692
ISSUED: 11/16/2007
APPLIED: 11/16/2007
EXPIRES: 05/16/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 205 S 54TH ST SPACE 107
ASSESSOR'S PARCEL NO.: 1702330001200
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Replace Gas Furnace
Owner: CHALET VILLAGE MHC LLC
Address: 450 NEWPORT BEACH DR STE 595
NEWPORT BEACH CA 92660
I CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Contractor License
ASSOCIATED HEATING & AIR CONDITIO 106275
I 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:
Sola~~eltl!f..~N: Oregon. law requires y~~ ~o
,u"un ,",.. ouue"u u, "'0 v,.yu.. u~
Notification Center. Those rules are,set LIC IMPROVEMENTS I
Str~tqAafm?eillQJfP'01 0 through OAR 952 ·
0090:t\(ou may obtain copies of the rules by
StorIlt5Mmgtl\\9~J8r. (Note: the telephone
Specnumufilfdli<<the Oregon Utility Notification
Center is 1-800.-332-2344).
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Sidewalk Type:
Downspouts/Drains:
Notes:
'OOltBd AV'j :j~'; \ .
\:lO~ 03NOON\f8'V 81 HO 03JN3VJ~'~:)
~ -~ JI1W'~U~.1 ~I\..II H71,ONO 03ZIHOH.,Jl\
I :.~' . ~-\:ildX3 11'vHS llWB:ld ~IHJ.
Valuation Description'fOM 3Hl:i\ 3 :3~I!ON
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pae:e 1 of 2
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-01692
ISSUED: 11/16/2007
APPLIED: 11/16/2007
EXPIRES: 05/16/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
U'ees paidJ
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Furnace - up to 100,000 btu
Gas Outlets 1-4
Minimum/Adjustment Mechanical
Amount Paid Date Paid Receipt Number
$20.00 11/16/07 3200700000000000758
$5.00 11116/07 3200700000000000758
$2.50 11/16/07 3200700000000000758
$4.00 11/16/07 3200700000000000758
$14.00 11/16/07 3200700000000000758
$5.00 11/16/07 3200700000000000758
$31.00 11/16/07 3200700000000000758
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.
Rough Gas: After line is installed and required testing and capped if not attached to an appliance.
Final Gas: When all gas 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
Pa2e 2 of2
aty of ~pringfield
Mechanical Authorization To Begin Work
E-mailedTo:associatedheating@gmaiI.com
Receipt # EC520669
11/16/20079:05:59 AM
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
I
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I
I
I
* City Of Springfield
~~.:o~op j:;pp
CO~()()7 -al(oq~
RCPT#: 'S2tnJ7 --1St
DATEPROCESSED:~ - 01
PROCFSSED By:r(lJY4~ ~
This Authorization To Begin Work must be posted at the job Jite u~Placed by a Permit.
D New construction
IKJ Addition/alteration/replacement
[X] I or 2 family dwelling
D Multi-family
D Accessory Building
Job no.: 3286A I Job address: 205 S 54TH ST
I City/State/ZIP: SPRINGFIELD, OR 97478-6280
Suite/bldg.!apt.no.: SPC 107
Project name:
Cross street/directions to job site:
I Subdivision:
I Tax map/parcel no.: 1702330001200
I Lot no.:
Replace gas furnace
I Name: Delma Bryant
I Phone: (541) 746-3643
[Email:
I Fax:
I CCB lie. no.: 106275
I Business Name: ASSOCIATED HEATING & AIR CONDITION I
I Contact: Brandy Forsman
!Address: PO BOX 412
I 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.
I Description
I Furnace- up to 100,000 BTD
I Furnace - above 100,000 BTU
I Electric Furnace
I Duct alterations and additions
I Gas heater units/ in-wall, in-
duct, suspended, etc/
I Vent, flue, liner for above
Air Conditioner
Heat Pump
I Air Handler
$14.00
$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
I Wood fireplace
I Chimney/liner/flue/vent w/o
I Range hood
I Clothes dryer exhaust
Single-duct exhaust (bathrooms,
toilet compartments, utility
rooms)
I Attic/crawlspace fans
I upto first 4 outlets(enter Qty=1)
I each additional outlet
Subtotal $14.00
Minimum fee used instead of Subtotal $50.00 I
State Surcharge (8% of permit fee) $4.00 I
City Of Springfield fees * $27.50 I
TOTAL PERMIT FEE I $81.50 I
10% Local Admin Fee; 5% Local Technology Fee;
215 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2007-01692
COM2007 -01692
COM2007 -01692
COM2007-0 1692
COM2007-0 1692
COM2007 -01692
COM2007-01692
Payments:
Type of Payment
ONLINE CHGS
cReceintl
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
3200700000000000758
Date: 11/16/2007
Description
Furnace - up to 100,000 btu
Gas Outlets 1-4
Minimum/Adjustment Mechanical
-Mechanical Issuance Fee~
+ 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
nJm
ONLINE ASSOCIA T Online
ED
Payment Total:
Page I of 1
9:55:12AM
Amount Due
14.00
5.00
31.00
20.00
2.50
4.00
5.00
$81. 50
Amount Paid
$81.50
$81.50
11/16/2007