HomeMy WebLinkAboutPermit Mechanical 2007-11-29
Status
Issued
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2007-01747
ISSUED: 11/29/2007
APPLIED: 11/29/2007
EXPIRES: OS/29/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 859 HAYDEN BRIDGE RD
ASSESSOR'S PARCEL NO.: 1703261201018
Springfield TYPE OF WORK: Mechanical Only
TYPE OF USE: Alteration
Residential
PROJECT DESCRIPTION: Install gas water heater
Owner: KENENTH E A WMILLER LIVING TRUST
Address: PO BOX 1638
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION'
Contractor Type
Mechanical
Contractor
EUGENE HEATING & COOLING
License
149452
Expiration Date
10/22/2009
Phone
541-726-7654
BUILDING INFORMATION'
# 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 I
Street Improvements:
Sidewalk Type:
Storm Mr.4~ailable:
speciaM"~RI'Hl~: Oregon law requires you to
o .~w r~ es adopted by the Oregon Utility
Notes~otlflcatlon Center. Those rules are set forth
m OAR 952-001-0010 through OAR 952-001-
n,nol'\ v_~ r.- -, - L\" . '
. ,. .....J... fl..... ",vtJlI;I~U(lf'le t S S"
ncall~g ~he ~enter. (Note:. ~he tel~p OVil~ation Descri H-I S ERMIT SHALL EXPIRE IF THE WORK
urn e~ ortt e. Oregon Utility Notlfic ,'" ,'I RIZED UNDER THIS PERMIT IS NOT
Description en;:~: :f-~~~~~;:~~~:4). $ perl~ql~t S<if!~~AiF1~~~D OR IS Aij-~mpONED Fcmte Calculated
or mu tIp ler o~wJ'I" 18O>1ffi\Y PERIOD.
Downspouts/Drains:
M(lT~rl!:
Pa2e 1 of2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-01747
ISSUED: 11/29/2007
APPLIED: 11/29/2007
EXPIRES: OS/29/2008
V AL DE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees Paid J
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Appliance Not Listed
Gas Outlets 1-4
Minimum/Adjustment Mechanical
Amount Paid
Date Paid
Receipt Number
$20.00
$5.00
$2.50
$4.00
$10.00
$5.00
$35.00
11/29/07
11/29/07
11/29/07
11/29/07
11/29/07
11/29/07
11/29/07
1200700000000001445
1200700000000001445
1200700000000001445
1200700000000001445
1200700000000001445
1200700000000001445
1200700000000001445
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 Reauired Insoections I
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.
Page 2 of 2
,CitY of Springfield
Mechanical Authorization To Begin Work
E-mailedTo:mschilling@automaticheatco.com
Receipt # EC521553
11129/20078:20:16 AM
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
D New construction
!Xl Addition/alteration/replacement
~ 1 or 2 family dwelling
D Multi-family
D Accessory Building
leii: .' r . .\.hi:: \:!~\iJOBSrrEINF:~~IYIATIONiAND LOCATION h.:.
I Job no.: I Job address: 859 HAYDEN BRIDGE RD
I City/State/ZIP: SPRINGFIELD, OR 97477-1568
I Suitelbldg./apt.no.:
I Project name: Awmiller
Cross street/directions to job site:
I Subdivision: I Lot no,:
ITax map/parcel no.: 1703261201018
.s \ . " DESCRIPTION OF WORK
Install gas water heater
I Name: Ken Awmiller
I Phone: (541) 345-4712
I Email:
IFax:
CONTRACTOR.
CCB lie. no.: 149452
Business Name: EUGENE HEATING & COOLING COMPANY
I Contact: Michael Schilling
I 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.:
Upon review and approval by your local jurisdiction, your
permit will be e-malled 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.
FEE SCHEDULE.
I Qty. I
Total
Description
Heating/cooling appliances
I 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, I iner for above
I Air Conditioner
I Heat Pump
I AIr Handler
I Other fuel burning appliances
I Water heater
I Gas fireplacelinsertJstove
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/linerlflue/vent w/o I
appliance
I E~vironmental exhaust AND ventilation ,
I Range hood
I Clothes dryer exhaust
Single-duct exhaust (bathrooms,
toilet compartments, utility
rooms)
I Attic/crawlspace fans
Fuel piping
upto first 4 outlets(enter Qty=l)
I each additional outlet
I
I
I
I
I
I
* City Of Springfield
$10 Issuance Fee
Ea.
$1000
I
I
I
$10001
I
I
I
$5.00
$500
MECHANICAL PERMIT FEES
Subtotal $15.00
Minimum fee used instead of Subtotal $50,00
State Surcharge (8% of permit fee) $4.00
City Of Springfield fees * $27.50 I
TOTAL PERMIT FEE I $8150 I
10% Local Admin Fee; 5% Local Technology 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
COM2007-01747
COM2007-01747
COM2007-01747
COM2007-01747
COM2007-01747
COM2007-01747
COM2007-01747
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
1200700000000001445
Description
Appliance Not Listed
Gas Outlets 1-4
Minimum/Adjustment Mechanical
~Mechanical Issuance Fee~
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 11/29/2007
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
HEATING
&
COOLING
CO.
Payment Total:
8:36:20AM
Amount Due
10.00
5.00
35,00
20.00
2,50
4,00
5.00
$81.50
Amount Paid
$81.50
$81.50
11/29/2007