HomeMy WebLinkAboutPermit Mechanical 2007-12-10
~~~
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-01805
ISSUED: 12/10/2007
APPLIED: 12/10/2007
EXPIRES: 06/10/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 205 37TH ST
ASSESSOR'S PARCEL NO.: 1702314202300
Springfield TYPE OF WORK: Mechanical Only
TYPE OF USE: Alteration
PROJECT DESCRIPTION: Install water heater, dual wall heater and new shut off on gas line.
Residential
Owner: BAKER OPAL M & DONALD A
Address: 205 N 37TH ST
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Contractor
PACIFIC AIR COMFORT INC
License
39237
Expiration Date
0312512010
Phone
54]-672-9510
, 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 I st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
nla
I DEVELOPMENT INFORMATION I
Front yard 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:
1..PUBLlC IMPROVEMENTS I
Street Improvements:
Sidewalk Type:
Storm Sewer AvajlftlENTION' 0 .
SpeciallnstructiallM . regon law requires you to
IUUOW rules adopted by the Oregon Utility
Notification Center. Thos,e rules are set forth
Notes: In OAR 952-001-0010 through OAR 952-001- THIS PERMIT SHALL EXPIRE IF THE WORK
on~n Vnll WHJy"h~,,:.... ............:_~ _.JJ.l-_ ._.'. , AIITJ-InR'7~n Ilrdnt:D TUIC DCDl\/IIT'S r..l('\T
calling the center. {Noie: Itne t~I~~b;;~"' . .l,U1t'MENCED OR IS ABANDONED FOB' ,
number for the. Oregon Uti "yawalton_Descrmlton" 180 DAY PERIOD
Center IS 1-800-332-2344\. .
. $ Per Sq Ft Square Footage
Tvpe of ConstructIOn or multiplier or Bid Amount Value
Downspouts/Drains:
NOTICE:
Description
Date Calculated
Paee I of2
Status
Iss u ed
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2007-01805
ISSUED: 12/10/2007
APPLIED: 12/1012007
EXPIRES: 06/1012008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Valne of Project
Fees P~irl I
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Appliance Not Listed
Gas Ontlets 1-4
MinimumlAdjustment Mechanical
Amount Paid
Date Paid
Receipt Number
$20.00
$5.00
$2.50
$4.00
$20.00
$5.00
$25.00
12/10/07
12110/07
12110/07
1211 0/07
12/10/07
1211 0107
12/10/07
2200700000000001811
2200700000000001811
2200700000000001811
2200700000000001811
2200700000000001811
2200700000000001811
2200700000000001811
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 Rpouirerl Insllpctions 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 ensnre 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
1
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110001
1
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15001
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S!lbwlaJ $]5.00 I
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,PERI\UTFE:[ $81.501
] 0% Local Admin Fee; 5% Local Technology Fee;
J City of Springfield
Mechanical Authorization To Begin Work
E-mailedTo:becki@paciticaircomfort.com
Receipt # EC522227
12/]0/20079:36:53 AM
~
Wi: , '
Check on status of permit
By Phone: (541)726.3753 or [mail: permitcenter@ci.springfield.or.us
'~ ~FEE SCHEOULE
Qty,
[n.
I D New construction
Incscription
I Helltinglcooli~g:a.ppli"a~~~s
I Fumace- up to 100,000 BTU
I Furnace - above 100,000 BTU
I Electric Furnace
I Duct alterations and additions
I Gas heater unils/in-wall, in-
duct suspended. ctc/
I Vent, Ouc, liner for above
1 Air Conditioner
I Heal Pump
I Air Handler
Qfhe'rfuel...liurning.,p~;liances
lliJ Addition/alteration/rep]acement
CATE.GORi O'F' CONSTRUCT JON
I [KJ I or 2 family dwelling
o Multi-family
o Accesso!)' Building
JOB~ S.lTE:INEORMATIONANOj.Oc:ATION
IJob no.: 5703 IJob address: 205 37TH ST
I City/State/ZIP: SPRINGFIELD, OR 97478-57]9
I Suite/bldg./apt.no.:
I Project name: Opal Baker
Cross street/directions to job site:
main st, non 37th
(Subdivision:
!Tax map/parcel no.: 1702314202300
L;;;;~'OESCRIPTION OF~WORK
Water heater
110,00'
/LOtflO,:
Gas fireplace/insert/stove
Gas log! log lighter
Gas clothes d!)'er
remove old water heater, install new water heater, install new shut off on gas line and install
dual wall heater
Gas stove/range
Pool or spa heater, kiln
SITE CONTACT
Wood/pellet stovc/inscn
Wood fireplace
Chimney/liner/flue/vent w/o
apoliance
j:t"~yiry~~~I~~,(~f~~:h~mst ANDvcn{iiaiion"
I Range hood
j Clothes d!)'er exhaust
I Single-duct exhaust (bathrooms,
toilet companments, utility
rooms)
I Attic/crawlspace fans
I Name: Steve Biersteker
I Phone: (541) 342-5300 I Fax:
I Email: becki@paciticaircomfort.com
I CON.TRACTOR '
ICCD lie. no.: 39237
I Business Name: PACIFIC AIR COMFORT INC
I Contact: Becki McCormick
IAddress: PO BOX 790
I City/Stalc/ZIP: ROSEBURG, OR 97470
)Phone: (541)6729510 I Fax: (541)6726934
I Email: becki@pacificaircomfon.com
I Metro lit. no.: I City lie. no,:
I upto first 4 outkls(enterQty=l)
] each additionl!1 outlet
II
15001
PERMIT FEES
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.. City Of Springfield
$10 Issuance Fee
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
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
SPRINGFIELD I I' ,'.
1L4'd
Job/Journal Number
COM2007-01805
COM2007-0 1805
COM2007 -01805
COM2007-01805
COM2007-0 1805
COM2007-0 1805
COM2007-0 1805
Payments:
Type of Payment
ONLINE CHGS
cReceioll
RECEIPT #:
City of Springfield Official Receipt
Development Services Department
Public Works Department
2200700000000001811
Date: 12/10/2007
Description
Appliance Not Listed
Gas Outlets 1-4
Minimum/Adjustment Mechanical
-Mechanical Issuance Fee-
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Paid By
ONLINE PERMIT CHGS
Page 1 of I
ddk
ONLINE PACIFIC Online
AIR
COMFORT
Payment Total:
3:55:07PM
Amount Due
20,00
5,00
25,00
20,00
2,50
4.00
5.00
$81.50
Amount Paid
$81.50
$81.50
1211 0/2007