HomeMy WebLinkAboutPermit Mechanical 2007-12-13
Status
Iss u ed
CITY OF ~rKIl~GFIELD -
Building/Combination Permit
PERMIT NO' COM2007-01848
ISSUED: 12/13/2007
APPLIED' 12/13/2007
EXPIRES: 06/13/2008
VALUE,
225 Fifth Street, SprIngfield, OR
541-726-3753 Phone
541-726-3676 F dX
541-726-3769 Inspecllon Lme
SITE ADDRESS 2076 7TH ST
ASSESSOR'S PARCEL NO 1703261301213
Sprmgfield TYPE OF WORK Hedtmg System
TYPE OF USE
New
ReSIdential
PROJECT DESCRIPTION Heat Pump mstdndtlOn
Owner MILLER FRANCES E
Address 2076 7TH ST
SPRINGFIELD OR 97477
Phone Number 541-741-1302
I CONTRACTOR INFORMATION I
Contractor Type
Mechamcal
Contractor
EUGENE HEATING & COOLING
License
149452
Explratton Date
10122/2009
Phone
541- 726-7654
BUILDING INFORMATION I
# of Umts
PrImary Occupancy Group
Secondary Occupancy Group
PrImary Construcllon Type
Secondary Construcllon Type
# of Bedrooms
# of StorIes
HeIght of Structure
Type of Heat
Water Type
Range Type
Energy Path
SprInkled Bulldmg
Lot Size
Sq Ftlst Floor
Sq Ft 2nd Floor
Sq Ft Basement
Sq Ft GaragelCarport
Sq Ft Other
Occupant Load
nla
I DEVELOPMENT INFORMATION I
Frontyard Setback
SIde I Setback
SIde 2 Setback
Rearyard Setback
Solar Setbacks
OverldY DlSt
# Street Trees Rqd
Paved DrIve Rqd
% of Lot Coverage
REQUIRED PARKING
Total
HandIcapped
Compact
Street Improvements
I PUBLIC IMPROVEMENTS I
_ TTENTION Oregon law requires you to
follow IWlllw4lHO\'ltpei by the Oregon Utlll1y
NotlflcaHon Centet\; ,Jhose rules are set forth
In OAR s'8~Bffi~Bujtl~~'mugh OAR 952-001.
0090 You mey obtain copies of the rules by
calling the center, (Note the telephone
number for the Oregon Utility Notlflcalion
I"':ontor Ie 1-A{)n_'=I:~?*?~.d..d.\
Storm Sewer AVdllahle
Special InstructIOn
, (
,~' i'r.i1rVlIT SHALl EXPI
-' ''- '-iIZEO llMI1i:D "rll'~ RE_'F THE WORj<
, '"II',VGED OR IS - ,J ~;0 IJ0,
! ( 180 DAY PERIODABANqC>>.!R'illftlcm Descriotion I
S Per Sq Ft Square Footdge
or multIplier or BId Amount
Notes
DeSCriptIOn
TYJle of Construcllon
Value
Date Calculated
Pa~e I of 2
CITY OF ~rKll'lt:rJ.<lI',LD
Status
Issued
Building/Combination Permit
PERMIT NO' COM2007-01848
ISSUED 12/13/2007
APPLIED: 12/13/2007
EXPIRES' 06/13/2008
VALUE:
225 FIfth Street, Sprmgfield, OR
54]-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
Total Value of ProJect
Fees Paid I
Fee DescriptIOn
-MechaDlcal Issuance Fee-
+ 10% AdmmlStratlve Fee
+ 5% Technology Fee
+ 8% State Surcharge
Air Handhng UDlt Up to 10,000
Heat Pump
MIDlmumlAdJustment MechaDlcal
Amouut Paid
Date PaId
ReceIpt Number
S20 00
$500
$250
$400
$900
$1400
$2700
12/13/07
12/13107
12113107
12113/07
12/13/07
12/13/07
12/13/07
3200700000000000806
3200700000000000806
3200700000000000806
3200700000000000806
3200700000000000806
3200700000000000806
3200700000000000806
Total Amount Pdld
$8150
I Plan ReViews ,
To Request an mspectlOn call the 24 hour recordmg at 726-3769, All inspections requested before 7 00
a,m Will be made the same workmg day, inspectIOns requested after 7:00 a,m. Will be made the followmg
work day.
I, RellUlred InsnectJOnsl
Rough MechaDlcal PrIor to Cover
Fmdl MechaDlcal When all mechaDlcal work IS complete
By SIgnature, I state and agree, that I hdve carefully exammed the completed apphcatlOn and do hereby cerllfy that all
mformatlOn hereon IS true and corrcct, and] further cerllfy that any and dll work performed shall be done 10 accordance WIth
the Ordmances of the City of SprIngfield and the Laws of the Stdte ot Oregon pertammg to the work descrIbed herem, and
that NO OCCUPANCY will be made of any structure Without permisSIon of the CommuDlty ServIces DIVISIOn, BUlldmg Safety
I further certify that only contractors and employees who are 10 comphance With ORS 701 005 will be used on thiS proJect
I further agree to ensure that dll required mspectlOns 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 remam On the SIte at all
tImes durmg constructlOlI
Owner or Contractors Signature
Date
Pa~e 2 of2
I
Total I
I
I
I
I
I
I
I
$14001
$9001
I
I
I
I
I
I
I
I
I
I
I
I
I
I
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Sub'o!d1 I $23 00 I
Minimum fee used Instead of Subtotal $5000 I
Statt Surchclrgl. (8% ot permit fee) I $400 I
City OfSpnngfield tees * I $27)0 I
TOTAL PLRMIT F~E $8150 I
... City at Spllngfield 10% Local Admm Ft.l )% Local lechnology ree
j:W--'-.lOc
COM ;:)rrn '7 ~ 0 \ 'i( 4?<
RCPT# ?,2(SlJt - gc{i;J
U7
An
This Authorization To Begrn Work must be posted at the Job site unlil re la~ a Permit
City of Sprmgfield
Mechamcal AuthorizatIOn To Begm Work
E-malled To mschlllmg@automatlcheatco com
Receipt # EC522475
12/13/2007 9 35 40 AM
Check on status of permIt
By Phone (541)726-3753 or Emad permltcenter@cl sprmgfield or us
TYPE OF WORK
II
II DeSCription
! Hedtmg:(cooh~g .Ipplmllces
I I Furnace up to 100000 B I U
J I Furnacl above 100,000 BTU
I Electm. FurnaLc
I
I
I
I
Ea
FEE SCHEDULE
Q"
I D New constructIOn
lliJ AddItion/alteratIon/replacement
CATEGORY OF CONSTRUCTION
I [X] 1 or 2 family dwethng D Multl-fanuly 0 Accessory BUlldmg
JOB SITE INFORMATION-AND~OCATION
I Job no I Job address 2076 7TI I ST
IClly/StalelZlP 'PRINGFI~LD OR 97477-2313
I SUltc/bldg lapt 110
I Project name MIller
Duct alterations and addItIOns
Gas heater Unlts!lI1-wall tn-
dUl,.t suspended etl,.!
I Vent, flue, lmt.r for above
I AIr Conditioner
I Heat Pump
I Air Handler
I Other fuel burlllng apphanc~s
I Water heater
I Ga~ fireplace/lnserUstove
I Gas logllog lIghter
I Gas clothes dryer
I Gas stove/range
i Pool or spa heater kiln
i Wood/pellet stovehnsert
i Wood fireplace
I Chlmney/lmcrlfluc/vcnt ...../0
appliance
I EnvlronmentJI exhdu~t AND vlutlldtlOll
I Range hood I
I Clothes dryer exhdust
I Smgle~du("t exhaust (bathrooms
wlllt lOmpartments, utility
rooms)
I Attic/crawlspace tans
t Fuel plpmg
I upto first 4 outlets(cnter Qty=l)
I I each addItIOnal outlt.t
I I MECHANICAL PERMIT FEES
II
II
I
I
I
$1400
$900
Cro~~ street/dlrlctlOns to Job site
SubdiVISIOn
ITdx map/parcel no
I
I Lot no
1703261301213
DESCRIPTION (IF WORK
Install heat pump system
SITE CONTACT
Name Fran MIller
Phone (541) 741.1302
I Fax
Emall
CONTRACTOR
ICCB lie no 149452
I Busmess Name LUGENE HEATING & COOLING COMPANY
I Contact Mll..hacl Sl,.h,lllllg
Address 1650 NE LOMBARD ST
Clty!StaterLlP PORTLAND OR 972 I I
Phooe (541)7267654
I Fax (541)7267657
Emall mschllllng@automdllcht.atco wm
Metro he no
I City he 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
D
225 Fifth Street
Sprmgfield, Oregon 97477
541-726-3759 Phone
City of Sprmgfield Official Receipt
Development Services Department
Pubhc Works Department
Job/Journal Number
COM2007 -01848
COM2007-0 1848
COM2007-01848
COM2007-01848
COM2007-0 1848
COM2007.01848
COM2007-0 1848
Payments
Type of Payment
ONLINE CHGS
cRecelOtl
RECEIPT #,
3200700000000000806
Date: 12/13/2007
Descnptlon
AIr Handltng Umt Up to 10,000
Heat Pump
Mlmmuml Adjustment Mechamcal
-Mechamcallssuance Fee-
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Admmlstratlve Fee
Paid By
ONLINE PERMIT CHGS
Item Total
<":heck Number Authorl7atlon
Received By Batch Number Number How Received
NJM
ONLINE EUGENE Onlme
Payment Total
Page I of I
10 10 20AM
Amount Due
900
1400
2700
2000
250
400
500
$8150
Amount Paid
$8150
$8150
1211312007