HomeMy WebLinkAboutPermit Mechanical 2007-1-8
Status
Iss u ed
Off 5)D76q6
CIty OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2007-00036
ISSUED 01/08/2007
APPLIED. 01/08/2007
EXPIRES: 07/08/2007
VALUE:
225 Fifth Street, Spnngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
SITE ADDRESS 2643 CENTENNIAL BLVD
ASSESSOR'S PARCEL NO 1703254400505
Sprmgfield TYPE OF WORK Mechamcal Only
TYPE OF USE AlteratIOn ReSidentIal
PROJECT DESCRIPTION lnstall new gas furnace and aIr condltlOmng system Gas plpmg to the furnace and gas
range
Owner
Address
W ALSER DAVID M & DONNA J
86313 FRANKLIN BLVD
EUGENE OR 97405
I CONTRACTOR INFORMA TION ,
Contractor Type
Mechamcal
Contractor License
BEYMER HEATING & SHEET METAL CO 4483
BUILDING INFORMATION ~
ExpiratIOn Date
ll/I4/2008
Phone
54 I -688-5004
# ofUmts
Pnmary Occupancy Group
Secondary Occupancy Group
Pnmal y ConstructIOn Type
Secondary ConstructIOn Type
# of Bedrooms
# of Stones
HeIght of Structure
Type of Heat
Water Type
Range Type
Energy Path
Spnnkled Buddmg
Lot SIZe
Sq Ft I st Floor
Sq Ft 2nd Floor
Sq Ft Basement
Sq Ft Garage/Carport
Sq Ft Other
Occupant Load
n/a
I DEVELOPMENTlNFORMATION ,
REQUIRED PARKING
Frontyard Setback
SIde I Setback
SIde 2 Setback
Rearyard Setback
Solar Setbacks
Overlay DlSt
# Street Trees Rqd
Paved Dnve Rqd
% 01 Lot Coverage
Total
HandIcapped
Compact
I PUBLIC IMPROVEMENTS I
Street Improvemeuts
Storm Sewer Available
Special InstructIOn
SIdewalk Type
DownspoutslDrams
Notes
I ValuatIOn Description, I
DeSCriptIOn
Type 01 ConstructIOn
$ Per Sq Ft
or multIplier
Square Footage
or B.d Amount
Value
Date Calculated
Page I of2
Status
Iss u ed
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO. COM2007-00036
ISSUED 01/08/2007
APPLIED. 01/0812007
EXPIRES: 07/08/2007
VALUE:
225 FIfth Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspectlOn Lme
Total Value of ProJect
Fees PH"I I
Fee DescnptlOn
-MechaDlcal Issuance Fee-
+ 10% AdmmlStratlve Fee
+ 5% Technology Fee
+ 8% State Surcharge
Appliance Not LISted
Boller/Comp Up To 100,000 btu
Furnace - up to 100,000 btu
Gas Outlets 1-4
Amount PaId
Date PaId
Receipt Number
$1000
$460
$230
$368
$1800
$1200
$1200
$400
1/8/07
1/8/07
1/8/07
1/8/07
1/8/07
1/8/07
1/8/07
1/8/07
1200700000000000017
1200700000000000017
1200700000000000017
1200700000000000017
1200700000000000017
1200700000000000017
1200700000000000017
1200700000000000017
Total Amount PaId
$66 58
I Plan RevIews ,
To Request an inspectIon call the 24 hour recording at 726-3769 All inspectIOn requested before 7:00 a.m
will be made the same working day, inspectIons requested after 7.00 a.m. WIll be made the following work
day.
I Relluired Insn~ct!Il~,~J
By SIgnature, I state and agree, that I have carefully exammed the completed applicatIOn and do hereby certIfy that all
mformahon bereon IS true and correct, and I further certIfy that any and all work performed shall be done m accordance With
the Ordmances of the CIty of Spnngfield and the Laws of the State of Oregon pertammg to the work descnbed herem, and
that NO OCCUPANCY will be made of any structure WIthout permISSIon of the CommuDlty ServIces DIVIsIOn, BUlldmg Safety
1 further cerhfy that only contractors and employees who are m compliance WIth ORS 701 005 will be used on thIS project
I further agree to ensure tbat all reqUIred mspectlOns are requested at the proper hme, that each address IS readable from the
street, that the permIt card IS located at the front of the property, and the approved set of plans will remam on the SIte at all
times dunng constructIOn
Owner or Contractors Signature
Date
Paee 2 of 2
CIty of Spnngfield
lechamcal AuthorizatIOn To Begm Wo
E~matled To beymerheatmg@qwcst net
ReceIpt # EC507595
1/812007 9 22 16 AM
Check on status of permit
Contact bltp Ilwww cLSprmgfield or us/dsdlBulldmglmdex btm
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I DescnptlOn
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, sl"iE CONTACT ^
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~EESCHEOy~","".'j"'~~" ---1..i.f;'<':~ ., ~1
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[HeatmoJcoo1tng' appirairCeS~-Gr' ;;'"';t,,'!'y"......'~~,1' r!,:'t,1~ v~'>.f,.';), ~:, ....,f; ~~ '\;L I
jp ~/"ff( _~,~ ",,_-,,~ ~,;.~J.i-,,\L,)"''<K'''..~-$i~:.\,-.t'''.-,,''~I'. ~",," _,"
I Furnace- up to 100,000 BTU 11 $12 001 $12 00 I
I Furn"" above 100.000 BTU I I I
I EIe...tncFumace !not offered onlme at thiS JunSdll.l.l.On I
I Duct alterations and addItIons $900 $9001
I Gas healer umts! m-....all., tn- I
duct suspended. etd
I Vent, flue, liner for above I
I AIr ConddlOner $1200 $1200 I
1 Heal Pwnp I I
I Air Handler not offered onhne at thts Jumdlcbon I
'Oth -I Jb In'''~_. pi ~ - ~F"'~'Vk"'- "-1~';. r,,,,:,M:,,l,~ ~ ~r"~"i(i I
I- e!~ ue urn, g:ap l~~~1.,S:~'~1..~~tl",,1Q l.J~."f"~.:.::r.~~K~,,';~~~~~* 1
I Water heater
I Ga'I fU'eplace!trulertlstove
I Gu log/ log hgb....
I G~ dothes dryer
I Gas stovelrange
I Pool or spa heater k1ln
I Wood/pellet "ltovelmsert
I Wood fireplace
?h: !)~~C~ \K .. 1 I ChlmneyllmerJf1udvent wlo
I apohance
I ~ ErmroBh!f.!l!t-al e:th~t ~J) ve.si"l~tlOn~ -: I) -~ A~
I 11Umg' hood
1 Clothes r1r>.'er exhal1!lt
l}.i! ....]
I SmgJe-duct exhal1!lt (bathrooms,
totlet compartments ubhty
rooms)
I Atlic/crawlspace fans
I ~,Qel lupmg, ~ \ \ ~,
I upto first 4 outlets(enter Qtv=l)
I I each addlbonal outlet
I I ~
II
11
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I
.. Cltv Of Spnngfield
SlO Issuance Fee
I
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Tot.tl
10 New construcbon IKJ AdditIon/alteratIon/replacement
I~-: /;1'" e^' ,,-(-" ~'-~\ ~'~_ ~"CATEGORY OF CpNSTRUCTlON ,k_,,:; ;;,
I [K] lor 2 falmly dwelling 0 Mulb-famtly tJ Accessory Butldmg
f '<" , ~,g:~ ^ ,APB SITE-INFORMA1)ONf\NDLOCATlOtf, -
IJobno IJobaddress 2643 CENTENNIAL BLVD
I CltvlStatefZIP SPRINGFIELD~ OR"-gJ-47;:4365
I SUlte/bJdg /apt no.
jProJect name Donna Walser
Cross !iitrcctldlredlons to Job site
I Name Forrest Beymer
!Phone (541) 688.5004
IEm..1
I Fax (541) 688-0954
"
I
1
1
1
$9001
1
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I SubdivIsion
I Tax map/parcel no
ILot no
1703254400505
?~~ '\-r, - ~'}p~?i' 4~!';:~ ,,1'{ DeS9RtpnO~ oF" WORK ,~~~~~~~~t., ~~ ~,~:'t~~f$r~~~+-sl
Install new gall furnace and all" cond1t1onmg system Gas plprng to the furnace and gas range
$900
I ,,' ,
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^ 'CONTRACTOR" _ -,"'(
<~~ ~ -:, '
I CCO he no 4483
I BUSIDl'5s Name BrYMER HEATING & SHEE r l'vffiTAL CO
I Contact
IAdd'''' 300 RIVER RD
IC,ty/St.lte1ZIP EUGENE, OR 974043279
!Phone 5416885004
I Em.ul b~mcrheatmg@qwest net
I Metro heno
~'~"'':'''''~0..;1- i~""'~-:""~""'I
'-"', ", "C, .f"~ ~_ ::-~"~"~.1"'__""-;;\ '-I,
I Fu 5416880954
$400]
MECHANICA~ PERMIT FEES'>- :i /';;:~
II
$4001
1
~- ~
'>"':">'" i
ICltyhcno
~ubtot.al S46 00 I
MlnllT1UJh Fee 54500 I
State Surcharne (8% ofDemut fee) S3 68 I
CIty Ot Se~f!tield fees " 51690 I
T01AL PER..\1IT FEE S6658 I
IO'J-o Local \dmm Fee 50'0 I oc.al TeUmology Fee,
Upon reView and approval by your local JUriSdiction, your
permit Will be e.malled or faxed Wlthm one bUSiness day,
With Instructions on how to schedule your inspection
NOTE This AuthOrization To Begin Work expires Wlthm 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
((J)Yl ;;)ClJi - CD03h
~pf-:Jh IJo07/ rl
~tvl lie /0/
ThiS Authonzalion To Begin Work must be posted at the Job site until replaced by a Permit
225 Fifth Street
Sprmgfield, Oregon 97477
541-726-3759 Phone
~~
Job/Journal Number
COM2007-00036
COM2007-00036
COM2007-00036
COM2007-00036
COM2007-00036
COM2007-00036
COM2007-00036
COM2007-00036
Payments
Type of Payment
ONLINE CHGS
cRecemtl
RECEIPT #:
C...., of Sprmgfield OfficIal ReceIpt
elopment ServIces Department
Pubhc Works Department
1200700000000000017
Date. 01/08/2007
Description
Furnace - up to 100,000 btu
BOller/Comp Up To 100,000 btu
Gas Outlets 1-4
Appltance Not Listed
-Mechamcallssuance Fee-
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% AdminIstratIve Fee
Item Total
(;heck Number AuthOrizatIOn
Received By Batch Number Number How Received
PaId By
ONLINE PERMIT CHGS
ddk
Page 1 of1
ONLINE Beymer Online
Heating and
Sheel Metal
Payment Total
1006 16AM
Amount Due
1200
1200
400
1800
1000
230
368
460
$66 58
Amount Paid
$66 58
$66 58
1/8/2007