HomeMy WebLinkAboutPermit Mechanical 2008-1-2
._$_'N~'~
IrlL
CITY OF SPRINGFIELD'
Building/Combination Permit
Status
Issued
PERMIT NO
ISSUED'
APPLIED-
EXPIRES
VALUE
COM2008-00008
01/02/2008
01/02/2008
07/02/2008
225 FIlth Street, Spnngfield, OR
541.726.3753 Phone
541.726.3676 Fax
541.726.3769 InspectIOn Lme
SITE ADDRESS 1039 CENTENNIAL BLVD
ASSESSOR'S PARCEL NO 1703264413100
Spllngfield TYPE OF WORK Heatmg System
TYPE OF USE
New
ReSIdentIal
PROJECT DESCRIPTION Replace Gas Wall Furnace
Owner WOLFARD GLO E
Address 1039 CENTENNIAL BLVD
SPRINGFIELD OR 97477
Phone Numher 541.746.0672
I CONTRACTOR INFORMATION I
Contractor Type
Mechamcdl
Contractor
EVGENE HEATING & COOLING
License
149452
Expiration Date
10/22/2009
Phone
541.726.7654
BUILDING INFORMATION I
# of VOlts
Pnmary Occupaucy Group
Secondary Occupancy Croup
Pllmary ConstructIOn Type
Secondary ConstructIOn Type
# of Bedrooms
# of Stones
HeIght of Structu re
Type of Heat
Water Type
Range Type'
Energy Path
Sprmkled Bmldmg
Lot SIze
Sq Ft 1st Floor
Sq Ft 2nd Floor
Sq Ft Basement
Sq Ft Cd. age/Carport
Sq Ft Other
Occupant Load
n/a
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Overlay Dlst Total
# Street Trees Rqd HandIcapped
Paved Dnve Rqd Compact t
% of Lot Coverage AmNTlON Oregon law requires you 0
follow rules adopted by the Oregon Utility
I ' .~, -.-. ThMP" ,1".1' are set forth
I PUBLIC IMPROVEME~~'~~R-;i52.601.0010 through OAR 9tl1.UU~-
. r : "';. Ul '~Yo ay.qbtaln copies of the ru es Y
Street Improvements U~ ~1eCl!HfurY~~Jte the telephone
Storm s~J~~ f~f.l~]J, SHALL EXPIRE IF THE WORK ~:~I~~rDlfullispQlrsmJ:\W.~lIty NotifIcation
SpeCIal I~'it~~t1IOi?EU UNDER THIS PERMIT IS NOT Center IS 1.800~J~2.2344).
COi/liVlENCED OR IS ABANDONED FOR
Notes ANY 180 DAY PERIOD,
Frontyard Setbdck
SIde 1 Setback
S,de 2 Setback
Rearyard Setback
Sold' Setbacks
I ValuatIOn DescrmtlOn I
DeSCriptIOn
Tvpe of ConstructIon
$ Per Sq Ft
or multIpher
Square Footage
or B,d Amount
Value
Date Calculated
Paee 1 01 2
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO' COM2008-00008
ISSUED: 01/02/2008
APPLIED, 01/02/2008
EXPIRES' 07/02/2008
VALUE
225 Fifth Street, Sprwgfield, OR
541.726.3753 Phone
541.726-3676 Fax
541.726.3769 InspectIOn Lwe
Total Value of Project
Fees Palll I
Fee DeSCrIptIOn
-Mechamcal Issuance Fee-
+ 10% Admmlstrdt.ve Fee
+ 12% State Surcharge
+ 5% Technology Fee
Furnace. Umt Heater
Gas Outlets 1.4
Mlmmum/AdJustment Mechamcal
Amount Paid
Ddte PaId
Receipt Number
$20 00
$500
$600
$250
$1400
$500
$3100
1/2/08
1/2/08
1/2/08
1/2/08
1/2/08
1/2/08
1/2/08
3200800000000000001
3200800000000000001
3200800000000000001
3200800000000000001
3200800000000000001
3200800000000000001
3200800000000000001
Total Amount Paid
$83 50
l Plan ReVieWS I
To Request an inspectIOn call the 24 hour recordmg at 726-3769. All mspectIOns requested before 7_00
a.m. will be made the same workmg day, mspectIOns requested after 7:00 a.m. WIll be made the followmg
work day.
I Renuirerl InsuectlOns I
Rough Mechamcal PrIor to Cover
Fmal Mechamcal When all mechamcal work IS complete
Rough Gas After hne IS mstalled and reqUIred testmg and capped If 1I0t attached to an apphance
Fmal Gas When all gas work IS complete
By SIgnature, I state and agree, that I have carefully exammed the completed apphcalIon and do hereby celtlfy that all
mlormatlOn hereon IS true and correct, dnd I further cerlIly thd! dny and dll work performed shall be done m accordance WIth
the Ordmances of the CIty of SprIngfield and the Laws of the State of Oregon pertammg to the work descrIbed herem, and
that NO OCCUPANCY WIll be made of any structure Without permlsslOlI of the Commumty Services DIVISIOn, BuIldmg Safety
I fUlther cerlIfy that only contractors and employees who dre m comphdnce With ORS 701 005 wIll be used on thIS project
I further agree to ensure that all reqUired mspectlOns are requested at the proper lIme, that each address IS reddable from the
street, thdt the permit card IS located at the fl ont of the property, and the approved set of plans Will remam 011 the SIte at all
times dunng construction
Owner or Contrdctors Signature
Date
Paee 2 012
. .
CIty of Sprmgficld
MechaDlcal AuthorIzatIOn To Begm Work
E-malled To mschlllmg@automatlcheatco com
ReceIpt # EC523181
1/2/2008 7 44 43 AM
~~
a:
Check on status of permit
By Phone (541)726.3753 or Emall perm.tcenter@clsprmgfieJdorus
[Xl 1 or 2 family d\\el1mg
o Multi famIly
o Accessory BUlldmg
H
II DC!lLrlptlon
I Hcatmg/coohng appliances
1 I Furnace up to ] 00 000 BTU
II furnace above 100000 BTU
II ElectrIc Fum'lce
I I Duct alterallons and addltlOm
1 Gas h(.atL-r units! In wall In
I duct suspended, cte!
I I Vent nut- lmer for above
I I AIr ConditIOner
I Heat Pump
I Air Handler
l Othu fucl burnmg apphulIces
Wakrheater
FEE SCHEDULE
J 0 New constructIOn
o AddItIon/alteratIon/replacement
Qfv
I
Ell Total I
I
I
I
I
I
$]400 $]4001
I
I
TYPE OF WORK
CATEGORY OF CONSTRUCTION
JOB SITE INFORMATION AND LOCATION' ~
I 'obno IJob.tddru,s 1039 CENTENNIAL BLVD
IOfy/StatcJLlP SPRINGFIELD OR 97477 3251
I SUltelbldg fapt no
I Project name Wolfard
CroS'i street/dlrectlOm. to Job site
I SubdivIsion II ot no
I Tax map/parcel no 1703264413100
I DESCRIPTION OF WORK
Replace gas wall furna<..e
Gas fireplacehnsutlstovc
Gas log/ log lighter
Ga... dothesdryer
Gas ~tove/range
I Name Glo Wolfard
I Phone (541) 746 0672
I Emllll
I Fax
I
I
I
I Range hood
Clothes dryer exhaust
'[ Smgle-duc! exhaust (bdthrooms
I toIlet compartments unlity
I rooms)
I AttlcJcrawlspacefans
I I Fuel plpmg
I I upto first 4 outlets(enter Q1)=I)
I I each additional outlet
I I MECHANICAL PERMIT FEES
II
II
I
I
I
'" Citv Of Sprmgfield
$10 Issuance Fee
Pool or spa heater kIln
Wood/pellet sto\e/lnsert
Wood fireplace
Chlmney/llnerlf1ue/vem \\/0
appliance
EnVironmental exhaustMD ventilation
SITE CONTACT
CONTRACTOR
I ceo 11<.. no 149452
IOUSlnlS.'I Name LUGCNC HCATING &. COOLING COMPANY
I Contact Michael Schillmg
IAddress 1650 NI::. LOMBARD ST
IOty/StateJL.IP PORTLAND OR 97211
I Phone (541 )7267654 I Fax (541 )7267657
Ilmall m~chllllng@autornatlcheatco <..om
I Mefro he no IClty he no
Upon review and approval by your local jUrisdiction, your
permit will be e mailed or faxed wlthm one busmess day,
with instructions on how to schedule your mspectlOn
Subtotal $1400
MmlnlUm fee used Instedd of Subtotdl $5000 I
State Surcharge (12% ofpenmt fee) $600
City OfSprmgfield fees'" $2750 I
TOTAL PERMIT H,ll $8350 I
10% Local Admm Fee 5% Local Technology Fee
NOTE This Authorization To Begm Work expires wlthm 180
days If a permit Is not obtamed
The local bUlldmg department may determme that an
Authorization To Begm Work IS null and VOId If It does not
meet applicable land use laws and local ordinances
RCPT#'
DATE PROCESSED' 1,-' /1 () K
N<OCESSED B~(J'l '^'-
This Authorization To Begin Work must be posted at the Job site unl1l r 'PlaCe~y a Permit
COM'~\iOr~ 0000 ~
2;2 cr-V ~ - I
225 Flftlr Street
Sprmgfield, Oregon 97477
541-726-3759 Phone
;~
~o
Job/Journal Number
COM2008.00008
COM2008.00008
COM2008000008
COM2008.00008
COM2008.00008
COM2008.00008
COM2008-00008
Payments
Type of Payment
ONLINE CHGS
cRecemtl
RECEIPT #:
3200800000000000001
Description
Gas Outlets 1-4
Furnace - Unit Heater
MInimum/AdJustment Mechamcal
-Mechanical Issuance Fee~
+ 12% State Surcharge
+ 5% Technology Fee
+ 10% AdmInIstrative Fee
City of Sprmgfield OffiCial ReceIpt
Development ServIces Department
PublIc Works Department
Date' 01/02/2008
Item Total
Check Number AuthorizatIOn
Received By Batch Number Number How Received
PaId By
ONLINE PERMIT CHGS
NJM
Page 1 of 1
ONLINE EUGENE OnlIne
HEA T1NG
Payment Total
917 OIAM
Amount Due
500
1400
3100
2000
600
250
500
$83 50
Amount Paid
$83 50
$83 50-
,..
/-
1/2/2008