HomeMy WebLinkAboutPermit Mechanical 2008-1-11
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO. COM2008-00049
ISSUED: 01111/2008
APPLIED. 01111/2008
EXPIRES. 07/11/2008
VALUE:
225 FIfth Street, Sprmgfield, OR
54]-726-3753 Phone
54]-726-3676 Fax
54]-726-3769 InspectIOn Lme
SITE ADDRESS 585 S 67TH PL
ASSESSOR'S PARCEL NO ]802031106903
Sprmgfield TYPE OF WORK Heatmg System
TYPE OF USE
AlteratIOn
Resldenllal
PROJECT DESCRIPTION' Replace heat pump and aIr handler
Owner CROXEN WILLIAM T & SABRINA J
Address 585 S 67TH PL
SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION I
Contractor Type
Mechamcal
Contractor License
ASSOCIATED HEATING & A]R CONDITIO ]06275
BUILDING INFORMATION I
EXPiration Date
08/31/2008
Phone
54]-683-2590
# ofUmts
Pnmary Occupancy Group
Secondary Occupancy Group
Pnmary ConstructIOn Type
Secondary ConstructIOn Type
# of Bedrooms
# of Stones
Height of Structure
Type of Heat
Water Type
Range Type
Energy Path
Spnnkled Bmldmg
Lnt S,ze
Sq Ft I.t Floor
Sq Ft 2nd Floor
Sq Ft Basement
Sq Ft GaragelCarpOl t
Sq Ft Other
Occupant Load
nla
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Frontyard Setback
SIde] Setback
S,de 2 Setb.ck
Rearyard Setback
Solar Setbacks
Overlay Dlst
# Street Trees Rqd
Paved Dnve Rqd.
% of Lot Coverage
Total
HandIcapped
Compact
I PUBLIC IMPROVEMENTS I
Street Improvements
SIdewalk Type
Storm Sewer AvaIlable
SpeCIal Instrucllon
DownspoutslDralns
ATTENTION Oregon law reqUires you to
follow rules adopted by the Oregon Utility
Notes NOTICE' Notification Center Those rules are set forth
. In OAR 952-001-0010 throuch OAR 952-001-
.~"..."
THIS Pl:KMII :SHALL tM'lt\t Ir . , 090 You may obtain copies ollhe rules by
AUTHORIZED UNDER THIS PERM I ~lOn DescnotlOn t calling the center (Note the telephone
COMMENCED OR IS ABANDONED ~UK number for the Oregon Utility Notification
D "''''''180 rm.v.nl"flt()"'-t t $ Per Sq Ft Square Footage Center 15_11-800-332-2344). C
escn.,.""" un....-lVIlW.... ruc IOn It I B d A Va ue Date alculated
or mu Ip ler or I mount
Paee ] 01 2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO. COM2008-00049
ISSUED' 01111/2008
APPLIED. 0111112008
EXPIRES: 07/1112008
VALUE'
225 FIfth Street, Sprmgtield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
Total Value of Project
~ Fees Paul'
Fee DescriptIOn Amount PaId Date PaId ReceIpt Number
-Mechamcallssuance Fee- $20 00 1/11/08 2200800000000000038
+ 10% Admmlstratlve Fee $500 1/11108 2200800000000000039
+ 12% State Surcharge $600 1/11/08 2200800000000000039
+ 5% Technology Fee $250 1/11108 2200800000000000039
AIr Handlmg Umt Up to 10,000 $900 1/11/08 2200800000000000038
Heat Pump $1400 1/11/08 2200800000000000038
Mlmmum/Adjustment Mechamcal $27 00 1/11108 2200800000000000038
Tolal Amount PaId $83 50
I Plan Reviews I
To Request an mspechon call the 24 hour recordmg at 726-3769. All inspections requested before 7 00
a.m. will be made the same workmg day, mspectlOns requested after 7:00 a.m. Will be made the followmg
work day
I Re(]U1red InsnectlOns I
Rough Mechamcal Prior to Cover
Fmal Mechamcal When all mechamcal work IS complete
By sIgnature, I state and agree, thdt I have carefully exammed the completed applicatIOn and do hereby certIfy that all
mformatlOn hereon IS true and correct, and 1 further cerllfy that any dnd all work performed shall be done m accordance WIth
the Ordmances of the CIty of Sprlngtield dnd the Laws of the State of Oregon pertammg to the work described herem, and
that NO OCCUPANCY WIll be made of any structure WIthout permIsSIon of the Commumty ServIces DIVISIOn, Bulldmg Safety
1 further cerllfy that only contractors and employees who are 10 compliance WIth ORS 701 005 will be used on tillS project
1 further agree to ensure that all reqUIred mspectlOns are requested at the proper lime, that each address IS readable from the
street, that the permIt card IS located at the fl ont of the property, and the approved set of plans will remam on the sIte at all
times dUring constructIOn
Owner or Contractors SIgnature
Date
Pa2e 20f2
City of Sprmgfield
Mechamcal AuthorIzatIOn To Begm Work
E.malled To assoclatedheatmg@gmall com
ReceIpt # YC523785
1/11/20082 54 09 PM
~
Check on status of permit
By Phone (541)726-3753 or Ema.1 perm.tcenter@clsprmgfieldorus
TYPE OF WORK
~I I
II Description
I H~a!lUg(coohng appliances
I I Furnace- up to 100,000 BTU
II Furnace - above] 00 000 B 1 U
I j Electric Furnace
I Duct alteratlOns and additIOns
Gas heater umb! In wall In
I duct susoended elel
I Vent flue lmer for above
I AIr CondItIOner
FEE SCHEDULE-
Qty
E.
_~CI
Total I
I
I
I
I
D New constructlOn
IKJ Addition/alteratIOn/replacement
CATEGORY OF CONSTRUCTION
/0 f or 2 famJJy dwellmg 0 Multi family D Accessory BUIlding
I JOB SITE INFORMATioN AND LOCATION
IJob no 3319A IJob addre~ 585 S 67TH PL
IClty/Statel7IP SPRINGFIFLD OR 97478-7383
I SUlte/bldg Idpt no
I ProJect nJmc
Cro!>s streeUdlrechons to Job site
Heat Pump
Air Handler
Other fuel burnmg appliances
Water heater
$1400
$900
$1400
$9001
1
I
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I
I
I
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I Subdl\ lSIon I Lot no
ITa, map/parrel no 180203] 106903
I DESCRIPTION OF WORK
Replace II/P & AlH
Gas fireplacehnsertlstove
Oas ]og! log I1ghter
SITE CONTACT
OdS Llolhes dryer
Gas stove/range
Pool or spa heater kiln
Wood/pellet stovehnsert
Wood fireplace
Chlmney/lmer/flue/vent w/o
appllance
lnvlronmental exhdust~D ventilatIOn
I
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I
I
I
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MECHANICAL PERMIT FEES I
Subtotal $2300 I
Minimum fee uSl.d Instead of Subtol1.] $5000 I
State Surcharge (]2% ofpermll fee) $600 I
City OfSpnngfield tees" $2750 I
r01AL PERMI r loll $8350
] 0% Local Admm Fee 5% local Techno]ogy Fee
I N'tme BlIl Croxen
!Phone (54]) 74]-5355 IF'lX
I Em.nl
I CONTRACTOR
I CCB he no 106275
I Busmess Ndme ASSOCIATED HEAlING & AIR CONDlTIONI
I Contact Brandy Forsman
IAddress PO BOX 4]2
! C1tv/Stdtt.rL:IP eUGENE, OR 97440
1 Phone (541 )6832590 I >ax (541 )6070287
I Emad assoclalcdheallng@gmall com
I Metro hr no I City he no
Range hood
Clothes dryerexhallsl
Single-duct exhaust (bathrooms
tOl]eteompartments Ulll1ty
rooms)
Attlc/crawlspace fans
Iouel plpmg
UplO first 4 out]ets(enter Qty=l)
each addItIOnal outlet
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
I
I
I
I
I
... CIty OfSpnngfie]d
$10 Issuance Fee
NOTE ThiS AuthOrization To Begm Work expires wlthm 180
days If a permit IS not obtamed
The local bUlldmg department may determine that an
AuthOrization To Begm 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
~~!!'I_~~~ .1
-'
~."i
225 Flft~ Street
Spf!Dgfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2008-00049
COM2008-00049
COM2008-00049
COM2008-00049
Payments
Type of Payment
ONLINE CHGS
LRecelOtl
City of Sprmgfield OffiC131 Receipt
Development Services Department
Public Works Department
RECEIPT #.
2200800000000000038
Date. 01111/2008
3 08 46PM
Description
Air Handlmg Unit Up to 10,000
Heat Pump
MIDlmum/AdJustment Mechanical
-MechanICal Issuance Fee-
Amount Due
900
1400
2700
2000
$70 00
Paid By
ONLINE peRMIT CHGS
Item Tot.1I
Check Number Authorl.latlOn
Received By Batch Number Number How Received
Amount Paid
DDK
ONLlNEASSOCIAT Onlme
ED
$7000
Payment Total
$70 00
Page I of 1
111112008
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2008.00049
COM2008.00049
COM2008.00049
Payments
Type of Payment
ONLINE CHGS
cRecernll
RECEIPT #:
DescriptIOn
+ 12% State Surcharge
+ 10% Admmlstrallve Fee
+ 5% Technology Fee
Paid By
ONLINE PERMIT CHGS
~~,
~..J '
City of Springfield OffiCial Receipt
Development Services Department
Public Works Department
2200800000000000039
Date. 0111112008
Item Total
Check Number AuthorlLatlOn
Received By Batch Number Number How Received
ddk
ONLINE
In Person
Payment Total
Page I of I
4330lPM
Amount Due
600
500
250
$1350
Amount Paid
$13 50
$1350
111112008