The URL can be used to link to this page

Home My WebLink AboutPermit Mechanical 2007-1-8 . 0fJ!-507575 . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-00035 ISSUED: 01108/2007 APPLIED: 01108/2007 EXPIRES: 07/08/2007 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3530 GAME FARM RD SPACE 14 ASSESSOR'S PARCEL NO.: 1703154003100 Springfield TYPE OF WORK: Mechanical Only TYPE OF USE: Repair Residential PROJECT DESCRIPTION: Replace Furnace. Owner: Address: PATRICIAN HOMES LLC 15500 STRONG RD DALLAS OR 97338 \ I CONTRACTOR INFORMATION I Contractor Type Mechanical Contractor License ASSOCIATED HEATING & AIR CONDITIO 106275 I BUILDING INFORMATION' Expiration Date 08/31/2008 Phone 541-683-2590 # 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 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMENT INFORMATION I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS' Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: DownspoutslDrains: Notes: I Valuation Descriotion I Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee 1 of 2 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-00035 ISSUED: 01/08/2007 APPLIED: 01/08/2007 EXPIRES: 07/08/2007 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees Pll\lU $10.00 $4.50 $2.25 $3.60 $12.00 $33.00 1/8/07 1/8/07 1/8/07 1/8/07 1/8/07 1/8/07 Receipt Number 2200700000000000029 2200700000000000029 2200700000000000029 2200700000000000029 2200700000000000029 2200700000000000029 Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Furnace - up to 100,000 btu Minimum/Adjustment Mechanical Amount Paid Date Paid Total Amount Paid $65.35 I Plan Reviews I 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 Rellllired I~ Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. By signature, 1 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 ensure 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 Pa!!e 2 of 2 .ed1aniCal Authorization To Begin w. E-maUed 1b: brandy@associatedhealiDg.com " GtyofSpringfleld ~ Receipt # EC507575 1IS12007 3:26:04 PM Check on status of permit: Contact: bltp:/lwww.cLspringflCld.or.usldsdlBuildinglindeLbtm I. <1, N::,~J-:,~~::,d.~~, :."~~~.:.9F~.w~,ffls'.f;~;:~:'i'i ~;,~ ~:~:t~;~;!i!:(;;:;~~'~ ,'".:,f I 0 New constIUction ~ Additionla1terationltq)Laccmc:nt ~~'~r f'~~qJ?"-"~-<;ATEGO~~~;~O~TRUc..~N7:~f~S")>,~-~~ fr-rf'~~ IlKJ lor 2 family dwelling 0 Multi-family 0 Accessory Building I JOB S1TE.II>IFORIIlAl1ONAND LClCAnON IJob DD.: IJob oddress: 3530 GAME FARM RD I CitylStatelZlP: SPRINGFIELD, OR 97477-600< I Suitelbldg./aplno.: SPC 14 I Project name: Cross street/directions to job site: I Subdivision: ITn maplparttl no.: ILo'Do,: 1703154003100 DESCRIP110NOF WORK: Replace furnace I SITE CONllICT I Name: Bnmdy Forsman IpboDO' (541)683-2590 IF.., I Em.II: brandy@as!l'lV'illt~eatins.com 1 CONlRACTOR ICCBIlc.Do., 106275 I Busincss Name: ASSOCIATED HEATING & AIR CONDITION! I Contact: Brandy FOllman IAdd....., POBOX412 I CitylStatelZIP: EUGENE, OR 97440 IpboDO' 5416832590 IF..: 5416070287 I Email: brandY@asa:ocL..:.:._...:...-8.com I Metro lie no.: ICity lie: no.: Upon review and approval by your local jurisdiction, your permit will be &-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 bulkJing 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. /"",,'1:1'< ,.....,j,} ;,......~"1'-.. . e <,....o_..~ .""".,' ~"t'\"II..t!~i-' .,t:.';. ~';>~I ;e:;;;_c:"~"",:::.F;E~ TH';Y.;;~~~';.'&;';;I""'~J"'~ [~~ji~l,:~J~~~,~~ _;..~';~~~:~"f;~~'~";J.:~~,~;J 1 Fom=- up to 100.000 BTU II $12'001' $12.001 I Furnace - above 100,000 BTU J I Electric FID1UlCC notoircred online at thisjurisclictioo l I Duct altcntioD5 and addition. J I Gas beater nniW in-wall, in- I duct susocndcd. cW I Vent, floc. liner for above I I AU Conditioner 1 I Heat Pump 1 I AU Hmdle< . Dot off=d onIinc at tbia juri><lic1ion 1 : ~a:::::DrD;D8 ~ppfiaD... I I a.. fucplacorms..v,lDve 1 I a.. logIlOS lighter 1 I a.. clotbca dryc>- I I G.. .lDvei<",sc I I Pool or 'po boatcr.lcilo I I Wood/poll" .lDvaina... I I Wood fD'Cplacc I I L~eyllincrlfludvcnt wfo apeliancc , LED~nme'nt.1 exbaitSt,AND ventililt!~,<" .,', ' , ,,)", ," "I I Rm8ebood 1 I Clotbca dryc>- cxba..t 1 I Singl<Hluct cxbaoat (bathrooms. I toilet compartmmtl. utility rooms) I AtticI.' . crawlspace fans .,1 I Fuel plpiog . l_fint4outlcta(cotcrQty;I) I I I cacb odditiooal ootlct l I i ., . .. ,j r,lECH,'NICAI: PERs~::;:~S .. "., . $1~:oOl I Minimum Fcc $45.00 I I State SurcbarRc (8% ofpcnn.it fcc) $3.60 J 1 cit!OrS~_cidf"'" $16.751 I TOTAL PERMIT FEE. $65.35 I . City Of Springfield 100" Local Admin Fee; S% Local Technology Fcc; $10 Issuance Fcc 00035 toML{)lYl ;' 1./ ~- Z-6\J' ;)?.{J( I Zi This Authorization To Begin Work must be posted at the job site until replaced by a Permit. 225 Fifth Street Springfield, Oregon 97477 .. 541-726-3759 Phone Job/Journal Number COM2007-00035 COM2007-00035 COM2007-00035 COM2007-00035 COM2007-00035 COM2007-00035 Payments: Type of Payment ONLINE CHGS cReceintl RECEIPT #: . 8!"'ii=ii~-Q.F.'.m.o.--.... .' .... Mt' . , , , - , . . , --'- ,.. - ..".,.......~.." ,~, --. <;ii& of Springfield Official Receipt .elopment Services Department Public Works Department 2200700000000000029 Date: 01/08/2007 Description Furnace - up to 100,000 btu Minimum/Adjustment Mechanical -Mechanical Issuance Fee- + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By ONLINE PERMIT CHGS Item Total: t::heck Number Authorization Received By Batch Number Number How Received ddk ONLINE Associated Online Heating & Air Conditioning Payment Total: Page I of1 9:04:49AM Amount Due 12,00 33,00 10,00 2.25 3.60 4,50 $65.35 Amount Paid $65,35 $65.35 1/8/2007 " <: "', ..' CITY OF SPRlNGFIELD, OREGON SPR'.LD ZON L..:t:>?- ~ ~ INITIALS NM _ . ~. DATElmQ~' 'lliV' SOURCE I t-YJ / Z. - If.{ -0 b 225 FIFTH STREET. SPRINGFIELI>. OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number r r>,,(A l'.c:> 0" - 0 / b 0 )-- Date COMPLETE FEE SCHEDULE BELOW 1. LOCATION OF lNSW;~_~~Of')h _..1 3. ?J'5"'"::>, () q ~ r~TV\. K/i... '::it. q I LEGAL DESCRJPTION: A. \707/,>'iO O?/O~ 2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders -Installation. Alterations or Relocation: Electrical Contractor If\v t1e(h\~c((l~'l~cl ~ 200 Amps or less $ 63,00 rJ'\ J 201 Am~s to 400 Amps $ 75,00 Address ~?ll(.. L e~ l hQ 401 A~~&t0600Amps $125,00 f'..-'~ 0: . el;\\lIIOBNN\W\tlf 1000 Amps $163,00 City'-...!'5 Q'~ Phone 7.;zq-1.9,S4.'~1 Ole~a~~~~o'\WpsNolts $375.00 ( . ,.~\\u\".Vlv~db'it"e ~eslb.~Cbfi&1c~IY $50,00 \ ~~::t~dO? l"Osel\.l Op..~9'52 Sb) Supervisor License Numb~ ~I ' ~!~"}\~~.n\"IO\.l~"Cu\\TemPlll1.~-services or Feed~rs ~\\\G 5'2..-00' -v~ ait\ CO?\~S A \0le?~OI\ l\ Expiration Date () J (f)~ 9_., <1\a~ O~~. I~O\e.;~\~t@/!&~~~lIeration or Relocation ~.S:~,(&cel'o{egOl\ U ~'2.. 229M.~ps or less Constr. Contr, Number ~~~:l>::'I' .sOO-?''?> -201 Amps to 400 Amps #' n\.ll'l ~'cel\\el 'J ' 401 Amps to 600 Amps Expiration Date L f'J 7' . Over 600 Amps or 1(j00 Volts see :'B': above.. ~&:J)rDO D'~~;:;~;~;~~~~;::iO~ ~~~~n~1 . -~~3.00-'-.' .\'tl-. t.'/..?I'lilidlI-AlIa~i~r,a\o.~r;::uit or with --;5;/1 Lo ",91 tIIl\ S\\fl.ll \\\S"l',\!~A}'Fee~r Permit $ 3.00 Owners Name .. v<,\\\t'l'I'\\ "W:Yi:'\\\ nf\~t.\J.fQ--_._~_._.u__..__._-_.... Address ::? J -"] 0 G'.~C;:f"l'l~q~~~~ ,,'d:,~S fl.tffi~.'l\ti~cella~_eous (~n;~e1feeder -"ot included) .:::Each Ins~all...tion , City S ?~b Phon'tOtlltll~~~(C~~ ?t.\\\OO. Pump or irrigation $ 50.00 fI.~'( \ 0 Sign/Outline Lighting $ 50.00 Limited EnergylResidential $ 25,00 Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee is 545.00 + Surcharges 4'lSUBTOTM.(JFABOVE.'~- '.- ~--i SO 8% State Surcharge 1./ 10% Administrative Fee -;- 5% Technology Fee L;<:' ~ TOTAL ~ 61.t:.=?- Shared Drive{T:)IBuilding Forms/Electrical Permit Application 8..Q6.doc JOB DESCRIPTION: / fu.c~ p.:i i 1.IY\.e1h Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 New Residential- Single or Multi-Famil~' per dwelling unit. Service Included 1000 sq. ft, or less Each additional 500 sq, ft. or portion thereof Each Manulac!' d Home or Modular Dwelling Service or Feeder $106.00 $ 19.00 $50,00 c"c:> $ 50.00 $ 69,00 $100,00 ~~~~. ~-"" , "-'I" l .. . I ,.. .,," ,I <<,.,~ n ,.,.. , - . . CITY OF SPRINl>1<mLD Building/Combination Permit PERMIT NO: COM2006-0160S ISSUED: 12/14/2006 APPLIED: 12/14/2006 EXPIRES: 06/14/2007 VALUE: Status Issued 225 Fiftb Street, Springfield, OR 541-726-3753 Pbone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3530 GAME FARM RD SPACE 41 ASSESSOR'S PARCEL NO.: 1703154003100 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Repair Residential PROJECT DESCRIPTION: Service reconnect Owner: LOWRIE BILL D Address: 3530 GAME FARM RD SPACE 041 SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor MY ELECTRICIAN INC License 87506 Expiration Date 11/20/2007 Phone 541-729-1454 BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occnpancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: VB # of Stories: Lot Size: Heigbt of Structure Sq Ft 1st Floor: Type of Heat: A1TENT/U/IJ'U' ~, Ft 2nd Floor: Water Type: folloW rules ad rt::Q;qlJ1tjBase~l!t"yu' . Range Type: Notification C OPt~sq':1}t(Gatfg~sefrUtV~ Energy Patb: in OAR 9S2_0~nter. 'Sq:Et;,Qt~U'i are silty Sprinkled Buil<!jn"'O Yio nla1-001(Occup.ant boad:g at forti ....'el". U ma\l nh......:_ _ - --:::s' r v/"\" 52..nn1 I DEVELOPMENT INFORMiiION' "9ntar. (No!;:th~;~~e~~u/as bJ -, .-. 'Ole Oragon urrFvt;QmRED1P.ARKING Center is 1 I I y'liotificatio Overlay Dist: -800-332-J:!l/i!!i. n # Street Trees Rqd: Handicapped: Paved Drive Rqd: Compact: % of Lot Coverage: ['r-',n- Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: I PUBLIC IMPROVEMENTS I 1\1)- "~,L(A/Ir.vr,, , I hO!1'IZED UN L SidewallfIlYPFiiE Wo C'!10~1cN OER nile: nen ,. RK t, ,,~ . .. '. CEO OR IS Dilwnspoul.m..rJl'ffl''NOT "" r 130 DAY PERIO;SANDONED FOR Notes: I Valuation Descriotion I Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pa2e I of2 . . CITY VI< ~rK1j~GFIELD Building/Combination Permit PERMIT NO: COM2006-0160S ISSUED: 12/14/2006 APPLIED: 12/14/2006 EXPIRES: 06/14/2007 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Pbone 541-726-3676 Fax 541-726-3769Inspection Line Total Valne of Project L.Fp.p.~ P3W Fee Description + 100/0 Administrative Fee + 5% Tecbnology Fee + 8% State Snrcharge Service Reconnect Amount Paid Date Paid Receipt Number $5.00 12/14/06 1200600000000001756 $2.50 12114/06 1200600000000001756 $4.00 12/14/06 1200600000000001756 $50.00 12/14/06 1200600000000001756 Total Amouut Paid $61.50 I Plan Reviews I 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. IRp.n!l~ Electric Service: Approval required prior to utility company energizing service. By signature, I state aud agree, tbat I bave carefully examiued tbe completed application and do bereby certify tbat all informatiou bereon is true and correct, and I furtber certify tbat any and all work performed shall be done in accordance witb the Ordinances of tbe City of Springfield aud the Laws of tbe State of Oregon pertaining to tbe work described herein, and that NO OCCUPANCY will be made of any structure witbout permission of the Community Services Division, Building Safety. I furtber certify that only contractors and employees wbo are in compliance witb ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at tbe proper time, that each address is readable from tbe street, that tbe permit card is located at tbe front of tbe property, and the approved set of plans will remain on tbe site at all times during construction. . Owner or Contractors Signature Date Pa!!e 2 of2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone eiftii...... ' . Wi:"<F~F- '''_!'~'.'.'''.' '..' -<...."..d. ..,.... .1 :. ''t.,: ~.. ,.. ..;. "'..hd ""',' Caof Springfield Official Receipt .Iopment Services Department Public Works Department Job/Journal Number COM2006-0 I 605 COM2006-01605 COM2006-0 1605 COM2006-0 1605 Payments: Type of Payment CreditCard cReceintl RECEIPT #: Description Service Reconnect + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By MY ELECTRICIAN 1200600000000001756 Date: 12/14/2006 Item Total: Check Number Authorization Received By Batch Number Number How Received djb 000375 In Person Payment Total: Page I of I 10:40:50AM Amount Due 50,00 2,50 4,00 5,00 $61.50 Amount Paid $61.50 $61.50 12/1 4/2006