HomeMy WebLinkAboutPermit Mechanical 2007-1-5
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. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00032
ISSUED: 01105/2007
APPLIED: 01105/2007
EXPIRES: 07/05/2007
VALUE:
Status
Issued
, 225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
.,
SITE ADDRESS: 5335 Daisy St 116
ASSESSOR'S PARCEL NO.: 1702330001300
Springfield TYPE OF WORK: Heating System
TYPE OF USE: Alteration
Residential
PROJECT DESCRIPTION: Replace furnace and add heat pump.
Owner: SANTIAGO ESTATES ASSOCIATES LLC
Address: 11211 GOLD COUNTRY DR STE 100
GOLD RIVER CA 95670
Contractor Type
Mechanical
I ,CONTRACTOR INFORMATION I
Contractor License
ASSOCIATED HEATING & AIR CONDITIO 106275
BUILDING INFORMATION I
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: ,
n/a
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq FfBasement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
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 I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspouts/Drains:
Notes:
I Valuation Description I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Page 1 of2
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Furnace - up to 100,000 btu
Heat Pump
Minimum/Adjustment Mechanical
Total Amount Paid
.
Amount Paid
$10.00
$4.50
$2.25
$3.60
$12.00
$12.00
$21.00
$65.35
Total Value of Project
Fees lJWU
I Plan Reviews I
Date Paid
1/5/07
1/5/07
1/5/07
1/5/07
1/5/07
1/5/07
1/5/07
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2007-00032
ISSUED: 01105/2007
APPLIED: 01105/2007
EXPIRES: 07/05/2007
VALUE:
Receipt Number
3200700000000000009
3200700000000000009
3200700000000000009
3200700000000000009
3200700000000000009
3200700000000000009
3200700000000000009
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.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
By signature, I 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
Paee 2 of2
Date
... .
Mechanical Authorization To Begin Work
E-mailedTo:brandy@associatedheating.com '
..
City of Springfield
Receipt # EC507571
1/5/20072:26:41 PM ,
Check on status of permit:
Contact: http://www.ci.springfield.or.us/dsdlBuildinglindex.htm
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o New construction !KJ Addition/alteration/replacement
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~ I or 2 family dwelling ,0 Multi-family 0 Accessory Building
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-Job no.: 307M ' IJob address: 5335 DAISY s;-
I City/StatelZIP: SP,IUNGFIELD, OR 97478-6298
!Suitelbldg.lapt.no.: SPC 116
1 Project name:
Cross street/directions to job site:
I Subdivision: 1 Lot ,no.:
I Tax map/parcel no.: 1702330001300,
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Replace furnace & add a HIP
I',' ':.' 5f'\"~'l'f:'N;li':-:<;' >.'>'~t,-~lt "'\'''<';I\';',~':;i,0-.''':' ., "'~~' ".'"",,-. ~'-"'~;'W~:'Nt,~tt.,r~,,~:.;t''-;4,~'(''''',~;;1{i';~''~;'''~:~' 1';.
. ~" '~"f;~;" r;~t: ';':,'S')',d;.., "-'r '. -:~'''.'~~;};1(.' ;<t1h',SITE CONTACT\"i0:~;;\!;~'~')i'~'j'.. ;~'Ji\'-f~l.7t0J)'i")'~'':'''~,(~'';;'';'
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I Name: Brandy Forsman
I Phone: (541) 683-2590
I Emoil: brandy@associatedheating,com
I", ..;; '::{-," -.,:',
"',," ....'
1 CCB lie. no.: 106275
Business Name: ASSOCIATED HEATING & AIR CONDITIONI
1 Fax:
, ':'CONTRAcTOR> .;:~, ' ',' , ,I,. ",:' ",'\1.'.\;"''''''):''r' "
'..'~ ' " "," ',;, ,._,::;,'';.A;'' ,1';'_t,~,: ..~-f,:~'~~;,'t~~:"'.i;\t.~~..l_:,;,~,,:,_::
Contact: Brandy Forsman
Address: PO BOX 412
City/StatelZIP: EUGENE, OR 97440
Phone: 5416832590
I Email: brandy@associatedheating.com
1 Metro lie no.:
IFax: 5416070287
1 City lie no.:
Upon review and approval by your local jurisdiction; your
permit will be e-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 pennit is not obtained.
The local building department may detennine that an .
Authorization To Begin Work is null and void if it does not
meet applicable land use laws and local ordinances.
1\!*y\!!}ljd4c"'!\:(('li,~ti! 1\~t'~li>r::'w"'E"E" .S'C'H'E" 'Ol:lit:' E" -:";' :: ;" i,
j:(~q~~1tt~~ii\~$'V;"~\>,,.~\l:~,,~:~.;,t'_',"~t~:'P - . "'~"'~""'" -..,_'~ ,':i:Yfl',
I Description I Qty. Ea. Total
I;H~tiligJcooling-~p p' liaDces;~;:.;;4t'...;~;!:,Ii;."~\",,,,:/:...\?,~ ,;.;,;,;,,:,;,;f;-',
'_..0'-":",.' ,'~""".:c ",."t"":'~'~'-'" '....'_",.'..'T~,.".,r,:'i,(., '\...:" , "\ ',,:- ,\-.",.".~,....,.,}--'''q:
I Furnace- up to 100,OOOBTU $12.00 $12.00
I Furnace - above 100,000 BTU
1 Electric Furnace not olTered online at this jurisdiction
I Duct alterations and additions I
I Gas heater units/ in-wall, in- I'
duct, suspended. etc/
Vent, flue, liner for above 1
Air Conditioner ]
I Heat Pump $12.00 $12,00
I Air Handler not olTered online at this jurisdiction '
I':q~~~r.;f!le!\j)u'tnhig:~jlpliaii~~'-;; \.~ ;;:...' , '-'" .,': I .,
I Water heater
I Gas fireplacelinsertlstove
1 Gas log/log lighter
Gas clothes dryer'
,
,
Gas stove/range
Pool or spa heater, kiln
1 Wood/pellet stovelinsert
I Wood fireplace
I Chimney/linerlflue/vent wlo
appliance '_
1-~~Y:ii"OD'.ile~tal~x~,~~stA!lDventllation:,' \ ,,"
1 Range hood
Clothes dryer exhaust
Single-duct exhaust (bathrooms,
toilet compartments, utility
rooms)
I Attic/crawlspace fans
1)1~~I,pip,iri~',,::,':,f<;:'~c',:J,iO'0~.":, :,.""" ' \
1 upto first 4 outlets(enter Qty=l)
I each additional outlet I
\',:~:{:!\~'(i.(In'~9H.."~!~,,,LP'~RNlI,T~F~~S';.i':'. : " ';,', ,
Subtotal $24,00
Minimum Fee $45.00
State Surcharge (8% ofl?ennit feel $3,60
City OfSeringfield fees. $16,75
TOTAL PERMIT FEE $65,35
10% Local Admin Fee; 5% Local Technology Fee;
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· City Of Springfield
$10 Issuance Fee
~ ~OO7- 0OO3~
~ -If; 3;)1)07/ct.
, tis 107
This Authorization To Begin Work must be posted at the job site until replaced by.a Permit.
225 Fifth.Street
Springfield, Oregon 97477
541-126-3759 Phone
Job/Journal Number
COM2007-00032
COM2007-00032
COM2007-00032
COM2007-00032
COM2007-00032
COM2007-00032
COM2007-00032
Payments:
Type of Payment
.
c& of Springfield Official Receipt
~Iopment Services Department
Public Works Department
RECEIPT #:
2:59:47PM
3200700000000000009
Date: 01105/2007
Description
Furnace - up to ] 00,000 btu
Heat Pump
Minimum! Adjustment Mechanical
-Mechanical Issuance Fee-
+ 5% Technology Fee
+ 8% State Surcharge
+ ] 0% Administrative Fee
Amount Due
12.00
12.00
21.00
10.00
2.25
3.60
4.50
$65.35
Paid By
Item Total:
Check Number Authorization
Received By Batch Number Number' How Received
Amount Paid
ONLINE CHGS ONLINE PERMIT CHGS
ddk
$65.35
,
cReceint I
ONLINE Associated Online
Heating &
Air
Conditioning
Payment Total:
$65.35
Page I of I
1/5/2007