HomeMy WebLinkAboutPermit Mechanical 2008-2-6
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-00176
ISSUED: 02/06/2008
APPLIED: 02/06/2008
EXPIRES: 08/06/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1296 HAMILTON ST
ASSESSOR'S PARCEL NO.: 1703342200224
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION:
Owner: HOLT JACK L & LOLA MAE
Address: 1296 HAMILTON ST
SPRINGFIELD OR 97477
Phone Number: 541-744-9323
I CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Contractor
EUGENE HEATING & COOLING
License
149452
Expiration Date
10/22/2009
Phone
541-726-7654
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories: Lot Size:
Height of Structure Sq Ft 1st Floor:
Type of Heat: Sq Ft 2nd Floor:
Water Type: Sq Ft Basement:
Range Type: A80r Sq Ft Garage/Carport
Energy Path: 1\'1 DeE: Sq Ft Other:
Sprinkled Buildin{H/S PERfr,1,. SH Occupant Load:
1\1/.,..,,,-- AI' eV/"\m-
I DEVELOPMENT INFOJOOATIQ~~ UNDER THisJ};JIC '~rl HE WORK
ANY" (]O. ~...~ OR /S ABAN fRitb~'f{KING
10 DAY PE 0 FOR
Overlay Dist: R/OO. Total:
# Street Trees Rqd: Handicapped:
Paved Drive Rqd: Compact:
% of Lot Coverage:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Valuation Descri
Sidewalk Type:
ATTEN~lPffllilsmffi>>il:9qulres you ~O
follow rules adopted by the Oregon Utility
Notification Center. Those rules are setforth
in OAR 952-001-0010 through OAR 952-001-
0090. You may obtain copies of the rules by
,I I ., · :I:;:~'i
f mber for the Oregon Utility Notification
IOn Center is 1-800-332-2344).
Notes:
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pal?;e 1 of 2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00176
ISSUED: 02/06/2008
APPLIED: 02/06/2008
EXPIRES: 08/06/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees Paid I
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Air Handling Unit Up to 10,000
Heat Pump
Minimum/Adjustment Mechanical
Amount Paid
Date Paid
Receipt Number
$20.00
$5.00
$6.00
$2.50
$9.00
$14.00
$27.00
2/6/08
2/6/08
2/6/08
2/6/08
2/6/08
2/6/08
2/6/08
3200800000000000085
3200800000000000085
3200800000000000085
3200800000000000085
3200800000000000085
3200800000000000085
3200800000000000085
Total Amount Paid
$83.50
I Plan Reviews I
To Request an inspection call the 24 hour recording at 726-3769. All inspections 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.
Reouired Insoections I
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
Date
Pa!!:e 2 of 2
Receipt # EC525156
2/6/2008 12:04:04 PM
Mechanical Authorization To Begin Work
E-mailedTo:mschilling@automaticheatco.com
City of Springfield
Check on status of permit
By Phone: (541)726-3753 or Email: permltcenter@ci.springfield.or.us
I
Total I
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$14001
$9001
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FEE 'SCHEDULE '
Qty
I ""'
r
'" , . TYPE OF. WORK"!I ,
< I "- ~<<) II '
lliJ AddItIon/alteratIOn/replacement
'''1 >>' IJI
I DeSCriptIOn
I"Heatinglcooli~gl~pplia'l\ces :
"I '~~:':;e- 'up to 100,000';;~{'
I Furnace - above 100,000 BTU
""', 1 I Electric Furnace
I I Duct alteratIons and addJl10ns
1 I Gas heater umts/ m-wall, m-
duct, suspended, etc/
I I Vent, flue, liner for above
I I AIr ConditIOner
I Heat Pump
I Air Handler
I Other fuel' bumfug appliances
, '11'1 ';t"
I Water heater
I Gas fireplacehnsert/stove
I Gas log! log lighter
I Gas clothes dryer
I Gas stove/range
I Pool or spa heater, kIln
I Wood/pellet stove/Insert
I Wood fireplace
I Chlmney/hnerlflue/vent w/o
appliance
I 'c A'l '", ~j 11'1'11<11 J,11
$j;Ii1;r,lt?~"m~?~! exhaust"AND v~~ti!~ti!!~", ,
I Range hood
I Clothes dryer exhaust
Single-duct exhaust (bathrooms,
tOilet compartments, utility
rooms)
I AttIc/crawlspace fans
I""Filel pipmg..A
, " Ihl~~ ,~I 0' I
I upto first 4 outlets(enter Qty=l)
each additIOnal outlet
Ea
D New construction
I"" :
[K] I or 2 family dwellmg
"CAT~~9~Y :6'FC6'NSTRUC~IPt')I) 1',1 "p,
D Multi-family D Accessory BUIlding
I "I ",~.oBsiTEINFORMATJON~fiRLOCATION" "'I ".
IJob no' IJob address 1296 HAMILTON ST
1 CIty/State/ZIP: SPRINGFIELD, OR 97477,3597
I SUlte/bldg./apt no.'
I Project name. Holt
Cross street/directIOns to Job site.
I
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II
II
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$14001
$9001
\I>plll \d\t\ I,
I Lot no.
I SubdiVISion'
I Tax map/parcel no..
I
1703342200224
'DESCRIPTION OF WORK\H\~.\
I ti'
<III
Install heat pump system
"I I , , "SITE CONTACT "
" I ,'<
, '.,1"
> , ~ <i << I"
IName:
IPhone
I Emall
I,
Jack Holt
(541) 744-9323
" f'
IFax:
" ""I I "nl' , ,CONTRACTOR ;..; I
~ 'I'" ,<<I' 1,'1,1"
'\'
I CCB hc. no.. 149452
I Busmess Name. EUGENE HEATING & COOLING COMPANY
I Contact. Michael Schilling
IAddress 1650 NE LOMBARD ST
1 City/State/ZIP PORTLAND, OR 97211
I Phone: (541)7267654 I Fax' (541 )7267657
I Emall. mschllllng@automatlcheatco com
I Metro hc no' I City hc no'
",'''"
I
'f~,r,',:~l", ~.r;CHAN'ICAL PERiYliT FEES. .1
Subtotal $23 00 I
Minimum fee used Instead of Subtotal $5000 I
State Surcharge (12% of penmt fee) $600 I
City Of Springfield fees · $27 50 I
TOTAL PERMIT FEE $83 50 I
10% Local Admin Fee, 5% Local Technology Fee,
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· City Of Springfield
$10 Issuance Fee
Upon review and approval by your local JUrisdiction, your
permit Will be e-malled or faxed wlthm one bus mess day,
With mstructlOns on how to schedule your mspectlon
NOTE ThiS AuthOrization To Begm Work expires wlthm 180
days If a permit IS not obtamed.
COM: R 157) }(' - 00/7(4
RCPT #~ \ :;;:)(fDK - O'CS
DATE~R? ESSED::Jid.IfL.(
PROC s~ I-;:'b.-
~ I ,
r J
ThiS AuthOrization To Begin Work must be posted at the Job s e u~Placed by a
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.
Permit
225 Fifth Street
Spr4ngfiefd, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2008-00 176
COM2008-00176
COM2008-00 176
COM2008-00176
COM2008-00176
COM2008-00 176
COM2008-00 176
Payments:
Type of Payment
ONLINE CHGS
cRecemtl
RECEIPT #:
3200800000000000085
DescrIptIOn
Heat Pump
Air Handlmg Unit Up to 10,000
MInimum! Adjustment Mechanical
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Admmistratlve Fee
-Mechanical Issuance Fee-
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 02/06/2008
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
HEATING
Payment Total:
1 :28:38PM
Amount Due
1400
900
2700
250
600
500
20.00
$83.50
Amount Paid
$83 50
$83.50
2/6/2008