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Home My WebLink AboutPermit Mechanical 2008-2-7 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2008-00192 ISSUED: 02/07/2008 APPLIED: 02/07/2008 EXPIRES: 08/07/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 5195 FORSYTHIA DR ASSESSOR'S PARCEL NO.: 1802042105600 Springfield TYPE OF WORK: Mechanical Only TYPE OF USE: New Residential PROJECT DESCRIPTION: Heat pump & air handler Owner: ALLEN RANDOLPH A & JUDY E Address: PO BOX 70491 EUGENE OR 97401 Phone Number: 541-844-1052 I CONTRACTOR INFORMATION I Contractor Type Mechanical 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 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 REQUIRED PARKING Frontyard Setback: Overlay Dist: Side 1 SetbaM:TENTION: Oregon law requires YOl#~reet Trees Rqd: Side 2 Setblfol4ow rules adopted by the Oregon Utrlli~d Dnve Rqd: Rearyard ~awetlon Center. Those rules are set ~rOltl Lot Coverage: Solar Setb:bllGAR 952-001-0010 through OAR 952-001- IV\O('\ V",-, rT\"'I' "ht",in "f"I;"oc:c f"lf tho rrlloc:c hy uor,ll calling the center. (Note: the ~BIf1Its' IMPROVEl\il~,~m\~ l EYJ)\RE \r "\ lit. ~ N01 number for the Oregon Utility N ".....1....'-' \1 S\-\f:\l ERM\1 \ Street Improvemen~enter is 1-800-332-2344) 1\-\\S Pc M ..:sideM"l\!~ if~ P "ICD fOR . \-\OR\IEU OI'l.U RI),NDOI'l1.- Storm Sewer Available: f:\\J\ ENC~o~~J1~/Drains: Special Instruction: COMM Df:\'{ PER\OD. f:\N'{ "\ 80 Total: Handicapped: Compact: 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 Status Issued CITY OF SPRINljf11ELU Building/Combination Permit PERMIT NO: COM2008-00192 ISSUED: 02/07/2008 APPLIED: 02/07/2008 EXPIRES: 08/07/2008 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 $20.00 $5.00 $6.00 $2.50 $9.00 $14.00 $27.00 2/7/08 2/7/08 2/7/08 2/7/08 2/7/08 2/7/08 2/7/08 Receipt Number 1200800000000000117 1200800000000000117 1200800000000000117 1200800000000000117 1200800000000000117 1200800000000000117 1200800000000000117 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 Pa2e 2 of2 Subtotal $23 00 Mmlmum fee used mstead of Subtotal $50 00 State Surcharge (12% of penmt fee) $600 I City Of Sprmgfield fees · $27 50 I TOTAL PERMIT FEE $83 50 I 10% Local Admm Fee, 5% Local Technology Fee, Oity of Springfield Mechanical Authorization To Begin Work E-maded To: associatedheatmg@gmall.com Receipt # EC525249 2/7/20082:24:30 PM Check on status of permit By Phone: (541)726-3753 or Emad: permitcenter@ci.springfield.or.us I. ,", TYPE OF WORK! , 'FEE SCHEDULE Qty. Ea. II o New constructIOn lliJ AddltlOn/alteralion/replacement I Descnptlon I JIeating!f901Ing'applillriceS,'JJ I ,<< <~r I" I, d '1 I I " ~ I Furnace- up to 100,000 BTU I Furnace - above 100,000 BTU I Electnc Furnace I Duct alteratIOns and additIOns I Gas heater Unlts/ m-wall, 10- duct, suspended, etc/ Vent, flue, I mer for above ,,1"'11 I J\- j' JJ_CA TEGORY .OF, C9.N~;r_~~.q:T19N":::'j [X] I or 2 famIly dwellmg 0 Mulli-famlly 0 Accessory BUlldmg I J "', ,A9~ ~\IT~ ,INF9RM~tI9~'(~Nb'~OCATION jJobno.. 3337A IJobaddress' 5195 FORSYTHIA DR I City/State/ZIP. SPRINGFIELD, OR 97478-6788 I SUlte/bldg /apt no" I Project name' Cross street/directions to job site "J ;,,,~, ,I,) I SubdivIsion I Tax map/parcel no . I I Lot no.. I I I Air Conditioner Heat Pump Air Handler Other fuel,burning appliances Water heater Gas fireplace/msertlstove Gas log/ log lighter Gas clothes dryer Gas stove/range $1400 $900 1802042105600 DESCRIPTION OF WORK Replace A/H & add H/P < I I, I, ~ Pool or spa heater, kiln Wood/pellet stovehnsert Wood fireplace 'j Chlmney/lmerlflue/vent w/o I appliance I I ,Enyironmenta! exhaust ~D ventilatIOn I I Range hood I Clothes dryer exhaust I Smgle-duct exhaust (bathrooms, I tOilet compartments, utility I rooms) Atlic/crawlspace fans I Fuel pipmg , II upto first 4 outlets(enterQty=I) I each additIOnal outlet Ii, i I : I I · City Of Spnngfield $10 Issuance Fee . 'SITE CONTACT I Name. Lana Young IPhone (541)844-1052 IEmall' I ICCB Iic no.: 106275 I Busmess Name ASSOCIATED HEATING & AIR CONDITION I I Contact. Brandy Forsman I Address PO BOX 412 I City/State/ZIP' EUGENE, OR 97440 I Phone' (54] )6832590 I Emall. assoclatedheatmg@gmml com I Metro hc no !Fax. '1',"'" ':C6NTRACr9~'.' " " II> "*" '-" '>,1< "I" <'I" Iii' I Fax. (541 )6070287 \ ,::' MECHANICAL PERMIT FEES I City hc. no.. Upon review and approval by your local JUrisdiction, your permit Will be e-malled or faxed wlthm one bus mess 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 COMr)J?177 r - ()) / <?;;). J RCPT#: /~ (JfJ V - 117 DATE ffl.OcEsSED: ,::2~r ' \ ' / / - PROCU.~SED~l',~A A. ~ . ~- I - j ) /, ThiS AuthOrization To Begin Work must be posted at the Job site until rePla~dl by a Permit The local bUilding 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 Total \ " ~ $14001 $9001 I I I I I I I I I I I I I 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2008-00 192 COM2008-00 192 COM2008-00 192 COM2008-00 192 COM2008-00 192 COM2008-00 192 COM2008-00 192 Payments: Type of Payment ONLINE CHGS cRecemtl RECEIPT #: 1200800000000000117 Date: 02/07/2008 DescrIptIOn ~MechanIcallssuance Fee~ Air Handling UnIt Up to 10,000 Heat Pump MInImum/AdJustment MechanIcal + 5% Technology Fee + 12% State Surcharge + 10% Admmlstratlve Fee Paid By ONLINE PERMIT CHGS Item Total: Check Number AuthOrIzatIOn ReceIVed By Batch Number Number How Received NJM ONLINE ASSOCIAT Online ED Payment Total: Page 1 of I 3:13:22PM Amount Due 2000 900 1400 2700 250 600 500 $83.50 Amount Paid $83 50 $83.50 2/7 /2008