HomeMy WebLinkAboutPermit Mechanical 2008-2-8
Status
Iss u ed
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00196
ISSUED: 02/08/2008
APPLIED: 02/08/2008
EXPIRES: 08/08/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 488 W M ST
ASSESSOR'S PARCEL NO.: 1703274409900
Springfield TYPE OF WORK: Heating System
TYPE OF USE: Alteration
Residential
PROJECT DESCRIPTION: Replace Furnace
Owner: MENDEZ RAFAEL
Address: 488 W M ST
SPRINGFIELD OR 97477
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 Ist 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:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes: NOTICE:
7111':' ra;lvilT 511~L.L. C^~1I1C: Ir 1 : \'\"_'~r.
AUTHORIZED UNDER THIS PERM I ~aIOOi1iion Descri
COMMENCED OR IS ABANDONED
Descri~'b 180 o.\YpFijRd:Q~truction
Sidewalk Type:
AI IIU'lffilotIo(b~daw requires you to
follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth
in OAR 952-001-0010 through OAR 952-001-
0090. You may obtain copies of the rules by
1,;i:l.lllflY lllt; l,;t;f1It;r. \II/Ult;, lilt; It;ltlIJIIUIlt1
number for the Oregon Utility Notification
Center is 1-800-332-2344).
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee 1 of 2
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-00196
ISSUED: 02/08/2008
APPLIED: 02/08/2008
EXPIRES: 08/08/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
L-Fees paidJ
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Furnace - up to 100,000 btu
Minimum/Adjustment Mechanical
Amount Paid Date Paid Receipt Number
$20.00 2/8/08 3200800000000000095
$5.00 2/8/08 3200800000000000095
$6.00 2/8/08 3200800000000000095
$2.50 2/8/08 3200800000000000095
$14.00 2/8/08 3200800000000000095
$36.00 2/8/08 3200800000000000095
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.
ReQuired 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
ctty of Springfield
Mechanical Authorization To Begin Work
E-mailedTo:associatedheating@gmad.com
Receipt # EC525309
2/8/20081:10:05 PM
Check on status of permit
By Phone: (541)726-3753 or Email: permltcenter@cl.springfield.or.us
TYPE OF WORK
II
JOB SITE INFORMATION AND LOCATION
IJob no. 3333A IJob address' 488 W M ST
I City/State/ZIP. SPRINGFIELD, OR 97477-2953
I SUlte/bldg /apt no
I Project name:
Cross street/directions to Job site
II
I
I
I
I
I
I
I
Ea Total I
I
I
I
$1400 $14001
I
I
I
I
I
I
W I or 2 family dwelling
D Multl.famlly
D Accessory BUilding
I Descnptlon
I Heatinglcoolnlg appliances
I Furnace- up to 100,000 BTU
I Furnace. above 100,000 BTU
I Electnc Furnace
I Duct alteratIOns and addlllons
I Gas heater uOltS/ In.wall, in-
duct, suspended, etc/
I Vent, flue, liner for above
I Air ConditIOner
Heat Pump
Air Handler
FEE SCHEDULE
Qty
D New constructIOn
lliJ AddltlOn/alleratlOn/replacement
CATEGORY OF CONSTRUCTION
I SubdivIsion'
Tax map/parcel no.. 1703274409900
DESCRIPTION OF WORK
I Lot no .
Other fuel burning appliances ~
I Water heater
I Gas fireplace/Insert/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/liner/tlue/vent w/o
appliance
I Environmental exhaust AND ventilation
I Range hood
I Clothes dryer exhausl
Single-duct exhaust (bathrooms,
I lotlel compartments, utility
I rooms)
Atllclcrawlspace fans
I Fuel p!p,!ng
I upto first 4 outlets(enter Qty=l)
I I each addJtlOnal outlet
I I \ ," MECHANICAL PERMIT FEES
II '
I :
I
I
* City Of Spnngfield
$10 Issuance Fee
I
Subtotal I $14 00 I
Minimum fee used Inslead of Subtotal $5000 I
Slate Surcharge (12% of pen TIll fee) I $600 I
City Of Springfield fees *1 $27 50 I
TOTAL PERMIT FEE I $83 50 I
10% Local Admin Fee, 5% Local Technology Fee,
Replace furnace
SITE CONTACT
I Name. Rafael Mendez
Phone: (541) 988.1604
Emall.
I Fax. 988.1604
CONTRACTOR
I CCB lie no.. 106275
I Busmess Name. ASSOCIATED HEATING & AIR CONDITION!
I Contact Brandy Forsman
I Address. PO BOX 412
I City/State/ZIP EUGENE, OR 97440
I Phone (541 )6832590 I Fax' (541 )6070287
I Emllll assoclatedheatlng@gmall com
I Metro lie no I City he no'
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.
NOTE ThiS AuthOrization To Begin Work expires Within 180
days If a permit IS not obtained.
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
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
COM2008-00 196
COM2008-00 196
COM2008-00 196
COM2008-00 196
COM2008-00 196
COM2008-00 196
Payments:
Type of Payment
ONLINE CHGS
cRecemtl
RECEIPT #:
3200800000000000095
Description
Furnace - up to 100,000 btu
MInImum! Adjustment Mechanical
-Mechamcal Issuance Fee-
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Admmlstratlve Fee
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 02/08/2008
Item Total:
Check Number AuthorizatIOn
Received By Batch Number Number How ReceIved
Paid By
ONLINE PERMIT CHGS
ddk
Page 1 of 1
ONLINE ASSOCIAT Onlme
ED
HEATING
&AIR
CONDITIO
NING
Payment Total:
I :37:44PM
Amount Due
1400
3600
2000
250
600
500
$83.50
Amount PaId
$83 50
$83.50
2/8/2008