HomeMy WebLinkAboutPermit Mechanical 2008-3-3
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00300
ISSUED: 03/03/2008
APPLIED: 03/03/2008
EXPIRES: 09/03/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 4141 CAMELLIA ST
ASSESSOR'S PARCEL NO.: 1702323303801
Springfield TYPE OF WORK: Heating System
TYPE OF USE: Alteration
Residential
PROJECT DESCRIPTION: Gas Furnace
Owner: BALES MATTHEW M & MICHELLE E
Address: 4141 CAMELIA ST
SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION.
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.
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:
Sidewalk Type:
Storm Sewer Available:
Special InslruuiMT:ION: Oregon law requires you to
follow rules adopted by the Oregon Utility
Notes: Notification Center. Those rules are set forth NOTICE.
In OAR 952-001-0010 through OAR 952-001- .
3~r....... ",''') "':J....;.. l.JVt-'''", uf il,.. lu~b L. T:.#U P[fI~lIT 3"~li_ EXfIRi! It: li-ic vvut\1\
calling the center. (Note:,l,he te ;~~nntion Description tUTHORIZED UNDER THIS PERMIT IS NOT
number for the. Oregon Utility Nc I~ U - ~OMMENCED OR IS ABANDONED FOR
Center IS 1-800-3~2-2344)$ Per Sq Ft Square ~Yaft~O DAY PEtllon
Description Type of ConstructIon It' I' B'd A t YlH'Ue- Date Calculated
or mu Ip ler or I moun
Downspouts/Drains:
Pal!e 1 of 2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00300
ISSUED: 03/03/2008
APPLIED: 03/03/2008
EXPIRES: 09/03/2008
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 Paid I
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 3/3/08 2200800000000000272
$5.00 3/3/08 2200800000000000272
$6.00 3/3/08 2200800000000000272
$2.50 3/3/08 2200800000000000272
$14.00 3/3/08 2200800000000000272
$36.00 3/3/08 2200800000000000272
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.
Reauired 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 approyed set of plans will remain on the site at all
times during construction.
Owner or Contractors Signature
Date
Pal!e 2 of 2
City of Springfield
Mechanical Authorization To Begin Work
E-mailedTo:associatedheatmg@gmail.com
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
o New constructIOn
" I", !1' ~ (, " <J. ,11'
Jl(eE, OF WR~K~l~ "
[K] AddltlOn/alteral1onlreplacement
Receipt # EC526435
2/29/20083:41:50 PM
>*<~11F'EE SCHE"D~LE I>" r
I DescrtptlOn I Qty .1 Ea
I Heating;~ooling'applia~~es . , I.
I Furnace- up to 100,000 BTU $1400
I Furnace - above 100,000 BTU
Electnc Furnace
Duct alteral10ns and addll10ns
I Gas heater Unlts/ m-wall, m-
duct, suspended, etc/
I Vent, flue, Imer for above
Air ConditIOner
Heat Pump
Air Handler
:i~.~~er'fuel burni~g appliances"
I Water heater
I Gas fireplace/msert/stove
I Gas log! log Itghter
I Gas clothes dryer
I Gas stove/range
Pool or spa heater, kIln
Wood/pellet stove/msert
I Wood fireplace
II Chlmney/ltner/flue/vent w/o
I appltance
I'~n~ironmentlt! e~h,aust AND. ventilatlOnh
I I Range hood
I I Clothes dryer exhaust
. 1 Smgle-duct exhaust (bathrooms,
I tOilet compartments, Ul1ltty
I rooms)
I Attic/crawlspace fans
I Fu~1 piping
I upto first 4 outlets{enter Qty=l)
I each additIOnal outlet
MECHANiy~L PERMrrFEE~
Subtotal $1400
Mmlmum fee used mstead of Subtotal $5000
State Surcharge (12% of permit fee) $600
CIty Of Sprmgfield fees · $27 50
TOTAL PERMIT FEE $83 50
· City OfSprmgfield 10% Local Admm Fee, 5% Local Technology Fee,
$10 Issuance Fee
'"
CATEGORy,'OF CONS1;ftUCTION,
II I ! I ,
\";1,
[Xl I or 2 family dwellmg
o Mull1-famlly
o Accessory BUlldmg
I '1 . JO~:~ITI~ INFOR\VIN'ONANJ;>'~OCATlCjN ..
IJob no. 3361A IJob address' 4141 CAMELLIA ST
I City/State/ZIP. SPRINGFIELD, OR 97478-5982
I SUlte/bldg./apt no .
I Project name Michael Bales
Cross street/dIrections to Job sIte'
I SubdIVIsIon: I Lot no .
I Tax map/parcel no 1702323303801
I DESCRIPT!.QN OF"WOR",
Replace eXlstmg Unit With gas furnace
, ','I
,<< I
'\ >
"S'ITE CONTACT:.
,,~ 1
jlllll
h"
1,,1
11"1>
I Name Michelle Bales
IPhone (541) 736-5185
I Emall'
I, ,
I CCB he no: 106275
I Busmess Name ASSOCIATED HEATING & AIR CONDITION!
I Contact Helen Beechmg
IAddress POBOX412
City/State/ZIP: EUGENE, OR 97440
Phone. (541)6832590
I Emall assoclatedheatmg@gmail com
I Metro he no.
I Fax'
"" ; ~
,,,I I "'11\11,/
I", .ICONTRACTClR'
I I, I"
I Fax. (541)6070287
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 apphcable land use laws and local ordinances
:'" I I
Total I
I
$14001
I
I
I
I
)'~ ,"'
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
COM2008-00300
COM2008-00300
COM2008-00300
COM2008-00300
COM2008-00300
COM2008-00300
Payments:
Type of Payment
ONLINE CHGS
cRecemtl
RECEIPT #:
2200800000000000272
DescriptIOn
Furnace - up to 100,000 btu
Mmlmum/ Adjustment Mechalllcal
-Mechalllcal Issuance Fee-
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Admmlstratlve Fee
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 03/03/2008
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
HEA TING
&AIR
CONDITIO
NING
Payment Total:
8:34:06AM
Amount Due
1400
3600
2000
250
600
500
$83.50
Amount Paid
$83 50
$83.50
3/3/2008