HomeMy WebLinkAboutPermit Mechanical 2005-12-2
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December 2, 2005
225 FIFTH STREET
SPRINGFIELD, OR 97477
(541) 726-3753
FAX (541) 726-3689
www.ci.springfield.or.us
Associated Heating and Air Conditioning
PO Box 412
Eugene, Oregon 97440
Enclosed is a revised mechanical permit for the installation of an electric furnace at 1120
Fairview Drive, Space 75, Springfield, Oregon,
When you obtained your permits, we neglected to include the required inspections for the
project. The permit has been revised to include rough and final mechanical inspections.
Please sign the permit on the indicated line and return it to me in the enclosed self
addressed pre stamped envelope, I am enclosing a copy ofthe permit for you to keep for
your records.
Thank you, and if you have any questions, please feel free to phone me at 726-3790.
Sincerely,
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Building Safety Supervisor
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. CITY VI' ~rKli'\jlJl'lJ!,LJ) .
Building/Combination Permit
PERMIT NO: COM2005-01674
ISSUED: 12/0112005
APPLIED: 12/0112005
EXPIRES: 06/0212006
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspeclion Line
SITE ADDRESS: 1120 FAIRVIEW DR SPACE 75
ASSESSOR'S PARCEL NO.: 1703273100600
Springfield TYPE OF WORK: Heating System
TYPE OF USE: Repair
Residential
PROJECT DESCRIPTION: Replace electric furnace.
Owner: GANN NORMA M
Address: 1120 FAIRVIEW DR #75
SPRINGFIELD OR 97477
Phone Numher: 541-744-7681
I CONTRACTOR INFORMATION.
Contractor Type
Mechanical
Contractor License
ASSOCIATED HEATING & AIR CONDITIO 106275
BUILDING INFORMATION I
Expiration Date
08/31/2006
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 Fl Garage/Carport
Sq Ft Other:
Occupant Load:
nla
, DEVELOPM.cj'l mFORMATION I
REQUIRED PARKING
Frontyard Selback: Overlay Dist:
Side 1 Selback: # Street Trees Rqd:
Side 2 Setback: Paved Drive Rqd:
Rearyard Selback: % of Lot Coverage:
Solar Setback&l-ENTION:Ore9on law requ,rt;s yuu. ~u
f\fl .. .. ,....~...llttllt"
tOlloW rUleti C;lUU....U:lIU u, ....;:.. - '"':}'f" :...
Notification Center. Those ~ule~6fdlwr:1DlIlPROVEMEN1fITlCE:
Street1I11fi'fC!)'A'"fl'2-o01-0010thrOU9hO"'H"O<.-JJ~ THIS POOM~a~:EXPIRE IF THE WORK
Slorm seQQ9~~a\hp;1ay obtain copi~S of the rules . AUTHOliJl~hlslIN.B;rM~~ PERMIT IS NOT
. MY'n the center. (Note, the telephone puD
SpecIal Instr_1I UtTty Notification COMMENCED OR IS ABANDONED FOR
number for the Oregon II
Noles: Center is 1-800-332-2344). ANY 180 DAY PERIOD,
Total:
Handicapped:
Compact:
I Valuation Descrintion I
Description
Type of Construclion
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Dale Calculated
Pa2e 1 of2
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. CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2005-01674
ISSUED: 12/01/2005
APPLIED: 12/01/2005
EXPIRES: 06/02/2006
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fp.p.<,P"W
Fee Description
-Mechanical Issuance Fee-
+ 10% Adminislrative Fee
+ 7% State Surcharge
Furnace - up to 100,000 htu
Minimum/Adjustment Mechanical
Amount Paid
$10.00
$4.50
$3.15
$12.00
$33.00
Date Paid
12/1/05
1211/05
12/1/05
12/1/05
1211/05
Receipt Number
1200500000000001768
1200500000000001768
1200500000000001768
1200500000000001768
1200500000000001768
Total Amounl Paid
$62.65
I Plan Reviews I
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.
, Rp'ollirp.d uectinn..
Rough Mechanical: Prior 10 Cover
Final Mechanical: When all mechanical work is complete.
By signatnre, I state and agree, that I have carefnlly examined the completed application and do hereby certify that all
information hereon is true and correct, and I fnrther 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 strncture without permission of the Community Services Division, Building Safety.
I further certify that only conlractors 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
Dale
Paee 2 of2
.
'Status: Issued
225 Fiftb Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-01674
ISSUED: 12/0112005
APPLIED: 12/0112005
EXPIRES: 06/0112006
VALUE:
_ "......1\ to
_.....,-, \::\\N re4U" ~ - ~ I ni\ihl
......-trT\._l\\I.'-"...;:.> , tneUI~Y""'. . rih
,Springfield ,TYPE,OF"i \ ~eating System
101\0'11 ruleS :u,,~;r: 1hose ru e Q~R 952-00~-
N01\licatlOn CTYPE0EIUSE;\h RepairuleS '01
in OP-R 952-0U \ -~~l~\n copies 01 ~~\~p\1One
no90, 'Iou ma'1_~'Ar (Note', the ..~t;\ir.alion
ca\\lnlJ L~'~ the oregon urPh~!)e'l'j'umber: 541-744-7681
number ,or '~_BOO-3,)"-~
centetlS . c&ct .Jk'.1 ~
11/" . ~1'O
~ 0/\1"
SITE ADDRESS: 1120 FAIRVIEW DR SPACE 75
ASSESSOR'S PARCEL NO.: 1703273100600
PROJECT DESCRIPTION: Replace electric furnace.
Residenlial
Owner:
Address:
GANN NORMA M
1120 FAIRVIEW DR 1f75
SPRINGFIELD OR 97477
Contractor Type
Mechanical
I CONTRACTOR INFORMATION I
Contractor License
ASSOCIATED HEATING & AIR CONDlTIONI06275
Phone
541-683-2590
# of Units:
Primary Occupancy Group:
Secondary Occupancy
P'rimary Construction Type
Secondary Construction
# of Bedrooms:
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street
Storm Sewer Available:
Special Instruction:
Notes:
Description
Tvpe of Construction
Expiration Date
08/3112006
I BUILDING INF18RMATIONI
Tl-IIS PERMIT SHALL EXPIRE IF THE WORK
#o~Stories:THORIZED UNDER THIS;.~1'f IS NOT
HeIght of AU \Il ~Hftcl'1ppr:
TypeofIfe~MENCED OR IS ABAN cf ,li'nlI'F'toor:
Water Typ~Y 180 DAY PERIOD. Sq Ft Basement:
Range Type: Sq Ft Garage/Carport
Energy Patb: Sq Ft Other:
Sprinkled nla Occupant Load:
~~
. ~:
,.
"
I'
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Total:
Handicapped:
Compact:
Overlay Dist:
# Street Trees
Paved Drive Rqd:
% of Lot Coverage:
,
IPUBLIC IMPROVEMENTSI
Sidewalk Type:
Downs pou tsIDrains
I Valuation Descriotion I
$ Per Sq Ft
or muItip6er
Square Footage
or Bid Amonnt
Value
Date Calculated
1 of 2
, -!~~~~".> iIiI.-. -.
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. CITY OF SPRINGFIELD '
Building/Combination Permit
PERMIT NO: COM2005-01674
ISSUED: 12/0112005
APPLIED: 12/01/2005
EXPIRES: 06/01/2006
VALUE:
Status: Issued
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 Issnance Fee-
+ 10% Adminislrative Fee
+ 7% State Surcharge
Furnace - up to 100,000 btu
MinimumlAdjustmenl Mechanical
Amount Paid
Date Paid
$10.00
$4.50
$3.15
$12.00
$33.00
12/1/05
1211/05
12/1/05
12/1/05
12/1/05
Receipt Number
1200500000000001768
1200500000000001768
1200500000000001768
1200500000000001768
1200500000000001768
Total Amount
$62.65
I Plan Reviews. I
To Request an inspection caD 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. wiD be made the following
work day.
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 m accordance .
with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaming to the work described herem,.
and that NO OCCUPANCY wiD 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 slreet, that the permit card io; located at the front of the property, and the approved set of plans wiD remain on the site
at all tiJlies during constructiolL
( I ,,~j..b..-- /2-_/ -c/J
owt Conlractors Signature Date
2 of 2
~25 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
.
Job/Joornal Number
COM2005-01674
COM2005-01674
COM2005.0 1674
COM2005-0 1674
,
COM2005-0 1674
Payments:
TWe of Paymeul
Check
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12/1/2005
RECEIPT #:
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.ty of Springfield Official Receipt
.velopment Services Department
Public Works Department
1200500000000001768
Date: 12/01/2005
Description
Furnace - up 10 100,000 btu
-Mechanical Issuance Fee-
Minimum! Adjustmenl Mechanical
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
ASSOCIATED HEATING &
AlC
Item Total:
LUeck Number Aumortzatlon
Received By Balch Number Number How Received
njm 13893 In Person
Payment Total:
I of I
1l:31:35AM
Amoonl Due
12,00
10,00
33,00
3,15
4.50
$62.65
Amount Paid
$62,65
$62.65