HomeMy WebLinkAboutPermit Mechanical 2007-1-9
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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WL-ITY OF SPRiNGFIELD
_ Building/Combination Permit
PERMIT NO: COM2007-00044
ISSUED: 01/09/2007
APPLIED: 01/09/2007
EXPIRES: 07/09/2007
VALUE:
.
Status
Issued
SITE ADDRESS: 4714 JASPER RD
ASSESSOR'S PARCEL NO.: 1802051303002
Springfield TYPE OF WORK: Mechanical Only
TYPE OF USE: Alteration
Residential
PROJECT DESCRIPTION: Gas to gas retro fit furnace.
O'Yner: SHEFFIELD ARDEL R & LOIS M
Address: 4714 JASPER RD
SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Contractor
EUGENE HEATING & COOLING
License
149452
Expiration Date
10/22/2007
Phone
541-726-7654
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Coustruction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Rauge 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:
nla
I DEVELOPMENT INFORMATION'
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
DownspoutslDrains:
Notes:
I' Valuation Descrintion I
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee I of2
.
.ITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00044
ISSUED: 01109/2007
APPLIED: 01109/2007
EXPIRES: 07/09/2007
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 P~id I
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Furnace - up to 100,000 htu
Minimum/Adjustment Mechanical
Amount Paid
Date Paid
$10.00
$4.50
$2.25
$3.60
$12.00
$33.00
1/9/07
1/9/07
1/9/07
1/9/07
1/9/07
1/9/07
Receipt Number
2200700000000000035
2200700000000000035
2200700000000000035
2200700000000000035
2200700000000000035
2200700000000000035
Total Amount Paid
$65.35
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.
I Rellllired ~
Rough Gas: After line is installed and required testing and capped if not attached to an appliance.
Final Gas: When all gas work is complete.
By signature, I state and agree, that I have carefully examined the completed application and do herehy certify that all
information hereon is true and correct, and I further certify that any and all work performed shall he 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 readahle 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 of2
a
It.~ .
Aanical Authorization To Begin work.
E-mailedTo:vosburgw@automaticbeatco.com
Receipt # EC507647
1/9(20072:36:55 PM
;,-' City of Springfield
Check on status of permit:
Contact: http://www.ci.springfield.or.us/dsdlBuildinglindex.htm
TYPE OF WORK
II
II Description
I Heathiglcoollng appliances .
I I Furnace. up to 100,000 BTU
II Furnace - above 100,000 BTU
I I Electric Furnace
I Duct alterations and additions
Gas heater unitsl in. wall, in-
I duct susoended. etc/
.1 I Vent, flue, liner for above
I I Air Conditioner
Heat Pwnp
FEE SCHEDULE
Qty,
Ea, Total '1
I
II $12,001 $12,001
I 0 New construction
lliJ Addition/alteration/replacement
CATEGORY OF CONSTRUCTION
I [i] I or 2 family dwelling 0 Multi-family D Accessory Building
I JOB SITE INFORMATION AND LOCATION
IJob no.: IJob address: 4714 JASPER RD
ICity/StatefZlP: SPRINGFIELD, OR 97478-7702
I Suite/bldgJapl.no.:
I Project name: Ardel Sheffield
Cross slreetldirtctlons to job site:
not offered online at this jurisdiction
I Fax:
Air Handler
Otber 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
Wood fireplace
Chimneyllinerlflue/vent w/o
aooliance
Environmental exbaust AND ventilation.
not offered online at this jurisdiction
!Subdivision:
ITal map/parcel no.:
I Lot no.:
1802051303002
DESCRIPTION OF WORK
gas to gas retro fit furnace
I
I Name: Dan Deschamsp
I Phon.: (541) 501-2487
I Email:
I
SITE CONTACT,
CONTRACTOR
I I Range hood
Clothes dryer exhaust
I Single-duct exhaust (bathrooms,
toilet compartments,'utility
rooms)
I I Attic/crawlspace fans
I I Fu.1 piping'
II uptofirst4outlets(enterQty=1)
I I each additional outlet
I I MECHANICAL PERMIT FEES
II
II
I
I
I
. City Of Springfield
$10 Issuance Fee
Subtotal' $12.00
Minimum Fee $45.00
State Surcharge (8% of~rmit fee) $3.60
Ci~ OfSeringfield fees. $16.75
TOTAL PERMIT FEE $65,35
10% Local Admin Fee; 5% Local Technology Fee;
ICCB Iie.no.: 149452
I Business Name: EUGENE HEATING & COOLING COMPANY
1 Contact: Michael Schilling
IAddresx: 1650 NE LOMBARD ST
!City/Statefl.IP: PORTLAND, OR 97211
I Phone: 5417267654 I Fax: 5417267657
I Email: vosburgw@automaticheatco.com
I Metro lie no.: I City lie 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 tf 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 Fjftb Street
Springfield, Oregon 97477
541-726-3759 Phone
. 1jiE_, ,~,'!~m.o'.'_ "y.."....."
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CiiIl>f Springfield Official Receipt
~opment Services Department
Public Works Department
RECEIPT #:
2200700000000000035
Date: 01109/2007
3:05:16PM
Job/Journal Number
COM2007-00044,
COM2007-00044
COM2007-00044
COM2007-00044
COM2007-00044
COM2007-00044
Description
Furnace - up to 100,000 btu
Minimum/Adjustment Mechanical
-Mechanical Issuance Fee-
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
Item Total:
(;heck Number Authorization
Received By Batch Number Number How Received
Amount Due
12.00
33.00
10.00
2.25
3,60
4,50
$65.35
Payments:
Type of Payment
Amount Paid
ONLINE CHGS ONLINE PERMIT CHGS
ddk
ONLINE Eugene In Person
Heating &
Cooling
Payment Total:
$65.35
$65.35
cReceintl
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