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Home My WebLink AboutPermit Electrical 2008-4-9 City of Springfield Mechanical Authorization To Begin Work E-mailedTo:associatedheating@gmail.com Receipt # EC528481 4/9/2008 4:29:32 PM ~~ Check on status of permit By Phone: (541)726-3753 or Email: permitcenter@ci.sprmgfield.or.us iTY~f;:'TOF,woifK,;~ , ~ I2U AdditIOn/alteratIOn/replacement i'( , ,t!':rT,,~FEE SCHEDULE ,.,1' "1>" I Qty, I Ea Total o New constructIOn r,', " '\,' \(,11\ 1702323406500 DESCRIPTION 01:: WORK (<illl H>>,>> DescriptIOn I Reatm~c!!?hngapplia~,c~~ I Furnace- up to 100,000 BTU I Furnace - above 100,000 BTU I Electric Furnace I Duct alterallons and additIOns I Gas heater UnIts/ m-wall, m- duct, suspended, etc/ I Vent, flue, lmer for above I Air ConditIoner I Heat Pump I Air Handler I Other fu.~,1 burning a'~phances I Water heater I Gas fireplace/msert/stove I Gas log! log lighter I Gas clothes dryer , Gas stove/range I Pool or spa heater, kiln I Wood/pellet stovehnsert I Wood fireplace Chlmney/lmer/flue/vent w/o appliance EDvlr1)i1'meDtaJ exhaust":AND,):entiJation " ,,\,\"'1< "!P' "" ~ ",0" I Range hood d I Clothes dryer exhaust , " Smgle-duct exhaust (bathrooms, tOilet compartments, ulllIty rooms) I Atllc/crawlspace fans I,');uel pipmg upto first 4 outlets(enter Qty=l) I -each additional outlet II i',I"iMECHANI'CAL PERMIT FEES II """~i 'Subtotal $1400 I I Mmlmum fee used mstead of Subtotal $5000 I State Surcharge (12% of perlnIt fee) $600 I CIty Of Sprmgfield fees · $27 50 I I TOTAL PERMIT FEE $83 50 · City Of Sprmgfield 10% Local Admm Fee, 5% Local Technology Fee, $10 Issuance Fee ~ h " ( <<~ CATEGOiH'TOFiCQNSTfiOCTION i ".. 1 1"1' '1",1 ">-'~ I i ><<"1), o MultI-family 0 Accessory BUlldmg I I II I I I I I I $1400 I I I $14001 I I I I I I I I I lliJ 1 or 2 family dwellmg "MiWJOB SITEI'NFORMATION'AND LOCATION ",,' 'I W ,,, II *l" " , I~ 'I , ; ~9i0"~ I Job no . 3364A I Job address. 4475 DAISY ST I City/State/ZIP SPRINGFIELD, OR 97478-6649 I SUlte/bldg./apt no' SPC 12 I Project name Cross street/directions to Job site: I SubdIVISion I Tax map/parcel no, I I Lot no, Replace electriC furnace I' ~ <' I ~ <<I '" '" "SI'TE CONTACl; , I( Ji' f I Name. Lola Parson I Phone, (541)741-9973 IEma11 1,-", I CCB he no 106275 I Busmess Name ASSOCIATED HEATING & AIR CONDITION I I Contact Brandy Forsman IFax' <Ii \<""'/4 CONTRACTORd',11 7"', , Y ", Address POBOX412 City/State/ZIP EUGENE, OR 97440 Phone' (541 )6832590 I Emall. assoclatedheatmg@gmall com I Metro he no 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 applicable land use laws and local ordinances COM: d OD 2t ,- 0 OLj 9 q RCPT#: d~ (jO 6' - 4l,o SED' -;f--- J r- () c:? ~ / ThiS AuthOrization To Begin Work must be posted at the Job SI ~Placed by a Per~lt 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2008-00499 COM2008-00499 COM2008-00499 COM2008-00499 COM2008-00499 COM2008-00499 Payments: Type of Payment ONLINE CHGS cRecemtl RECEIPT #: 2200800000000000430 Date: 04/10/2008 DescriptIOn Furnace - Umt Heater Mmtmum/ Adjustment Mechamcal -Mechanical Issuance Fee- + 5% Technology Fee + 12% State Surcharge + 10% Admmtstratlve Fee Paid By ONLINE PERMIT CHGS Item Total: Check Number AuthorizatIon Received By Batch Number Number How Received NJM ONLINE Associated Onlme Payment Total: Page 1 of 1 9:25:40AM Amount Due 1400 3600 2000 250 600 500 $83.50 Amount Paid $83 50 $83.50 4/1 0/2008 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2008-00499 ISSUED: 04110/2008 APPLIED: 04/10/2008 EXPIRES: 10/10/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 4475 DAISY ST SPACE 12 ASSESSOR'S PARCEL NO.: 1702323406500 Springfield TYPE OF WORK: Mechanical Only TYPE OF USE: New Residential PROJECT DESCRIPTION: Replace electric furnace Owner: COUNTRY MANOR LTD PTRSHP Address: 7007 SW CARDINAL STE 185 PORTLAND OR 97224 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 I REQUIRED PARKING Front yard 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: Street ImNOy~e~~s: Stor~ se11~~~tMtt SHALL EXPIRE IF THE WORt SpeCIal InAJT~~AizED UNDER THIS PERMIT IS NOli" Notes: COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. I PUBLIC IMPROVEM. . uta . on law reqUires yo ATTE <> . ~r:~~tY~lffli~9ol1 Utility follow rule;:) a Opl C::~ I c:: are set forth Notification centel>~S'jj1)U.J-~Ef8.li..~~2_001. . OAR 952-001-0010 thrbugn 'On090 You may obtall1 copies of the rules by . (Note' the telephone calling tre f~~~~~gon Utility Notification number or .1 n,V) 'j'j1)_1)'=I44'- I '''11Il'Cil hJ - -..,. I Valuation Description I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Page 1 of 2 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-00499 ISSUED: 04110/2008 APPLIED: 04110/2008 EXPIRES: 10110/2008 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 Furnace - Unit Heater Minimum/Adjustment Mechanical Amount Paid Date Paid Receipt Number $20.00 $5.00 $6.00 $2.50 $14.00 $36.00 4/10/08 4/10/08 4/10/08 4/10/08 4/10/08 4/10/08 2200800000000000430 2200800000000000430 2200800000000000430 2200800000000000430 2200800000000000430 2200800000000000430 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. ~Re(]uired InSDections , Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. By signature, I state and agree, that I have carefully exammed 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 Pal!:e 2 of2