HomeMy WebLinkAboutPermit Mechanical 2008-4-30
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-00607
ISSUED: 04/30/2008
APPLIED: 04/30/2008
EXPIRES: 10/30/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 4240 CAMELLIA ST
ASSESSOR'S PARCEL NO.: 1702323300900
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Replace A/H & HIP
Owner: HENDERSON HUBERT & FREDA
Address: 4240 CAMELLIA ST
SPRINGFIELD OR 97478
Phone Number: 541-746-2958
I CONTRACTOR INFORMATION'
Contractor Tvpe
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:
nla
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
. _ ....' ,6<""11 I tl"\
I DEVELOPMEN1PIN~eRMlJ:r~Nr'~ ~~'J;h';O~~g~~ Utility
\UI\VH · ~.~_! , Th se rules are !RE~D PARKING
NotificatIOn Center, 0 hOAR 952-001-
Overlay qist>AR 952-001-0010 throug h TIlt.o:a.I:bY
TT bt 'n copies of t e \Ul~
# Street T~cR.lj1bu may 0 al ote' the tele,~apped:
Paved DrivedMdlg the center. (N UtIlity NotLidm\D~t:
% of Lot C~t for the,Orea9000n_332_2344). '
Center IS 1-
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspouts/Drains:
Notes:
NOTICE:
I nl.)~l\'lll t:11:-\LL ...}\r IRE Ir: HE WORK
AUTH JN7Ii i . . D IT IS NOT
COMMENCED OR IS ABA~DON~l tbl~
Tvpe ofConstructio~NY i &$frJ~l~t,.q~I._RIOD quBa.rdeAo a t
or mu Ip ler 'or I moun
Value
Date Calculated
Description
Pa2;e 1 of2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: C0M2008-00607
ISSUED: 04/30/2008
APPLIED: 04/30/2008
EXPIRES: 10/30/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
~
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Air Handling Unit Up to 10,000
Heat Pump
Minimum/Adjustment Mechanical
Amount Paid Date Paid Receipt Number
$20.00 4/30/08 3200800000000000249
$5.00 4/30/08 3200800000000000249
$6.00 4/30/08 3200800000000000249
$2.50 4/30/08 3200800000000000249
$9.00 4/30/08 3200800000000000249
$14.00 4/30/08 3200800000000000249
$27.00 4/30/08 3200800000000000249
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.
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 ofthe property, and the approved set of plans will remain on the site at all
times during construction.
Owner or Contractors Signature
Date
Pae:e 2 of2
City of Springfield
Mechanical Authorization To Begin Work
E-mailedTo:associatedheating@gmail.com
Receipt # EC529556
4/30/2008 10:19:07 AM
Check on status of permit
By Phone: (541)726-3753 or Email: pennitcenter@ci.springfield.or.us
I > C~mG6R'(BF CON~UC:ilQ~~ >
[K] lor 2 family dwellmg D Multi-family D Accessory Bulldmg
1:tjJ'
I DescnptIon
I &', ..u> > >,>~~ ..
,IL:...~~!IDg'lIPJl~-~"'>
I Furnace- up to 100,000 BTU
Furnace - above 100,000 BTU
"~",~~
" :j
Ea. Total I
':>-1-::"
I
I
I
I
I
I
I
$1400 $14001
$900 $9001
" "I~,r:t 9"Q!VORK,:tjJ'
D New constructIon [i] AddItion/alteration/replacement
~:}>
> ,:5;::FEE SCHEDULE '
I Qty. I
I J9J!SITE IN~RMATlON AND!LOCA:rIONA%?'
I Job no.: 3399A I Job address: 4240 CAMELLIA ST
I CIty/State/ZIP: SPRINGFIELD, OR 97478-5952
I Suitelbldg.lapt.no.:
I Project name:
Cross street/directions to job site:
Electnc Furnace
Duct alteratIOns and addItions
I Gas heater umts! m-wall, m-
duct, suspended, etr:J
Vent, flue, Imer for above
AIr Conditioner
\,(<<{-4.;::,~,
IName: Freda Henderson
IPhone: (541) 746-2958
I Ematl:
> SITE1CONTACT~}>
Heat Pump
I AIr Handler
,other fti!:4m:;:~'pp!!!!~e;'" "rr~\ ;St41Jcc
Water heater
Gas fireplace/msert/stove
Gas log/log hghter
I Gas clothes dryer
I Gas stove/range
, Pool or spa heater, kiln
I Wood/pellet stove/msert
I Wood fireplace
I Chunney/hner/flue/vent w/o
apphance
///< ...","....'" ~'*' I
't;~r > hi ..tal eJ:~uA,~D veIitiJlIti~.,. ,
Range hood I
I Clothes dryer exhaust I
Smgle-duct exhaust (bathrooms,
tOIlet compartments, utlhty
rooms)
I AttIc/crawlspace fans
iEuei'pipbtg'>,
~'
upto first 4 outlets( enter Qty= I)
I each addItional outlet
I " \ 0P1{~~~!ECHANICA~~E!!!III'(;'t:J:"~S1Q ~,.4>0
Subtotal I $23 00 I
Mlmmum fee used mstead of Subtotal $50 00 I
State Surcharge (12% ofpenmt fee) 1 $600 I
CIty Of Spnngfield fees *1 $27 50 I
TOTAL PERMIT FEE I $83 50 I
* CIty Of Spnngfield 10% Local Admm Fee, 5% Local Technology Fee,
$10 Issuance Fee
SubdivIsion:
I Tax map/parcel no.:
r'
Replace AIH & HIP
I Lot no.:
1702323300900
'DESC~rnONJ~.ORK~',
I Fax:
w C9J\1:rRACTOR;t.f
I CCB he. no.: I 06275
I Busmess Name: ASSOCIATED HEATING & AIR CONDITIONI
I Contact: Brandy Forsman
IAddress: PO BOX 412
I City/State/ZIP: EUGENE, OR 97440
IPhone: (541)6832590 IFax: (541)6070287
I Ematl. assocmtedheatmg@gmall com
I Metro he. no.: I City he. no.:
Upon review and approval by your local JUriSdiction, your
permit will be e-maJled 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
COM: ~ ()1J n - (XYr/77
RCPT#' ::~:"'z..<5D ~~ ,J 241
DAlE PROCESSED: 1.... ~ 0 --() ;1
PROCESSfIDBY:~l/r ..
ThiS Authorization To Begin Work must be posted at the Job Jite until)eplaced by a Permit
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.
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2008-00607
COM2008-00607
COM2008-00607
COM2008-00607
COM2008-00607
COM2008-00607
COM2008-00607
Payments:
Type of Payment
ONLINE CHGS
cRecemtl
RECEIPT #:
3200800000000000249
Date: 04/30/2008
Descnption
Heat Pump
~Mechamcal Issuance Fee-
Minimum! Adjustment Mechamcal
An HandlIng Umt Up to 10,000
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% AdmInIstrative Fee
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number AuthonzatlOn
Received By Batch Number Number How ReceIved
nJm
ONLINE assocIated OnlIne
Payment Total:
Page 1 of I
11 :00:24AM
Amount Due
1400
2000
2700
900
250
600
500
$83.50
Amount PaId
$83 50
$83.50
4/30/2008