HomeMy WebLinkAboutPermit Mechanical 2008-5-9
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00660
ISSUED: 05/0912008
APPLIED: 05/09/2008
EXPIRES: 11/09/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 658 S 57TH ST 12
ASSESSOR'S PARCEL NO.: 1802040000200
SPRINGFIETYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Replace air handler and heat pump
Owner: BUNCH EDWIN J & DONNA D
Address: 658 S 57TH ST SPACE 087
SPRINGFIELD OR 97478
I CONTRACTOR INFORMA TION .
Contractor Type
Mechanical
Contractor License
ASSOCIATED HEATING & AIR CONDITIO 106275
BUILDING INFORMATION'
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: ATTENTION ~.l-.lk-1'.voe'
.. "l."'r...~ . follow rules a;~':-JVTi la'Vv'H~t!uires you to
Storml~\'V~ru~taJlable: NotificatIon C ntEO~ p~t~Q'ift~l:)n Utility
Speci~'1l;~S~~ff;~Wf SHAll EXPIRE IF THE WORK in OAR 952-00e1~~t;o t~~~~r~~ are set forth
Notes;,UIHORIZED UNDER THIS PERMIT IS NOT OO:~i;n~o~hmay obtain COPI~S of1h~~~~~~;
:?;~~E.N~ED OR IS ABANDONED FOR number 10; t~:n~;;,}~o~~: ~he telephone
",J I I uv UrB t-'tI"lIUU Y"t . ~ J.. _ti'.I} IJvulllicmon
. I n er IS 1-800-332 23
Valuation Descriotion - 44).
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
....,~'t'~H'"
Pa2e 1 of2
Status
Issued
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2008-00660
ISSUED: 05/09/2008
APPLIED: 05/09/2008
EXPIRES: 11/09/2008
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'
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
$5.00
$6.00
$2.50
$9.00
$14.00
$27.00
5/9/08
5/9/08
5/9/08
5/9/08
5/9/08
5/9/08
5/9/08
2200800000000000638
2200800000000000638
2200800000000000638
2200800000000000638
2200800000000000638
2200800000000000638
2200800000000000638
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 approved set of plans will remain on the site at all
times during construction.
Owner or Contractors Signature
Date
Pa2e 2 of2
City of Springfield
Mechanical Authorization To Begin Work
E-mailedTo:associatedheating@gmaIl.com
Receipt # EC530084
5/9/200810:43:29 AM
Check on status of permit
By Phone: (541)726-3753 or EmaIl: permitcenter@cl.springfield.or.us
, ,
""'"Ii F,E,E ~CHER~LE
I DescrrptlOn I Qty,
1[.Heiit,ng(co\lling~allpliances" ,,; ,~'" ~
rW~'~II~'~ ~""-t, 101.!t~lt'O< r'lj1<< J< ,II> ' ~,j <<'II bl~l, II~h" "1",,,"", I,'d,(":
I Furnace- up to 100,000 BTU
I Furnace - above 100,000 BTU
I Electnc Furnace
I Duct alteratIOns and addItIOns
I Gas heater umts/ m-wall, m-
duct, suspended, etc/
I Vent, flue, Imer for above
I AIr CondItIOner
I Heat Pump
I AIr Handler
I/Other fu~l,b,urn,i9g,a,pplianees I',
I Water heater
I Gas fireplace/msert/stove
I Gas log/log lIghter
I Gas clothes dryer
I Gas stove/range
I Pool or spa heater, kIln
I Wood/pellet stove/msert
I Wood fireplace
I Chlmneyllmerlflue/vent w/o
applIance
I "Environmelttlll"exKiiftst)(ND' V'entJlationI0,' "
I Range hood
I Clothes dryer exhaust
Smgle-duct exhaust (bathrooms,
tOIlet compartments, utIlIty
rooms)
AttIc/crawlspace fans
D New constructIOn
I.KJ AddItIOn/alteratIOn/replacement
\'0~ut~t~t/N;q :t"~ ~~;&~",&,{~~,~n)\t ~ )S!Ifeq"I$~,,9~ 90NST~Obn'(SN~$b~m'~fd:;f:1Ci~;~J&H%~I~"d I
[K] I or 2 famIly dwellmg D MultI-famIly D Accessory BUlldmg
1 ~" "r'(!/IiI:'~~~;~1I1lflJ0B;siTE.,fNj:ORMATION AND
~ ~"''''"!3'1)"4"M~~"",,~':mii@" 0l1~lllkil;r t{-t'1-" ~ "
I Job no ' 3403A I Job address' 658 S 57TH ST
I CIty/State/ZIP SPRINGFIELD, OR 97478-5437
I SUlte/bldg./apt.no.. SPC 12
I Project name'
Cross street/dIrectIOns to Job SIte,
$1400
$900
$1400
$9001
I
1<<,,,,)
I SubdIvIsIon I Lot no..
I Tax map/parcel no 1802040000200
I' I>>/'/,jlr i' '" ~ ~ ~ ,. DESCRIPTION OF WO~ RK
"h"'I',,i" "I,,'" ,''I>+i(;';,w'illi'1Iri'i''I,''/iiI)1'IiI'''''' " 'W, "'" ,
Replace AlH & HIP
~ " "I < I 1 '\1
SITE CONTACT ~
>I" M I I I" '""M< ~"
I Name, Mary Vaughan
I Phone' (541) 726-7530
I Emall
I,
I Fax
< "I < .i
I CCB he no 106275
I Busmess Name ASSOCIATED HEATING & AIR CONDITIONI
I Contact, Brandy Forsman
IAddress' PO BOX 412
I CIty/State/ZIP, EUGENE, OR 97440
I Phone' (541)6832590 I Fax (541)6070287
Emall: assocIatedheatmg@gmall com
+d: ,<'
Metro he no
I CIty he no'
I
I
I
I
I
.. CIty Of Sprmgfield
$10 Issuance Fee
I upto first 4 outlets(enter Qty=l) I
I each addItIOnal outlet I
Me'cHANfcAL PERMI~ FE~S", , , , 1
Subtotal $23 00 I
Mmlmum fee used mstead of Subtotal $5000 I
State Surcharge (12% ofpenmt fee) $600 I
CIty Of Spnngfield fees · $27 50 I
TOTAL PERMIT FEE I $83 50 I
10% Local Admm Fee, 5% Local Technology Fee,
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
COM' LOOg--000hO
RCPT#:. d ~ (fD ~ - 63 (y
DATE PROCESSED:G J Vi J () ~
I . I
PROCESSEDBY:~j~
/ U
ThiS AuthOrization To Begin Work must be posted at the Job site until replaced 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
COM2008-00660
COM2008-00660
COM2008-00660
COM2008-00660
COM2008-00660
COM2008..00660
COM2008-00660
Payments:
Type of Payment
ONLINE CHGS
cRecemtl
RECEIPT #:
2200800000000000638
Date: 05/09/2008
DescriptIOn
Heat Pump
MInimum/AdJustment MechaUlcal
Air HandlIng UUlt Up to 10,000
-MechaUlcallssuance Fee-
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% AdmInistrative Fee
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number AuthorizatIon
ReceIved By Batch Number Number How Received
nJm
ONLINE assocIated OnlIne
Payment Total:
Page 1 of 1
11 :23:33AM
Amount Due
1400
2700
900
2000
250
600
500
$83.50
Amount PaId
$83 50
$83.50
5/9/2008