HomeMy WebLinkAboutPermit Mechanical 2007-5-16
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.ITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00708
ISSUED: 05/16/2007
APPLIED: 05/16/2007
EXPIRES: 11/16/2007
VALUE:
Status
Iss u ed
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 624 GRANITE PL
ASSESSOR'S PARCEL NO.: 1703341210300
Springfield
TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Replace furnace and Heat Pump
Owner: SIMMS MERRICK L & TRACY L
Address: 624 GRANITE PL
SPRINGFIELD OR 97477
Contractor Type
Mechanical
. , W
I CONTRACTv,," 1M vI\.n1A TION I \llleS 'jO~\i\I\'j .
'a-:J lea: eo.Ol'l \} 'O(\:,
Contractor ~i~W}lS'e\ \fI<E%!f~~O*'rl,.tl,te Phone
ASSOCIATED HEATING & AIR COKQ''N0V'~Q..~t.~~ 'O~~A 1\l\e9~lJ;tfiliini"c, \. 541-683-2590
I BUlLDING'IN~';;N"':'~["~~. :~'~IO\lg's' ~\ \fle ~~Ol'le
JI" I 'J'v nie "e~e.. 'ol'l
. IV'.. e.\IO" 0"" .('1 cO.. ~e" ',.Ca\1
# of Stoi;~S'}I~~ 9S?-~ a'l o'Q\'a1 \~o\€i:.~~\~xc9~ I
Height Of,St'fuct'lI)l:' ll' cel'l\Ell. Q,ol'l \S~J_t)Mlftnor:
Type of ~?P.~\il'l<) \fle \fle Ole _ . - Sq Ft 2nd Floor:
WaterType:Ca :oel\OI. Sq Ft Basement:
Range Type:l\\lll' Sq Ft GaragelCarport
Energy Path: Sq Ft Other:
Sprinkled Building; nla Occupant Load:
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
'NIJI'"
I DEVELOPl''lJC'' 1 INFORMATION I t: \1' \ \-I\'. _ 'If"
,,"1'\"'" ." C'I..?I\REQ,U1REU,Pl\RKING
~\l \ \I.... S\-I,,'-'- \.. c. \,b,IW' .
Overlay Dist: :f S \,\'.\'..W>I\ I)\'.\'.. \\-II"f~I~I~\'.1) ra\'..
# Street Trees Rqd: \-II \-Ia\'..ll\'.1) \\~ IS ~\)~\Ranaicapped:
Paved Drive Rqd: ~\\\ \'.~c\'.1) a\'.. I) Compact:
% of Lot Coverage: caW>W> I)~'{ ?'C.\'..la .
~~'{ \~\.)
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instr'!ction:
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 1 of2
.
.CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00708
ISSUED: 05/16/2007
APPLIED: 05/16/2007
EXPIRES: 11/16/2007
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
Total Value of Project
F....s P~\IU
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Furnace - up to 100,000 btu
Heat Pump
Miscellaneous Mechanical
Amount Paid
Date Paid
$10.00
$4.50
$2.25
$3.60
$12.00
$12.00
$21.00
5/16/07
5/16/07
5/16/07
5/16/07
5/16/07
5/16/07
5/16/07
Receipt Number
3200700000000000276
.3200700000000000276
3200700000000000276
3200700000000000276
3200700000000000276
3200700000000000276
3200700000000000276
Total Amount Paid
$65.35
I Plan Reviews ,
To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00
a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following
work day.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and I furtber certify that any and all work performed shall be done in accordance with
the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will he made of any structure without permission of the Community Services Division, Building Safety;
I further certify that only contractors and employees who are in compliance with ORS 701.005 will he used on this project. I
further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the
street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all
times during construction.
Owner or Contractors Signature
Date
PalZe 2 of2
City of Springfield
_hani~al Authorization To Begin Wore
E-mailed To.: ass.ciatedheating@gmail.c.m
Receipt # EC511453
5/16120071:59:18 PM
a
Clieck .n status .f permit
By Ph.ne: (541)726-3753.r Email: permitcenter(@ci.springlield..r.us
I. .:. ~:'~;.TIf~',OF'WO)~K'~ ~~~~{;,~~;JO;'fJ~:".J~:" .">Tt ,j ~~:l; j} ~~
10 New construction [i] Addition/alleration/replacement
l>t~J'\, :;(~~':}f;;,V\';~~':1 ~ .~~.CAT~G.q~,,:O,E'.~~~sfRUCT.!'~_')~$,i~~-t.:.'
I [KJ I o,r 2 family dwelling D Multi.family D Accessory Building
\;' ," .' .~:.. ,"()B SITE!N.FOR~tl~NANp~OCA!19i{'-:.\, ':~',:.:~,;:W
IJob no.: 3174A . IJob'add~: 624. GRANITE PL
I City/StnlelZlP: . SPRINGFIELD, OR 97477.3696
I Sultelbldg./apl.no.:
Ip;"ject name:
I" ..... . .' . .-' '. .,..,..,;;:.. .~- '--'-- '- , .1.. - -, - - "'- .~ '.' ..'.
"'l"-',,,,,_':';"~~ ~'.. _:-"~.';::'-0.~t.~!;~!=!.S~HED~Ll.E_::S';;~:J~ ':.. ;:~~.~f~;i~{..;
I Descr;ptlon I Qty. I.. En. Tolnl
1."'Healin../cooIiDg',appiia,~ DCes.!:?~ ~,"\i::"~:;,:,r ':'..~' "'11,~;~.;k;'1t'f:':"" ,,:,.,(';:.~.:;)
.~.~ "'-'. ,/fl. >~....~ .."Lc. "'.........,.... ....". _.".' T. ,. "".\;~,,".,'" """,,'~ .,'" .,. ...,f,...... "'''A
I
1703341210300
.....ii~SC.R.i~TfoN OF.w<?!lK
.1"
I Furnace. up to 100,000 BTU
I Furnace. above 100,000 BTU
I-Electric Furnace
I Duct alterations and additions
I Gas heater units! in.wall, in- .
duct suspended, etef
I Vent, nue, liner for above
I Air Conditioner
I Heat Pump
I Air Handler
l[bi~tr_rue.i.~uiiii~g:ii~~!ijA~~;;
1 Water heater
I Gas fireplace/insert/stove
.1 Gas log/log lighter
I Gas clothes dryer
I Gas stove/range
I Pool or spa heater, kiln
I Wood/pellet stove/insert
I Wood fireplace
I Chimney/linerlnue/vent w/o
aooliance >
I;E~virOnmeDtafe:diiiiist 'AND veritiilition 7':; -t:;:r;".i\""!:o ~b;;\:,I)~;~- ,~nt~1
Cd ' . . .' .- ',_ .,.,"'- ... .'''.-........,..:c,..:;.__.,.. .~.,~~...,_).',,__,oI""" .
I Range hood
..':" k'"':>\'''1 1 Clothes dryer exhausl
.: .'r -.,J,...~; ~ I Single.duct exha~t (bathrooms, I.
toilet compartments, utility
rooms)
II Attic/crawlspace fans . J I
I I-F'uel:piping;'~':::':l.}~". ...11-;'.7.:.; -:~ :"""" '';''.c~:;s,.~~' 1~~.'.l,t-:<l, 'l\:'~;:w."1
_., ._.... .... .~,,-":.. '-' ,....._. .. ~........l ~'.~ _...~...<'r ~M'-'b,l.. ,.......1'
II uplO first 4 outlets(enterQty=l) I I .1.
I I each additional outlet I
i I'"' .:,;",.:'~' ::~SCHA~I~AlP,E,~~~~:!'.S' .'l:.:<.:,.-.,~ ;~;~;I
I I Minimum fee used instead of Sub tom I $45.00 I
I State Surchar~e (8% ofoennit fee) S3.60 I
I City OfSprin~field fees. $16.75 I
I TOTAL PERMIT FEE S65.35 I
. City Of Springfield 10% Local Admin Fee: 5% Local Technology Fee;
SIO Issuance Fee
$12001
1
not 'offered online att~is jurisdiction I
I
I
I
1
$12.00 $12.001
not offered online at this jurisdiction I
-,_-.~;;;~:,~~<: .i:\~: - ,;~':'~qid'
II
$12001.
cross strtttJdireclions 10 job silt:
c ,r:.A.,::>: c.'' ,'''3 ...',is.ftfc6Ni~~i, i, .
1
1
I.
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Subdivision:
Tax map/parcel no.:
I Lot no.:
Replnce furnace & WP
1..1.
i',"-"
I Name: Rick & Tracy Simms
IPhone: (541)741-4945
I [mail:
IF..:
I.,.r -:, '<:':': .',
"
,.. - .0'
:C.O~IRACTOR ;-:
c; .~~':<;'~.s, ,._,
ICCD lie. no.: 106275
I Business Name: ASSOCIATED HEATING & AIR CONDlTIONI
I Contact: Brandy Forsman
IAddress: PO BOX 412
I Clty/SlnlelZlP: EUGENE, OR 97440
I Phone: (541)6832590
I [mail: associatedheating@gmail.com
I Metro lie. no.:
IF..: (541)6070287
.. I City lie. no.:
Upon review and approval by your local jurisdiction, your.
permit will be e-mailed 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.a 601 ~ {'.,r::, I (\ \'('
RCPT#: 3~(Jb7 -:21 G.
DATE PROCESS"n,. .5 - ~Io ~ C7
. n . I .
.. ., PROCESSED BY' . CYYl 0-" M--->
This Authorization To Begin Work.must be posted at the..j.ol;' ~itp II.['til .policed bva 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 Fift\! Street
Springfield, Oregon 97477
541-726-3759 Phone
.il~
Cwf Springfield Official Receipt
~opment Services Department
Public Works Department
Job/Journal Number
COM2007-00708
COM2007-00708
COM2007-00708
COM2007-00708
COM2007-00708
COM2007-00708
COM2007-00708
Payments:
Type of Payment
RECEIPT #:
Description
Heat Pump
Furnace - up to 100,000 btu
Miscellaneous Mechanical
-Mechanical Issuance Fee-
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
ONLINE CHGS ONLINE PERMIT CHGS
Paid By
cReceintl
3200700000000000276
Date: 05/16/2007
Item Total:
l..:heck Number Authorization
Received By Batch Number Number How Received
ONLINE associated Online
heating
Payment Total:
Page I of I
2:48:05PM
Amount Due
12.00
12.00
21.00
10.00
2.25
3.60
4.50
$65.35
Amount Paid
$65.35
$65.35
5/16/2007