HomeMy WebLinkAboutPermit Mechanical 2006-6-1
.
. CITY VJ< ~rK1j~t.NJ'.,L1J
Building/Combination Permit
PERMIT NO: COM2006-00657
ISSUED: 06/01/2006
APPLIED: 05/31/2006
EXPIRES: 12/01/2006
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1625 HENDERSON AVE SPACE F4 Eugene
ASSESSOR'S PARCEL NO.: 1703344313302
TYPE OF WORK: Heating System
PROJECT DESCRIPTION:
Replace electric furnace
TYPE OF USE: Rep,air, you to
law requll"'~
ATTENTION: Oregonb the Oregon Utility
'_lIn..' n lies adopted Y '_ _ MO cI>llorth
Notification Cent;;1;' ~~;J>)J.~e:Nii'mll'ej.;00541-337-0322
in OAR 952-001- . op'les 01 the rules by
Y obtain c
0090. You..n:aMntl>r (Note: the tele~hone_
valli"':::' .~ - ~t.-..... f"'\regon Utlmy I....V~lIl..........--
I CONTRACTOR INF0RM~:ION _1\ _BOO-332-2344).
Residential
Owner:
Address:
DWIGHT PAINTER
1625 HENDERSON AVE SP F4
EUGENE OR 97403
Contractor Type
Mechanical
Contractor License
ASSOCIATED HEATING & AIR CONDITIO 106275
Expiration Date
08/31/2006
Phone
541-683-2590
BUlLu,,''; INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
VN
# of Stories: Lot Size:
Height of Structure Sq Ft 1st Floor:
Type ofHeat:ril,: ::: Sq F~ 2-",~!!?~:
Water Type: -IS PERMIT SHALL EXP\Sq:F.tBasementRK
Range Type\~' ORIZED UNDER TH\~qIE!\q~i;agl/€arport
Energy Path:JTH I ABA\S!l~tJDtJter:R
Sprinkled BUildih~NCED O~/.':)nn O~cJp~nt'L';,ad:
"''''\1",, on n1\V D~HI
R-3
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Frontyard Sethack:
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:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspouts/Drains:
Notes:
I Valuation Descriotion 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: COM2006-00657
ISSUED: 06/01/2006
APPLIED: 05/31/2006
EXPIRES: 12/01/2006
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
Fl'e.~
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 8% State Surcharge
Furnace - up to 100,000 btu
Minimum/Adjustment Mechanical
Amount Paid
Date Paid
$10.00
$4.50
$3,60
$12.00
$33.00
6/1106
6/1106
6/1106
6/1106
6/1106
Receipt Number
3200600000000000291
3200600000000000291
3200600000000000291
3200600000000000291
3200600000000000291
Total Amount Paid
$63.10
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.
Rough Mechauical: 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.
~,~ ~d/r
(-/- () 6'
, ,
Owner or Contractors Signature
Date
Paee 2 on
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
.
irii.
WiL ~u .
IMi3 of Springfield Official Receipt
Wvelopment Services Department
Public Works Department
Job/Journal Number
COM2006-00657
COM2006-00657
COM2006-00657
COM2006-00657
COM2006-00657
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
Date: 06/01/2006
3200600000000000291
Description
+ 8% State Surcharge
+ 10% Administrative Fee
Furnace - up to 100,000 btu
Minimum/Adjustment Mechanical
-Mechanical Issuance Fee-
Paid By
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
ASSOCIATED HEATING & AlC NJM
14695
In Person
Payment Total:
Page I of I
2:56:45PM
Amount Due
3.60
4.50
12.00
33.00
10.00
$63.10
Amount Paid
$63.10
$63.10
6/1/2006