HomeMy WebLinkAboutPermit Mechanical 2008-6-17
CITY OF SPRINGFIELD.
Building/Combination Permit
Status
Issued
PERMIT NO. COM2008-00880
ISSUED. 06/17/2008
APPLIED. 06/1712008
EXPIRES 12/1712008
VALUE'
225 F,fth Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
SITE ADDRESS 532 D ST
ASSESSOR'S PARCEL NO 1703352407500
Spnngfield TYPE OF WORK MechamcalOnly
TYPE OF USE
PROJECT DESCRIPTION Install gas fnrnace and tankless water heater
AlteratIOn
ResIdential
Owner WELLS CAROLYN V
Address 532 D ST
SPRINGFIELD OR 97477
I. CONTRACTOR INFORMATION I
Contractor Type
Mechamcal
Contractor LIcense
ASSOCIATED HEATING & AIR CONDITIO 106275
BUILDING INFORMATION I
EXptratIOn Date
08/31/2008
Phone
541-683-2590
# of UllltS
Pnmary Occnpancy Gronp
Secondary Occnpancy GI onp
Pnmary Construcllon Type
Secondary ConstrnctlOn Type
# of Bedrooms
# of Stones
HeIght of Structure
Type of Heat
Water Type
Range Type
Energy Path
Sprmk/ed Buddmg
Lot S,ze
Sq Ftlst Floor
Sq Ft 2nd Floor
Sq Ft Basement
Sq Ft Garage/Carport
Sq Ft Other
Occupant Load
n/a
1 DEVELOPMENT INFOR~ATION I
Frontyard Sethack
SIde I Setback
Side 2 Setback
Rearyard Setback
Solar Setb.cks
Overlay Dlst
# Street Trees Rqd
Paved Dnve Rqd
% of Lot Coverage
REQUIRED PARKING
Total
HandIcapped
Compact
1 PUBLIC IMPROVEMENTS I
Street Improvements
SIdewalk Type
Storm Sewer Available Downspouts/Drams
Special tli'Sr.4i~iib'ir"J OreGon I~\../ renulros you to
follow rules actootoeJ I,y the Oregon Utility
Notes Notification Ce1ter 1 r.:Jse Ivies are set forth
In_ OAR 952-001-0010 through OAR 952-001. MnTIf'!::.
vvi...-v 'vUjlto.yl.JlJ~o.IiILAJjJIG.:JUI'HIC'I!IlO-+."'I... . --.
calling the center (Note the tele~hVlll~ation Descli~~fo~E':MIT SHALL EXPIRE IF THE WORK
number for the Oregon Utility NolifL m -. '''v, ",:;, "ZED UNDER THIS PERMIT IS NOT
Center IS 1-800-332-2344) $ Per Sq Ft CSqila'rel\Oofage]R IS ABA~lnn~IED
DescnptlOn Tvpe of ConstructIOn It I AA" B d -A - - t Vallie' FOR Date Calculated
or mu Ip ler vir ~ I!!o~nJ)ERIOD
Page I of2
--.>. _.~
*:
Status
Iss u ed
225 F,fth Street, Spnngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
Fee DeScriptIOn
-Mechamcal Issuance Fee-
+ 10% AdmlUlstr.lIve Fee
+ 12% State Surcharge
+ 5% Technology Fee
Apphance Not L,sted
Furnace - up to 100,000 btu
Gas Outlets 1-4
MIUlmum/Adjustment Mechamcal
Total Amount PaId
CITY OF SPRIN\J1<U,LD
Building/Combination Permit
PERMIT NO
ISSUED.
APPLIED.
EXPIRES:
VALUE'
COM2008-00880
06/17/2008
06/17/2008
12/17/2008
Total Value of Project
Fees Palll I
Amount PaId
Date PaId
Receipt Number
$20 00
$500
$600
$250
$10 00
$1400
$500
$2100
6/17/08
6/17/08
6/17/08
6/17/08
6/17/08
6/17/08
6/17/08
6/17/08
1200800000000000664
1200800000000000664
1200800000000000664
1200800000000000664
1200800000000000664
1200800000000000664
1200800000000000664
1200800000000000664
$83 50
Plan Reviews ,
To Request an mspechon call the 24 hour recordmg at 726-3769. Allmspechons requested before 7 00
a m. will be made the same workmg day, inspectIOns requested after 7'00 a m will be made the followmg
work day
1 Rellll~~ed Tnsllech~n~ I
Rough Gas After hne IS mstalled and reqUIred testmg and capped If not attached to an apphance
Rough MechaUlcal Pnor to Cover
Fmal MechaUlcal When all mech.U1cal work IS complete
By signature, I state and agree, that I have carefully exammed the completed apphcallon and do hereby certlly that all
mformatlOn hereon IS true and correct, and I further cerllfy that any and all work performed shall be done m accordance WIth
the Ordmances of the CIty of Spnngfield and the Laws of the State of Oregon pertammg to the work descnbed herem, and
that NO OCCUPANCY WIll be made of any structure WIthout permISSIon of the CommuUlty Services DIVISIOn, BUlldmg Safety
I further cerlJfy that only contractors and employees who are m comphance WIth ORS 701 005 will be used on thiS project
I further .gree to ensure that all reqUIred mspectlOns 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 remam on the sIte at all
times dUl 109 constructIOn
Owner or Contractors SIgnature
Date
Page 2 of2
City of Sprmgfield
GPllII!IlAEIO
it
Mechamcal AuthorIzatIOn To Begm Work
E-malled To assoc13tedheatmg@gmall com
Receipt # 1i:C5J2251
6/16/2008 4 52 11 PM
Check on status of permIt
By Phone (541)726-3753 or Emall permltcenter@clspnngfield orus
~
I [K] 1 or 2 family dwelling
I
'CATEG~OR\"OF~cc5NSTRUCTI2N~0T~ ,',
D Multl.famlly 0 Accessory BUlldmg
"
" II
I I DescnptlOn
II -
I rurnace. up to 100,000 BTU
II Furnace above 100000 BTU
I Electnc Furnace
I Duct alteratIOns and addltlOns
I Gas heater unltsl in-wall, In
duct. susoended ctel
I Vent flue Imer for above
I Air CondItIOner
I Heat Pump
I Au lIandler
121~!~~r!!!fi!Ca~~!La~~~es~::
I Water heater
I Gas fireplace/mserUstove
I Gas log! log lighter
I Gas clothes dryer
I Gas stove/range
I Pool or spa heater kiln
I Wood/pellet stovehnsert
I Wood fireplace
I Chlmney/lmer/tlue/vent w/o
a~pilam...e
L~1~~tal c~hliustAND
I Range hood
I Clothes dryer exhaust
I Smgle-duct exhaust (bathrooms
tOl]et compartments utility
rooms)
I Attic/crawlspace fans
I~Fue~PIPlngr:~
~ - ~-
$1400
I
I
I
$14001
I
I
I
I
I
I
I D New construction
[K] AdditIOn/alteration/replacement
SITE INFORMATioN-AND
~ _~;H%ou~_,",<k
IJob no 3433A IJob address 532 0 ST
I City/State/ZIP SPRINGFI[LD, OR 97477-4638
I ~U1te/bldg /apt no
I Project name
Cross street/directIOns to Job site
I ~ubdlVISIOIl
I Tax map/parcel no
I
I Lot no
$1000
$1000
1703352407500
,-' DESCRIPTION OF WORK~
Install gas furnace & tanJ..less water heater
,='.r;;siT~ tQt:!fKcIJ~ :
I Name Carolyn Wells
I Phone (541) 554-5750
I Emall
I
IFax
~ C6NTRACTORL~~.:; "
I
I
I
$5001
I
I
Snbtotal $2900 I
MmmlUffi fee used lllstead of Subtotal $5000 I
State Surcharge (12% of permIt fee) $600 I
City Of SPringfield fees * I $27 50 I
roTAL PERMIT HE I $8350 I
* City Of Springfield 10% Local Admm Fee 5% Local Technology Fee
$10 Issuance Fee
upto first 4 outlets(entcr Qty=l)
$5
I CCB he no 106275
jUusllless Name ASSOCIATED HEATING & AIR CONDlTIONI
I Contact Brandy Forsman
IAddress PO BOX 412
I Clt)/MateIZIP EUGENI: OR 97440
I Phooe (541)6832590 I~" (541)6070287
I Emall assoclatedheatmg@gmall com
I Metro he no I Caty he no
each addltlondl outlet
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
ThiS AuthOrization To Begm Work must be posted at the Job site until replaced by a Permit
225 FIfth Street
Sprmgfie1d, Oregon 97477
541~726-3759 Phone
ii:no~
Job/Journal Number
COM2008-00880
COM2008-00880
COM2008-00880
COM2008-00880
COM2008-00880
COM2008-00880
COM2008-00880
COM2008-00880
Payments
Type of Payment
ONLINE CHGS
cRecelOt]
RECEIPT #.
1200800000000000664
Description
Furnace - up to 100,000 htu
Appliance Not Listed
Gas Outlets 1-4
MInimum/AdJustment Mechanical
-Mechanical Issuance Fee~
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Administrative Fee
CIty of Sprmgfield OfficIal ReceIpt
Development ServIces Department
PublIc Works Department
Date: 06/17/2008
Item Total
Check Number AuthOrizatIOn
Received By Batch Number Number How RecClved
Paid By
ONLINE PERMIT CHGS
ddk
Page I of I
ONLINE ASSOCIA T Online
ED
HEATING
Payment Total
9 26 20AM
Amount Due
1400
10 00
500
2100
2000
250
600
500
$83 50
Amount Paid
$83 50
$83 50
6/17/2008