HomeMy WebLinkAboutPermit Mechanical 2007-01-04F
Status Issued
225 Fifth Street, SPringfield, OR
541-726-3753 Phone
541-726-3676Fax
541 -7 26-31 69 InsPection Line
Buildin g/C ombination Permit
PERMIT NO: COM2007-00023ISSUED: 0110412007
APPLIEDz 0110412007
EXPIRESz 0710412007
VALUE:
SITE ADDRESS: 3955 E lTTH AVE
ASSESSOR'SPARCELNO.: 1703344303800
PROJECT DESCRIPTION: Install wall furnace.
Eugene TYPE OF WORK: Mechanical OnlY
TYPE OF USE: Alteration Residential
Owner:
Address
Contractor License
ASSOCIATED IIEATING & AIR CONDITIO 106275
Expiration Date
08/31/2008
Phone
541-683-2590
Contractor Type
Mechanical
# of Units:
Primary Occupancy GrouP:
Secondary Occupancy GrouP:
Primary Construction TyPe
Secondary Construction TYPe:
# of Bedrooms:
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
oh of Lot Coverage:
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:nla
Sidewalk Type:
Downspouts/Drains:
REQUIRED PARKING
Total:
Handicapped:
Compact:
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
PUBLIC IMPROVEMENTS
Description Type of Construction
Page I of2
Value Date Calculated
POWELL WILLTAM & LAUREL
3955 E 17TH AVE
EUGENE OR 97403
DEV},LUPMI,N I. INIUI(IVTATTUN I
Valuation Description ]
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541 -7 26-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2007-00023ISSUED: 0110412007
APPLIED: 0110412007
EXPIRESz 0710412007
VALUE:
Fee Description
-Mechanical Issuance Fee-
+ l0oh Administrative Fee
+ 57o Technology Fee
+ 87o State Surcharge
Furnace - Unit Heater
Minimum/Adjustment Mechanical
Total Amount Paid
Total Value of Project
Date Paid Receipt Number
2200700000000000014
2200700000000000014
2200700000000000014
2200700000000000014
2200700000000000014
2200700000000000014
Amount Paid
$10.00
s4.50
s2.25
$3.60
s12.00
$33.00
$65.35
U4t07
y4t07
u4t07
u4t07
il4t07
y4t07
tr'ees
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 Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
nsnections
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
Pwe2 of 2
Date
I
City of sPringfield
Check on status of Permit:
Contact: http://www'cl springfield'or'us/dsd/Buildingy'index'htm
ReceiPt # qc50?517
LB?U|T 2:54:36PM
Uoon review and approval by your local jurisdiction' your
oermit will be e'mailed or faxed within one business oay'
fiirt in=itu.ti"ns on how to schedule your inspection'
NOTE: This Authorization To Begin Work expires within 180
days if a Permil is not ob(ained'
The Iocal building department may determine that an
euinorization To-Begin Work is null and void if it does not
meet applieable land use laws and local ordinances'
W'n^eCD1- (Wa3
Ar-Ptb a>,n/t*
Fee;
$10 Issuance Fee
r!4lot
$ AddtiotV"tt "nti"ry'rcplacernentE *.* construction
E I or 2 fanilY dwelling I sccessorYBuitdingI urtti't'r*itv
address: 3955 E ITTHAVEJob no.:
91403-2739OREUGENE,CityrStateZIP:
Suite/bld9/aPt'no':
Projecl name:
Cros street/directions to job site:
Irt no.
Subdivision:
Tar maPlParcel no'1703344303800
Name: BrandY Forsmm
Far:(541) 683-2590
Email:
CCB lic.no.: 106275
AIR&CONDITIOMHEATINGSOCIATEDA,9Name:Business
Contact: BrandY Forman
PO BOX 412
974,10OREUGEM,City/StateZIP:
Far: 5416070287Phone: 5416832590
Email:
City lic no.Metro lic no.:
To"t I
=.-:1r
Ea.atv. I--1-::- -::.
BTUto100,000uPFumace-
BTU100,0maboveFumace
thisatonline jurisdicdonofferedEls:tric Fumace
s12.00$12.00I
els)
additionsandaltsrationsDuct
V*t,fiou,tit tforubo'"
Air Conditioner
HeatPtmP
ofiered onlhe at this jurisdiction
Air Handler
Water he.t6
Gas
Gas logl log lighto
Gas clothes drYa
Pool or sPa heater. kiln
Gas
WoodPelld stovdinsert
\!bod frePlace
Rangehood
Clothes drYer exhaust
exhaust
toilet comPartsn€nt8,utility
Ii ,'.]t-
llI'': ::)
T-
I
AltidcrawlsPace fans
upto fist 4 outleb(eoter QtY=l)
each additional outlet
$45.00Minimum Fee
s3.60
s16.75fees i
s65.3:
^;-^c^lA I Arlm
ThisAuthorization Io Begin Work must be posted at the job site until replaced by a Permit
,echanical Authorization To Begin Wor
E-mailed To : bran<ty@associatedheating' com
tilation .,
806 ofpernState Surcharge
v Of SC
225 Fifth Street
Springfield, Oregon 97 471
541-726-3759 Phone
Cit of Springfield Official Receipt
Ds .loPment Services DePartment
Public Works DePartment
Date: 0110412007 8:16:32AM
Job/Journal Number
coM2007-00023
coM2007-00023
coM2007-00023
coM2007-00023
coM2007-00023
coM2007-00023
RECEIPT #:
DescriPtion
Furnace - Unit Heater
Minimum/Adjustment Mechanical
-Mechanical Issuance Fee-
+ 5% TechnologY Fee
+ 8%o State Surcharge
+ l0o/o Administrative Fee
2200700000000000014
Amount Due
12.00
3 3.00
10.00
')')\
3.60
4.50
Item Totall
umber Number How Received Amount Paid
Payments:
Type of PaYment
Received BY Batch Number
Paid BY Online $6s .35
ddk ONLINE
ONLINE CHGS ONLINE PERMIT CHGS Heating &
Air
Conditioning
Payment Total:
- eceint I Page I of I U4t2007
*F.taraaFlsL.S
-$-655