HomeMy WebLinkAboutPermit Mechanical 2007-04-04Buitding/C ombination Permit
Status Issued
225 Fifth Street, SPringfield' OR
541-726-3753 Phone
541-726-3616Fax
541 -7 26-31 69 InsPection Line
VALUE:
TYPE OF WORK: Heating SYstem
TYPE OF USE: New ResidentialSITE ADDRESS: 405 25TH ST
issn'sson's PARCEL No': 1703361417700
PROJECT DESCRIPTION: Replace console gas furnace
Springfield
CONDITIO
PhoneNumber: 541-146-0221
Owner:
Address:
VANDEHEUVEL DANIEL E
405 25TH ST
SPRINGFIELD OR 97477
TING & AIR
License
t06275
Expiration Date
08/3U2008
Phone
541-683-2590Contractor TYPe
Mechanical
# 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:
Street ImProvements:
Storm Sewer Available:
Special Instruction:
Notes:
Contractor
ASSOCIATED HEA
# of Stories:
$ itlf*fll,fi,
OverlaY Dist:
# Street Trees Rqd:
Uf'rOfn THIS PERMI
OR IS ABANDONED
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/CarPort
Sidewalk TYPe:
LL EXPIRE I
Lot Size:
I IH$qVS0BKFloor:
Downspouts/Drains:
Sq Ft Other:
nla OccuPant Load:
$ Per Sq Ft
or multiplier
REQUIRED PARKING
Total:
HandicaPPed:
Compact:
Square Footage
or Bid Amount
Description Type of Construction
Pas.e 7 of 2
Value Date Calculated
coM2007-00491
0410412007
0410412007
r010412007
PERMIT NO:
ISSUED:
APPLIED:
EXPIRES:
Valuation Description I
Building/C ombination Permit
Status Issued
225 Fifth Street, SPringfield' OR
541-126-3753 Phone
541-126'3616Fax
541 -7 26-31 69 InsPection Line
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 57o TechnologY Fee
+ 87o State Surcharge
Furnace - Unit Heater
Miscellaneous Mechanical
Total Amount Paid
To Request an insPection cr
a.m. will be made the same
Total Value of Project
VALUE:
Amount Paid
$10.00
$4.50
$2.25
$3.60
$12.00
$33.00
Date Paid
414101
414101
414101
4t4107
414107
414101
ReceiPt Number
2200700000000000482
2200700000000000482
2200700000000000482
2200700000000000482
2200?00000000000482
2200700000000000482
alt the 24
working
$65.35
hour recording at 726'3769' All
day, insPections requested after
inspections requested before 7:00
7:00 a.m. witl be made the following
work daY.
Final Mechanical: When all mechanical work is complete'
By sign ature, 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 alt 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 ofthe property' and the aPProved set of plans will remain on the site at all
times during construction.
Owner or Contractors Signature
Pas,e 2 of 2
Date
coM2007-00491
0410412007
0410412007
t010412007
PERMIT NO:
NSUED:
APPLIED:
EXPIRES:
Rough Mechanical: Prior to Cover
City of Springfield Mechanical Authorization To Begin Work
E-mailed To: associatedheating@gmail.com
Check on status of Permit
By Phone: (541)7 26-37 53 or Emait : permitcenter@ci.springfi eld.or.us
Receipt # EC5f0013
41412007 10:24:56 AM
n Fee,
Ufon pl!9yv and approvat.by your locatjurisdiction, yourpermit will be e-mailed or faxed within one Uusiness Oay,with instructions on how to schedule you, ln"p".Uin.
NOTE: This.Authorization To Begin Work expires within 1g0days if a pormit is not obtained.
The.local building deparfnent may detormine that anAurhoriza.tion To Begin work is n,ifl .nO roiO ii'it-0J". notmeat appllcable land use ,aws and tocat orOinances. '
of
$10 Issuance
d
T New constructron [X I Addition/alteration/replacement
E t o, z family dwelting T uulti-famlty l-l A.".rrory Building
Job address: 405 25TH STJob no.: 3l4lA
City/StateZIP:' SPRINGFIELD, OR 97 477 -5126
Suite/bldg./apt.no.
Project name:
Cross streerdirections to job site:
Subdivision Lot no.:
Name: Brandy Forsman
gas
Tax map/parcel no.r 1703361417700
Phone: (541) 683-2590 Fax:
Email
CCB lic.no.: 106275
Business Name: ASSOCIATED HEATING & AIR CONDITIONI
Contact: Brandy Forsman
Address: PO BOX 412
City/StateZIP: EUGENE, OR 97440
City lic no.:
.com
Fax:. 5416070297Phone: 54 I 6832590
Metro lic no.
f, mail: assq6i6gs(hs61i
Total
Fumace- up to 100,000 BTU
Description Qty.Ea.
Fumace - above 100,000 BTU
not offered online at this jurisdtctlonElectric Furnace
Duct alterations and addittorts
Gas heater units/ in-wall, in-
duct. susoended. etc/
I $12.00 $r2.00
Vent, flue, liner for above
Air Conditioner
Heat Pump
not offered online at this jurisdictionAir Handler
Water heater
Gas fi replace/insert/stove
Gas log/ log lighter
Gas clothes dryer
Gas stove/range
Pool or spa heater, kiln
Wood/pellet stove/insert
Wood fireplace
Chimney/l iner/fl ue/vent w/o
Range hood
tilation., .',,
Clothes dryer exhaust
S ingle-ducr exhaustlbiGro6ii,
to ilet compartments, util ity
rooms)
Attic/crawlspace fans
upto first 4 outlets(enter Qry=l )
each additional outlet
fees *of sl '75
M lntmum fee used ofinstead Subtotal
$ I 2.00
$4s.00
s3of
FEE
COM:ql1(x 1
DATEPROCESSED:1-o Ll'-01
PROCESSEDB
RCPT -t,- lrL
This Authorization Io Begin Work must be posted at the site unti,repla b'y a Permit.
225 Fifth Street
Springfield, Oregon 97 477
541-726-3159 Phone
C''' of SPringfield Official ReceiPt
L . eloPment Services DePartment
Public Works DePartment
Date: 0410412007 ll:01:51AM
Job/Journal Number
coM2007-00491
coM2007-00491
coM2007-00491
coM2007-00491
coM2007-00491
coM2007-00491
RECEIPT #:
DescriPtion
Furnace - Unit Heater
M iscellaneous Mechanical
-Mechanical lssuance Fee-
+ 5%o TechnologY Fee
+ 8% State Surcharge
+ l}oh Administrative Fee
2200700000000000482
Amount Due
12.00
3 3.00
10.00
2.25
3.60
4.50
Item Total:
N umber
Number How Received Amount PaidPayments:
Type of PaYment
Received BY Batch Number
Paid BY
associated
heating
Online s6s.3 s
ONLTNE
6Nt-tNs cucS oNI-rNr PERMIT CHGS nJm
Payment Total:
cReceint I Pase I of I 4/4t2007