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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