The URL can be used to link to this page

Home My WebLink AboutPermit Mechanical 2007-04-30Building/Combination Permit PERMIT NO: COM2007-00617Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37 69 Inspection Line ISSUED: APPLIED: EXPIRES: VALUE: 04t30t2007 04t30t2007 10t3012007 SITE ADDRESS: 6771 SIMEON DR ASSESSOR'SPARCELNO.: 1702341103400 Springfield PROJECT DESCRIPTION: Install gas fireplace insert and water heater. TYPE OF WORK: Mechanical Only TYPE OF USE: Alteration Residential Owner: Address: Contractor Type Mechanical GRAHAM TERESA 6771 SIMEON DR SPRINGFIELD OR 97478 Contractor License ASSOCIATED HEATING & AIR CONDITIO 106275 Expiration Date 08/3r/2008 Phone 541-683-2590 CONTRACTOR INFORMATI( # 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: EnergffiIrlt,t: sprinffilgpEFMl overufslYtl B0 DAY # Street Trees Rqd: Paved Drive Rqd: o/o of Lot Coverage: Other: nla ffi: ANDONED FO Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport PERIOD REQUIRED PARKING Total: Handicapped: Compact: Utiltty\AW $ Per Sq Ft or multiplier Square Footage or Bid AmountDescription Tvpe of Construction Page I of2 Value Date Calculated rF; lrulLDlNG rNrurqyrA r ruN l Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2007-00617ISSUED: 0413012007APPLIED: 04/30/2007EXPIRES: 10/3012007 VALUE: Fee Description -Mechanical Issuance Fee- + l0Yo Administrative Fee + 5%o Technology Fee + 87o State Surcharge Appliance Not Listed Fireplace (Listed) Gas Outlets l-4 Minimum/Adj ustment Mechanical Total Amount Paid Amount Paid Total Value of Project Date Paid Receipt Number 1200700000000000477 I 200700000000000477 1200700000000000477 1200700000000000477 1200700000000000477 1200700000000000477 1200700000000000477 1200700000000000477 $10.00 $4.50 $2.25 $3.60 $9.00 $rs.00 $4.00 $17.00 4t30t07 4t30t07 4t30t07 4t30107 4130107 4t30107 4130107 4t30t07 $65.3s ees Paid n To Request an inspection call the24 hour recording at 726-3769. All inspections 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 Gas: After line is installed and required testing and capped if not attached to an appliance. Rough Mechanical: Prior to Cover Final Gas: When all gas work is complete. 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 Safefy. 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 inspettions are requested at the proper time, that each address is readable from the street, ttrat ttre 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 Pase 2 of 2 Date Reouired lnspecttons I City of Springfield Upon review and approval by your local jurisdictlon, your permit wlll be e-mailed or faxed withln one business day, wlth instructions on how to schedule your lnspection. 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' N^cchanical Authorization To Begin Work E-mailed To: associatedheating@gmail.com Check on status of permit By Phone : (541)7 26-37 53 or Email: permitcenter@ci.sprin glield.or.us Receipt # EC5l08l2 413012007 2t37:23PM I 0% Local Adm n Fee; $10 Issuance Fee l-l New constructron li] eOaltlorVatteration/replacement [| t o. Z family dwelling l-l taulti-family l-l A"""rrory Building Job no.: 31564 Jobaddress: 6771 SIMEONDR City/StaTeZIP: SPRINGFIELD, OR 97 47 8.2102 Suite/bldg./apt.no.: Project name: Cross street/directions to job site: Subdivision:Lot no.: Tax map/parcel no.: 1702341 103400 gas insert water Name: Teresa Graham Phone: (541) 255-0660 Fax: Email: CCB lic.no.: 106275 Business Name: ASSOCIATED HEATING & AIR CONDITIONI Contact: Brandy Forsman Address: PO BOX 412 CitylState/ZlP: EUGENE, OR 97440 Phone: 54 I 6832590 Fax:5416070287 Email: associatedheating@gmail.com Metro lic no.:City lic no.: Furnace- upto 100,000 BTU Drscrinlion Heating/cooling applia nces Ea.Total Furnace - above I 00,000 BTU Electric Furnace not offered online at this jurisdiction Duct alterations and additions Gas heater units/ in-wall, in- duct- susDended- etc/ Vent, flue, liner for above Arr Conditioner Heat Pump offered online at thisjurisdictionAir Handler I $9.00 $9.00Water heater s15.00Gas fi replace/insert/stove 1 $l5 00 Gas log/ log lighter Gas clothes dryer Gas stove/range Pool or spa heater, kiln Wood/pellet stove/insert Wood fireplace Range hood Ch Clothes dryer exhaust Single-duct exhaust (bathrooms, toilet compartrnents, utility rooms) s4.00$4.00 Attic/crawlspace fans upto first 4 outlets(enter Qty=l ) LI r-_l each additional outlet $28.00Subtotal s45.00Minimum fee used instead of Subtotal $3.60State Surcharge (8% ofpermit fee) $ 16.75City Of Springfield fees + $65.35TOTAL This Authorization To Begin Work must be posted at the job site until replaced by a Permit. TYPE OF WORK CATEGORY OF CONSTRUCTION JOB SITE INFORMATION AND LOCATION DESCRIPTION OF WORK SITE CONTACT CONTRACTOR FEE SCHEDULE Qtv. Other fuel burning apptiances annliance Invironmental exhaust AND ventilation Fuel piping MECHANICAL PERMIT FEES 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Citu of Springfield Official Receipt L tlopment Services Department Public Works Department RECEIPT #: 1200700000000000477 Date: 0413012007 3:10:07PM Job/Journal Number coM2007-006r 7 coM2007-00617 coM2007-00617 coM2007-006 r 7 coM2007-00617 coM2007-00617 coM2007-00617 coM2007-00617 Description Gas Outlets l-4 Fireplace (Listed) Appliance Not Listed M in imum/Adj ustment Mechanical -Mechanical Issuance Fee- + 5olo Technology Fee + 8% State Surcharge + l0%o Administrative Fee Amount Due 4.00 I 5.00 9.00 17.00 10.00 2.25 3.60 4.50 Item Total:$6s.35 Payments: Type of Payment Paid By Check Number Received By Batch Number Authorization Number How Received Amount Paid ONLINE CHGS ONLINE PERMIT CHGS ddk ONLINE Associated Online Heating & Air Payment Total: $65.3 s $6s.3s cReceintl Page I of I 4t30t2007 llmilllffi,s