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Home My WebLink AboutPermit Mechanical 2007-04-04Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541 -7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2007-00490ISSUED: 04/0412007 APPLIED: 0410412007 EXPIRESz 1010412007 VALUE: SITE ADDRESS: 2567 l6TH ST ASSESSOR'S PARCELNO.: 1703243400102 PROJECT DESCRIPTION: Add H/P to existing furnace TYPE OF WORK: Heating System TYPE OF USE: New Springfield Residential Owner: Address: Contractor Type Mechanical WILHELM JAMES I & SANDRA D 2567 N I6TH ST SPRINGFIELD OR 97477 contracto, illCl I lC E i..r.. Expiration Date Phone ASSOCIATED HEATING & AIR COI\dfll'H8E Nft iI$ H A t L t X MB/ail/EMSI WO H{I-683.2590 CONTRACTOR INFORMATION UNUEH IHIS PTHMII I S NOT # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Fronfyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: OR IS ABANDONED FOR # of Stories: , ,; , ' Lot Size: Height of Structure: Sq Ft lst Floor: Type of Heat: Sq Ft 2nd Floor: Water Type: Sq Ft Basement: Range Type: Sq Ft Garage/CarPort Energy Path: Sq Ft Other: Sprinkled Building: nla Occupant Load: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd; oh of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: Downspouts/Drains: $ Per Sq Ft or multiplier Square Footage or Bid Amount PUBLIC IMPROVEMENTS Valuation Descrintion Description Type of Construction Paee I of 2 Value Date Calculated [.3*s il Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37 69 Inspection Line Building/Com bin ation Perm i t PERMIT NO: COM2007 -00490ISSUED: 0410412007 APPLIED: 0410412007 EXPIRES: 1010412007 VALUE: Fee Description -Mechanical Issuance Fee- + l0o/o Administrative Fee + 57o Technology Fee + 87o State Surcharge Heat Pump Minimum/Adj ustment Mechanical Total Amount Paid Amount Paid $10.00 $4.s0 $2.2s $3.60 $r2.00 s33.00 $6s.3s Total Value of Project Date Paid 4t4t07 4t4t07 4t4t07 4t4107 4t4t07 4t4t07 Receipt Number 220070000000000048r 2200700000000000481 2200700000000000481 2200700000000000481 2200700000000000481 2200700000000000481 ees Paid Plan Reviews To Request an inspection call the 24 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 Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Reouired Insnect 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 Paee? of 2 Date !q 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone C;-' of Springfield Official Receipt L elopment Services Department Public Works Department RECEIPT #: 2200700000000000481 Date: 0410412007 e:39:leAM Job/Journal Number coM2007-00490 coM2007-00490 coM2007-00490 coM2007-00490 coM2007-00490 coM2007-00490 Description Heat Pump Minimum/Adj ustment Mechanical -Mechanical Issuance Fee- + 5% Technology Fee + 8% State Surcharge + 10o/o Administrative Fee Amount Due 12.00 3 3.00 10.00 2.25 3.60 4.50 $65.35Item Total: Payments: Type of Payment Paid By Received By Check Number Batch Number Authorization Number How Received Amount Paid ONLINE CHGS ONLINE PERMIT CHGS ONLINE associated htg Online $6s.35nJm Payment Total:$65.35 cRecernt I Page I of I 41412007 tffiD Cify of Springfield Mechanical Authorization To Begin Work E-mailed To: associatedheating@gmail,com Check on status of Permit By Phone : (541)1 26-37 53 or Em ail : permitcenter@ci'springfi eld'or'us OfSpringfield l0% $10 lssuance Fee Receint # EC510008 4/4/2007 9:10:5I AM tn 5Yo Local ogy ffi Upon review and approval by your local jurisdiction, your permit will be e-mailed 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. l-l New construction fl naditiotvutteration/replacement El t o, z family dwelling I-l udti-ramity Accessory Building Job no.: 3140A rbaddress: 2567 I6THST ciry/statezlP: SPRINGFIELD, OR 97477-1667 Suite/bldg./apt.no.: Project name: Cross streeUdirections to job site: Lot no.:Subdivision Tax map/parcel no.: 1703243400102 Name: Brandy Forsman Fax:Phone: (541) 683-2590 Email: associatedheating@gmail.com CCB lic.no.: 106275 Business Name: ASSOCIATED HEATING & AIR CONDITIONI Contact: Brandy Forsman Address: PO BOX 412 City/StatezlPr EUGENE, OR 97440 Fax:5416070287Phone: 54 I 6832590 Email: associatedheating@gmatl.com City lic no.:Metro lic no.: Description Furnace- up to 100,000 BTU aty. I -_-l Ea.'lbtal Fumace - above 100,000 BTU Electric Fumace not offered online at thisjurisdiction Duct alterations and additions Gas heater units/ in-wall, in- ducL susDended, ete/ VenL flue, liner for above Air Conditioner Heat Pump I sr200 $ I 2.00 Air Handler not offered online at this jurisdiction Water heater Gas fi replace/lnservstove Gas log/ log lighter Gas clothes dryer Gas stove/range Pool or spa heater, kiln Wood,/pel I et stove/insert Wood fireplace Range hood I tilation -TClothes dryer exhaust Tfi gCf uct exhaust (bathrooms, toilet companments, utility rooms) Attic/crawlspace fans upto first 4 outlets(enter QtY=l ) each additional outlet Subtotal 12.00 Minimum fee used instead of Subtotal $4s 00 State Surcharge 8% of permit fee)s3.60 pringfield fees I $16 7s TOTr FEE PROCESSEDBY: COM: RCPT#:2a o-7 -.+g( DATEPROCESSED:1 -67-04 This Authorization To Begin Work must be posted at the j un rep a Permit. TYPE OF WORK OF JOB SITE INFORMATION AND LOCATION DESCRJPTION OF WORK Riiit ttlP to existing fumace SITE CONTACT FEE SCHEDTJLE Heating/coollng Other fuel burning aPPliances annl iance MECHANICAL EEEC City Of S