The URL can be used to link to this page

Home My WebLink AboutPermit Mechanical 2007-03-21Status Issued 225 Fifth Street, SPringfield' OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37 69 InsPection Line SITE ADDRESS: 539 20TH ST ASSESSOR'S PARCEL NO.: 1703361307903 Springfield PRoJECT DESCRIPTION: tnstatl Furnace and Heat pump and plumbing' Building/Combination Permit PERMIT NO: COM2007 -00414 ISSUED: 0312112007 APPLIEDz 0312112007 EXPIRES: 09/3012007 VALUE: TYPE OF WORK: Single Family Residence TYPE OF USE: Alteration Residential PhoneNumber: 541-746-3160 Owner: Address: Contractor Tvpe Mechanical Plumbing SLAVEN RAY L & EVELYN O 89803 HILL RD SPRINGFIELD OR 97478 Contractor License ASSOCIATED HEATTNG & AIR CONDITIO 106275 OWNER Expiration Date 08/31/2008 Phone 541-683-2590 ATI I gon -. ': 1, IIO 56[ r.ri # 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: R-3 # 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: VB I{OIICE TH'S PER AUTHORIZ Overlay Dist: IF THE WORK RMII IS NOT REQUIRED PARKING Total: Handicapped: Compact: COMfuIENC R IS ABA NDONED FOR Sidewalk Type: Downspouts/Drains: Notes: Pase I of3 ?Fl*-$ S\ Dtr,Vtr,LUPMEN I INI UKNTA I TUl\ Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-726-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2007 -00414ISSUED: 0312112007APPLIED: 0312112007 EXPIRES: 09/3012007 VALUE: Description Tvpe of Construction Fee Description -Mechanical Issuance Fee- + lO'h Administrative Fee + 57o Technology Fee + 87o State Surcharge Furnace - up to 100,000 btu Heat Pump Minimum/Adjustment Mechanical + lOoh Administrative Fee + 57o Technology Fee + 87o State Surcharge Fixture Minimum/Adjustment Plumbing Total Amount Paid Total Value of Project Date Paid Value Date Calculated Receipt Number 2200700000000000387 2200700000000000387 2200700000000000387 2200700000000000387 2200700000000000387 2200700000000000387 2200700000000000387 2200700000000000434 2200700000000000434 2200700000000000434 2200700000000000434 2200700000000000434 Amount Paid $ Per Sq Ft or multiplier Square Footage or Bid Amount 3tzt/07 3t2y07 3t2u07 3tzu07 3t2u07 3t2u07 3t2u07 3t30t07 3t30t07 3t30t07 3/30107 3t30107 $10.00 $4.50 $2.25 $3.60 $r2.00 $12.00 $2r.00 $4.50 $2.25 $3.60 $28.00 $17.00 $r20.70 tr'ees Pa PIan Reviews 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 Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing work is complete. Reorrired Insnections Page 2 of3 Valuation Descrintion Status 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 -00414ISSUED: 0312112007 APPLIEDz 0312112007 EXPIRES: 09/3012007 VALUE: 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, tlat 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. 7-:o-o) Owner or Contractors re Date Page 3 of3 Construction Contractors Board permit alCOlul es(-/'- O Oql / 700 Summer St IrIE Suite 300 PO Box 14140 Salem OR 97309-5052 Phone: 503-378-4621 Web Address: www.ccb.state.or.us 53 ? Zo{'r s}- Issued by:b< Address: Date *R 3 c Statement: lnformation Notice to Property Owners About Gonstruction Responsibilities Note: Oregon Law, ORS 701.055(4) requires residential construction permit applicants who are not licensed with the Constructton Contractors Board to sign thefollowtng statement before a building permit can be issued. This statement is requiredfor residential building, electrical, mechanical and plumbing permits. Licensed architect and engineer applicants, exemptfrom licensing under ORS 701.010(7), need not submtt this statement. This statement wtll befiled with the permit. Fill in the appropriate blanks and initial boxes I and 2, and either box 3A or 38: C(, I own, reside in, orwill reside in the completed structure. I understand that I must become licensed as a construction contractor if the structure is sold or offered for sale before or on completion. tr 3A. My general contractor is (Name)(ccB #) W V I will instruct my general contractor that all subcontractors who work on the strucfure must be licensed with the Construction Contractors Board. OR 38. I will be my own general contractor. If I hire subcontractors, I will hire only subcontractors licensed with the Construction Contractors Board. If I change my mind and hire a general contractor, I will contract with a contractor who is licensed with the CCB and will immediately notiff the office issuing this building permit of the name of the contractor. I hereby certify that the above information is correct and that I have read and do understand the Information Notice to Property Owners about Construction Responsibilities on the reverse side of this form. (Signature applicant)(Date) (White copy to issuing agency permitfile, pink copy to applicant.) Property_owner. doc 06-0 I -04 s 3 )O- c4 Ae8fxrg *$ \ our Owxx Sem*ral Contractor? 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone Cir'' of Springfield Official Receipt L _,lopment Services Department Public Works Department RECEIPT #: 2200700000000000434 Date: 0313012007 t:27:45PM Job/Journal Number coM2007-00414 coM2007-00414 coM2007-00414 coM2007-00414 coM2007-00414 Description + 5% Technology Fee + 8% State Surcharge + l0%o Administrative Fee Fixture Minimum/Adjustment Plumbing Amount Due 2.2s 3.60 4.50 28.00 17.00 Item Total:$ss.3s Payments: Type of Payment Paid By CheckNumber Authorlzatlon Received By Batch Number Number How Received Amount Paid CreditCard THEA READ djb 080865 In Person Payment Total: $5 s.3 s -ffi cReceint I Page I of I 313012007 .{rturaaIrIL6 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line B uilding/Combin ation Permit PERMIT NO: COM2007 -00414ISSUED: 0312112007 APPLIEDz 0312112007 EXPIRESz 0912112007 VALUE: SITE ADDRESS: 539 20TH ST ASSESSOR'SPARCELNO.: 1703361307903 Springfield TYPE OF WORK: Heating System TYPE OF USE: Alteration Residential PROJECT DESCRIPTION: Install Furnace and Heat pump. Owner: Address: Contractor Type Mechanical SLAVEN RAY L & EVELYN O 89803 HILL RD SPRINGFIELD OR 97478 Contractor License ASSOCIATED HEATING & AIR CONDITIO 106275 Expiration Date 08/31/2008 Phone 541-683-2590 CONTRACTOR INF( # 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 Typer ', Range Type: Energy Path:. Sprinkled Buikiing: REQUIRED PARKING Overlay Dist: Total: # Street Trees Rqd: HandicaPPed: Paved nrivilSTl[E: ComPact: Yoorlot "flfrsffEnMtT sHAIL EXPIRE ll- THL w0RK T D OR IS ABANDONED FOR Y PEffi&Drkrype: Downspouts/Drains: ANY 1BO DA Occupant Load: arport $ Per Sq Ft or multiplier Square Footage or Bid Amount PUBLIC IMPRO' Description Type of Construction Pase I of2 Value Date Calculated nh I :l Valuation Description I t [! Y t1l,(rrlvtt!1\ l 11\ r (I(lvrA r r\rt\ | LD Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541 -7 26-37 69 Inspection Line Buildin g/Combination Permit PERMIT NO: COM2007 -00414ISSUED: 0312112007 APPLIEDz 0312112007 EXPIRESz 0912112007 VALUE: Fee Description -Mechanical Issuance Fee- + l0o Administrative Fee + 57o Technology Fee + 87o State Surcharge Furnace - up to 100,000 btu Heat Pump Minimum/Adj ustment Mechanical Total Amount Paid Total Value of Project Date PaidAmount Paid $10.00 $4.50 $2.25 $3.60 $12.00 s12.00 $21.00 $6s.35 Receipt Number 2200700000000000387 2200700000000000387 2200700000000000387 2200700000000000387 2200700000000000387 2200700000000000387 2200700000000000387 3t2y07 3t2U07 3t2U07 3t2u07 3t2t/07 3t2u07 3tzu07 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 Pase2 of2 Date r ees fllrq l City of Springfield $Hlano Upon review ard 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 wilhin {80 days if a permit is not obtained. The tocal building departrnent may determine that an Authoriz8tion To Eegin Worft is null and void if it does not meet rpplicabl. land ule laws and local ordinana€s. Iechanical Authorization To Begin Wo' E-mailed To : associatedheating@gmail. com Check on status of permit By Phone: (5/.l\1 2G37 53 or Em ail: perm itcenter@ci. springlield.o r. u s Receint # EC$9618 3l2ll20Ul8:58121AM Sl0 Issuanre Fe€ I-l New construction lfl eddition/oltoutiory'replacment CATEGORY OF CONSTRUCTION El lor2fanilydwelling I lru,i-raloly tr Accessory Building Job no.: 3l2lA Job eddress: 539 20TH ST CitylStateZlP: SPRINGFIELD, OR 97477-5030 Suiter'bldg./ept.no.: Projett name: Cross streeUdirc*tions to job sito: Subdivision [,ot no.: 'far map/parcel no.: 1703361307903 DESCRIPTION OF SITE Name: Brandy Forsman Phoae: (541) 68-2590 Fu: Ernail asseiatedheating@gnait.com CCB lic.no.: 106275 Business Name: ASSOCIAIED HEAT'ING & AIR CONDI'IIONI Contoct: Brandy Forsman Address: P() BOX 412 City/StateZIP: EUGENE, OR 974,m Phone: 5416832590 Far: 5416070287 B:n ail: associatedheating@prail-com N{etro lic no.:City lic no.: Description Q{}Ea.Total Heating/caoling eppliances Fumace- up to 10Q000 BTU I $12.00 $12.00 Fumace - above 100,000 BTU FlloctrieFmare not offered online at thisjurisdiction Duct alterations and addilions Gas heater rmitsl in-wall, m- ducl susDsnded. Etc/ Ven! flue, lina for above Air Conditioner I $r2.00 s12.00Hcat Purnp Air tlsrdler not offered online at thisjuriediction Other firel hurning appllances Water heater (hs fi replace/iruertr'stove Gas log/ Iog lighter Gar clothes &yer Gas stovdrange Pool m spa heater, kihr Woodlpellet rtove/inrert Wmd fneplace Chimney/liner/tludvent wlo apoliance Environmental erbaust AND vcntilrtion Range hood Clothes dryer exhaust Singl+duct exhaust (ballraoms, toilat eompartmentr, utility momr) Atticlcrawlrpace fanr upto fint 4 outlete(enter Qty=l) each additional outlet MECHANICAL PERMIT FEES Subtotal $24.00 Minimm t-ee used instead olSubtotal $45.00 State Surchrge (8% of permit fee) $16.75 TOTAL This Authorization To Begin Work must be posted at the job site until replaced by a Permit LOCATION coNt'tAcT Citv OI'! 223 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone Cit . of Springfield Official Receipt D /opment Services Department Public Works Department RECEIPT #: 2200700000000000387 Date: 0312112007 10:13:47AM Job/Journal Number coM2001-00414 coM2007-00414 coM2007-00414 coM2007-00414 coM2007-00414 coM2007-00414 coM2007-00414 Description Furnace - up to 100,000 btu Heat Pump M in imum/Adjustment Mechanical -Mechanical Issuance Fee- + 5oZ Technology Fee + 8% State Surcharge + 10%o Administrative Fee Amount Due 12.00 12.00 21.00 10.00 2.25 3.60 4.50 Item Total:$6s.3s Payments: Type ofPayment 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 Conditioning Payment Total: $65.3 5 $6s.3s cReceintl Page I of 1 3/2U2007