HomeMy WebLinkAboutPermit Mechanical 2007-05-21F
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 -00727ISSUED: 0512112007
APPLIED: 0512112007
EXPIRESz ltl2ll2007
VALUE:
SITE ADDRESS: 281 22ND ST
ASSESSOR'SPARCELNO.: 1703361302300
PROJECT DESCRIPTION: Ductless heat pump system.
TYPE OF WORK: Heating System
TYPE OF USE: New
Springfield
Residential
Owner:
Address:
Contractor Type
Mechanical
BROMLEY EDWIN C & DIANE L
2EI W 22ND ST
SPRINGFIELD OR 97477
Contractor
AUTOMATIC HEAT
License
149452
Expiration Date
t0/22t2007
Phone
541-726-7654
# 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:
Sidewalk Type:
Downspouts/Drains:
# of Stories:
Height of Structure:
Type of Heat:
Water Type:
Range Type:
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq FtB
Compact:
Utetutt ta,fr, I t)''l
ilul'l the
#
Yo
Paved d:
oh of Lot Coverage:
ARKING
DAY PERIOD
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
PUBLIC IMPROVEMENTS
Valuation Descriotion
Description Type of Construction
Paee I of 2
Value Date Calculated
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,
I,UILUINU INIUI(1YIA T TUN I
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 -00727ISSUED: 0512112007
APPLIEDz 0512112007
EXPIRES: 1112112007
VALUE:
Fee Description
-Mechanical Issuance Fee-
+ l0oh Administrative Fee
+ 57o Technology Fee
+ 87o State Surcharge
Air Handling Unit Up to 10'000
Heat Pump
Minimum/Adjustment Mechanical
Total Amount Paid
Amount Paid
$10.00
$4.50
s2.2s
$3.60
$8.00
$r2.00
$25.00
$6s.35
Total Value of Project
Date Paid
5/2u07
5t2u07
5t2t/07
st2u07
5t2u07
5tzu07
5t2U07
Receipt Number
2200700000000000788
2200700000000000788
2200700000000000788
2200700000000000788
2200700000000000788
2200700000000000788
2200700000000000788
Fees 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.
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 2 of 2
Date
Keouired lnsDectrons I
City of Springfield
spnusFtEls
Upon reviow 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.
N--chanical Authorization To Begin Work
E-mailed To : mschilling@automaticheatco.com
Check on status of Permit
By Ph one : (541)7 26-37 53 or Email : permitcenter@ci'sprin gfi eld. or.us
Receipt # EC511589
512112007 10144:44 AM
I l'l 5%o Local Technology Fee;* City Of
$l 0 Issuance Fee
COM:afl)_-7
R.CPT
DI\TE FROCESSED:
TYPE OF
I Newconsn-uction lt-l Addition/alteration/replacement
E t o, z family dwelling l-l rrautti-family l-l A"..rrory Building
Job no.:Jobaddress: 281 22NDST
City/State/ZlP: SPRINGFIELD, OR 974'1'7-5102
Suite/bldg./apt.no.:
Project name: Bromley
Cross streevdirections to iob site:
Subdivision:Lot no,:
Tax map/parcel no.: 1703361302300
pump system
Name: Ed Bromley
Phone: (541) 520-6198 Fax:
Email:
CCB lic. no.t 149452
Business Name: EUCENE IIEATING & COOLINC COMPANY
Contact: Michael Schilling
Address: 1650 NE LOMBARD ST
City/State/ZIP: PORTLAND, OR 9721 I
Phorc': (541)7267654 Fax:. (541)7267657
Email: mschil ling@automaticheatco.com
Metro lic. no.City lic. no.:
Total
Fumace- up to 100,000 BTU
Qty.Description
Fumace - above I 00,000 BTU
Electflc Fumace not offered online at this jurisdtction
Duct alterations and additions
Gas heater units/ in-wall, in-
duct, suspended, etc/
Vent, flue, liner for above
Air Conditioner
I $r200 $l2 00Heat Pump
Air Handler
Water heater
not offered online at thisjurisdictton
Gas fi replace/insert/stove
Gas logi log lighter
Gas clothes dryer
Gas stove/range
Pool or spa heater, kiln
Wood/pellet stove/insert
Wood fireplace
Range hood
Clothes dryer exhaust
Single-duct exhaust (bathrooms.
toilet compartments, utility
rooms)
Attic/crawlspace fans
upto first 4 outlets(enter Qty= I )
each additional outlet
$12.00Subtotal
$45 00Minimum fee used instead of Subtotal
$3 60it feeStateof
$16.75City Of Springfield lees *
$6s 3sIT FEI'
This Authorization To Begin Work must be posted at the j PBncBffi[HE
-z) -c"1
OF
JOB SITE INFORMATION AND LOCATION
OESCRIPTION OF WORK
SITE CONTAGT
CONTRACTOR
FEE SCHEDULE
Ea.
appliances
Other fuel burning appliances
aool iance
Environmental exhaust AND ventilation
Fuel piping
MECHANICAL PERMIT FEES
'l'o'lAt.
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
Ci-' of Springfield Official Receipt
L -;lopment Services Department
Public Works Department
RECEIPT #: 2200700000000000788 Date: 0512112007 11:42:l0AM
Job/Journal Number
coM2007-00727
coM2007-00727
coM2007-00727
coM2007-00727
coM2007-00727
coM200t-00727
coM2007-00727
Description
Heat Pump
Air Handling Unit Up to 10,000
M in imum/Adj ustment Mec han ical
-Mechanical Issuance Fee-
+ 5olo Technology Fee
+ 8% State Surcharge
+ l0o/o Administrative Fee
Amount Due
12.00
8.00
25.00
t 0.00
2.25
3.60
4.50
Item Total:$65.3s
Payments:
Type of Payment Received By
Check Number
Batch Number
Authorization
Number How Received Amount PaidPaid By
ONLINE CHGS ONLINE PERMIT CHGS NJM ONLINE EUGENE
HEATING
&
COOLING
Online $65.35
Payment Total:$6s.35
cReceint I Page I of I 51211200'7
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