HomeMy WebLinkAboutPermit Mechanical 2007-04-25Status 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: COM2007-00595ISSUED: 0412512007
APPLIED: 0412512007
EXPIRESz 1012512007
VALUE:
SITE ADDRESS: 280 S 38TH ST
ASSESSOR'S PARCEL NO.: 1702314208200
PROJECT DESCRIPTION: Replace wall furnace
Contractor License
ASSOCIATED HEATING & AIR CONDITIO 106275
TYPE OF WORK: Heating System
TYPE OF USE: New
Expiration Date
08/31/2008
Springfield
Owner:
Address:
Contractor Tvpe
Mechanical
BRUSSEAU CAROL M
280 S 38TH ST
SPRINGFIELD OR 97478
Phone
541-683-2590
CONTRACTOR II\
# 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 lmprovements:
Storm Sewer Available:
Special Instruction:
Notes:
# of Stories:
Height of Structure:
Type of
nurnbertor
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
oh of Lot Coverage:
Lot Size:
{
rn
lst Floor:
'Oreg on law requlres nd Floor:
by the Oregon
r. Those rules are
Othro ugh OAR
Loadthe
Notilication
Sidewalk Type:
C()M MENIIED 0R lS A#frtlD8t{EBE0ffns:
ANY 1BO DAY PERIOD.
REQUIRED PARKING
Total:
Handicapped:
Compact:
aez-2?L4 :),
AUTHORIZED UNDE
$ Per Sq Ft
or multiplier
Square Footage
or Bid AmountDescription Type of Construction
Pase I of2
Value Date Calculated
BUrLrJlNG tru llt(n4A l tuNJ
Valuation Description I
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: COM2007-00595ISSUED: 0412512007
APPLIEDz 0412512007
EXPIRESz 1012512007
VALUE:
Fee Description
-Mechanical Issuance Fee-
+ l0oh Administrative Fee
+ 57o Technology Fee
+ 87o State Surcharge
Furnace - Unit Heater
Miscellaneous Mechanical
Total Amount Paid
Amount Paid
$r0.00
$4.s0
$2.2s
$3.60
$12.00
$33.00
$65.35
Total Value of Project
Date Paid
4t25107
4/25107
4t25/07
4t25t07
4t25t07
4/25t07
Receipt Number
2200700000000000s79
2200700000000000s79
2200700000000000579
2200700000000000579
2200700000000000579
2200700000000000579
Fees Paid
Plan 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.
Reouired Insoect
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
Pase 2 of 2
Date
q ffi.i
Cify of Springfield
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 oxpiros 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 loca! ordinances.
Irechanical Authorization To Begin WorL-
E-mailed To: associatedheating@gmail.com
Check on status of permit
By Phone : (541)7 2G37 53 or Email : permitcenter@ci.sprin glield.or.us
Receipt # 8C510657
412512007 8:45:39 AM
Springfiefd l0o/oLocal Fee; 5% Local Fee;
$l 0 Issuance Fee
I-l New constnrction m Addition/alteration/replacement
I or 2 family dwelling T A...rrory Building
Job no,: 3159A Job address: 280 S 38TH ST
Multi-family
City lstatelzlPt SPRINGFIELD, OR 97478-6405
Suite/bldg./apt.no.:
Project name:
Cross streeUdirections to job site:
Lot no.:Subdivision
Tax map/parcel no.t 1702314208200
lfumace
Name: Carol Brusseau
ace
Phone: (541) 741-4727 Fax:
Email:
CCB lic.no.: 106275
Business Name: ASSOCIATED HEATING & AIR CONDITIONI
Contact: Brandy Forsman
Address: POBOX4I2
City/StateZIP: EUGENE, OR 97440
Phone:5416832590 F^xt 5416070287
Email: associatedheating@gmail.com
Metro lic no.City lic no.
Ea.Total
Furnace- up to 100,000 BTU
ety.
::.',',,.",":.":"
Fumace - above 100,000 BTU
not offered online at this jurisdrctionElectric Fumace
Duct alterations and additions
Gas heater units/ in-wall, in-
duct. susDended. etc/
I $12.00 $12.00
Vent, flue, liner for above
Air Conditioner
Heat Pump
Air Handler
Water heater
not offered online at thisjurisdiction
Gas fi replace/insert/stove
Gas log/ Iog lighter
Gas clothes dryer
Gas stove/range
Pool or spa heater, kiln
Wood/pellet stove/rnsert
Wood fireplace
Chimney/liner/fl ue/vent ilo
Range hood
Clothes dryer exhaust
Single-duct exhaust (bathrooms,
toilet compartments, util ity
rooms)
Attic/crawlspace fans
upto first 4 outlets(enter Qty=l )
each additional outlet
$12 00Subtotal
Minimum fee used instead of Subtotal $45.00
State Surcharge (8% of permit fee)
CiW Of Sprinefield fees *$16.75
TOTAL PERMIT FEE $6s.3s
JA@1-'flL
DATE PROCESSED:
PROCESSEDBY
COM:
s7
RCPT#:
This Authorization To Begin Work must Permit
'' r" ''" r',-'1111.,11;1,11;,1i;1r11r,, ii1, I.:; fef s(
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
Cif', of Springfield Official Receipt
D - lopment Services Department
Public Works Department
RECEIPT #: 2200700000000000579 Date: 0412512007 l0:50:50AM
Job/Journal Number
coM2007-00595
coM2007-00595
coM2007-0059s
coM2007-00595
coM2007-00595
coM2007-00595
Description
Furnace - Unit Heater
Miscellaneous Mechanical
-Mechanical Issuance Fee-
+ 5%o Technology Fee
+ 8olo State Surcharge
+ l0o/o Administrative Fee
Amount Due
12.00
3 3.00
10.00
2.2s
3.60
4.50
s65.35Item Total:
Payments:
Type of Payment Paid By Received By Batch Number Number How Received Amount Paid
Authorization
ONLINE CHGS ONLINE PERMIT CHGS ONLINE associated
heating
Online $6s.3 snJm
Payment Total:$6s.35
cReceint I Page I of I 4l2s/2007