HomeMy WebLinkAboutPermit Mechanical 2008-7-8
Status
Iss u ed
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO' COM2008-01007
ISSUED: 07/08/2008
APPLIED. 07/0812008
EXPIRES: 01108/2009
VALUE.
225 FIfth Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIon Lme
SITE ADDRESS 484 SCOTTS GLEN DR
ASSESSOR'S PARCEL NO 1703271305000
SprIngfield TYPE OF WORK Heatmg System
TYPE OF USE
New
ResldeutIal
PROJECT DESCRIPTION Install AIH & HIP
Owner GRISWOLD CHARLES W
Address 484 SCOTTS GLEN DR
SPRINGFIELD OR 97477
I. CONTRACTOR IN~ORMA TlON I
Contractor Type
MechJnlcal
Contractor LIcense
ASSOCIATED HEATING & AIR CONDITIO 106275
,BUILDING INFORMATION I
EXpIratIOn Date
08/3112008
Phone
541-683-2590
# of VUlts
Primary Occupancy Group
Secondary Occupancy Group
PrImary ConstructIOn Type
Secondary ConstructlOu Type
# of Bedrooms
# of StorIes
HeIght of Structure
Type of Heat
Water Type
Range Type
Energy Path
Sprmkled BUlldmg
Lot Size,
Sq Ft 1st Floor
Sq Ft 2nd Floor
Sq Ft Basemeut
Sq Ft GaragelCarport
Sq Ft Other
Occupaut Load
n/a
I DEVELOPMENT INFORMATION I
Frontyard Setback
SIde I Setback
SIde 2 Setback
Rearyard Setback
Solar Setbacks
Overlay DlSt
# Street Trees Rqd
Paved DrIve Rqd
% of Lot Coverage
REQUIRED PARKING
Total
HandIcapped
Compact
Street Improvements
(4-04-0C'7~7C'C"-()nQ-1 ~I JalUa~
I PUBLIC IMPROVEME'N'fS-t,110N A111'In uo5aJO a41 JOj Jaqwnu
._ _ _" lalal a41 alaN) JalUaO a41 5U1l1lJO
Aq SalnJ a41 j~I!\\w.ldl; Wil1l~O AlJW nOA 0600
.~00-6S6 tl'v'(j}.lWQ,pJhJM~,fiD-t,QQ-6S6 tl'v'O ul
4)JOj las am salnJ a~041 J~ilJlj~ UOlllJOljllON
Nlllln uoBaJO a41 Aq paldope S81nJ MOllO!
01 noA saJlDbaJ Mel uoBaJO ,NOI1N3ilV
Storm Sewer AvaIlable
SpecIal InstructIOn \NQ?-~
r. It \\-\r. Qi
NoteA~\C~:. Ll 1>-'-'- r.~\'I?- r.?-\-J\I\ IS ~
"U , ~rQ~~I\ Sr'..ro 1\-\1'0 \' -l)Cf'I fO\\
\\'11'" - 11:1:) UIW- B1>-Nuv.l-
p.\l\\-\O~~Cr.\) 0\\ ISO~ I Valuation DescnotIOn I
CO\--~\-J\ \)p.'/ \,r.\\1 . . .
,,,,'v · BG $ Per Sq Ft Square Footage
DescljIJJllOn' Tvpe of ConstructlOu
or multIplIer or BId Amount
Value
Date Calculated
Pa2e I of2
_...~....... ~
IIIL~ , :
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01007
ISSUED: 07/08/2008
APPLIED 07/08/2008
EXPIRES. 01/08/2009
VALUE:
225 FIfth Street, SprIugfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769InspectJOn Lme
Total Value of Project
Fees Pal/I I
Fee DescrIptIOn
-MechaRlcallssuance Fee-
+ 10% AdmmlstratIve Fee
+ 12% State Surcharge
+ 5% Technology Fee
AIr Handhng URlt Up to 10,000
Heat Pump
Mmlmum/AdJustment Mechamcal
Amount PaId
Date Paid
ReceIpt N umher
$20 00
$500
$600
$250
$900
$1400
$27 00
7/8/08
7/8/08
7/8/08
7/8/08
7/8/08
7/8/08
7/8/08
3200800000000000469
3200800000000000469
3200800000000000469
3200800000000000469
3200800000000000469
3200800000000000469
3200800000000000469
Total Amount PaId
$83 50
Plan RevIews I
To Request an mspectIon call the 24 hour recordmg at 726-3769 All mspectlOns requested before 7:00
a.m. WIll be made the same workmg day, mspections requested after 7'00 a m wIll be made the foIlowmg
work day.
I Reolllred Tns?ectwns I
Rough MechaDlcal PrIor to Cover
Fmal MechaDlcal When all mechaRlcal work IS complete
By sIgnature, I state and agree, that I have carefully exammed the completed applIcatIOn and do hereby certIfy that all
mformatJOn hereon IS true and correct, aud I further certIfy that any aud all work performed shall be done 10 accordauce With
the Ordmauces of the CIty of SprIngfield aud the Laws ofthe State of Oregon pertalUmg to the work descrIbed herem, and
that NO OCCUPANCY Will be made of auy structure WIthout permIssIOn of the CommuDlty ServIces DIVISIOn, BUlldmg Safety
I further certIfy that only contractors and employees who are m complIance WIth ORS 701 005 wIll be used on thIS project
I further agree to eusure thdt all requlled mspectlOns 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 remam on the SIte at all
times durmg constructIOn
Owner or Contractors SIgnature
Date
Pa2e 2 of 2
CIty of Sprmgfield
Mechamcal AuthorIzatIOn To Begm Work
E-malled To assocmtedheatmg@gmall com
Receipt # EC533410
717/2008 2 58 32 PM
~
Check on status of permit
By Phone (541)726-3753 or EmaIl permltcenter@cl sprmgfield or us
I lOM',:::)O'[)(?' -0 I 007
RCPT#: 3 ~ 0-06" - ~ 1"
DATE PROCESSEDt'" K' -() ~
mOC1~""W trf/J/1/'(;~
This Authorization To Begin Work must be posted at the ~ site until replaced by a
I D New constructIOn
TYeE OF WORK
lliJ AddItIOn/alteratIOn/replacement
CATEGORY OF CON~TRUCTION
I [KJ 1 or 2 famIly dwellmg 0 MultI-family D Accessory BUlldmg
I ~JOB SITE~INFORMATioN AND LO~"D6iP
I Job no 3447 A I Job dddr-ess 484 SCOTTS GLEN DR
I City/State/ZIP SPRINGI- ICLD, OR 97477-5907
I SUltelbldg lapt no
I Project name
Cross street/dIrections to Job site
I SubdivISIon
ITax map/pucci no ]703271305000
DESCRIPTION OF~WORK~
I Lot no
Install A/H & HIP
SITE CONTACT
I Nilmc Charks Griswold
!Phone (54])744-7801
IEmad
I
I'"
~~~C9NTRACTOR~,~~
) CCB he no 106275
I Busmess Name ASSOCIATED HEATING & AIR CONDITION!
I Contact Brandy Forsman
IAddress PO BOX 412
I City/State/ZIP EUGENE, OR 97440
I Phon, (541)6832590 I Fax (541 )6070287
I Emall assoclatedheatmg@gmaJ] com
I Metro he no I City he no
Upon review and approval by your local JUrisdiction, your
permit will be e-malled 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
FEE sCHEljLlrE~' d'X
~~ ~ '" ~
I Qly I E.
I
Tol_1 I
I
I
I
I
I
I
1
I
$14001
$9001
I
I
"
I DL!lCnphon
I Jlcatmg7~o~~~pp~~fnces I
I Fumace up to 100000 BTU
I furnace - above 100000 BTU
I Electric Furnace
Duct alteratIOns and additIOns
Gas hedter uOIts/ tn-wall m4
duct. suspended, ete!
I Vent, flue, ltner for above
1 Air Condltloner
I Heat Pump
I Air Handler
"Olh~r f~(burnmg apphal,1ces "
I Water heater I
I Gas fireplace/msert/stove I
I Gas logllog hghlc' I
I Gas clothes dryer I
I Gas stovelrange I
I Pool or spa heater kiln I
I Wood/pellet stove/msert I
Wood fireplace I
. Chtmney/lmer/flue/vent w/o I
appliance
I EnY~~n~rteDlal exhau31~ND"ifn!ddllon-::;
I Range hood I
I Clothes dryer exhaust
I Smgle duct exhaust (bathrooms
tOilet compartments utIlity
rooms)
I AttIc/crawlspace fans
I FuefPiplllg-:t2y~
I uptofirst4outlets(enterQty=l) I I
I each addltlonal outlet
"-MECHANlgALPE!lMIT FEES
I Subtotal I $2300 I
I Minimum fee used Instead of Subtotal $5000
I State Surcharge (12% of permIt fee) $600
I CIty OfSpnngfield fees *1 $2750
I TOTAL PERMIT FEI!. $8350
. CIty OfSpnngfield fees 10% Local Admm Fee 5% Local Technology
fee $10 IssuanLe Fee
$1400
$900
Permit
225 FIfth Street
Sprmgfield, Oregon 97477
541-726-3759 Phone
G:k~
WtL-
CIty of Sprmgfield OfficIal ReceIpt
Development ServIces Department
PublIc Works Department
Job/Journal Number
COM2008-0 1 007
COM2008-0 1 007
COM2008-0 1 007
COM2008-0 1 007
COM2008-0 1 007
COM2008-0 I 007
COM2008-0 I 007
Payments
Type of Payment
ONLINE CHGS
cRecemll
RECEIPT #.
3200800000000000469
Date. 07/08/2008
Description
MIOImumlAdJustment MechaOlcal
Alf Handlmg UOIt Up to 10,000
Heat Pump
-MechaOlcallssuance Fee-
+ 5% Technology Fee
+ 12% Slate Surcharge
+ 10% Administrative Fee
PaId By
ONLINE PERMIT CHGS
Item Total
Check Number AuthorizatIOn
Received By Batch Number Number How Received
NJM
ONLINE ASSOCIAT Online
ED
Payment Total
Page 1 of 1
8 45 54AM
Amount Due
2700
900
1400
2000
250
600
500
$83 50
Amount Paid
$83 50
$83 50
7/8/2008