HomeMy WebLinkAboutPermit Mechanical 2008-7-15
Status
Iss u ed
CITY OF ~t'K11~(JJ:<lELD'
Building/Combination Permit
PERMIT NO: COM2008-01051
ISSUED. 07/15/2008
APPLIED 07/15/2008
EXPIRES: 01/15/2009
VALUE.
225 FIfth Street, Spnngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
SITE ADDRESS 963 65TH ST
ASSESSOR'S PARCEL NO 1702341200442
Spnngfield TYPE OF WORK Use Imbals
TYPE OF USE New
PROJECT DESCRIPTION Replace eXlStmg hip system, 2 1/2 ton basIc hip, valr speed alh
Resldenbal
Owner
Address
COLEMAN RONALD E & MARY E
963 N 65TH ST
SPRINGFIELD OR 97478
Phone Number 541-335-9320
I CONTRACTOR INFO~MATlON I
Contractor Type
Mechdmcal
Contractor License
ASSOCIATED HEATING & AIR CONDITIO 106275
BUILDING INFORMATION I
EXpIratIOn Date
08/31/2008
Phone
541-683-2590
# 01 Umts
Pnmary Occupancy Group
Secondary Occupancy Group
Pnmdry ConstructlOu Type
Seconddry Construcbou Type
# ot Bedrooms
# of Stones
HeIght of Structure
Type of Heat
Water Type
Rdnge Type
Energy Path
Spnnkled Bmldmg
Lot SIZe
Sq Ft 1st Floor
Sq Ft 2nd Floor
Sq Ft Basement
Sq Ft Gdrdge/Carport
Sq Ft Other
Occupant Load
nla
I DEVELOPMENT INFOR~ATlON I
Front yard Setbdck
SIde 1 Setback
SIde 2 Setback
Rearyard Setback
Solar Setbacks
Overlay Dlst
# Street Trees Rqd
Paved Dnve Rqd
% of Lot Coverage
REQUIRED PARKING
Total
HandIcapped
Compact.
ATTENTION Oreaon law realJ"p.~ "[11' In
NOTICE' I PUBLIC IMPROVEMl~iilrUles adopted by the Oregon Utility
, . , 1 lion Center Those rules al e set fortll
SIreeIlmproveme.Tt~/S PERMIT SHALL EXPIRE IF TH In OAR 952-Glitlelf.ll{)lJ)l)1eJgh OAR 952-001-
AUTHORIZED UNDER E WORK 0090 You mJl}' oblam c~les of the rules by
Storm Sewer Av.lI~BlVtMENC THIS PERMIT IS NOT callmg the'ffl;'/i?~Po~{f6t'{am~ telephone
SpeCIallustructlO~NY 180 D~yD OR IS ABANDONED FOR number for the Oregon Utility Notification
PERIOD Center IS 1-800-332-2344)
Notes
I ValuatIOn DescrmtlOn 1
DeSCriptIOn
Type 01 ConstructIOn
$ Per Sq Ft
or mulbpher
Square Footage
or BId Amount
Value
Date Calculated
Paee I of 2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO' COM2008-01051
ISSUED: 07/15/2008
APPLIED, 07/15/2008
EXPIRES: 01/15/2009
VALUE:
225 FIfth Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
Total Value 01 Project
Fees PaId I
$20 00
$500
$600
$250
$1400
$1400
$22 00
7/15/08
7/15/08
7/15/08
7/15/08
7/15/08
7/15/08
7/15/08
ReceIpt Number
3200800000000000495
3200800000000000495
3200800000000000495
3200800000000000495
3200800000000000495
3200800000000000495
3200800000000000495
Fee DescrIptIOn
-Mechamcal 'ssuance Fee-
+ 10% Admmlstrahve Fee
+ 12% State Surcharge
+ 5% Technology Fee
Furnace - up to 100,000 btu
Heat Pump
Mlmmum/AdJustment Mechamcal
Amount PaId
Date PaId
Total Amount PaId
$83 50
I Plan RevIews I
To Request an mspectlOn call the 24 hour recordmg at 726-3769. All mspectlOns requested before 7,00
a,m. Will be made the same working day, mspections requested after 7'00 a m Will be made the followmg
work day.
I Reolllred T nsnedlOns .
, . 1
Rough Mechamcal PrIor to Cover
FlOat Mcchamcal When all mechamcal work IS complete
By SIgnature, 1 state and agree, that I have carefully exammed the completed apphcahon and do hereby cerhfy that all
mformatlOn hereon IS true and correct, and I further certIfy that any dnd all work pel lormed shall be done 10 accordance wIth
the Ordmances of the CIty of Sprmgfield and the Laws 01 the State 01 Oregon pertammg to the work descrIbed herem, and
that NO OCCUPANCY wIll be made of any sh ucture wIthout permISSIOn of the Commumty ServIces DIVISIOn, BUlldmg Safety
1 further cerhfy that only contractors and employees who are 10 comphance wIth ORS 701 005 wIll be used on thIS project
I further agree to ensure thdt all reqUIred mspectlOns are requested at the proper hme, that each address IS readable Irom the
street, that the permIt card IS located at the front of the property, dnd the approved set of plans wIll remam on the sIte at all
times dUrIng constructIOn
Owner or Contractors Slgndture
Date
Paee 2 01 2
City of Sprmgfield
Mechamcal AuthorizatIon To Begm Work
E-malled To assoclatedheatmg@gmaIl com
Receipt # !,C533932
7/14/20084 1527 PM
Check on status of permit
By Phone (541)726-3753 or Ema,l perm,tccnter@clsprmgfield orus
TYPE OF WORK:
10 NewconstrucllOn
[K] AddItIOn/alteratIOn/replacement
CATEGORY OF CONSTRUCTION
I [X] 1 or 2 famIly dwellmg 0 Multi family 0 AccessOl)' Bulldmg
I JOB SiTE INFORMATION AND C6CATION
I Job no 3453a I Job address 963 651 H S r
IClty/~htcrL.:lP SPRINGfIELD OR 97478-7073
I Smtc/bldg lapt no
I Project name HVAC Replacement
Cross ~treel/dlrectlOlIs to Job !<tile
55th turn (RIght)
Mam St to 66th go to Thurston Rd tum (Left) go to
!&ubdIVISIOII
ITax m'lp/parccl no 1702341200442
OESCRIPTION OF WORK~
/Lotno
Replace eXlstmg HIP system 2 1/2 ton b<lSIL hip Ydlr ~peed NH
SITE CONTACT_
I Ndrne Ron &. Marv Coleman
I Phone (541) 335 9320
Ilm.lIl
I
I Fax 335-9320
CONTRACTOR
jCCBhc no ]06275
I Bm"ne~s Ndmc ASSOCIATED HEATING & AIR CONDITIONI
I Contact Brandy Forsman
IAddress PO BOX 412
I C1ty/Statc(IIP FUGENE OR 97440
!Phone (541)6832590
Em.HI a~soclatedheatmg@gmall LOrn
I Metro he no
I Fax (541 )6070287
I City lie no
Upon review and approval by your local Jurisdiction, your
permit will be e-malled or faxed wlthm ono bUSiness day,
With instructions on how to schedule your inspection
NOTE ThiS AuthOrization To Begm Work expires Within 180
days If a permit IS not obtamed
The local bUlldmg department may determine that an
AuthOrization To Begm Work IS null and VOid If It does not
meet applicable land use laws and local ordmances
II
E,
Total
r : Desenptum
I I furnace up to 100 000 BTU
II furnace - above 100000 BTU
1 I Flectnc Furnace
I I Duct alterations and additIOns
[I Gas heater umts/ In wall In
duct suspended etv
I Vent flue, Imer for above
I Air ConditIOner
[ i'katPump
I Air Handkr
I Othcr fucl burnmgapphanc~l:1)
/waterheater
Gas fireplace/msert/stove
I Gas log! log lighter
I Gas clothes dryer
I Gas stove/range
Pool or spa heater kiln
I Wood/pellet slove/msert
I Wood fireplace
I Chunney/lmer/nutJvent w/o
appliance
I EnvlJ''Onmental exhaust AND velltd~tlOn
I Range hood
I Clothes dryer exhaust
Smgle duct e'.hallst (bathrooms
totlet compartments utility
rooms}
Attlc/crdwlspacefans
I Fuel plpllig~
I upto first 4 outlets(enter Qt)=I)
I I each addltlonal outlet
II
II
II
I
I
I
. City Of~pnllgfield fees
ree $10 Issuance Fee
I
$1400 $]4001
I
I I
I I
]1 $]4001 $]400
I
I
I
I
I
MECHAN]CAL-PERMIT FEES I
Subtotal I $2800 1
MmlJTIum fte u~ed mSlead of Subtotal I $5000 I
State Surcharge (12% of penn II fee) $600 I
CIty Of Sprmgfield fees .1 $27 50 1
TOTAl PFRMIT r[E I $8350 1
10% Local Admin fee 5% Local Technology
COM ~(}D~-O\ oS \
RCPT # . 32.(J\.J ~ - 405
DATE PROCESSED-'-1- /, ') -0 '6'"
PROCESS~ Jt Y'A 0
I . It
L
ThiS AuthOrization To Begin Work must be posted at the Job site until replaced by a Permit
225 FIfth Street
Sprmgfield, Oregon 97477
541-726-3759 Phone
CIty of Spnngfield OfficIal ReceIpt
Development ServIces Department
PublIc Works Department
Job/Journal Number
COM2008-0 1 05 ]
COM2008-01051
COM2008-0 1 051
COM2008-0 1 051
COM2008-0 1 051
COM2008-01051
COM2008-01051
Payments
Type of Payment
ONLINE CHGS
cRecemtl
.
RECEIPT #
3200800000000000495
Date 07/15/2008
DescriptIOn
Heat Pump
Mlmmum/AdJustment Mechamcal
-Mechamcallssuance Fee-
Furnace - up to 100,000 btu
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Admmlstratlve Fee
PaId By
ONLINE PERMIT CHGS
Item Total
Check Number Authorization
ReceIVed By Batch Number Number How Received
NJM ONLINE ASSOCIAT Onlme
ED
Payment Total
Page 1 of 1
71113AM
Amount Due
1400
2200
2000
1400
250
600
500
$83 5U
Amount Paid
$83 50
$83 5U
7/15/2008