HomeMy WebLinkAboutPermit Building 2008-7-29
Status
Issued
225 FIfth Street, Spnngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Line
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO' COM2008-01133
ISSUED. 07/29/2008
APPLIED' 07/29/2008
EXPIRES 01/3012009
VALUE'
SITE ADDRESS 3939 JASPER RD
ASSESSOR'S PARCEL NO 1802061410700
Spnngfield TYPE OF WORK Single FamIly ReSIdence
TYPE OF VSE
PROJECT DESCRIPTION ServIce change and CIrCUIts tOI new HV AC
Owner WILLIAM SPROED
Address 3939 JASPER RD
SPRINGFIELD OR 97478
New
ReSIdentIal
Phone Number 541-
I CONTRACTOR INFORMATION I
Contractor Type
Electncal
Mechamcal
Contractor
OREGON ELECTRIC SERVICE
ASSOCIATED HEATING & AIR CONDITIO
LIcense
161518
106275
ExpiratIOn Date
09128/2008
08/3112008
Phone
541-343-1681
541-683-2590
BUILDING INFORMATION.
# of Umts
Pnmary Occupancy Group
Secondary Occupancy Group
Pnmary ConstructIOn Type
Secondary ConstructIOn Type
# of Bedrooms
# of Stones
HeIght of Structure
Type of Heat
Water Type
Range Type
Energy Path
Spnnkled BuIldmg
R-3
VB
nla
Lot SIze
Sq Ft I st Floor
Sq Ft 2nd Floor
Sq Ft Basement
Sq Ft GaragelCarport
Sq Ft Other
Occupant Load
I DEVELOPMENTlNFORMATION I
__. ............." , r'\.."....t"In 1"\1\1 rpnlllres you to
I PUBLIC IMPROVEMENTS.li~~(r~ ~3 adop"cJ by 'he Ow :J,' ~ ' lo:r'1
I"otlflc~on Center Thosp r~le~ "- ~" '- -1'-
In OAR'\lg2':tlt\~-1J~I/t-thrcc~ r - \I
0090 1OO..IlS\li\~)fiIflafU~"" "
calling the center (No E' , r
number for the Oregon Utll: \ _ ~..", I
Center IS 1-BOO-332-2'h.)
!\(1 ~
'S5 1>-:(:)
<b \}~ ~
~~
Frontyard Setback
SIde I Setback
SIde 2 Setback
Rearyal d Setback
Solar Setbacks
Overlay Dlst.
# Street Trees Rqd
Paved Drive Rqd
% of Lot Coverage
Street Improvements
Storm Sewer AvaIlable
Spec'allnstructlOn
Notes
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COW1ENCED OR IS ^EANDO:,:[lJ FOR
~IY "0j 01\" P~",1r 1
Paee I of 3
REQUIRED PARKING
Total
HandIcapped.
Compact
Status
Issued
225 FIfth Street, Sprmglield, OR
541- 726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn LlDe
DescrIptIOn
Tvpe 01 ConstructIOn
Fee Description
+ 10% AdmlDlstrallve Fee
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend C1rc Ea Add
Perm ServlFdl 200 amps or less
-Mechamcallssuance Fee-
+ 10% AdmlDlstralIve Fee
+ 12% State Surcharge
+ 5% Technology Fee
Furnace - up to 100,000 btu
Gas Outlets 1-4
MlDlmum/AdJustment Mechamcal
Total Amount PaId
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01133
ISSUED. 07/29/2008
APPLIED. 07/29/2008
EXPIRES: 01/30/2009
VALUE'
I ValuatIon DescrmtlOn I
$ Per Sq Ft
or mullIpher
Square Footage
or BId Amount
Value
Date Calculated
Total Value of ProJect
Jj'PPfiO, P'urU
Amount PaId
Date Pa,d
ReceIpt Number
$1420
$1704
$710
$72 00
$70 00
$20 00
$500
$600
$250
$1400
$500
$3100
7/29/08
7129108
7129/08
7/29/08
7129/08
7/30/08
7130108
7130108
7130108
7130/08
7130108
7130/08
3200800000000000528
3200800000000000528
3200800000000000528
3200800000000000528
3200800000000000528
3200800000000000533
3200800000000000533
3200800000000000533
3200800000000000533
3200800000000000533
3200800000000000533
3200800000000000533
$263 84
I Plan RevIews I
To Request an mspection call the 24 hour recordmg at 726-3769. All mspections requested before 7:00
a m WIll be made the same workmg day, mspectlOns requested after 7:00 a m will be made the followmg
work day
l....i&rlllfPrl 'u.,npPtlOn<,'
Rough Electnc Pnor to Cover
Electnc ServIce Approval reqUIred pnor to ulIhty company energIZIng servIce
FlDal Electnc When all electncal work IS complete
Rough Mechamcal Pnor to Cover
FlDal Mechamcal When all mechamcal work IS complete
Paee 2 of 3
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO' COM2008-01133
ISSUED: 07/29/2008
APPLIED: 07/29/2008
EXPIRES 01/30/2009
VALUE:
it
225 F,lth Street, Spnngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn LIne
By sIgnature, I state and agree, that I have carefully exammed the completed apphcahon and do hereby cerllfy that all
mformahon hereon IS true and correct, and I further cerhfy that any and all work perlormed shall be done m accordance w,th
the Ordmances 01 the CIty ofSprmgfield and the Laws of the State ofOlegon pertammg to the work descrIbed herem, and
that NO OCCUPANCY Will be made 01 any structure Without permISsIOn of the CommuDlty ServIces DIVISIOn, BUlldmg Safety
I further cerhfy that only contractors and employees who are 10 complIance WIth ORS 701 005 wIll be used on thIS proJect
I further ag. ee to ensure that all reqUIred mspectlOns are requested at the proper hme, that each addre" IS readable from the
street, that the permit cal d 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
Paee 3 of 3
225 FIfth Street
Sprmgfield, Oregon 97477
541-726-3759 Phone
CIty of Springfield OfficIal ReceIpt
Development ServIces Department
PublIc Works Department
Job/Journal Number
COM200S-01133
COM200S-0 1133
COM200S-01133
COM200S-0l133
COM200S-01133
COM200S-0 I 133
COM200S-01133
Payments
Type of Payment
ONLINE CHGS
cReLLlOtl
RECEIPT #:
3200800000000000533
Date. 07/30/2008
DescriptIOn
-Mechanical Issuance Fee-
Gas Outlets 1-4
Furnace - up to 100,000 btu
MInimum/AdJustment Mechamcal
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% AdmInistrative Fee
PaId By
ONLINE PERMIT CHGS
Item Total
Check Number Authorization
Received By Batch Number Number How Received
NJM
ONLlNEASSOCIAT Onlme
ED
Payment Total
Page 1 of 1
90921AM
Amount Due
2000
500
1400
3100
250
600
500
$83 50
Amount Paid
$S3 50
$83 50
7/30/2008
CIty of Spnngfield
Mechamcal AuthonzatlOn To Begm Work
E-malled To assoclatedheatmg@gmall com
Receipt # RCS349R7
7/30/2008831 00 AM
Check on status of permit
By Phone (541)726-3753 or Em all permltcenter@clsprmgfieldorus
~TYPE OF WORK-
CONTRACTpR
I FEE SCHEDULE ~ I
De!lcnphon Qty Ea Total I
r Hl..~h~gI~~olmg applldnce!l I
!Fum,,,-uptoIOOOOOBTU II $1400 $]4001
I rurnace above] 00 000 BTU I
I ElectriC Furnace I
Duct alterUlJons and addlUons I
Gas heater unltsf In wall Ln- I I I
duct suspended ctc!
I Vent, nue lmer rOT above I I I
IA"Cond'lwn" $14001 $14001
I Heat Pump I I I
I A" Handler I I
I Other fuel burnmg Apphances " I
I Water heater I I
I Gas fireplace/msert/stove I
Gas log! log lighter I I
I Gas clothes dryer I
I Gas stove/rdnge I I
I Pool or spa hedter, kiln I
I Wood/peJ/et !llove/msert I
I Wood fireplace I
I Chlmneyflmer/flue/venl w/o I
I J.oohance
I Il!.nvlronmental exhau~t_A:~p \'cntd.dlOn I
I i Range hood I I
Clothes dryer exhaust I I
I Smgle-duct exJmust (bathrooms I I
1 tOilet compartments, utIlity
rooms)
J Atllckraw]space fans I I
r I Fuel pipIng I
II uptofirst4outlets(enterQty'=1) I
I I each additIOnal outlet I
I MECHANICAL PERMITFEES I
I Subtotal I $2800 I
M1I111nUm fl.c uSl.d Instead of Subtotal I $5000 I
I Statl. Surcharge (12% of permit fee) I $600 I
I City OfSpnngfidd fees. I $2750 I
I TOTAL PERM]T FEE J _ $83 50 I
. City Of Spnngfield fees 10% LOCd] Admm Fcc 5% I oca] Techno]ogy
fee $10 Issuance Fee
10 New constructIOn
[KJ AddItIOn/alteratIon/replacement
CATEGORY OF CONSTRUCTIO~]];7
I [KJ ] or 2 faml]y dwel1mg 0 Multi faml]y D Accessory Bwldmg
I JOB SITE INFORMATION ANO LOCATION
IJob no 3462 [Job dddress 3939 JASPER RD
ICJty/StdleIZIP SPRINGFIELD, OR 974786546
I SUlte/bldg /apt no
I Project name
Cross !llreel/dlrechom. to Job ~Ite
olf of 32nd & Jasper
I SubdiVISion
i f.1X map/pucel no 1802061410700
OESCRIPTION OF WORK
I Lot no
Rep]ace gas furnace dnd add all.
SITE CONTACT
I N'Ime WIlham Sproed
jPbone
I Lmall
l]<a,
ICCBhC no 106275
I Busmess N.tme ASSOCIATED HEATING & AIR CONDITIONI
Contnet Brandv forsman
lAddress PO BOX 412
IClty/Stdte/L;IIJ EUGrNE OR 97440
IPhone (541)6832)90 IFIX (541)6070287
r Fmall aS5oclatedheatmg@gmall com
I Metro he 110 I City he no
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 ,"spectron
NOTE ThiS Authonzatlon To Begm Work expires within 180
days If a permit IS not obtamed
COM. ,~tiV x:- - (1)33
RCPT# 3ZD'V'C --- 533
DATE PROCESSED 7j~do5'
a:~. :-,
PROCESSES lH'~
I V
The local bUlldmg department may detennlne that an
Authorization Tp Begm Work IS null and vOid If It does not
meet applicable land use laws and local ordmances
ThiS Authorization To Begm Work must be posted at the Job site until replaced by a Permit