HomeMy WebLinkAboutPermit Mechanical 2008-8-20
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO' COM2008-01249
ISSUED. 08/20/2008
APPLIED. 08/20/2008
EXPIRES: 02120/2009
VALUE.
225 Fifth Street, Spnngfield, OR
541-726-3753 Phone
541-726-3676 F.IX
541-726-3769Inspecllon Lme
SITE ADDRESS 5773 OBSIDIAN AVE
ASSESSOR'S PARCEL NO 1802033207400
SPRINGFIETYPE OF WORK MechaOlcal Only
TYPE OF USE
New
Resldenllal
PROJECT DESCRIPTION Install AIC
Owner JOHNSON DEREK
Address 5773 OBSIDIAN AVE
SPRINGFIELD OR 97478
Phone Number 541-736-6164
I CONTRACTOR INFORMATION I
Contractor Type
Mechdnlldl
Contractor LIcense
ASSOCIATED HEATING & AIR CONDITIO 106275
BUILDING INF<;>RMATlON.
ExpIration Date
08131/2008
Phone
541-683-2590
# of UOIts
Pnmary Occupancy Group
Secondary Occupancy Group
Pllmary ConstructIOn Type
Seconddry ConstructIOn Type
# of Bedrooms
# of Stones
Height of Structure
Type of Heat
Water Type
Range Type
Energy Path
Sprmkled Butldmg
Lot SIze
Sq Ft I st Floor
Sq Ft 2nd Floor
Sq Ft Basement
Sq Ft GdragelCarport
Sq Ft Other
Occupdnt Load
nla
REQUIRED PARKING
Front yard Setback Overlay DlSt Totdl ~q to
lrC:>C' >.1...''''
SIde I Setback # Street Trees Rqd 011 laW (8CfIandlcapped)
SIde 2 SetbdCk Paved Dnve Rqd. ^T1EN110N ad (~~od hY the con:l~bt ;O(t\1
,.,., \ sa Ot'l..... \OS aId b\;i"
Rearyard Setback % of Lot Covera!lfb\\OW tU e ot',r 1\1(,S8 rLl>' "R 952-001-
Soldr Setbacks NO~\;~~~~~_~~1-001 (J \\~~~:~'~ ~l the rule: ~y
NOTICE: I PUBLIC IMPROVEM~I '(ou l11a~e~~e~ (No\e thte ~~~I;;~~t\on
T41C: . , '\;,,,,,09 tne or~on Utili Y
Street Ilnprof'J.f'eW.T SHAll EXPIRE IF THE WORK \I((\oer \gtdi\Watf(1~3ml'332-2344).
Storm ~;Jtr~6,1?fugIJJNDER THIS PERMIT IS NOT n CO~~~s\~o:ts/Drams
'JI'/I'l/lhIrIOD OR IS AS
Speclallnstrucllon'- ANDONED FOR
,<~y I CO DAY PERIOD
Notes
I DEVELOPMENT INFORMATION I
~~ .. ~
I Valuation Descnotlon I
DCScfmtlOn
Tvpe of ConstructIOn
$ Per Sq Ft
or mulllpher
Square Footage
or BId Amount
Value
Ddte Calcul.lted
Paee I of2
Sta tus
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO. COM2008-01249
ISSUED: 08/20/2008
APPLIED. 08/20/2008
EXPIRES: 0212012009
VALUE:
225 F,fth Street, Sprongfield, OR
541-726-3753 Phone
541-726-3676 F dX
541-726-3769 Inspectoon Lme
Total Value of Project
Fees Pal/I.'
Fee DeslnptJon
-Mechamcdllssuance Fee-
+ 10% Admlmstratove Fee
+ 12% State Surcharge
+ 5% Technnlogy Fcc
M,mmumlAdJustment Meehamcal
MIscellaneous Mechamcal
Amount PaId
Date PaId
ReceIpt Number
$2100
$520
$624
$260
$3700
$1500
8120108
8120/08
8120/08
8120108
8120/08
8/20108
3200800000000000584
3200800000000000584
3200800000000000584
3200800000000000584
3200800000000000584
3200800000000000584
Total Amount PaId
$87 04
Plan Reviews I
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 workmg day, mspectlOns requested after 7:00 a m Will be made the followmg
work day.
I Relllllrerl Insn~ctJo,ns .
Rough Mechamcal Proor to Cover
Fmal Mechamcal When all mechamcal work IS complete
By sIgnature, 1 state and agree, thdt 1 have carefully exammed the completed apphcatlOn dnd do hereby certIfy that all
mformatlOn hereon IS true and correct, and 1 further certofy that any dnd dll work performed shall be done 10 accordance With
the Ordmances of the CIty of Sprongfield and the Laws of the State of Oregon pertammg to the work descrobed herem, and
that NO OCCUPANCY WIll be made of any structure WIthout permISSIOn 01 the Commumty ServIces DIVISIOn, Bulldmg Safety
1 further certoly thdt only contractors and employees who are 10 comphance WIth ORS 701 005 will be used on thIS project
1 further agree to ensure thdt all reqUIred mspectlOns are requested at the proper tIme, that each address IS reddable from 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
Pa!!e 2 01 2
City of Sprmgficld
Mcchamcal AuthorizatIOn To Bcgm Work
E-malled To assoclatedheatmg@gmaJl com
Rccelpt # EC536440
8/19/2008 3 36 40 PM
~
Check on slalus of perm II
By Phone (541)726-3753 or Emao! permllcenler@clspnngfieldorus
TYPE OF WORK
10 New comtructlon
[K] Addlllon/altemllOn/replacement
CATEGORY OF CONSTRUCTION
10 1 or 2 family dwellmg D Multi taml1) 0 Accessory Buildmg
I JOB SITE INFORMATION AND LOCATION
jJob no 3472A IJob llddrtss 5773 OBSIDIAN AVL
IC,t)/StlleflIP SPRINGFIELD OR 97478
I Smtefbldg /.!pt no
I Project name
ero!>... ...Irtct/dlrecllons to Job .'lIte
I SubdlVI\lOn
jTax map/p.ucel no
I Lot no
]802033207400
DESCRIPTION OF WORK
I
Insral1A/C
SITE CONTACT
I Ndme DCfmJ, Johnson
Iphone (541)736-6164
Il<mall
IF"
CONTRACTOR
1 ceo he no 106275
j Bu...mt.1>,\ Nllme ASSOCIATED HLArING & AIR CONOI nON!
I Contact Brand) rorsman
IAddre...... POBQX412
I CII}/StatcIZIP EUGENE, OR 97440
Il'hone (54])6832590 I", (54] )6070287
1" mall assoclatedhlatmg@gmall com
I MtJro he no 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 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 ordmances
II
II De~erlphon
Illl.,l.tmg/eoohllg dpplldnees
I I Furnace- up to 100,000 BTU
Ilrurndce-abovclOOOOOBIU
II [ltcmc Furnace
I I DUlt alteratIons and addItIOns
I Gas heater UOlts/ m-wall, m-
I duel. susoended etc/
I I Vent flue lmer for above
I I AIr CondItIOner
! HedtPump
I AIr Handler
j Other fuel burnmg upphane(.~
I Water heater
I Gas finplace/msert/slove
I Gas Jog! log hghter
I Gas clothes dryer
I Ga~ stovclrange
I Pool or spa heater, kiln
I Wood/pellet stovellns1l1
I Wood fireplace
I' Chlmney/lmerlflue/vent \\/0
,lOollllnce
j CnvlI'Onmentul exh.w~t Ai"l\D ventllutlon
j Range hood
I CIOlhls dryer exhaust
I Smgle-duct exhaust (bathrooms,
toIlet companrnents, utility
rooms)
I Attlc/crawlspulc fans
IhLl plpmg
I upto first 4 outlets(enter Qty=l)
I each addltlonal outlet
FEE SCHEDULE
Qly
I
h Total I
I
I
I
I
I
I
I
$1500 $15001
I
I
I
I
I
I
I
I
I
I
I
I
I
I
Subtotal
MIOImum Ill. used IIlstcad of Subtotal
State Surcharge (12% of permIt fee)
CIl) OfSprmgfield fees.
I
I
I
I
I
I IOIALPlRMIIFEE $8704
. CIty Of Spnngfleld fees 10%AdmmlstratlOn Fee, 5% Technology Fee
$]500
$5200
$624
$2880
MECHANICAL PERMIT FEES
c;)(\) ') 'K - 0 ';;lLf-- 9
COM ~ ~..., ,.-..j'6 _ S 'l?:L{
RCPT #" -=::><- u v . 0---'"'
~~ 26 ~()0
DATE PROCESSED.
PROCESSED-BY; Zlfl,(lr J
ThiS AuthOrization To Begin Work must be posted at the)o site until replaced by a Permit
225 Fifth Street
Sprmgfield, Oregon 97477
541-726-3759 Phone
~~~
~,
City of Sprmgfield OfficIal ReceIpt
Development ServIces Department
Public Works Department
Job/Journal Number
COM2008-0 1249
COM2008-0 1249
COM2008-0 1249
COM2008-0 1249
COM2008-0 1249
COM2008-0 1249
Payments
Type of Payment
ONLINE GIGS
cRecemtl
RECEIPT #.
3200800000000000584
Date. 08120/2008
Descnptlon
MinImum/AdJustment Mechamcal
MIScellaneous Mechamcal
-Mechamcallssuance Fee-
+ 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
ONLINE associated Online
Payment Total
Pagc I of 1
7 29 24AM
Amount Due
3700
1500
2100
260
624
520
$87 04
Amount Paid
$87 04
$87 04
812012008