HomeMy WebLinkAboutPermit Mechanical 2008-8-18
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Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO. COM2008-01226
ISSUED 08/18/2008
APPLIED' 08/1812008
EXPIRES. 02/18/2009
VALUE.
225 FIlth Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
SITE ADDRESS 2503 DUMAS DR
ASSESSOR'S PARCEL NO 1703234400129
Sprmglield TYPE OF WORK MechamcalOnly
TYPE OF USE
New
ReSIdentIal
PROJECT DESCRIPTION Replace gas turnace
Owner DUFFITT MARK D & DEBBIE L
Address 2503 DUMAS DRIVE
SPRINGFIELD OR 97477
Phone Number 541-741-0563
I CONTRACTO~ INF?RMA TlON I
Contractor Type
Mechamclll
Contractor License
ASSOCIATED HEATING & AIR CONDITIO 106275
BUILDING IN~ORMA TION I
ExpIratIOn Date
08/31/2008
Phone
541-683-2590
# ofUmt,
Pllmary Occupancy Group
Second.try Occupancy Group
Pnmary ConstructIOn Type
Secondary Consll uctlOn Type
# of Bedrooms
# of Stones
Helgbt of Structure
Type of Heat
Water Type
Range Type
Energy Path
Sprmkled Buddmg
Lot SlLe
Sq Ft I st Floor
Sq Ft 2nd Floor
Sq Ft Basement
Sq Ft GaragelCal port
Sq Ft Other
Occupant Load
n/a
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
FrontYdl d Setback
SIde I Setback
Side 2 Setback
Rearyard Setback
Solal Setbacks
Overlay DlSt
# Street Trees Rqd
Paved Dnve Rqd
% of Lot Coverage
Total
Hdndlcapped
Compact
11 ~.'= I\, iO
Street Improvements
Storm Sewer l\'''iiIa6111.
- .......
SpecmllnstructlOnpERMIT SH
ft'''~ ALL EXPIRE IF THE WORK
Notes cg: i-lORIZED UNDER THIS PERMIT IS NOT
Jy MENCED OR IS ABANnmll'n r:1'1O
"" I I au UAY PERIOD.
-'1~N UP;:;~YU\... . _ I !
I PUBLIC IMPROVEJMEN'fS: dopled by t~,,, 0Iv~( _ - 0,1<1
r s a \' c - '0 oPt T "
..al"~" T\" ,,~I::ll IU \:;', c. .
Notification Certi;rdewnlk'Type O/\R 95:'-001-
In OAR 952-001-0010 tnr~t:,I': ,,' the rules by
Y U mayQim'J.lSpOufslDralnS phone
0090 0 (Note the tele
calling the center on Utility Notl1tcatlon
number lor the o~e8gDD"332"2344).
Center IS '"
I V aluatlOn Des~rlDtlOn I
DescrIptIOn
Tvpe of COllstrucllon
$ Per Sq Ft
or mulhpher
Square Footage
or BId Amount
Value
Date Calculated
Page I of2
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Sta tus
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO' COM2008-01226
ISSUED. 08/18/2008
APPLIED: 08/18/2008
EXPIRES: 02/18/2009
VALUE'
225 FIfth Street, Sprlllgfield, OR
541-726-3753 Phone
54 I -726-3676 Fax
541-726-3769 InspectIOn Lllle
Total Value of ProJect
Fees Poid I
Fee DescnptlOn
-McchdUlldl Is!tuance Fcc-
+ 100/u Admllllstratlve Fee
+ 12% State Surcharge
+ 5% Technology Fee
Furnace - up to 100,000 btu
Gas Outlets 1-4
MllllmumlAdJustmellt Mechalllcal
Amount Paid
Date PaId
ReceIpt Number
$2100
$520
$624
$260
$1500
$600
$3100
8/18/08
8/18/08
8/18/08
8/18/08
8/18/08
8/18/08
8/18/08
3200800000000000573
3200800000000000573
3200800000000000573
3200800000000000573
3200800000000000573
3200800000000000573
3200800000000000573
Total Amount PaId
$87 04
I Plan Reviews, I
To Request an mspectlOn call the 24 hour recordmg at 726-3769 AllmspectIons 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 ReoUlred InspectIons I
Rough Gas After hne IS illS tailed dnd requIred testlllg and capped If not attached to an apphance
Rough Mechalllcal Pnor to Cover
Filial Mechalllcal When all mechalllcal work IS complete
By SIgnature, I state and agree, that I hdve carefully examllled the completed apphcatlOlI and do hereby certIfy that all
IIIformdtlOn hereon IS true and correct, and I further certIfy that any and all work performed shall be done III accordance wIth
tbe Ordlllaoces 01 the CIty 01 Spnngfield and the Laws 01 the State ot Oregon pertallllllg to the work descnbed herelll, and
that NO OCCUPANCY WIll be made of any structure wIthout pernu"lOn of the Commulllty ServIces DIVIsIOn, Buddlllg Safety
I further certlly that only contractors and employees who are III compliance wIth ORS 701 005 Will be used on thIS proJect
I further agree to ensure tbat all requIred IIIspectlOns are requested at the proper tIme, that each address IS readable from the
street, that the permit cdrd IS located at the front of the property, and the approved set of plans wdl remalll on the SIte at all
tImes dUring construction
Owner or Contractors SIgnature
Date
Page 2 of2
Wood/pellet stove/msel1
Wood fireplace
Chlmneyllmerlfluc/vent w/o
appliance
I Environmental exhaust AND ventilatIOn
I Range hood
J Clothes dryer exhaust
I Single duct eiliaust (bathrooms,
tOIlet compartments utlllty
rooms)
I AttIc/crawlspace fans
) Fuel p'pmg
I UplO first 4 outlets(cnter Qty=\) I
I each addl!lona] outlet I
I MECHANICAL PERMIT FEES I
Subtotal $1500 I
I MinImum fee used lllstead 01 Subtotal $5200 I
I State Surcharge (12% ofperrmt fee} $6241
I Cny OfSpnngficld fees * $2880 I
I IOTALPERMlfJ<EE $87041
* CIty Of Sprmgfield fees 10% AdmlnlSlratlon Fee 5% Technology Fee
CIty of Sprmgfield
Mechamcal AuthonzotlOn To Begm Work
E-maIled To assocl3tedheatmg@gmall com
Receipt # )i:C536273.
8/15/200835\ 47 PM
~
~
Check on status of permit
By Phone (54\)726-3753 or Emall permltcenter@clsprmgfield orus
TYPE OF WORK
FEE SCHEDULE
I Qly
E"
[D New con~trucllOn
o ] or 2 family dwellmg
D Accessory BUlldmg
I De...lnphon
Illcatmgkoohng appllAnle!>
I Furnace- up to 100,000 BTU
I r urnace above 100 000 BTU
I Electnc fUnlace
Duct alteratIOns and additIOns
Gas heater umts/ In wall, m-
duct suspended, ete/
Vent, flue lmer for above
$1500
!XJ AdditIOn/alteratIOn/replacement
CATEGORY OF CONSTRUCTION
D Multi famtly
JOB SITE INFORMATION AND LOCATION
IJob no 3465A IJob'lddress 2503 DUMAS DR
ICily/State/LiP SPRlNGFIELD OR 97477 1553
I SUltl/bldg /apl no
I Project ndme
Crm.... ...treet/dlrechons to Job "'lle
Air Conditioner
Heat Pump
AIr Handler
Other fuel burnlllg apph.lncL'"
Wdterheater
Gas fireplaccl1nsertlstove
GdS log/log hghter
Gas clothes dryer
G1S slove/range
Pool or spa healer, kiln
I Subdl\ l!lIon
!Ta"mlP/plrldno ]703234400129
DESCRIPTION OF WORK
ILot no
RLplilce ga~ furnacl
SITE CONTACT'
I Ndme Mark Duffitl
IPhone (541)741-0563
1 Em,1I1
I
I Pa,
CONTRACTOR
!<'CB lie 110 106275
I Bu..me...... N lme AS~OCIAI CD HEATING & AIR CONDlIIONI
I Conlaet Brdndy f<orsmdn
IAddress PO BOX 412
I Clty/StdtelZlP EUGENE, OR 97440
Ipho", (541)6832590 Ip., (541)6070287
) ~mall a"'~olldtedhe[Jtl1lg@gmall com
I Mdro he no I CIl) he no
Upon review and approval by your local JUrisdiction, your
permit Will be e-malled or faxed within one busmess day,
wIth instructions on how to schedule your inspection
co~. ,j Rl):) -- 0 \ 2-2...(,~
RCPT#.~~~S73
DATE PROCESSED'. r;r;//q(j V
PROCESS~-Bv-l1.J1Jl~~
/ (I ,
I !
This Authorization To Begin Work must be posted at the Job site until replaced by a Permit
NOTE This AuthOrization To Begm Work expires wlthm 180
days If a permit IS not obtained
The local bUilding department may determine that an
AuthOrizatIon To Begm Work IS null and VOId If It does not
meet applicable land use laws and local ordinances
I
Total I
I
$15001
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225 FIfth Street
Sprmgfield, Oregon 97477
541-726-3759 Phone
;""INGPlIlLD ~
Yo II!. ,.
-=.
CIty of Sprmgfield Official ReceIpt
Development ServIces Department
Pubhc Works Department
Job/Journal Number
COM2008-0 1226
COM2008-0 1226
COM2008-0 1226
COM2008-0 1226
COM2008-01226
COM2008-0 1226
COM2008-0 1226
Payments
Type of Payment
ONLINE CHGS
cRLcemll
RECEIPT #.
3200800000000000573
Date 08/18/2008
Description
-Mechanical Issuance Fee-
Furnace - up to 100,000 btu
GdS Outlets 1-4
Mlmmum/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
7 49 05AM
Amount Due
2100
1500
600
3100
260
624
520
$87 04
Amount Paid
$87 04
$87 04
8/18/2008