HomeMy WebLinkAboutPermit Mechanical 2008-11-18
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-01676
ISSUED: 11/18/2008
APPLIED: 11/18/2008
EXPIRES: 05/18/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 364 S 72ND ST
ASSESSOR'S PARCEL NO.: 1702353405703
Springfield TYPE OF WORK: Heating System
TYPE OF USE: Alteration
Residential
PROJECT DESCRIPTION: Replacing hip and air handler
Owner: ELSBERRY WILLIAM M & SUSANA
Address: 364 S 72ND ST
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION .
Contractor Type
Mechanical
Contractor
J COO INC
. License
169209
BUILDING INFORMATION I
Expiration Date
04/12/2010
Phone
541-746-7065
# of Units:
Primary Occupancy Gronp:
Secondary Occupancy Group:
Primary Construction Type
Secondary Coustruction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft'lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMA~ION ,.
NOTICE: ATTENTION: Oregon la~~&l.Ji1W\~8~KING
T~~~lfiA'fL EXPIRE IF THE WORK Overlay Dist: follow rules adopted by tlrf:~'f:egon. Utility
'R THIS PERMIT IS NOT # Street Trees Rqd: Notification Center, Thosemlrrdi~ ijlfiCMorth
A c ~DE Paved Drive Rqd: in OAR 952-001-0010throlffitl,Q~1.952-001-
CQt~~~fM\ilS\fthl~u~ ABANDONED FOR % of Lot Coverage: 0090. You may obtain COPIeS"CI( I lEi rules by
A~"18!leM\iI.RERIOD. calling the center, (Note: the telephone
, . number for the Oreqon Utility Notification
, . I PUBLIC IMPROVEMENTS' Center IS 1-6uu-;;;;;;';;J44),
Street Improvements: Sidewalk Type:
Storm Sewer Available:
Special Instruction:
Downspouts/Drains:
Notes:
I Valuation DescriDtion I
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee I 01'2
Status
Iss u ed
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2008-01676
ISSUED: 11/18/2008'
APPLIED: 11/18/2008
EXPIRES: 05/18/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541.726-3769 Inspection Line
Total Valne of Project
Fees PaicJ I
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Air Handling Unit Up to 10,000
Heat Pump
Minimum/Adjustment Mechanical
Amount Paid
Date Paid
Receipt Number
$21.00
$5.20
$6.24
$2.60
$10.00
$15.00
$27.00
11/18/08
I III8/08
11/18/08
. 11/18/08
11/18108
I III8/08
I III8/08
2200800000000001657
2200800000000001657
. 2200800000000001657
2200800000000001657
2200800000000001657
2200800000000001657
2200800000000001657
Total Amount Paid
$87,04
I 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 working day, inspections requested after 7:00 a.m. will be made the following
work day.
I R,~ll\~ire~ T nspectio~,~ I
Rough Mechanical: Prior to C~ver
Final Mechanical: When all mechanical work is complete.
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with
the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety.
I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
I further agree to ensure that all required inspections 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 remain on the site at all
times during construction.
Owner or Contractors Signature
Date
Paee 2 of 2
,pty of Springfield
~1
Mechanical Authorization To Begin Work
E-mailed To: jeanette-jco@comcast.llet
Receipt # EC542247
11118/2008 11 :08: 16 AM
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@cLspringfield.or.us
I D New construction
lliJ Addition/alterationlreplacc;"cnt
[XJ 1 or 2 family dwelling
D AccessOl)' Building
D Multi-family
I Job no.: I Job address: 364 S 72ND ST
I City/State/ZIP: I SPRINGFIELD, OR 97478-7423
I Suitelbldg./apt.no.:
I Project name: Elsberry
Cross street/directions to job site:
I Subdivision:
, Tax map/parcel no.: 1702353405703
I Lot no.:
Replacing heat pump and air handler.
I Name: Bud Elsberry
II'hone: (54l) 741.0597
IEmail:
I Fax:
ICCBlic. no.: 169209
I Business Name:..l CQ~F_C
IContaot' Bri~1oi1I~ ....., __ -"IALL [)(PIP.E II: TUI: \~nRK
IAddress' 572~ 1;\Ji:tN1S1'1i2.nIT v, -~:1 TillS PEPi~;i--,c: Nor
1 c;ty/State/zIP\IMRi\WilIEL~oV_ ~7ii1i NDONEO I:nD
Il'hone< (541):li<J.7d~~Vltl~uCU Vh \" ~X< (541)68858i6- '
ff-:-I:JE
I Ema;!, JeanenP-j)lo'@~\J.dM~ LO ..
I Metro lie. no.: I City. lie. 110.:
,.,... ~ ..',
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 ordinances.
Ea.
Total
I Fumace- up 10 ] 00,000 BTU
I Jiurnace - above 100,000 BTU
I Electric Furnace
I Duct u.lterations and additions
I Gas heater units/ in-wall, in-
duct. susoended. ctef
I Vent, tlue; liner for above
I Air Conditioner
I Heat Pump
I Air Handler
I
I
I
I
I
I
I
$]5.001
$1000 I
$15001
$]0.001
I Water heater
I Gas fireplace/insert/stove
I Gas log! log lighter
I Gas clothes dryer
I Gas stove/range
I Pool or spa heater, kiln
I Wood/peliet stove/insert
I Wood fireplace
I Chimney/liner/fiue/vent w/o
I Range hood
I Clothes dryer exhallst
I Si"g]e-dm1'W.'~'erE gon law ~eqUlres ~ 'au 10
tOlletcOl , t'iTiW "
room,) 0 ow rules adop :ed by th Oregoll Utility
I A:"C~c~tiJalJ\Lion cente~. I nose r~I~~~:~.~~;~ .1
iFu-c" i "I:\tt",~;l ,,"1JUt.::UVJU!l~~Y~~~;\ " ,*" .4h'
I;;:n' ~r~~~:~r7;r~~:Y~;';'f:;~:.~~::~17\'!4iBT:sfB~C1
IC~:h~~:~tn~p~'?~J9,l;Jb~f:I~3~~~~L~" 1 jtlL~~p~~-i, "f.ti.n~... ..;
1~'"J~M.CW'NI"AC'P."M''''F.E~~W'''~'i!'#'-',.., --, '
i%\ML1!bt0~4~t".;.'t;'idra{:":s.,, ,O'tlU":I:)\J_",.c.t:lttttJ'"~t"/'-._,,,_ ,t
Subtotal I $25:00 I
Minimum fee used instead of Subtotal $52.00 I
I State Surcharge (12% of penn it fee) I $6.24 I
I City or Springfield fees" $28.80 I
I TOTAL PERl\lIT FEE _ $87.04 I
.. City Of Springfield fees: 10% Administration Fee; 5% Technology Fee
COM:_';1)'O'K- nil 011 0
RCPT#- ~::::U''J:1X - lLP S1-
DATEPROCESSED:jl\ \ 't \ o'{ .
PROCESSED By:-.kJ2..~Q .9:(
This Authorization To Begin Work must be posted at the job site until replaced by a Permit.
225'Fifth Strcet
Springfield, Oregon 97477
,
541!.t726-3759 Phone
City of Springfield Official Receipt
Development Services Departmcnt
Pnblic Works Department'
Job/Journal Number
COM2008-01676
COM2008-0 1676
COM2008-01676
COM2008-0 1676
COM2008-0 1676
COM2008-0 1676
COM2008-01676
Payments:
Type of Payment
ONLINE CHGS
cRecciotl
RECEIPT #:
2200800000000001657
Date: 11/18/2008
Description
Air Handling Unit Up to 10,000
Heat Pump
Minimum! Adjustment Mechanical
-Mechanical Issuance 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
KR
ONLINE J COO INC Online
Payment Total:
Page I of I
II :20:58AM
Amount Due
10.00
15.00
27.00
21.00.
2.60
6.24
5.20
$87.04
Amount Paid
$87.04
$87.U4
11/18/2008