HomeMy WebLinkAboutPermit Mechanical 2008-12-8
~.t?~,~f~~S~.~~~.~~_" "
,,"', ,: W..:.. "", ;",1."''';'
') \ .
Status
Issued
CITY OF SPRINGFIELD"
Building/Combination Permit
PERMIT NO: COM2008-01749
ISSUED: 12/08/2008
APPLIED: 12/08/2008
EXPIRES: 06/08/2009
VALUE:
225 ,Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2147 MAIN ST
ASSESSOR'S PARCEL NO.: 1703364203500
Springfield TYPE OF WORK: Mechanical Only
TYPE OF USE: New'
PROJECT DESCRIPTION: Replace oil fnrnace with new gas fnrnace and rnn a new gas line.
Commercial
Owner: MY 40lK LLC
Address: 1417 WIMBLEDON PL
SPRINGFIELD OR 97477
I CONTRA~TOR INFORMATION I
Contractor Type
Mechanical
Contractor
J COO INC
License
169209
. BUILDING INFORMATION ~
Expiration Date 'Phone
04/12/2010 541-746-7065
# of Units:
Primary Occnpancy Group:
Secondary Occnpancy Gronp:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Bnilding:
Lot Size:
Sq Ft I st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist: Total: OU \0.
, 'o~~
# Street Trees Rqd: la\l'l leo.Hlin?,~aJ'P,e*
Paved Drive RIId: ~\IO~', Olego~ bY \\1e ('08n\g~<;,l1 \0.1\\1
% of Lot Covera~i\E ules ado.pt\\10se (Ules a~ 952-00\-
\0.110\1'1 I" f\ cef\ter. \11eUgn OP, lU\e5 bY
\,~"\\cat\O _^d1,O\Ot ',,0 n\\\1e , "..,
I PUBLIC IMPROVEMElN'I'~'I?'~~~ \:;'ay o.b,\~\\~~~~~ ',y,r i;':"~',;~~,j\
, v...... . ....0 cen\',;'"' \ ~ . \.',:' ".
call1f\9 tSidewa,lkType: ,_,;_ ,~J'
ber '0\ \" - . .......... 'v.~' ~,.-
f\Ulf\ D ,,~,' I.. . fD .
(owns pouts raIDs:
Street Improvements:
Storm Sewer Available'
Speciallnstrnction: NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
r.nMMFr\Ir.Fn nR IS ARMlnnNFn FOR
ANY 180 DAY PERlll u. 1
yaluation Descriotion
Notes:
Description
Type of Construction
$ Per Sq Ft
or mnltiplier
Sqnare Footage
or Bid Amonnt
Value
Date Calcnlated
Page I of2
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2008-01749
ISSUED: 12/0812008
APPLIED: 12/08/2008
EXPIRES: 06/08/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Valne of Project
Fees Pa~d 1
Fee Description
-Mechanical Issnance Fee-
+ 10% Administrative Fee
+ 12% State Snrcharge
+ 5% Technology Fee
Furnace - np to 100,000 btu
Gas Outlets 1-4
Minimnm/Adjnstment Mechanical
Amount Paid
Date Paid
Receipt Nnmber
$21.00
$5.20
$6.24
$2.60
$15.00
$6.00
$31.00
12/8/08
12/8/08
12/8/08
12/8/08
12/8/08 .
12/8/08
12/8/08
3200800000000000781
3200800000000000781
3200800000000000781
3200800000000000781
3200800000000000781
3200800000000000781
3200800000000000781
Total Amount Paid
$87.04
1 Plan Reviews ,
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 Reooired lospections I
Final Gas: When all gas work is complete.
Rough Mechanical: Prior to Cover
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 tbat 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 ofthe 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 structnre without permission of the Community Services Division, BniIding 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 fro", the
street, that the permit card is located at tbe front'of tbe property, and the approved set of plans will remain on the site at all
times during construction.
Owner or Contractors Signature
Date
Page 2 012
City of Springfield
Mechanical Authorization To Begin Work
E-mailed.To:jeanettc~jco@comcast.net
Receipt # .ECS4330li
12/8/2008] :]4:47 PM
'ii
1,1,,,
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
I' -.':';-", '. ",I ~~'.": '''''-, j,..v-';"::~"Tv'P"E'iO"-'F w. ~O'~--R'''K'" "F:.,_..;;g~, ~""'\,.. ,,;;?",;...";i~-':~-;I
_ :",".';~~".. .>-,.... .. i"ti~.:.: ,"'i'f~"{~_'i",_,",, ._~j<.-=__ "~_': ~~,.;~.f~; .~~ _':".'!=--"j"c:-#",l':.~~:~!.
I D New construction [K] Addition/alteration/replacement
I' -~'~;1t:~;; ~J-:: ~ '~~i~:.::r.C~iJ~K;f~Y1>.F.:9QN~r~~~TiQ~i}~.~-.W'.~:~~~!~~;\'~,'_~1
! 0 I or 2 family dwelling D Multi-family (K] Accessol)' Build!ng
IJob no.: jJob address: 2147 MAIN ST
I Cit)'/StaterLIP: SPRINGFIELD, OR 97477-5071
I Suite/bldg.hJpt.no.:
I Project name:
Cross street/directions to job site:
I Subdivision:
jTax map/parcel no.: 1703364203400
I Lot DO.'
reaplce oil furnace with new gas furnace and run a new gas line,
I:"
'-
I Name: Roger Tiller
II)hone: (541)513-6109 IFax:
I Email:
j.. . '.~~:~~;:~::-~~/:':'f~k:"i':~.-~~~~~~C9~~.!B:A9JOrt~~,7~;~=S0~~:t~;'...::;r ';i;';S;~,:::, ~,,'::~j
ICCB lic. no.: ]69209
I Business Name: J COO INC
J Contact: Brian Tiller
IAddress: 5729 MAIN ST #233
ICity/StateIZIP: SPRINGFIELD, OR 97478
1"hoD" (541)7467065 IF." (541)6885816
I Email: jeanette-jco@comcastnet
I Metro lie. no.: I City lie. 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 detennlne that an
Authorization To Begin Work is null and void if it does not
meet applicable land use laws and local ordinances.
\
I~~~~ -'\;;;/~~~~i? .1,'/ ;'FE'-E; SC-HEbl.iLe[ ..~:'-tff;"_
'.-'--=' 'C'~, ,"r .:J.., 1__."_> ,._.,....,.:...1..' ._.~
Description I Qly. Ell.
.iJtj;).;,.~'J
10,"1 1
I Furnace- up to 100,000 BTU $15.00
I Furnace. above 100,000 BTU
I Electric Furnace
I Ducl alterations and additions
I Gas heater units/ in-wall, in-
duct. susoended. elc/
I Vent, flue, liner for above
I Air Conditioner'
I Heat Pump
I Air Handler
Ih2J~1t:fu'cE~~wfJtpl11.!~.ri~~]~~ iJ '
jWaterhcater
I Gas fireplace/insenlstove
I Gas log/log Iighler
Gas clothes dryer
I Gas stove/range
I Pool or spa heater, kiln
I Wood/pellet stove/insert
I Wood fireplace
I Chimneyllinerlflue/vent w/o
appliance
I~~~~ir~nms~lal'e~~~a~~~~~.i~i!~~'e!itil~i!o~~ ;~~i~J'
I Range hood
I Clothes dryer exhaust
I Single.ducl exhaust (bathrooms,
toilet compartments, utility
rooms)
I Atticlcruwlspace fans
$15,001
I
I
1
I
I
I
I
I
c- ,,',I
..;.'.;:",:,
I
I
I
I
I
I
I
I
I
'I $6,001
I each additional outlet
Ilt:~~~<<}*~1!-~~~:~cB-~B!9Ae~.(~~J!;'~~~lft~;,r:~~;:'~~~
I Sublotal $21.00
I Minimum fee used instead of Subtotal $52.00
I State Surcharge (12% of per mil fee) $6.24 I
I City OfSprinl':iield fees. $28.80 I
I TOTAL PEll.MIT FEE $87.04 I
. City Of Springfield fees: 10% Administration Fee; 5% Technology Fec
I upto first 4 outlets(cntcr Qty"'l)
$6,001
I
~20-06/0\ 711
J'lYV1
I Z -0 t' -- 0 r
This Authorization To Begin Work must be posted at the job site until replaced by a Permit.
225 Fifth Street
. Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
D,evelopment Services Department
Public-Works Department
Job/Journal Number
COM2008-01749
COM2008-01749
COM2008-0 1749
COM2008-01749
COM2008-0 1749
COM2008-0 1749
COM2008-01749
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
Date: 12/08/2008
3200800000000000781
Description
Fumace - up to 100,000 btu
Gas Outlets 1-4
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
NJM
ONLINE
J COO Online
Payment Total:
. Page I of j
1:43:3IPM'
Amount Due
15,00
6,00
31.00
21.00
2.60
6,24
5,20
$87.114
Amount Paid
$87,04
$87.04
12/8/2008