HomeMy WebLinkAboutPermit Mechanical 2008-12-24
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Status
Issued
CITY OF SPRINtJ1'1J:'.LU .
Building/Combination Permit
PERMIT NO: COM2008-01806
ISSUED: 12/24/2008
APPLIED: 12/24/2008
EXPIRES: 06/24/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2107 15TH ST
ASSESSOR'S PARCEL NO.: 1703252300201
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Heat Pump & Air Handler
Owner: FOSNAUGH MARK & LEONA
Address: 2107 N 15TH ST
SPRINGFtELD OR 97477
I CONTRACTOR INFORMATION'
Contractor Type
Mechanical
Contractor
EUGENE HEATING & COOLING
License
149452
Expiration Date
10/22/2009
Phone
541-726-7654
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms: -
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
~
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION'
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS.
Street Improvements:
Stor~~.;.t'J;rIA\l'JHQHe;On law reql,Ji'eS Voll 19,
SP~~,\t<<sW!.'W&'n!OPled by the O/Gr."'l UiiiHI'
o Ilcatlon Center. Those ruk, 'l~" 'PI r--'111
NO~AR 952-001-0010 thrcuqh (~);l.;~\j~'R-rfcil- THIS PERMIT SHALL EXPIRE IF THE WORK
M~;'_Y..?~. ~ay obtam.copies (1( iha nll~il by ~~:~~_RIZED UNDER THIS PERMIT IS Mnr
~ -- _...w.. 1'''''0. "'" \~" '"""'" 'n..'......' .." ~u Uli I~ I\I:JANDONED .
number for the Oregon WililY ;',;",II:;~.:it!I)\V I t' D8~IY,; Otn ",I, PERIOD FOR
Center iS1-S00.33:2.2;;;.,4), - , a ua IOn esc'rlp IOn~., . -
$ Per Sq Ft Square Footage
or multiplier or Bid Amount
Sidewalk Type:
Downspouts/Drains:
NOTICE:
Description
Type of Construction
Value
Date Calculated
Pa2e I of 2
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CITY OF SPRINGFIELD'
. Building/Combination Permit
PERMIT NO: COM2008-01806
ISSUED: 12/24/2008
APPLIED: 12/24/2008
EXPIRES: 06/24/2009
VALUE:
Status
(ss u ed
225 Fifth Street, Springfieid, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees Paid I
Fee Description
......Mechanical Issuance Fcc.....
+ 100/0 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 Numher
$21.00
$5.20
$6.24
$2.60
$10.00
$15.00
$27.00
12124/08
12/24/08
12124/08
12124/08
12/24/08
12/24/08
12/24/08
3200800000000000808
3200800000000000808
3200800000000000808
3200800000000000808
3200800000000000808
3200800000000000808
3200800000000000808
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 Relluired InSDections I
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
By signature, 1 state and agree, that 1 have carefully examiued the completed application and do hereby certify that all
information hereon is true and correct, and 1 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.
1 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 eusure 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
Page 2 of2
Mechanical Anthorization To Begin Work
E-mailedTo:WVOSBURG@AUTOMATICHEATCO.COM
Receipt # EC544068
12/24/20086:51:59 AM
City of Springfield
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
) D New construction [K] Additio.n/alterationlreplacement
I '!'C.'1l~",;"""'m""U*-. 'C'A'T"E~G~'O' -RY~ ,'~O'~F"C~'O'N' 'S'TR~U"C T' IO~N ,;",e',:":;",,,.':';;.,: ~.~ "'''-''',
ijC)"~,.;;..,.~~sjm~~~h1i!ii.,,.~~,...-.,.,__, ,~"~..,~~ "'- ='TI,,,,,,~__~,",,,,,...r-q~..;.,,,~~, ,~i"'" ,;;;~:s.i~l
f lliJ I or 2 family dwelling 0 Multi-family D Accessory Building
I~~ ~~~f?r;;4H~;.J~~f~1~If~lf@~Q~~~f.!9~,~~1GO'~][N.l!i2f:n~~:~,.:;;;~~~:fl
IJobno.: IJObaddress: 2107 ]5THST I
IOlyISI"erLIP: SPRINGFIELO, OR 97477-2464 I
ISuiteJbldg.lapt.no.: I
IProjectmlme: I
Cross street/directions to job site:
1~'~,"":f::~,.r:'~~;j/''!r!FEEi''CHE[''L1l.E'~,'iW~_''f'i''i0;:';.:1
__._'0'" .~,,,,",. ., ..!._ ,.".. ~_ _-.._~.....~f~""-,,.. "'.
Descriplion [ Qty. 1 Ea. ,I Total' I
l;ii~aiTli0'cooting"'a"p'piianc'C.s':'''': Jl~ ~W-:::'<~~~~~~>";::'::,I
.-... .--=, '~""i "'-~_"'.'-..__, '_",,-""'" -:~ <',,-':, ','-':':". <i.,,,,_,qT--.f;.~:;',""'\.~;':':'.,,,!...-..<:
[ Furnace- up to 100,000 BTU
[ Furnace. above 100,000 BTU
I Electric Furnace
[ Duct alterations and additions
I Gas heater unitsf in-wall, in-
duct. suspended. etcf
[ Vent, tiue.liner for above
I Air Conditioner
I Heat Pump
I Air Handler
I
I
I
I
I
I
$15,001
$15,00
$10.00,
,
I~';~f';-:"'V"" . ,r.:'/i7'ii;if"Y,"';;:':\i5,.1' "~~r...)i-- "-S'ITE' 'CO~ N~'T'A'"C~T '''J~,.t,. ,.;!.,,:-.. "
,';'.'\.""3 .:,'''-o{~~...-.0,.:t':'g~:..':'T'i:f:;'_';'..,.\.. .. ~-"_. ,:~'~ ;:'_..~..~;'
[Name: m schilling
I Phon" I Fox:
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I Water heater
I Gas fireplace/insert/stove
I Gas log! log lighter
I Gas clothes dryer
I Gas stove/range
I Pool or spa heater, kiln
I Wood/pellet stove/insert
~_'I I Wood fireplace
'., Chimneylliner/flue/vent w/o
I appliance
I ;~liB~~nY~E~! e}~~u~t'~Nb_,\en_;ii~ii!.?n.~:_,~.:.."
I I Range hood
I Clothes dryer exhaust
I Single~duct exhaust (bathrooms,
toilet compartments, utility
rooms)
I Auic/crawlspace fans
1,'- .. " ';-4"',' -"';'~'.t.". '~'~'" T.,:.."..~.. V.._"c.'.~
~J~cl.pip~~!~;Y~:~::.'''~''':t ;.;-f.,Z~,j.' ..,Eo'"":'
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[ Subdivision:
jTax map/parcel no.: 1703252300201
I Lot.no.:
heat pump installation
[CCB lie. no.: 149452
I Business Name: EUGENE HEATING & COOLING COMPANY
I Contact: Michael Schilling
I Address: 1650 NE LOMBARD ST
ICily/Slatcr.llP: PORTLAND, OR 97211
II'hon" (541 )7267654 I Fox: (541)7267657
I Email: mschilling@automaticheatco.eom
I r.'1etro lie. no.: I City lie. no.:
Upon review and approval by your local Jurisdiction, your
I permit will be e-mailed or faxed within one business day,
'with instructions on how to schedule your inspection.
: ~::: :;:t;t~:"::::;~:.tcr Q~= I) I I I I
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~;:;"~':~~~".'k.f!;'~'~i!JI,f!;Ctt.~Nlc:,~~~~.~R~IT:l~~~~$.f~..1gt~;:~ ~2 ~'<l;~
I Subtotal $25,00 I
I Minimum fee used instead of Subtotal $52.00 I
I Slate Surcharge (]2% of penn it fee) $6.24 !
I City Of Springfield fees. $28.80 I
I TUli\L PERMIT FEE $87.04 I
. City Of Springfield fees: 10% Administration Fee; 5% Technology Fee
NOTE: This Authorization To Begin Work expires within 180
days If a pennlt 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.
~;;(cJ7.}O ~ 0/ e--Ocp
/ djQ'l/ () J
/7 0--.-
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
Job/Journal Number
COM2008-0 1806
COM2008-0 1806
COM2008-0 1806
COM2008-0 1806
COM2008-0 1806
COM2008-0 1806
COM2008-0 1806
Payments:
. Type of Payment
ONLINE CHGS
cRcceint I
RECEIPT #:
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City of Springfield Official Receipt
Development Services Department
Public Works Department
3200800000000000808
Date: 12/24/2008 '
7:35:37AM
Item Total:
L:hcck Number Authorization
Received By Batch Number Number How Received
Amount Due
21.00
10.00
15.00
27,00
2,60
6.24
5.20
$87.04
Description
":""Mechanical Issuance Fee~
Air Handling Unit Up to 10,000
Heat Pump
Minimum/Adjustment Mech'anical
+ 5% Technology Fee
+ 12% State Surcharge
+.10% Administrative Fee
Paid By
ONLINE PERMIT CHGS
'Amount Paid
NJM
ONLINE EUGENE Online
Payment Total:
$87.04
$87.04
Page 1 of 1
12/24/2008