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Home My WebLink AboutPermit Mechanical 2009-5-5 Cily of Springfield Mechanical Anthorization To Begin Work E-mailedTo:associatedheating@gmail.com Check on status of permit By.Phone: (54])726-3753 or Em.iI: permitcenter@cLspringfield.or.us I D New construction IX] Addition/alteration/replacement 1_' IlliJ I or2 f<lmilydwdling D Multi-family 0 Accessory Building -\Y_.,~. ,)q~'~T(i~o_~MA,rt9!!f~Nj)~~!iq~Itq_f'4~~,-'j--2:t~~~t~_~t~:EI IJob no.: 3632A !Jobaddress: 858 RIVER HILLS DR "I !City/StatcIZIP: SPRINGFIELD, OR 97477-3641 I I Suite/bldg./aptno.: I I Project name: I Cross street/directions to job site: I Subdivision: ITllX mllp/parcel 00;: 1703341212100 I Lot 110.: Replace Air Handler I Nltme: Richard Shipley I Phone: (541)744-5610 IEmail: I Fax: 744-5610 ~;"~-_"S(?~f~p~6J~_g~f;;:~ri IceD lie. no.: 106275 I Business Naml': ASSOCIATED HEATING & AIR CONDITIONI Contllct: Brandy Forsman ' IAddr{'ss: PO.BOX412 I Cit)'/State/ZIP: EUGENE, OR 97440 I Phone: (541 )6832590 I Fax: (541 )6070287 jEmail: associatedheating@gmail.com I Metro lie. no.: I City lie. no.:' Upon review and appro\(al 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. I Description I Furnace- up to lOO,OOO BTU I Furnace - above 100,000 BTU I Electric Furnace I DllCl alterations and additions I Gas heater units/ in-wall, in- duct. suspended, ete/ i Vent, tluc, liner for above i Air Conditioner I Heat Pump I Airl-landler C)<b )Jl GO\. Receipt # EC551170 5/5/200912:18:43 PM <I I $17.00 1 I 1 I I 1 I I $17.001 I Water heater I Gas fireplace/in~eh/sto,:,e I Gas Jogi log lighter I Gas clothes dryer I Gas stove/range I Pool or spa heater, kiln I Wood/pellet stove/insert I Wood fireplace I Chimney/liner/llue/venl w/o aoq1iance 1~'~'~J\~~~.\c:~~I<;.~xha~tf;\N"}i~~~t~:itf?,.f~.~~.lf- Lf.} ;;;it~~\i~~~ ,,"!::,iJ:,~~1 I Range hood I Clothesdryer r.:xhnust I Single-duct exhaust (bathrooms, toileteompartments, utility rooms) ^nic/cr~wlspace fans I Subtotal I City OrSpringrield FirstAppliance ree I Strite Surcharge (12% of permit fee) I City Of Springfield fees .. I TOTAL PERMIT FEE . City Of Springfield fees: 5% Technology fee $17.00 I $79.00 I $11.521 $4.80 I $112.32 I Coml.~ - CXJf(lJt' n m 6-0'5-Cf1 This Authorization To Begin Work must be posted at the job site until replaced by a Permit lupto rirst 4 outlets(enter Qty=:l) I each adcJitional outlet Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00608 ISSUED: 05/05/2009 APPLIED: '05/05/2009 EXPIRES: ':11/05/2009 VALUE: 'I 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 858 RIVER HILLS DR ASSESSOR'S PARCEL NO.: 1703341212100 Springfield TYPE OF WORK: Mechanical Only, TYPE OF USE: Alteration Commercial PROJECT DESCRIPTION: Replace air handler Owner: Address: SHIPLEY RICHARD 858 RIVER HILLS DR SPRINGFIELD OR 97477 Phone Numher: 541-744-5610 Contractor Type Mechanical I CONTRACTOR INFORMATI~N I Contractor License ASSOC1A TED HEATING & AIR CONDITIO 106275 BUILDING INFORMATION I . Expiration Date 08/31/2010 Phone 541-683-2590 # 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 1 st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupaut Load: n/a I DEVELOPMENT INFORMATION I Front yard Setback: Side 1 Sethack: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: Street Improvements: ATTENTln~I' n_~__,_ , I PUBLIC IMPROVEMENTS'I'O'tIPfW rules adopiedb;;i'h~vO:~;~t~~ltOt , J Ilcation Center. Those r' II Y In OAFSidewalk 1\yp.e: th ules are set forth - "-, -0 - 'u rough OAR 9 0090, You in~v n'" ,_ ... ..' 52-001- call1'rDownspoutslDrams:les of the rules by I[J tne "enter (N t . h number for the or~go~ ~iil;t e ~elephone Center is 1-80iJ_332-l34~{'flcation Storm Sewer Availahle: SpeciallnstrucfiMHICE: THIS PERMIT SHALL EXPIRE IF THE WORK MJTHORIZED UNDER THIS PERMIT IS NOT ""'(',fdlf'ilrn.If'!-n.!"'It""> In "....."...........__ ___ Notes: ._-.. - "-.. ...... I '.... "l...ll-U~'" "'" ,. . , ''-' ," i ,:(. "'\' ptRIOD, I Valuation Descriotion I DescriPtion Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pa2e 1 of 2 Status Iss ued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspectiou Line Fee Description + 12% State Surcharge + 5% Technology Fee 1st Appliance Air Handling Unit Up to 10,000 Amount Paid $11.52 $4.80 $79.00 $17.00 Total Amouut Paid $112.32 Total Value of Project Fees Paid I I Plan Reviews I Date Paid 5/5/09 5/5/09 5/5/09 5/5/09 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00608 ISSUED: 05/05/2009 APPLIED: 05/05/2009 EXPIRES: 11/05/2009 VALUE: Receipt Number 3200900000000000306 3200900000000000306 3200900000000000306 3200900000000000306 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. Reouired Insoertiol1s. III IIII I Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. By signature, I state and agree, that 1 have carefully examined the completed application and do hereby certify thaI all information hereon is true and correct, and] further certify that any and all work performed sl1311 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, Building Safety. 1 further certify that only contractors and employees who are in compliance with ORS 701.005 will be used ou this project. 1 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. Page 2 01'2 Date 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-00608 COM2009-00608 COM2009-00608 COM2009-00608 Payments: Type of Payment ONLINE CHGS cRcccintl RECEIPT #: City of Springfield Official Receipt Development Services Department Public Works Department 3200900000000000306 Date: 05/05/2009 1 :29:21 PM Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Due 17,00 79,00 4,80 I 1,52 $112.32 Description Air Handling Unit Up to 10,000 1 st Appliance + 5% Technology Fee + 12% State Surcharge Paid By ONLINE PERMIT CHGS Amount Paid. nJITI ONLINE associated Online Payment Total: $11232 $112.32 Page] of] 5/5/2009 City of Springfield Electrical Authorization To Begin Work E-mailedTo:tena@orelectricservice.com Receipt # RC551181. 5/5/2009 I :27:33 PM Check on status of permit By Phone: (541)726-3753 or Email: permitcenter@ci.springlield.or.us I 0 New construction [K] Addition/alteration/replacement I [X] I. or 2 fa~ilY dwelling DMulti,-fami'y' D Commercial/Industrial IJob no.: IJob address: 858 RIVER HILLS DR ICily/State/ZIP: SPRINGFIELD, OR 97477-3641 I Sliite/bldg.l:tpt.no.: IProjt'cl mum': Cross street/directions to job site: WDStreel [ Subdh;ision: [Tax map/parcel no.: 1703341212100 7'~' ILot no.: Changeou! Electric furnace ~-~:-':: SITE:CON-f";;CT4tt: {;,.- ._-._,_... . ......,...... ._" ,-w, .." I Name: JdT Brooks I Phone: (541) 343-1681 !Emllil: I Fa>: I EI. lie. no.: C408 I CCB lie. no.: 181997 I Business Name: OREGON ELECTRIC SERVICE LLC I Cont~ct: Tena Brooks IAddress: PO BOX 2237 ICily/State/ZII': EUGENE OR 97402 Ipho..: (54])343]68] IF"" (54])343]683 I Emllil: tena@orelectricservice,com I Metro lie. no.: I City lie. no.: !Supenising elcctrician'slic, no.: 1392S I Supervising electrichln's name: HERMAN OLLAR 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. \J~ C\/'J ('; -..:!;~t,~,~g;~qEE_I?~o~~~~~;:'- Description .1 Qty. I Ea. Total I. ~!te~,i9~t!,,~i{~1.~?,!~~i,.,?,~)TuttHtam!')'i~,~~e!(~~g',~li,i~~i~~L~d~~':;:~- -} I ~~tt~,,~~~~,g~'=.~g~\"~ -:;;"/' ,::#'<:: &:i)~' -;~~.d" : ,::'~~c;"l~:t,~. :t:"-;:c. '+':, ~i 11,000 sq. ft, or Jess [4] lEa, addl 500 sq. ft, or portion I 't.~ I -'Lirnited energy, resideiitial (with,above Sq. n,) I - Liinited energy"mu]tifami]y residential (with above sq ft,) I-Limited energy,commercia"1 not otlen:d online at this jurisdiction (with abuve sq. Ii.) Ie Stand-alune'limited energy, residential I - Stand-alone limited energy, multi-family I - Sland.~lone limited energy, I commerCial 1!~!1~1~ii9!1~~,~t!fllfft~ffilt9:~1~~r!ra~~0l!;'AN"D/O!ft~os~~~~i)}.',1,"1 I 200 amps or less [2] I I 1201'amps to 406 amps [2] I 1401 amps 10599 amps [2J I I 1200 amps or less [2] 120] amps to 400 ainps [21 1401 amps 10 599 amps [2] I:'Bfi~if~h"c!~,ii~:~~~~';~~,.~I1\!~~EEl:f!i~7i~i~,i1~perip~iiel: I A Fee for branch circuits with service or feeder fee, each branch circuit lB. Fee for branch circuits without service or feeder fee, first branch Clfcuit f21 I each adl:lI branch circuit, ',::~ "" NOTE: This Authorization To Begin Work expirns within 180. ~ I days if a permit is not obtained.. \.Y rC\. The local building d~partment may determine that an , \ "AJ_ \ Authorization To Begin Work is null and void if it does not h,~~ meet applicable land use laws and 'local ordinances. '-J . .~ ~ $55.00 I Service reconnect only [2] I Each manufactured or modular dwelling, service and/or feeder 121 I Pump OT irrigation circle [2] I Sign or outline lighting [2] I Signal circuit(s) or limiwd- energy panel, alteration, or extension , "ELE:.Sfl3li::AIi~~RMrr:F.E:E:SJI Subtotal Minimum fee used instead of Subtotal State Surcharge (12% of penn it fee) City OfSpriilgfieldfees" 1 TOTAL PERMIT FEE I . City Of SpriitgJleld fees; 5% Technology Fee /Default nUlI/ber of inspections allowed) Cern u;-cq -CXlrfJ t( {\JW\ 5-05 ~c)g/ This Authorization To Begin Work must be posted at the job site until replaced by a Permit. I I I c. "'1 . "--' ': I $55001 I ..;;.~.~~,~~.,;~:,}i $55.00 I $58.00 I $6.96 I $2.90 I $6786 I seAINOl"llilLDj _~, c ,c_ ,c' 'C",c_ li! Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00608 ISSUED: 05/05/2009 APPLIED: 05/0512009 EXPIRES: 11105/2009 VALUE: 225 Fifth Street, Springfield,OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line SITE ADDRESS: 858 RIVER HILLS DR ASSESSOR'S PARCEL NO.: 1703341212100 Springfield 'tYPE OF WORK: Heating System TYPE OF USE: Alteration Commercial PROJECT DESCRIPTION: Replace air handler Owner: Address: SHIPLEY RICHARD 858 RIVER HILLS DR SPRINGFIELD OR 97477 Phone Number: 541-744-5610 I CONTRACTOR INFORMATION I Contractor Type Electrical Mechanical Contractor OREGON ELECTRIC SERVICE ASSOCIATED HEATING & AIR CONDITIO License 181997 106275 , Expiration Date 05/09/2010 c 08/31/2010 Phone 541-343-1681 541-683-2590 BUILDING INFORMATlONcl # 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: Rauge Type: Energy Path: Sprinkled Bnilding: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: . Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occupant Load: nla I DEVELOPMENT INFORMATION I REQUIRED PARKING Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Sethack: Solar Sethacks: Overlay Dist: Total: # Street Trees Rqd: Handicapped: Paved Drive Rqd: c COl1!pact: , . % of Lot Coverage:ATT[:NTION: Oregon law reqUIres you to follow rules adopted by the Oregon Utility t\ll"'ltifi....gtirm ~p.ntp.r_ Those. rules are set forth I PUBLIC 1MPROVEMEN'TS'I' 952-001.-0010 through OAR 952~OOl- c vwv, You may obtain copies of the rules by calling t:~idSl':aIkTij:ie:te: the telephone number fD' th~ OrMfDllltility Notification 'c otwnspoluts .:ams:'344) en er 10 -t)uu-"""'-" . Street Improvements: Storm Sewer Availahl~WTlCE: Special Instruction: THIS PERMIT SHALL EXPIRE IF THE WORK Notes: AUTHOR/ZED UNDER THIS PERMIT IS NOT COMMENCED OR /S ABANDONED FOR ANY 180 DAY PERIOD. Paee 1 of 3 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: €OM2009-00608 ISSUED: 05/05/2009 APPLIED: 05/05/2009 EXPIRES: 11/05/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation DescriDtion I Description Tvpe of Construction . $ Per Sq Ft or multiplier . Square Footage or Bid Amount Value Date Calculated Total Value of Project Fpp, P.irl,J $6.96 $11.52 $2.90 $4.80 $79.00 $55.00 $17.00 $3.00 Date Paid 5/5/09 5/5/09 5/5/09 5/5/09. 5/5/09 5/5/09 5/5/09 5/5/09 . Receipt Numher Fee Description + 12% State Surcharge + 12% State Surcharge + 5% Technology Fee + 5% Technology Fee 1st Appliance Add, Alter, Extend Circ Air Handling Unit Up to 10,000 Minimum/Adjustment Electrical Amount Paid 3200900000000000308 3200900000000000306 3200900000000000308 3200900000000000306 3200900000000000306 3200900000000000308 3200900000000000306 3200900000000000308 Total Amount Paid $180.18 I Plan Reviews.1 ' 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. R'r"\,irpd 1.'iII'?.f:'.:t.i/'w Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Paee 2 of 3 Status Issued 225 Fifth Street, Springfield,OR 541-726-3753 Phone 541-726-3676 Fax 541-726"3769 Inspection Line CITY OF SPRINGFIELD . Building/Combination Permit PERMIT NO: COM2009-00608 ISSUED: 05/05/2009 APPLIED: 05/05/2009 EXPIRES: 11/05/2009 VALUE: By signature, 1 state and agree, that I have carefully examined the completed application and doherehy certify that all information hereon is true and correct, and I further certify that any and all work p~rformed shall be done in accordance with the Ordinances of the City of Spriugfield and the Laws of the State of Oregon pertaining to the work descrihed herein, and that NO occur ANCY will be made of any structure without permissiou 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 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 Page 3 of 3 Date 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number 'COM2009-00608 COM2009-00608 COM2009-00608 COM2009-00608 Payments: Type of Payment ONLINE CHGS cReceintl RECEIPT #: .....p...';_~~.,_~.F_J..EL....'U........... 't". .,...... ': ~'h , , K- · City of Springfield Official Receipt Development Services Department Public Works Department 3200900000000000308 Date: 05/05/2009 ]:S]:03PM Item Total: <":heck Number Authorization Received By Batch Number Number How Received Amount Due 55.00 3,00 2.90 6,96 $67.86 Description Add, Alter, Extend Circ Minimum/Adjustment Electrical + 5% Technology Fee + 12% State Surcharge Paid By ONLINE PERMIT CHGS Amount Paid nJm ONLINE oregon elect Online Payment Total: $67,86 $67.86 Page I of I 5/5/2009