HomeMy WebLinkAboutPermit Mechanical 2007-6-29
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2007-00971
ISSUED: 06/29/2007
APPLIED: 06/29/2007
EXPIRES: 12/29/2007
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 242 38TH ST
ASSESSOR'S PARCEL NO.: 1702314201700
Springfield
TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Install heat pump & air handler
Owner: POTTER GORDON M & PATRICIA A
Address: 242 N 38TH ST
SPRINGFIELD OR 97478
1 CONTRACTOR INFORMATION I
Contractor Type
.Mechanical
Contractor
EUGENE HEATING & COOLING
License
149452
Expiration Date
10/22/2007
Phone
541-726-7654
BUILDING INFORMATION'
# 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 I
Front yard Setback:
Side 1 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 I
Street Improvements:
Sidewalk Type:
Storm Sewer Available:
Special Instruction:
Downspouts/Drains:
ATTErnrON': Oregon law requires you to
foll.~\w 1~:Jes adopted by the Oregon Utility
Notes: Notitica[rcn Center. Those rules are set forth
In ~~ 952-001-0010 through OAR 852..Q01.
/0-\( is...,:.. \l.u IIIClY UUlalO COpies Oflft.ru1e8 by
N01\CE:M\T SHALL EXP\RE \F 'THE ~ i&fuation Descriotion tailing the center. (Note: the telephone
THIS PER DER TH\S PERM\T \... R mber for the Oregon Utility NoUfioatfon
"llTli!OR\ZED UN \0' ..II.oAlI.\\"'\n"\l:D fOl\ Per Sq Ft Square FootagPenter is 1-i00-332-23441_
Descnp J~p.-"'CEf"\T~ KJ 'l:WBSft\H:t1Mi It' I' B'd A t Value ~ate Calculated
. ~t'ill\lltl~ l/"vn 0 or mu Ip ler or I moun
:.\~y 180 DAY PER\O .
Pa2e 1 of 2
Status
Iss u ed
CITY OF SPRINGFIELD'
, Building/Combination Permit
PERMIT NO: cOM2007-00971
ISSUED: 06/29/2007
APPLIED: 06/29/2007
EXPIRES: 12/29/2007
VALUE:
225 Fifth Street, Springfield, 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 Fee-
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Air Handling Unit Up to 10,000
Heat Pump
Minimum/Adjustment Mechanical
Amount Paid
Date Paid
Receipt Number
$10.00
$4.50
$2.25
$3.60
$8.00
$12.00
$25.00
6/29/07
6/29/07
6/29/07
6/29/07
6/29/07
6/29/07
6/29/07
3200700000000000437
3200700000000000437
3200700000000000437
3200700000000000437
3200700000000000437
3200700000000000437
3200700000000000437
Total Amount Paid
$65.35
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.
Reouired Insoections I
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 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
Pa2e 2 of 2
.,j
...
City of Springfield
Mechanical Authorization To Begin Work
E-mailedTo:mschilling@automaticheatco.com
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
o New construction
Ii] Addition/alteration/replacement
Description
Heajlng/coolingappliances ..
,-'.-":,-,"",,\' "("'''''';')''1",,,"'"'-,,;,,,,,','',,'',A''
Furnace- up to 100,000 BTU
I Furnace - above] 00,000 BTU
Electric Furnace
Duct alterations and additions
I Gas heater units/ in-wall, in-
duct, suspended, etc/
I Vent, flue, liner for above
I Air Conditioner
Heat Pump
Air Handler
[K] ] or 2 family dwelling
o Multi-family
D Accessory Building
I Job no.: I Job address: 242 38TH ST
I City/State/ZIP: SPRINGFIELD, OR 97478-5736
I Suite/bldg./apt.no.:
I Project name: Potter
Cross street/directions to job site:
Receipt # EC513323
6/28/20073:12:43 PM
I
I
not offered onl ine at this jurisdiction I
I
I
I
I
I ] $12.00 $12001
Inot offered online at this jurisdiction I
I Subdivision:
I Tax map/parcel no.: 17023] 420] 700
I Lot no.:
I
I
I
I
I
II
II
I
I
· City Of Springfield
$]O~..
COM' ~~/- Ooq-, (
RCPT#' 3::2 UO 7 - 4'57
DATE PROCESSED: (p r- d.. <1 - Of
PROCESSED BY: [ ~(Y){ ^I( (V\....
This Authorization To Begin Work must be posted at the job site until repladed by a 'Permit.
1
I
I
I
I
Subtotal $12.00 I
Minimum fee used instead of Subtotal $45.00 I
State Surcharge (8% of penn it fee) $3.60 I
City Of Springfield fees' $16.75 I
TOTAL PERMIT FEE $65.35 I
] 0% Local Admin Fee: 5% Local Technology Fee;
I Water heater
I Gas fireplace/insert/stove
Gas log/ log lighter
Gas clothes dryer
Gas stove/range
I Pool or spa heater, kiln
I Wood/pellet stove/insert
I Wood fireplace
I Chimney/liner/flue/vent w/o
Install heat pump and air handler
Name: Gordon & Pat Polter
Phone: (54]) 747-7565
Email:
IFax:
I Range hood
I Clothes dryer exhaust
Single-duct exhaust (bathrooms,
, toilet compartments, utility
. rooms)
I Attic/crawlspace fans
ICCBlic.no.: 149452
I Business Name: EUGENE HEATING & COOLING COMPANY
I Contact: Michael Schilling
I Address: ]650 NE LOMBARD ST
I City/State/ZIP: PORTLAND, OR 97211
I Phone: (541 )7267654
I Email: mschilling@automaticheatco.com
I Metro lie. no.:
upto first 4 outlets(enter Qty=])
I each additional outlet
I Fax: (541 )7267657
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 determine that an
Authorization To Begin Work is null and void if it does not
meet applicable land use laws and local ordinances.
225 Fifth Street
Sp.ringfleld, Oregon 97477
541-726-3759 Phone
Job/Journal Number
CO M2007 -00971
COM2007 -00971
COM2007-00971
CO M2007 -00971
COM2007-00971
COM2007 -00971
COM2007-0097I
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
3200700000000000437
Description
Air Handling Unit Up to 10,000
Heat Pump
Minimum! Adjustment Mechanical
~Mechanical Issuance Fee~
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 06/29/2007
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Paid By
ONLINE PERMIT CHGS
NJM
Page I of 1
ONLINE EUGENE Online
HEA TING
&
COOLING
Payment Total:
9:13:11AM
Amount Due
8.00
12.00
25.00
10.00
2.25
3.60
4.50
$65.35
Amount Paid
$65.35
$65.35
6/29/2007