HomeMy WebLinkAboutPermit Mechanical 2007-5-7
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-00658
ISSUED: 05/07/2007
APPLIED: 05/07/2007
EXPIRES: 11/07/2007
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 4475 DAISY ST SPACE 118
ASSESSOR'S PARCEL NO.: 1702323406500
Springfield
TYPE OF WORK: Mechanical Only
TYPE OF USE: Alteration
Residential
PROJECT DESCRIPTION: Replace Furnace
Owner: COUNTRY MANOR LLC
Address: 13825 SW WEIR RD
BEA VERTON OR 97008
Contractor Type
Mechanical
I CONTRACTOR INFORMATION I
Contractor License
ASSOCIATED HEATING & AIR CONDITIO 106275
BUILDING INFORMATION I
Expiration Date
08/31/2008
Phone
541-683-2590
# of Units:
Pr.imary 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
Frontyard 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:
" -r';:-
I PUBLIC IMPRoviM~;F,J':;'~"~I\l: Oregon law requires you to
-. '.~ adopted by: th n . .
Street Improvements: Notification Cent~;.de,W~ T~e:regon Utility
Storm Sewer Available: In OAR 952-001-Qjld~nSp~;s rr~ set forth
Special Instruction: 0090. You may obtain . ~'R952-001_
calling the center (~of'.es of the rules by
NoteslH nTi CE: number for the Or~go~ ~til~~eNtel~~ho~e
a\'l Y U Ct. , Y otJflcatlon
T: IIZ r:::nMll ~~f.I_I_ !:VDlpt: It: TI-l~ wmw en el IS 1..Ejnn-~~') 1)2~ 1).
AUTHORIZED UNDER THIS PERMIIII~l'lU I t' D . t' I
COM1VIENCED OR IS ABANDONED F_1ua IOn escnp IOn
D oAt'\IY 180 D~Y PER1nO't to $ Per Sq Ft Square Footage
escnp Ion 'TYpe of'C'ons ruc Ion It" I' BOd A Value Date Calculated
or mu Ip ler or I mount
Pae:e 1 of 2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00658
ISSUED: 05/07/2007
APPLIED: 05/07/2007
EXPIRES: 11/07/2007
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
$10.00
$4.50
$2.25
$3.60
$12.00
$33.00
5/7/07
5/7/07
5/7/07
5/7/07
5/7/07
5/7/07
Receipt Number
1200700000000000512
1200700000000000512
1200700000000000512
1200700000000000512
1200700000000000512
1200700000000000512
Fee Description
~Mechanical Issuance Fee~
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Furnace - up to 100,000 btu
Minimum/Adjustment Mechanical
Amount Paid
Date Paid
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
Pae:e 2 of2
City of Springfield
.l\fJ~"hanical Authorization To Begin Worlr
.-mailed To: associatedheating@gmail.com
Receipt # EC511065
5/7/20072:17:19 PM
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@cLspringfield.or.us
I D New construction
[X] Addition/alteration/replacement
Description
[ Furnace- up to 100,000 BTU
[ Furnace - above 100,000 BTU
[ Electric Furnace
I 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
$12.00
$12.001
[Xl I or 2 family dwelling
D Multi-family
D Accessory Building
[JOb no.: 3168A IJobaddress: 4475 DAISYST
I City/State/ZIP: SPRINGFIELD, OR 97478-6657
[Suite/bldg./apt.no.: SPC 118
I Project name:
Cross street/directions to job site:
not offered online at this jurisdiction
Inot offered online at this jurisdiction
Water heater
[ Gas fireplace/inserVstove
I Gas log! log lighter
[ Gas clothes dryer
I Gas stove/range
I Pool or spa heater, kiln
[ Wood/pellet stove/insert
I Wood fireplace
I Chimney/liner/flue/vent w/o
appliance
I Subdivision:
[Tax map/parcel no.: 1702323406500
I Lot no.:
Replace furnace
Beth Suter
IPhone: (541) 653-8757
[Email:
IFax:
I CCB lic.no.: 106275
I Business Name: ASSOCIATED HEATING & AIR CONDITIONI
I Contact: Brandy Forsman
IAddress: PO BOX 412
I City/State/ZIP: EUGENE, OR 97440
Phone: 5416832590 I Fax: 54 I 6070287
Email: associatedheating@gmail.com
[ Range hood
[ Clothes dryer exhaust
Single-duct exhaust (bathrooms,
toilet compartments, utility
rooms)
[ Attic/crawlspace fans
upto first 4 outlets( enter Qty= I)
[ each additional outlet
Metro lic no.:
I City lie no.:
I
I
I
I
I
* City Of Springfield
$ I 0 Issuance Fee
Subtotal $12.00
Minimum fee used instead of Subtotal $45.00
State Surcharge (8% of permit fee) $3.60
City Of Springfield fees * I $16.75
TOTAL PERMIT FEE I $65.35
10% Local Admin Fee; 5% Local Technology Fee;
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.
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
COM2007-00658
COM2007-00658
COM2007-00658
COM2007-00658
COM2007-00658
COM2007 -00658
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
1200700000000000512
Description
Furnace - up to 100,000 btu
Minimum/Adjustment Mechanical
~Mechanical Issuance Fee~
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
C'" of Springfield Official Receipt
l. elopment Services Department
Public Works Department
Date: 05/07/2007
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Paid By
ONLINE PERMIT CHGS
ddk
Page 1 of I
ONLINE Associated Online
Heating
Payment Total:
3:04:12PM
Amount Due
12.00
33.00
10.00
2.25
3.60
4.50
$65.35
Amount Paid
$65.35
$65.35
5/7/2007