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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