HomeMy WebLinkAboutPermit Mechanical 2007-7-13
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-01034
ISSUED: 07/1312007
APPLIED: 07/1312007
EXPIRES: 01113/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 3630 E ST
ASSESSOR'S PARCEL NO.: 1702311300201
Springfield
TYPE OF WORK: Mechanical Only
TYPE OF USE: Alteration
Residential
PROJECT DESCRIPTION: Replace heat pump a.,d furnace
Owner: TOMPKINS GORDON L & CONNIE M
Address: 3630 E ST
SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Contractor License
ASSOCIATED HEATING & AIR CONDITIO 106275
BUILDING Il''11<uRMATION I
Expiration Date
08/31/2008
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 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:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Sidewalk Type:
Storm Sewer Available: Downspoutsillrains:
SpeciaA"tm~ Oregon law requires you to
follow rules adopted by the Oregon UtIlity
NoteNotificatlon Center. Those rules are set forth .OOIl:f3d AVO 09 ~ ANV
t.: "lip nc~~1Q throuah OAR 952-001- }fn~ n~~tnQWtSY SI HO ~~N3~O~
0090 You may obtain copies ot tn8 H'lt'.. "J ~IN SIIIWH3d SlfU H30Nn 03ZIHOHlnV
caliing the center. (Note:.~he tele~t_~luation Descriptiol~"OM 3Hl ~I 3HldX311VHS .1IWl:f3d SIHl
,,: . number for the Oregon Utility Notific ' "
CenUlr let 1.-AnO.g32-t2344). $ Per Sq Ft Square Footage D"3:J11 nNI
Description "r'VPl!"of C:onsfruc Ion It' I' B"d A Value ate eaiCu ated
or mu Ip ler or I mount .,'
Pal!e 1 of 2
Status
Issued
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2007-01034
ISSUED: 07/13/2007
APPLIED: 07/13/2007
EXPIRES: 01113/2008
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
$20.00
$5.00
$2.50
$4.00
$9.00
$14.00
$27.00
7/13/07
7/13/07
7/13/07
7/13/07
7/13/07
7/13/07
7/13/07
2200700000000001123
2200700000000001123
2200700000000001123
2200700000000001123
2200700000000001123
2200700000000001123
2200700000000001123
Total Amount Paid
$81.50
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
Pal!e 2 of 2
City of Springfield
Mechanical Authorization To Begin Work
E-mailedTo:associatedheating@gmail.com
Receipt # EC513898
7/12/20072:04:30 PM
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
D New construction
[iJ Addition/alteration/replacement
I Description
I Job no.: 3195A I Job address: 3630 E ST
I City/State/ZIP: SPRINGFIELD, OR 97478-5636
Suitelbldg./apt.no.:
Project name:
Cross street/directions to job site:
I Furnace- up to 100,000 BTU
I Furnace - above 100,000 BTU
I 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
I Heat Pump
Air Handler
$14.00
$9.00
I
I
I
I
I
I
$14001
$9.001
I
I
[X] I or 2 family dwelling
D Multi-family
D Accessory Building
I Subdivision:
I Tax map/parcel no.: 1702311300201
I Lot no.:
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 stovelinsert
I Wood fireplace
I Chimney/liner/flue/vent w/o
Replace HIP & furnace
Name: Gordon Tompkins
I Phone: (541 )746-5185
Email:
IFax:
I Range hood
I Clothes dryer exhaust
Single-duct exhaust (bathrooms,
toilet compartments, utility
rooms)
I Attic/crawlspace fans
I CCB lie. no.: 106275
I Business Name: ASSOCIATED HEATING & AIR CONDITION I
I Contact: Brandy Forsman
[Address: PO BOX 412
I City/State/ZIP: EUGENE, OR 97440
I Phone: (541 )6832590 I Fax: (541 )6070287
I Email: associatedheating@gmail.com
I Metro lie. no.: ICity lie. no.:
I upto first 4 outlets(enter Qty=l)
I each additional outlet
I
Subtotal' $23.00 I
Minimum fee used instead of Subtotal $50.00 I
State Surcharge (8% of permit fee) $4.00
City Of Springfield fees · $27.50
TOTAL PERMIT FEE $8150
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.
I
I
I
I
I
· City Of Springfield
$10 Issuance Fee
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
COM2007-01034
COM2007-01034
COM2007-01034
COM2007-01034
COM2007-01034
COM2007-01034
COM2007-01034
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
2200700000000001123
Description
Heat Pump
Air Handling Unit Up to 10,000
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: 07/13/2007
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Paid By
ONLINE PERMIT CHGS
ddk
Page I 0 f 1
ONLINE Associated Online
Heating &
Air
Conditioning
Payment Total:
8:27:08AM
Amount Due
14.00
9.00
27.00
20.00
2.50
4.00
5.00
$81.50
Amount Paid
$81.50
$81.50
7/13/2007