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HomeMy WebLinkAboutPermit Mechanical 2007-11-15 (2) -~ . 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769Inspection Line SCANNED e:ITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01686 ISSUED: 11/15/2007 APPLIED: 11/15/2007 EXPIRES: 05/15/2008 VALUE: Status Issued SITE ADDRESS: 4795 FRANKLIN BLVD SPACE 28 Eugene ASSESSOR'S PARCEL NO.: 1803022002900 TYPE OF WORK: Heating System TYPE OF USE: Alteration Reside~tial PROJECT DESCRIPTION: Replace gas furnace. Owner: KEITH DUANE Address: 4795 FRANKLIN BLVD SPACE 006 EUGENE OR 97403 CDntractor Type Mechanical I CONTRACTOR INFORMATION I Contractor License ASSOCIATED HEATING & AIR CONDITIO 106275 BUILDING INFORMATION I ExpiratiDn 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 REQUIRED PARKING Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS' Street Improvements: Sidewalk Type: Storm Sewer Available: DownspoutslDrains: Speciall1TstJiNTilQN: Oregon law requires you to follow rules adopted by the Oregon Utility Notes,Notiflcation Center. Those rules are set forth NOTICE: In. C?Afl. 952-o01-001~ through OAR 952-001- TI-II~ PFRMIT SHALL EXPIRE IF THE WORK 6ww.. 'vw '''"7 ww'w'" w....O W' "," ,."co..~ , IZED UNDER THIS PI:KMII It> NU I calling the center. (Note: the telep/'v.G1 f D I;\U! nU'1 number for the Oregon Utility Notifi" '. ua Ion escrmtJon, ~CED OR IS ABANDONED FOR Center is 1-800-332-~344). $ Per Sq Ft s~lX.il-F".,~'pERIOD. Description Tvpe of ConstructJon It' I' B'd A t Value Date Calculated or mo Ip lef or 1 moun Pa~e 1 on . -=ITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01686 ISSUED: 11/15/2007 APPLIED: 11/15/2007 EXPIRES: 05/15/2008 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees tlWLI Fee Description -Mechanical Issuance Fe.... + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Furnace - up to 100,000 btu Minimum/Adjustment Mechanical Amount Paid Date Paid $20.00 $5.00 $2.50 $4.00 $14.00 $36.00 11115/07 11/15/07 11/15/07 11/15/07 11/15/07 11115/07 Receipt Number 1200700000000001406 1200700000000001406 1200700000000001406 1200700000000001406 1200700000000001406 1200700000000001406 Total Amount Paid $81.50 I Plan Reviews I To Request an inspection call the 24 hour recDrding at 726-3769. All inspectiDns 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. I R"lJlJirerllnsn~ftions 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 aud the Laws of the State of Oregon pertaiuing 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 Paee 2 of 2 I Totol I I $14.001 I I I I I I I I I I I I I I I I I I I I Range hood I Clothes dryer exhaust I Single-duct exhaust (bathrooms, I toilet compartments, utility rooms) I Attic/crawlspace fans I , Fuel piping I I upto first 4 outlets(enter QtY'::]) I I I I each additional outlet I I MECHANICAL PERMIT FEES I I Suhtotal $14.00 I I Minimum fee used instead of Subtotal $50.00 I I State Surcharge (8% of penn it fee) $4.00 1 I Ci~ Of Springfield fees. $27.50 I I TOTAL PERMIT FEE $81.501 . City or Springfield ] 0% ~ocal Admin Fee; 5% Local Technology Fee; $10 Issuance Fee City of Springfield . . . . Mechanical Authorization To Begin Work E-mailedTo:associatedheating@gmail.com Receipt # ,EC520571 11/1412007 4:00:24 PM a u.... .,.' a. Check on status of permit By Phone: (541)726-3753 or EmaiJ: permitcenter@ci.springfield.or.us TYPE OF WORK II II Description I Heating/cooling appliances I I Furnace- up 10 ] 00,000 BTU I Furnace - above 100,000 BTU I I Electric Furnace I Duct alterations and additions Gas heater unitsl in-wall, in- I duct susoended. ctcf I I Vent, flue, liner for above I I Air Conditioner 1 Heat Pump I Air Hand]er I Otber fuel burning appliances 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 stove/insert I Wood fireplace Chimneyllinerlfluelvenl w/o aDD]iance Environmental exhaust AND ventilation $14.00 FEE SCHEDULE Qty. 10 New construction [Xl Addition/alteration/replacement Ea. CATEGORY OF CONSTRUCTION I [K] I or 2 family dwelling 0 Multi-family 0 Accessory Building I JOB SITE INFORMATION AND LOCATION IJob no.: 3285A IJob address: 4795 FRANKLIN BLVD I City/StalefZlP: EUGENE, OR 97403-2455 I Suile/bldgJapl.no.: 5PC 28 Projed name: Cross streetldireclionslo job sile: I Subdivision: ITax map/parcel no.: I Lot no.: 1803022002900 DESCRIPTION OF WORK Replace Gas Furnace SITE CONTACT I Name: Duane Keith I Phone: (541) 680-4087 I Fox: I Email: I CONTRACTOR CCB lie. no.: 106275 I Business Name: ASSOCIATED HEATING & AIR CONDITION I I Contact: Brandy Forsman IAdd...." PO BOX 412 I CltylStalelZlP: EUGENE, OR 97440 IPhooe: (541)6832590 IF..: (541)6070287 I Emall: associatedheating@gmail.com I Metro lie. no.: I City lie. no.: Upon review and approval by your local jurisdiction, your permit will be e-malled 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 .1~~n~..i ~... ~.~"^' , Ciar Springfield Official Receipt D.opment Services Department Public Works Department RECEIPT #: 1200700000000001406 Date: 11/15/2007 8:51 :39AM Job/Journal Number COM2007-01686 COM2007-0 1686 COM2007-01686 COM2007-01686 COM2007-01686 COM2007-01686 Description Furnace - up to 100,000 btu Minimum/Adjustment Mechanical -Mechanical Issuance Fee- + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Payments: Type of Payment Paid By Item Total: L'heck Number Authorization Received By Batch Number Number How Received Amount Due 14.00 36.00 20.00 2.50 4.00 5.00 $81.50 Amount Paid ONLINE CHGS ONLINE PERMIT CHGS ddk ONLlNEASSOCIAT Online ED HEATING Payment Total: $81.50 $81.50 cReceinll Page I of I 11/15/2007