HomeMy WebLinkAboutPermit Mechanical 2008-7-8 (3)
..
Status
Issued
225 Fifth Street, Springfield. OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 484 SCOTTS GLEN DR
ASSESSOR'S PARCEL NO.: 1703271305000
SCANNE . CITY OF SPRINGFIELD
~Uilding/combination Permit
PERMIT NO: cOM2008-0I007
ISSUED: 07/08/2008
APPLIED: 07/08/2008
EXPIRES: 01/08/2009
VALUE:
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Install A/H & HIP
Owner: GRISWOLD CHARLES W
Address: 484 SCOTTS GLEN DR
SPRINGFIELD OR 97477
Contractor Type
Mechanical
, CONTRACTOR INFORMATION'
Contractor License
ASSOCIATED HEATING & AIR CONDITIO 106275
BUILDING INFORMATION'
Storm Sewer Available:
Special Instruction: \NO~\(.
fit i\,\f ~Qi
NoteO'nc~:' \'\r>.\.\. f'j.,l'l~ f~\J\li IS
~ _"oMli '0_.-0,,\,\,\1'0 I' _..r:f'I fQ~
'\ \'1\':> ' - 11fD u"v- ~Br>.\W\J.l-
I.\i\-\O~ Q~ IS "
~Q\J\\'J\H\Cf~ I'f~IQO.
,"1 '\~() 0
Descljiption Tvpe of Construction
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Expiration Date ,Phone
08/3112008 541-683-2590
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
n/a
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
, DEVELOPMENT INFORMATION'
REQUIRED PARKING
Total:
Handicapped:
Compact:
Overlay Dist:
, # Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
'("'4-0C'7~?C'C'_nnO_1 ~I J81U8""\
I PUBLIC IMPROVEMF:NTS,,'!lON Al!l!ln u06aJO a41 JOI Jaqwnu
_ _ _ ,~elal e41 :elON) 'JelUaO a41 6u!lleO
^q selnJ e411~jc!~~ill" Ifrnep Aew noJ.. '0600
-~OO-c:g6lJ\flf)bWRpJlMaI6P'I.!1!)-c:g6lJ\fO UI
1I1JOlleS eJe SalnJ afo41 J",rull!} uO!leO!I!lON
,\j!l!ln uo6aJO elll Aq peldope SalDJ MOIIO&
01 nOA SaJlnbaJ Mel uo6eJO :NOIlN3l.LV
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pal!e I of2
.
. CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: cOM2008-01007
ISSUED: 07/08/2008
APPLIED: 07/08/2008
EXPIRES: 01/08/2009
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
F..... PlIid J
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Air Handling Unit Up to 10,000
Heat Pump
Minimum/Adjustment Mecbanical
Amount Paid
Date Paid
$20.00
$5.00
$6.00
$2.50
$9.00
$14.00
$27.00
7/8/08
7/8/08
7/8/08
7/8/08
7/8/08
7/8/08
7/8/08
Receipt Number
3200800000000000469
3200800000000000469
3200800000000000469
3200800000000000469
3200800000000000469
3200800000000000469
3200800000000000469
Total Amount Paid
$83.50
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,
IRe~
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 1 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
P.aee 2 of2
City of Springfield
'echan'ical Authorization To Begin.
E-mailedTo:.ssociatedbeating@gmail.com
Receipt # EC533410
717120082:58:32 PM
Range hood
Clothes dryer exhaust
Single-duct exhaust (bathrooms,
toilet compartments, utility
rooms)
Attic/crawlspace fans
Fuel piping
1 upto first 4 outlets(enter Qty=l)
I each additional outlet
MECHANICAL PERMIT FEES I
Subtotal $23.00
Minimum fee used instead ofSubtota! $50.00 I
State Surchar~e (12% ofoermit fee) $6.00 t
Ci~ or Sl!rimtiield fees. $27.s0 I
I TOTAL PERMIT FEE $83.50 I
. City Of Springfield fees: 100/0 Local Admin Fee; 5% Local Technology
Fee; $10 Issuance Fee
~
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
TYPE OF WORK
FEE SCHEDULE
I Description I Qty, I
I Heating/cooling appliances
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-
duel susoended. etel
I Vent, flue,liner for above
I Air Conditioner
Heat Pump
I Air Handler
1 Other fuel burning appliances
Water heater
Gas fireplace/insert/stove
Gas log/log lighter
Gas c10thes dryer
Gas stove/range
Pool or spa heater, kiln
Wood/pellet stovelinsen
Wood fireplace
Chimneyllinerlfluelvent w/o
aooliance
Environmental exhaust AND ventilation
o New construction
li.l Addition/alteration/replacement
CATEGORY OF CONSTRUCTION
IIX) 1 or 2 family dwelling
o Multi-family
o Accessory Building
JOB SITE INFORMATION ANO LOCATION
IJobno.: 3447A IJobaddress: 484 SCOrrSGLENDR
ICily/SlatefLlP: SPRINGFIELD, OR 97477-5907
I SuilelbldgJapt.no.:
I Project name:
Cross street/directions to job site:
ISubdlvision:
ITal map/parcel no.:
11.01 no.:
] 703271 305000
OESCRlPTION OF WORK
1
Install A/H & HIP
SITE CONTACT
I Name: Charles Griswold
I Phone: (54 ])744-7801
I Email:
IFal:
CONTRACTOR
I CCB lie. no.: 106275
I Business Name: ASSOCIATED HEATING & AIR CONDlTIONI
I Contact: Brandy Forsman
IAddress: PO BOX 412
1 City/SlalefLlP: EUGENE. OR 97440
jPhone: (54])6832590 IF..: (54.1)6070287
I Email: associatedheating@gmail.com
jMetro lie. no.: ICily lie. no.:
Upon review and approval by your local jurisdiction, your
pennlt will be e-malled or faxed within one business day,
with Instructions on how to schedule your Inspection.
Ea,
Total
$14,00
$9,00
$14,00
$9,00
lOM:;:)Cl"08" -0 I 007
RCPT#' 3 ::< 0-0 ~ - L./& c;-
DATE PROCF.SSFn'i:~K' -o;r'
PP.OC~A/!____
This Authorization To Begin Work must be posted at the ~ site unt~rePlaced by a Permit.
NOTE: This Authorization To Begin Work expires within 180
days if a pennit Is not obtained.
The iocal building department may detennlne 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
Springfield, Oregon 97477
541-726-3759 Phone
.
_~.l'l~'~""'.'.
WiL"
,.... .. "
-'. ........... .. -.-... .-
.City of Springfield Official Receipt
evelopment Services Department
Public Works Department
Job/Journal Number
COM2008-01007
COM2008-0 I 007
COM2008-01007
COM2008-0 I 007
COM2008-0 I 007
COM2008-0 I 007
COM2008-0 I 007
Payments:
Type of Payment
RECEIPT #:
3200800000000000469
Date: 07/08/2008
8:45:54AM
Description
Minimum/Adjustment Mechanical
Air Handling Unit Up to 10,000
Heat Pump
-Mechanical Issuance Fee-
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Administrative Fee
Amount Due
27,00
9,00
14,00
20,00
2,50
6,00
5.00
$83.50
Paid By
Item Total:
L'heck Number Authorization
Received By Batch Number Number How Received
Amount Paid
ONLINE CHGS ONLINE PERMIT CHGS
NJM
ONLINE ASSOCIAT Online
ED
$83,50
cReceint 1
Payment Total:
$83.50
Page I of I
7/8/2008