HomeMy WebLinkAboutPermit Mechanical 2006-12-14
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Off!-EfTJ05 I
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-01606
ISSUED: 12/14/2006
APPLIED: 12/14/2006
EXPIRES: 06/14/2007
VALUE:
Status
Issued
225 Fiftb Street, Springfield, OR
541-726-3753 Phone
541-726,3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 618 SCOTfS GLEN DR
ASSESSOR'S PARCEL NO.: 1703272404200
Springfield TYPE OF WORK: Mechanical Only
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Replace HIP & AIH
Owner: LOCHA VEN LLC
Address: PO BOX 22623
EUGENE OR 97402
Contractor Type
Mecbanical
I CONTRACTOR INFORMATION I
Contractor License
ASSOCIATED HEATING & AIR CONDITIO 106275
I BUILDING INFORMATION 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 GaragelCarport
Sq Ft Otber:
Occupant Load:
nla
I DEVELOPJ\<'''-l'' m.ORMATION I
REQUIRED PARKING
Frontyard Setback:
Side I 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 I
Street Improvements:
Sidewalk Type:
Storm Sewer Available: DownspoutslDrains:
Special Instruction:
1'\1 rt:l\IllUI~;Ult:!9uli ,aW lequlres you t9
Notes: follow rules adopted by the Oregon Utility
Notification Center. Those rule~ a!e SElt fortt NO TI C E:
Inu1\nl:1o,::-vv,'uvlulIlluu:I'" ._~ - v_..... 'HIS PER^,
0090. You may obtain COpiE S\Z'Miatlo'h'3Dl!llcriDtion 'UTHORIZ~IT SHAll EXPIRE IF THE WORK
calling the center. (Note: l"tm""~,,vlI" I' ,~ D UNDER THIS PERMIT
Description nuTtp~rjpclfn~tQw{.U?n Util~r~r~it~ition Squa.re F.IlJ!a~V:NCED ORySoMANDONPgt .k~~q!ted
, Center is l-BOO-33:!lI2\!)44Jpher or BId ~M~uMO DAY PERIOD. rOff
Paee 1 of 2
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. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-0I606
ISSUED: 12/14/2006
APPLIED: 12/14/2006
EXPIRES: 06/14/2007
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Pbone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
L.Fpps P,'lid I
Fee Description
-Mecbanical Issuance Fee-
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Furnace - up to 100,000 btu
Heat Pump
Miscellaneous Mecbanical
Amount Paid Date Paid Receipt Number
$10.00 12/14/06 3200600000000000620
$4.50 12/14/06 3200600000000000620
$2.25 12/14106 3200600000000000620
$3.60 12/14/06 3200600000000000620
$12.00 12/14/06 3200600000000000620
$12.00 12/14/06 3200600000000000620
$21.00 12/14/06 3200600000000000620
Total Amount Paid
$65.35
I Plan Reviews I
To Request an inspection call the 24 hour recording at 726-3769. All inspection 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.
Rough Mechanical: Prior to Cover
Final Mecbanical: When all mecbanical work is complete.
By signature, I state and agree, tbat I bave carefully examined the completed application and do hereby certify that all
information bereon is true and correct, and I further certify that any and all work performed shall be done in accordance with
tbe Ordinances of the City of Springfield and tbe Laws of tbe State of Oregon pertaining to the work described herein, and
tbat NO OCCUPANCY will be made of any structure witbout permission of the Community Services Division, Building Safety.
I furtber certify tbat only contractors and employees who are in compliance witb ORS 701.005 will be used on this project.
I furtber 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 of2
I Des";ption FEE SCHE~t~LE
I. Heating/cooling applillnc~
.1 I Furnace- up to 100,000 BTU
II Furnace - above 100,000 BTU
II Electric Fumace
I 1 Duct alterations and additions
1 I Gas heater units! in-wall, in-
duct susoended. etel
I I Vent, flue, liner for above
I I Air Conditioner
I Heat Pump
1 Air Handler
I Other fuel burning applillnCli'S
I Water heater
I Gas fireplace/insert/slove
! Gas log! log lighter
I Gasc10thesdryer
I Gas stove/range
I Pool or spa heater, kiln
I Wood/pellet Slove/insert
Wood fireplace
.Chimneyllinerlfluclvent w/o
appliance
Environmental eshaustAND ventilation
I
Totol I
S12.001
I
not offered online at this jurisdiction I
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I
I
I
S12.001
not offered online at this jurisdiction 1
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 Aniclcrowlspace fans I
I Fool pipIng I
I upto first 4 outlets(enterQt)-=l) I I I
I each additional outlet I
MECHANICAL PERMIT FEES I
I Subtotal S24.00 I
I Minimum Fee $45,00 I
I State Surcharge (8% ofpcrmit fee) $3.60 I
I City OfSpringfleld fees. $16.75 I
I TOTAL PERMIT FEE. $65.35 I
.. City Of Springfield 10% Local Admin Fee; 5% Local Technology Fee;
$10 Issuance Fee
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City of Springfield
Mechanical Authorization To Begin Work
E-mailedTo:brandy@associaledhealing.com
Check on slalus of permil:
Conlacl: http://www.ci.springfield.or.us/dsd/Building/index.hlm
TYPE OF WORK
I 0 New construction
I
I IX] 1 or 2 family dwelling
[i) Additionlalterotionlreplacement
CATEGORY OF CONSTRUCTION
o Multi-family
o Accessory Building
JOB SITE INFORMATION AND LOCATION
IJobno.: 3052A IJobaddress: 618 SCOTTSGLENDR
1 Ci'y/StaterLIP: SPRINGFIELD, OR 97477-1983
I Suitelbldg./apt.no.:
I projret name:
Cross street/directions to job site:
jSubdivision:
jTa:l mop/parcel no.: 1703272404200
OESCRlPTION OF WORK
ILo' no.:
Replace HIP & NH
SITE CONTACT
I Name: Brondy Forsman
1 Phone: (541) 683.2590 I Fax:
I Email: bnmdy@associatedheating.com
CONTRACTOR
I CCO lie. no.: 106275
I Business Name: ASSOCIATED HEATING & AIR CONDITIONI
I Contact: Brondy Forsman
IAdd..."" PO BOX 412
I City/SlatelZlP: EUGENE. OR 97440
l!hone: 5416832590
IEmail: brondy@associatedheating.com
I Metro lie no.:
I Fax: 5416070287
ICily lie no.:
Upon review and approval by your local Jurisdiction, your
permit will bo 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 B penn!t Is not obtained.
Tho local 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.
Receipt # EC507051
12/14/200610:29:44 AM
Ea.
II
SI2,OOI
This Authorization To Begin Work must be posted at the job site until replaced by a Permit.
0J/Y12-cTIJ& - O)~()rf7
3d 00& - 0~O
S12.00
225 Fifth Street
.
Sp1"ingfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2006-0 1606
COM2006-0 1606
COM2006-0 1606
COM2006-0 1606
COM2006-0 1606
COM2006-0 1606
COM2006-0 1606
Payments:
Type of Payment
.
RECEIPT #:
Description
Heat Pump
Furnace - up to 100,000 btu
Miscellaneous Mechanical
-Mechanical Issuance Fee-
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
ONLINE CHGS ONLINE PERMIT CHGS
Paid By
cReceint I
..........~. ".&D._. ....... . ....:
lift, .,
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".T......... _.
3200600000000000620
ca of Springfield Official Receipt
_Iopment Services Department
Public Works Department
Date: 12/14/2006
Item Total:
(;heck Number Authorization
Received By Batch Number Number How Received
NJM
Page I ofl
ONLINE ASSOCIAT Online
ED
HEATING
Payment Total:
II :34:26AM
Amount Due
12.00
12.00
21.00
10.00
2.25
3.60
4.50
$65.35
Amount Paid
$65.35
$65.35
12/1412006