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Home My WebLink AboutPermit Mechanical 2009-1-6 Status Issued CITY OF SPRINGFIELD Building/Combination Petmit PERMIT NO: COM2009-00016 ISSUED: 01/06/2009 APPLIED: 01/0612009 EXPIRES: 07/06/2009 VALUE: 225 Fifth Street, Springfield, OR 54]-726-3753 Phone 54]"726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2076 INLAND WAY ASSESSOR'S PARCEL NO.: ]80311220]500 .- Springfield TYPE OF WORK: Mechanical Only TYPE OF USE: New Residential PROJECT DESCRIPTION: Owner: KISTNER DWAYNE E Address: 2076 INLAND WAY SPRINGFIELD OR 97477 Contractor Type Mechanical I CON!~CTOR INF~RMATlON 1 Contractor License ASSOCIATED HEATING & AIR CONDITIO ]06275 BUILDING INFORMATION I Expiration Date 08/31/20]0 Phone 54]-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 ]st Floor: Sq Ft 2nd Floor: 'Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a ! DEVELOPMENT INFORMATION 1 Front yard Setback: Side] Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd:' Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: Street Improvements: I PUBLIC IMPROV~MENTS 1 , " , . SI!iAv 11011'0'" reqUires you to ATTENTly.. ' 9; d bPe{he Oregon Utility follow rUleD~~rp~utsibcains:- are set forth Notification Gem"" '''hvo~' -hOAR 952-001- , OAR 952 001-0010 t roug b In - btain copies of the rules y NOTICE:, 0090" You may Oter (Note: the telephone THIS PERMIT SHill I J:VD,nr ~. __ cal\1,n~_'t: ;~~ nr~aon Utility Notificalion rill I HURtZED UNDER THI ,,- Ir ,,'~ II,,, ,~" "-,,,-- Center is 1-800-:;:;"-""....}. COMMENCED OR IS ABA p-(lliflMtfolllD'eserintion I '. ANY 180 ""U'<l:u rUM " DAY PER)OD. $ Per Sq Ft' Square Footage Tvpe of ConstructIOn It' I' B'd A t or mu Ip lef or I moun Value , Date Calculated Storm Sewer Available: Special Instruction: Notes: , Description Page] of 2 Status Issued U ii' OF SPRINGFIELD ;Building/Combination Permit PERMIT NO: COM2009-00016 ISSUED: 01/06/2009 APPLIED: 01/0612009 EXPIRES: 07/06/2009 VALUE: 225 Fifth Street, Springfield, OR .54]-726-3753 Phone 54]-726-3676 Fax 54]-726"3769 Inspection Line Total Value of Project Fees P~id I Fee Description + 12 % State Surcharge, + 5% Technology Fee Furnace - up to ]00,000 btu Minimum/Adjustment Mechanical Amount Paid Date Paid Receipt Number $9.48 $3.95 $]7.00 $62.00 l/6/09 l/6/09 1/6/09 , 1/6/09 22009000000000000]4 22009000000000000]4 22009000000000000]4 22009000000000000]4 Total Amount Paid $92.43 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 Insnectio~s 1 'Rough Mechanical: Prior to Cover Final Mechanical: When ali 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 ofSpringlield 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 Page 2 of2 City of Springfield Mechanical Authorization To Begin Work E-mailedTo:associatedheating@gmail.com Receipt # EC54454:i 1/5120095:03:47 PM Check on status of permit By Phone: (54])726-3753 or Email: permitcenter@ci.springfield.or.us I D New construction [K] Addition/alteration/replacement Description Qty, Ea. I I II $17,001 I I I I I Total I Furnace. up to ]00,000 BTU I Furnace - above 100,000 BTU I Electric Furnace I Duct alter~tions and additions I Gas heater, units/ in-wall, in- duct, suspended, etcl I Vent, flue; liner for above I Air Conditioner I Heat Pump I Airl-landler $1700 I ~ 1 or 2 family dwelling D'Mu]ti~family D Accessory Building no.: 3541 IJob address: 2076 INLAND WAY I City/State/ZIP: SPRINGFIELD, OR 97477-5359 I Suite/bldg.!apt.no.: I Project name: Cross street/directionsto job site: I Subdivision: map/parcel no.: 1803] [2201500 I Lot no.: I Water heater I Gas fireplace/insert/stove I Gas log! log lighter I Gasciothes dryer 19as stove/range I Pool or spa heater, kiln I Wood/pellet stove/insert I Wood fireplace I Chimneylliner/flue/vent w/o Replace. furnace I Name: Dwayne Kistner I Phon" (541) 653-0381 1 Email: I FaX! 653-0381 I Range hood Clothes dryer exhaust . Single-duct exhaust (bathrooms, toilet compartments, utility rooms) Attic/crawlspace fans I CCO lie. no.: 106275 I Bus.iness Name: ASSOCIATED HEATING &AIR CONDITION! I Contact: Brandy Forsman IAddress: PO BOX 412 I City/State/ZIP: EUGENE, OR 97440 I Phon" (541)6832590 IFax: (541)6070287 I Email: associatedheating@gmail.corri I Metro lie. no.: I City lie. no;: uptofirst 4 outlets(enter Qty=l) 1 each additional outlet 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 Subtotal I Minirrium fee used instead of Subtotal' I State Surcharge (12% of permit fee) I City Of Springfield fees '" I TOTAL PERMIT FEE '" City Of Springfield fees: 5% Technology Fee $17,00 $79.00 $9.48 $3,95 $92.43 NOTE: This Authorization To Begin Work expires within 180 days if a pennit 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. Lot'r\:2--eJO 0 - OcfJ / 0 1- G ,...-oq 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 COM2009-000 16 COM2009-000 16 COM2009-000 16 COM2009-00016 Payments: Type of Payment ONLINE CHGS cRcceintl City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 2200900000000000014 Date: 01106/2009 ]0:26:06AM Description Furnace - up to 100,000 btu Minimum/Adjustment Mechanical + 12% State Surcharge + 5% Technology Fee Amount Due 17,00.. 62,00 9.48 3,95 $92,43 ' Paid By ONLINE PERMIT CHGS Item Total: <"':heck Number Authorization Received By Batch Number Number How Received Amount Paid,' $92.43 NJM ONLlNE~SSOCIAT Online ED Payment Total: $92.43 Page I of I 1/6/2009 ,