HomeMy WebLinkAboutPermit Mechanical 2009-1-8
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO:COM2009-00030
ISSUED: 01108/2009
APPLIED: 01108/2009
EXPIRES: 07/09f2009
VALUE: .
225 Fifth Street, Springfield, OR
541-726-3753 phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1055 3RD PL
ASSESSOR'S PARCEL NO.: 1703352104700
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Changeout units
Owner: ARMSTRONG RICHARD & MARY
Address: 1055 3RD PL
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION b
Contractor Type
Electrical
Mechanical
Contractor
OREGON ELECTRIC SERVICE
ASSOCIATED HEATING & AIR CONDITIO
License
181997
106275 .
Expiration Date
05/09/2010
08/31/2010
Phone
541-343-1681
541-683-2590
BUILDING INFORMATION I
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
# of Stories: Lot Size:
Height of Structure Sq Ft 1st Floor:
Type of Heat: Sq Ft 2nd Florir:
Water Type: Sq Ft Basement:
Range Type: "17";-., Sq Ft GaragelCarport
Energy Path: tOM ~t\t7J; Sq Ft Other:
Sprinkled Building: q,~/;{~:~/..?..f.~upant Load:
, I DEVELOPMENT INFORMl.~N' t~/} Oe;O'o'o;:fO:t'Yh.rr . .
. . Il '<t1il1 '-" ",'Oo/.;el; }) 0' 6Yu;~E\IRED PARKING
. lI06 '() II) "/~ '0/ fJo Qe 'llt/r,
Overlay Dist: el' Fo e Oe 06/~.o 11)" :5'lf~19I'e e,\' Yo
# Street Trees Rqd: Ce/' Il)e 'I7/el; II] oo;~~rlli~~ittIO
. Paved Drive Rqd: tel'i. Ol'el/t\tot. ,€@ 11'* ',\'e/, Iltly ,
01' / <fo/} e./;. I;. :5' IOn
% of Lot Coverage: '80'0 U&:. 'Ie t. 'Ie I' 2'00 II)
.','J,'J:?'lt1y tV, %,0 %,\' /.
, , o?~ Of'" ~r., 6v
I PUBLIC IMPROVEMENTS I "II), . '~<;lto~-
Sidewalk Type:
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Street Improvemnrl1Jr,
Storm Sewer Av~ir:E:
SpeciaIInstrucJ1!'JT/i 'fRlvtfr
Co OR/lED SHALL
Notes: ANyIvtIvtENCE. UNDER EXP/RE fF
180 DAlp~Z/~ A~~~~ERrJ,~;S ~OR/(
D. 'NED FOR Or
Downspouts/Drains:
Pa2e I of 3
Status
Iss u ed
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation DescriDtion I
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Total Value of Project
Fees Paid I
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Amount Paid
$8,04
$3.35
$55,00
$12.00
$9.48
$3.95
$79.00
Total Amount Paid
$170.82
I Plan Reviews I'
Date Paid
1/8/09
1/8/09
1/8/09
1/8/09
1/9/09
1/9/09
1/9/09
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00030
ISSUED: 01108/2009
APPLIED: 01108/2009
EXPIRES: 07/0912009
VALUE:
Value
Date Calculated
Receipt Number
2200900000000000024
2200900000000000024
2200900000000000024
2200900000000000024
3200900000000000016,
3200900000000000016
3200900000000000016
To Request an inspection call the 24 hourrecording 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.
I, Re/luired Insllections I
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Pa~e 2 of 3
Status
Iss u ed
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
LlI t OF I'lrKl1~\.Jt<1ELD
Building/Combination Permit
PERMIT NO: COM2009-00030
ISSUED: 01108/2009
APPLIED: 01108/2009
EXPIRES: 07/09/2009
VALUE:
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
Page 3 of 3
Date
Ci~ of Springfield
Mechanical Authorization To Begin Work
E-mailedTo:associatedheating@gmail.com
Receipt # EC544R71.
1/9/20092:33:25 PM
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield,or,ns
I 0 New construction
[K] Addition/alteration/replacement
Ea.
Total
I [K] ] or 2 family dwelling
o Multi.family
o Accessol)' Building
I Fumace~ 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. ete!
I Vent, Oue, liner for above
I Air Conditioner
I Heat Pump
I Air Handler
I
I
I
I
II
1
I
.117,001
I
no.: 3556A
IJOb address: 1055 3RD PL
SPRINGFIELD, OR 97477-3015
I Suitelbldg./apt.no.:
I Project name:
Cross street/directions to job site:
$17,00
I Subdivision:
ITax map/parcel no.: 1703352104700
ILot no.:
I Water heater
I Gas fireplace/insert/stove
I Gas ]og/Iog lighter
I Gasclothesdl)'er
I Gas stove/range
I Pool or spa heater, kiln
I Wood/pellet stove/insen
I Wood fireplace
Replace HIP package unit
I Name: Mary Armstrong
I Phone: (541) 9]4-]273
IEmail:
IE'~' "<f:;""Illllrl!~~Itf6' '_._~--_' '-'"~'~- '_,_'c_"'-":"'"" ii
:'" """,-"l!'g1 'it,<w.'ih." , 'CONTRACTOR"" ~:' '''L, *,,~~ "",L;qE..i:#'bs't.:ii!,~.",,,,,,,,,
, .' ,'~''''L'\i0., , ,;n:I:~. '''_'-w~~~_" "" ",,',,"',," m P'%~~w-_._ ,,,
Icc8 lie. no.: 106275 ;;,;Vh_
I Business Name: ASSO~t;.tii3 i~G & AIR CONDITION I
I Contact: Brandy Fors;P~n: /Y()^<:'~~A.
IAdd"''' PO 80)(412' ~'I'l~ '/.Q:-;: ~'i".
I Oly/Slale/ZIP: EUGENE~0i!6,~,A'(/ &1;' "1/ ~
I Phone: (541)6832590 V.-<Jj-- - 0;0 (/t'..d"'~41)6070287
~- ,
I Email: associaledheating@gmail.c~~:J1..~.i.../~^ ~~ *
I ' -(/^~"_"..f) '/"
Melrolle.no.: U l~~hc:"'~ h.
. , V04t,'~l'l(.~
Upon review and approval by your local jUriSdic~~Ot(r V..-9A--
permit will be e-mailed or faxed within one busines 4'0 'I
with instructions'on how to schedule your inspection. 'l"
IF",:
w/o
I
I Rang, ho'l4":re'\ I
I CIOthes~I>}~UIII: Or~go,q...
smgl'/lllarl:W1'JO-~P ed b'<<VV eqU1res .
to,let !lItlI;liit'Center. 7: y thl ' Or J au to
mom _ 9.';,,_ . h ,egon 1It'''t
All" cMilllpacVou>",,~., :, 0 IhroJ '~.are Sl t !... ~
;-":=~'''''''lJmn;th';~k''''''i1in!c' 4' ~."'='~l:l!Oi':"! ~[#I"'i\
;,t,uJ;,~'ij[!~'0?0\~.t,. e;Ci:i~~,:_:~~OfJ{a.~7""-#"~l'!,~;Dn1:~/~'.~
upto fi,st J'JGfI(~6l1l~1i~~ote; (~";; ~~tS bv
I l;;ii~;:~:;E~N~~tf~~:~~4lfi~!;~:1Ir""\~
I I Subtotai $17.00 I
.1 I Minimum recused instead of Sub tot a] $79.00 I
I State Surcharge (12% of perm it fee) $9.481
I City Of Springfield fees. $3.95
I TOTAL PERMIT FEE $9243
:. City Of Springfield fees: 5% Techno]ogyFee
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.
COM: Rmq-. no()Q.Q
RCPT #:2c'YX:Q - H D
DAIfPROCESSED: \ \ glOCl
This Authorization To Begin Work must be posted at the j )~~~RIjl~~(j ~.l~tt -----.
_..,'
225 Fifth'Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-00030
COM2009-00030
COM2009-00030
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
Description
1 st Appliance
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
,
City of Springfield Official Receipt
Development Services Department
Public Works Department
3200900000000000016
Date: 01/09/2009
Item Total:
Check Number Authorizatio!1
Received By Batch Number Number How Received
KR
ONLINEASSOCIAT In Person
ED HEAT &
COOL
Payment Total:
Page 1 of 1
2:55:03PM
Amount Due
79.00
3.95
9.48
$92.43
Amount Paid
$92.43
$92.43
1/9/2009