HomeMy WebLinkAboutPermit Mechanical 2009-1-21
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00096
ISSUED: 01/21/2009 .
APPLIED: 01/21/2009
EXPIRES: 07/21/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
SITE ADDRESS:' 205 S 54TH ST SPACE 25
ASSESSOR'S PARCEL NO.: 1702330001200
Springfield TYPE OF WORK: Heating System
. TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Replace electric furnace
Owner: GUZEK JACQUELINE MARIE
Address: 205 S 54TH ST SPACE 025
SPRINGFIELD OR 97478
Contractor Type
Mechanical
I CONTRACTOR INFORMA !ION I
Contractor License
ASSOCIATED HEATING & AIR CONDITIO 106275
BUILDING INFORM~ TION I
Expiration Date
08i31/2010
Phone
541-683-2590
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Heightof 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
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
..... .-- ....~\' r\.........I.rr..r\
t'\l\ll IVU unl 1~llj"",'t..
I PUBLIC.IMPROVEMENTS I
ATTgji$'lll~lk(J~p'~">n law requires you to
folloV\If.'''''~ Il,doOlJ'd bv the Oregon Utility
Notifica8~R ~eNt'~r. m8~i3 rules are set forth
in OAR 952-001-0010 through OAR 952-001-
0090. You may obtain copies of the rules by
calling the center. (Note: the telephone
_. ........1--....... of,....," the nrO(lnn Iltilitv NQ,tification
Center is 1-800-332-2344).
Street Improvements:
Storm Sewer.~V'a'ii!illle:
Special In;n~,'1!i~'!.:RMIT SHALL EXPIRE lF THE WORK
. AUTHORIZED UNDER THIS PERMIT IS NOT
Notes: COMMENCED OR IS ABANDONED FOR
I Valuation Descriotion I
Description
Type of Construction
$ Per Sq Ft
. or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee 1 of2
Status
Iss u ed
CITY OF SPRINGFIELD
Building/Combination Permit
. PERMIT NO: COM2009-00096 .
ISSUED: 01/21/2009
APPLIED: 01/21/2009
EXPIRES: 07/21/2009
VALUE:
225 Fiftb Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection'Line
Total Value of Project
Fees Paid I
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Amount Paid
Date Paid
Receipt Number
$9.48
$3.95
$79.00
1/21/09
1/21/09
1/21/09
2200900000000000079
2200900000000000079
2200900000000000079
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 Insnections 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 tbat all
information hereon is true and correct, and I further certify that any and all work performed sball be done in accordance with
the Ordinances of the City of Springfield and tbe Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will'be made of any structure witbout permission of the Community Services Division, Boilding 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, tbat the permit card is located at the front of tbe property, and the approved set of plans will remain on the site at all
times during constructio~. .
Owner or Contractors Signature
Date
Pa2e 2 of2
Ci,ty of Springfield
Mechanical Authorization To Begin Work'
E-mailedTo:associatedheating@gmail.com
Receipt # EC545495
'1/21/20091:59:59 PM
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
10 New construction
[X] Addition/alteration/replacement
[K] I or 2 family dwelling
o Multi-family
o Accessory BiJilding
IJob no.: 3548A I.JOb address: 205 S54TH ST
I CityfStatelZlP: SPRINQFIELD, OR 97478-6266
I Suitc/bldg./apt.no.: SPC 25
I Project name:
Cross slrceUdireclions to job site:
,
I Subdivision: .
ITax mapfparcel no.: 1702330001200
lLot no.:
Replace Electric furnace
I Name: Jacqueline Guzek
I Phon" (541) 736-3040
IEmail:
IF."
ICCRIl<. no.' '-{!tW.'-- f'~
I Business NamJ.'i ;&!!H~D HEATING & AIR CONDITIONI
ICootact, Bmodh~~ia~niviIT "MALL t!\t'IKt I~ I HI: WUHK
IAdd""'PO~\(4f2UIiILtU UI~UtK rHI~ I-'I:KIVIII I~ NUT
ICUy/St.te/ZIP"Et)m'il&,I}j,R19\z.\4VK I~ AtlANIJUNED FOR
IPhone: (541)6t'l!!J;JO I au UAY I-'tK/UUjFax: (541)6070287
I Email: associatedhealing@gmail.com
I Metro lie. no.: I City lie.-no..:
.Upon review and approval by your local jurisdiction, your
permit will be e~mailed or faxed within orie business day,
with instructions on how to schedule your insp.ection.
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 ordln~nces.
I Desl:ription
Qty. .1
Ea.
Furnace- up to 100,000 BTU
I Furnace - above 100,000 BTU
I Electric Fumace .
I Duct alterations and additions
I Gas heater unitsl in-wall, in-
duel susoended..etc/
I Vent, flue, liner for above
I Air Conditioner
I Heat Pump
Air !"landler
I
I
$]7.001
I
I
I
I
I
I
$]7.00
I Water heater
I Gas fireplace/insertlstove
I Gas iog/ log lighter
I Gas clothes dryer
Gas stove/range
I Pool or spa heater, kiln
I Wood/pellet stove/insert"
I Wood fireplace
I Chi~ney/linerlf1ue/veritw/o I
applulnce ......_
l;tnvI'ronmen'i1HFex'IlaUSt"';G'ifi.~venlijation~~:~l~X!M.[{?tL",~
,,,,,,,,,,,_"';'.,,,.","':"'''',",''T>Y~''''''''','.$'Y'''\','''I;'- ""_:~".\H~[_'IJl1Iml:){il~~,
I Range hood I
I Clothes dryer exhaust I
I Single-duct exhaust (bathrooms, I
toilctc Tty .
mom,)mN/'i'd'ffl: Oreg In law r€ Wires yc u to
I Attic/lHtHJp"H~S aaoplE a by the jregon ljltility I
If-EWfttdlRiii'v"fL~-:t;~~},~f~l~t.l~~i!t{f;~~ar;flisetOOJ;tni'id:;.
_;;;;mm;'I''''":t..i;'''l':~ ..rr;~'''''_''-1i'''O';;;;-~'^%'I~rAt%I:I<".~v~'''''';rt,jl10_.,.
... _...."v~ V"" '8'f"lfU'U\j Iv"'n~" -UUt- ,
upto f,fjJ-.:.1\outte,t?(tl!-t.e.r....Q:}y~!l........ .... '~~_:_~ _L ~Iu .'
eacha~~~~n~!~~i~~.~~;t~~-_ 'i.f\.~~;:':"'~ ~'..~'''' '''' '-'o.J'uy I
l~numf3:e'ITm~glt>\@:cbyib'~~Mi.fjKIjI~
I G,m!.", i" 1-Rnf1-~~!t")
I Minimum fee used instead of Subtotal 1
I State Surcharge (12% of permit fee) I
I City Of Springfield fees *1
I TOTAL PERMIT FEE I
* City OfSpringfi~ld fees: 5% T~chno]ogy.Fee
I
$79.00
$9.48 I
$395 I
$92.43 I
COM:~ -OffFILP
RCPT#:2YfJDO'1.- ~ q
DATE PROCESSED: I \?l1J..09
PROCESSED BY: If f?
This Authorization To Begin Work must be posted at the JOO site until replaced by a Permit.
225 Fifth Street
Springfield, Oregon 97477
541-7i6-3759 Phone
Job/Journal Number
COM2009-00096
COM2009-00096
COM2009-00096
Payments:
Type of Payment
ONLINE CHGS
cRcceiotl
RECEIPT #:
Description
I st Appliance
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
City of Springfield Official Receipt
Development Services Department
Public Works Department
2200900000000000079
Date: 01/21/2009
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
KR
ONLINE ASSOCIAT Online
ED
HEATING
&AIR
CONDITIO
NING
Payment Total:
Page 1 of 1
2:21:30PM
Amount Due
79.00
3.95
9.48
$92.43
Amount Paid
$92.43
$92.43
1/21/2009