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Home My WebLink AboutPermit Mechanical 2009-1-29 _~~.,Ii!"~'~,~~~~~;_^:!i...J,!I.llul~'~,~ ' . l. .;," - ~- - - '::. tr,t -, ~' CITY OF ~rKll~\.J.HJi,LIJ' r Building/Combination Permit PERMIT NO: COM2009-00137 ISSUED: 01/29/2009 ' APPLIED: 01/29/2009 EXPIRES: .07/29/2009 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 340 25TH ST ASSESSOR'S PARCEL NO.: 1703361416000 Springfield TYPE OF WORK: Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: Replace wall furnace Owner: DAVIS CINDY BROCK Address: PO BOX 67 LORANE OR 97451 I CONTRACTOR INFORMATION ~ Contractor Type Mechanical Contractor License ASSOCIATED HEATING & AIR CONDITIO 106275 BUILDING INFORMATION I Expiration Date 08/31/2010 Phone 541-683-2590 # of Units: Primary Occupancy Gronp: 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 Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMENT INFORMATION I REQUIRED PARKING Front yard 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 ,. Street Improvements: Sidewalk Type: Storm Sewer Available: Downspoutsffirains: Special InstruOO'f/CE: ATTENTION: Oregon law requires you to THIS PERMIT SHAll EXPIRE iF THE WORK follow rules adopted by the Oregon U1i1ity AUTHORIZED UNDER THIS PERMIT IS NOT Notification Center. Those rules are set forth __ . ,___ ._ _ _ .. _ _ In OAR 952-001-0010 through OAR 952-001- vJ.I.I/,[['VLLI .In '" f'I0f'l"LI~'- 0090. You may obtain copies 01 me rUles oy ANY 180 DAY PERIOD, I Valuation DescriDtion I calling the center. (Note: the telephone number for the Oregon Utility Notification Square Footage Center is 1-800.332-2344). B'd A t Value Date Calculated or I moun Notes: Type of. Construction $ Per Sq Ft or multiplier Description Page 1 of2 Status Iss u ed 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line , Fee Description + 12% State Surcharge + 5% Technology Fee 1st Appliance Total Amount Paid Amount Paid $9.48 $3.95 $79.00 $92,43 Total Value of Project Fees Paid. Plan Reviews I Date Paid 1/29/09 1/29/09 1/29/09 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00137 ISSUED: 01/29/2009 APPLIED: 01/29/2009 EXPIRES: 07/29/2009 VALUE: Receipt Number 2200900000000000112 2200900000000000112 2200900000000000112 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. , I, Re,!l"ire~ Insnectio~s I Rongh Gas: Afte~ line is installed and required testing and capped if not attached to an appliance, Final Gas: When all gas work is complete. By signatnre, 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 fnrther certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws o(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 oniy 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 ad'dress is readable from the street, that the permit card is located at the fl'ontof the property, and the approved set of plans will remain on the site at all times during construction.' . Owner or Contractors Signature Pae:e 2 01'2 . Date City of Springfield Mechanical Authorization To Begin Work E-mailedTo:associatedheating@gmail.com Receipt # ,RC54593l 1/29120099:55:21 AM Check on status of permit By Phone: (541)726"3753 or Email: permitcenier@ci.springfield.or.us ID New con"struction I [K] 1 or 2 family dwelling D Multi-family o Accessory Building I Fumace~ up to 100,000 BTU I Furnace - above 100,000 BTU I Electric Fumace I Duct alterations and a~ditions I Gas heater units! in-wall, in~ duct. suspended..etc/ I Vent, flue, liner for above I Air Conditioner I Heat Pump I Air Handler ~ Addition/alterationlrep]aceme~t IJob no.: 3558A ! Job address: 340 25TH 5T I City/State/ZIP: SPRINGFIELD, OR 97477-5123 I Suite/bldg./apt.no.: I Project name: Cross street/directions to job site; $17,00 I I I $17.001 I I I Replace wall furnace fWaterheuter I Gas fireplace/insert/stove I Gas log! log lighter I Gas clothes dryer I Gas stove/range I Pool or spa heater; kiln I Wood/pellet stove!inseI1 Wood fireplace ,Ch;moeyll._...........p 0 I 3'phan~, :TI t:I'iIIIUN. re ~on law I equlres } au to I l!:&}f;~.dhlv!r!~m"\f~~Ilhlt&.ilm~ll;lJiiS~!t!!Ii!y~l Rang',w '("", TI,u"" '~''''~ ,,,e,s ~_llorln Cloth-- e ~lIv~~~I~Ak_tt~~=~Ol.~ 1 Single.d ~ IJ.Jl.~ r m ~In S9plC s-e. ll':~ r ,Ivv 1:;, loilet co~\mHIl:l;~\A\li nl'e~ (Note: he ~~~f.1~~Q rooms) number for he 0 non I Jti itv ' , , Il~;~;~,;;~;;~~, IluPtofirst4outlets(enter~~I) [. L I . I 1.1 each additional outlet 1 j I A;ii..d~'''''i''''''#:i''''~''l'~" '_...._."...."..,~."~tf'"-.._"-~.,..,.""~~..".=".."..~,.'.:t:!l,' ~.,!!' -~.itr8. ": ,.f.~{:;rl;":"*,"''K~l-:$MECHANICAL':P.ERMITjF.EES. fi.:7~bt'''':!~ ~'~ I i= &"."p.~L.....". ~'..~S~b-;-:~I.' ~!i!iiG"'Wi~7;~6~1 I Minimum fee used instead of Subtotal I $79.00 I I State Surcharge (12% of penn it fee) I $9.48 ! I City Of Springfield fees" $3.95 I I TOTAL PERMIT FEE I $92.43 I .. City Of Springfield fees: 5% Technology Fee I I I I Subdivision: ITax map/parcel no.: 1703361416000 I Lot no;: I Name: Cindy Brock-Davis I Phone: (541)5~:lJ3"fICE: l!ax: 514-2337 I Ema;!: THIS PERMIT SHALL EXPIRE IF THE WORK II!.lit;li'.~"IFAl1lmHIDF!I;tE:eJtlN9~P,ERMllfI!SiN~][~ ICCBlk. no.: ItlWYMMENCED OR IS ABANDONED FOR I Bus;n,,, Nam'ANl/ICfSUljll'Al/,!,p'EftI0j1tR CONDITIONI I Contact: Brandy Forsman IAddress: POBOX412 I c;lylSla'elZIP: EUGENE. OR 97440 !Phone: (541)6S32590 IFax: (541)6070287 I Email: associatedheating@gmail.com I Metro lie. no.: 1 City lie. no.: Upon review and approval by your local jurisdiction, your permit will be a-mailed or faxed within one business day, with instructions on how to schedule your irispection. CCf'-/37 ~ 2'3tXA - 1\ (Y ~ IZCf I a1 NOTE: This Authorization To Begin Work expires within 180 days if a permit is not obtained. The local building department may detennine that an Authorization To Begin Work is null and void if it does not meet applicable land use laws and local ordinances. 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 COM2009-00137 COM2009-00 137 COM2009-00 137 Payments: Type of Payment ONLINE CHGS cRcceintl 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 2200900000000000112 Date: 01/29/2009 Item Total: Check Number Authorization Received By Batch Number Number How Received kr ONLINE associated Online heating and ai' Payment Total: , Page I of I 1O:09:25AM Amount Due 79.00 3,95 9.48 $92.43 Amount Paid $92.43 $92,43 1/29/2009