HomeMy WebLinkAboutPermit Mechanical 2009-2-12
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2009-00201
ISSUED: 02/12/2009
APPLIED: 02/12/2009
EXPIRES: 08/12/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1182 33RD ST
ASSESSOR'S PARCEL NO.: 1702303406300
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Replace electric furnace
Owner: BARTLETT KRYSTlE ANN
Address: 1182 N 33RD
SPRINGFIELD OR 97477
I CONTRACTORINFORMATlON I
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 Group:
Secondary Occupancy Group:
Primary Construction Type
Secoudary Construction Type:
# of Bcdrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energ)' Path:
Sprinkled Building:
Lot Size:
Sq Ft I st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVE~OPMENT INFORMATION I
REQUIRED PARKING
Fr~ntyard Setback: Overlay Dist: Total:
Side I Setback: - # Street Trees Rqd: , 0 n law reffllR~!F,ooe!b
Side 2 sMiII~kiE:. Paved Drive Rqd: ATTENT:~~~d~efe~ by the €'!!J\P3!;tUtility
Rearyanll~tjb!!\'K;1IT SHALL EXPIRE IF THE WOl%(of Lot covera~~I~i~i~~~On cent~. Those rules are set forth
Solar S!l.t8~f~~11IZED UNDER THIS PERMIT IS NOT in OAR 952-001-001 0 through O.~,Rg5~:~0~,~
lUIVIIVltl~l,tU UK I:::> I-\ljl-\l~UUI~t:U ~lJF: .,o~n, YOU may UUl"" , WI-"W -. -... . -. ,
180 DAY PERIOD ,I puBLIC IMPROVEMENJ_S,Ilg the center. (Note: the telephone
AtN. .,'.~ n'c-nn IJtility Notification
Street Improvements: number f(Slile~alk'']Jyp~: 2 2344)
. Center IS 1-8ue)-;;3 - ,
Storm Sewer Available: DownspoutslDrains:
Special Instruction:
Notes:
I V aluatio~ DescriDtion I
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Page I of 2
Status
Issued
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
ist Appliance
Amount Paid
$11.52
$4.80
$96.00
Total Amount Paid
$112.32
Total Value of Project
Fees. PaW
Date Paid
I Plan Reviews I
2/12/09
2/12/09
2/12/09
CITY OF SPRINGFIELD I
Building/Combination Permit
PERMIT NO: COM2009-00201
ISSUED: 02112/2009
APPLIED: 02/12/2009
EXPIRES: 08/12/2009
VALUE:
Receipt Number
1200900000000000097
1200900000000000097
1200900000000000097
To Relluest 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
workday.
I Reouired I nsnections ,
Rough Mechanical: Prior to Cover
Final Mecbauical: When all 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 io 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 permissiou ofthe Community Services Divisiou, Building Safety.
I furtber certify that only. contractors and employees who are in compliance with ORS 701.005 will be used on this projcct.
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
Paee 2 of2
Date
City of Springfield
Mechanical Authorization To Begin Work
E-mailedTo:associatedheating@gmail.com
Receipt # EC546647
2/11/20095:17:06 PM
ri
Gheck on status of permit
By Phone: (541)726"3753 or Email: permitcenter@ci.springfield.or.us
IX] Addition/alteration/replacement
o New construction
D Accessory Building
\JOb no.: 3571 I Job uddress: 1182 33RD ST
I City/State/ZIP: SPRINGFIELD, OR 97478-5531
I SuiteJbldg./apt.no.:
) Project name:
Cross street/directions to job site:
I Subdivision:
Tax map/parcel no.: 1702303406300
lLot no.:
electric furnace
I Numc: Kryslie Balliett
I Phone: (54 I) 543-3080
I Email:
IF""
ICCB lie, no.: 106275
I Business Na~e: ASSOCIATED HEATING & AIR CONDITION!
I Contact: Brandy Forsman
IAddress: POBOX 412
'1 CilY/S!~I~Jf;.1jU9ENE, OR 97440
IPhOne,'(541\6~#5JO,,~ "II ^b.l J:YPJRP'4f T~\ii;1lMWMI\
I '~I" ~~nl"uc.Y II '. - T IS NUl
Em.;I:laSsociat,a.b,,!!m'i'!!'gQ]i'il:f1"l'> TI-lI~XFRMI
I ")' Munll.Iu t..,,_!:~- . OR
Metrohc no,,' ._' ~_~ Ill" Il,BjIM fll\l!l.{)nt-
GUIV\JVI!:I~u(.LJ :) I c. . .
UPO~:~~Yla~ ~ ~Yo.g~\WJ, local jurisdiction, your
permit will be a-mailed 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 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.
I Description
. Qty,
I Furnace- up to 100,000 BTU
I Furnace. above 100,000 BTU
I ElcctricFumace
I Duct alterations and additions
I Gas heater units/in-wall, in~
duct. suspended, etcl
I, Vent, flue, liner for above
I Air Conditioner
I.Heal Pump
Handler
$17.00
I
I
$17.001
I
I
I
I
I Water heater
I Gas fir~place/insertlstove
I Gas Jog! Jog lighter
I Gas clothes dryer
I Gas stove/range
I Pool or spa heater, kiln
I Wood/pellet ~tove/insert
I 'Wood fireplace
I Chimneyllinerfflue/vent wlo
I
I
I R"ge hood I
I Clothes dryeE.715P~~st,:__..........n l::tw reaui' es. you H,
I Sifgle;ductlex?a~st (Jjlt~t!>oms, t y the Ore gon UlllI Y
1~e;;~cp.~~nlJ1ents;unhtyteo les He sat fa 'th
~ooms\ _ _~:_~.... ("o.ntAL Thuse ru '_ ___ ~"~
I ~1:i91Vr~~~tiP.~c~'f.~~1 ~0010 Ufrougn u; :,n_::J~~~: '~\I
I.F'....--.""_"...,,-"~"""!1llil_;";llp~M"""'"""'"
t,'~~,I{mr~.W(!jlli):nl~~~+,~t!{~l$iN!~~~t\~
I i1pto~~~\'~R~tt~~nler:<!)WJI) l'llf~i:l~:;~;'+"~ I
eacr.!lI<IiilJ>nal lru/ielne I
Subtotal I $]7.00 I
City Of Springfie]dFirst Appliance fee $79.00 I
State Surcharge (12% of permit fee) I $1 ].52 I
City Of Springfield fees'" I $4.80 I
I TOTAL PERMIT FEE $]]2.32
'" City Of Springfield fees: 5%~echnology Fee
c.q - ~O \ \GQ- '2.\ \ 2...\ 0 '1
12DO~-C1\
This Authorization To Begin Work must be posted at the job site until replaced by a Permit.
225 Fifth Street
Sp~ingfield, Oregon 97477
541;;'726-3759 Phone
\"
Job/Journal Number
COM2009-00201
COM2009-0020 I
COM2009-0020 I
Payments:
Type of Payment
ONLINE CHGS
cRcceiotl
RECEIPT #:
Description
I st Appliance
+ 5% Technology Fee
t, 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
1200900000000000097'
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 02/12/2009
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
KR
Page 1 of 1
ONLINE Associated Online
Heat
Payment Total:
8:38:18AM
Amount Due
96.00
4.80
11.52
$] 12.32
Amount Paid
$112.32
$112.32
2/12/2009