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Home My WebLink AboutPermit Mechanical 2009-2-23 City of Springfield Mechanical Authorization To Begin Work E-mailedTo:associatedheating@gmail.com Receipt # RC5472ll, 2/23/2009 5:09:43 PM Check on status of permit" By Phone: (541)726-3753 or Email: perinitcenier@ci.springfield.or.us CA-l-.tJS [XJ Addition/alteration/replacement !Ocscription Qty. 10 New construction Ea. Total 1,[Xj 1 or2 family dwelling IJobno.: 3580A IJobaddress: 847 MARILYNCT I City/State/ZIP: SPRINGFIELD, OR 97477-3648 I Suite/bldg.fapt.no.: I Project name: Cross street/directions to job site: I Furnace- up to 100,000 BTU I Furnace. above 100,000 BTU I Electric Furnace DUCl'alterations and additions . Gasheatei' units! in-wall, in- ducL'susoended. erc/ I Vent, flue, liner for above I Air Conditioner I Heat Pump Air Handler $]7.00 $]7.001 I I I o Multi-family D Accessory Building !SubdivisioR: ITax map/parcel no.: 1703342]01707 )Lol no;: I Water heater I Gas fireplace/insert/stove .1 Gas log/log lighter I Gas clothes dryer I Gas stove/range I Pool,or spa heater, kiln I Wood/pellet stove/insert J Wood fireplace I Chimney/linerlfluelVent Wlo Replace gas furnace I Name:' Nancy Eyster IPhO.., (54])74]-8]55 !Email: IFa" I Range hood I Clothes dryer exhaust I Single-duct exhaust (bathrooms, toilet compartments, utility. rooms) fans - I CCB lie. no.: 106275 I Business Name: ASSOCIATED HEATING & AIR CONDITION I I Contact: BrandyForsman IAdd.-ess: PO BOX 412 I City/Stat,IZIP: EUGENE, OR 97440 I Phone: (54] )6832590 I Fax: (541)6070287 I Email: associatedheating@gmail.com I Mefro lie. no.: I City lie. no.: I ~pto first 4 outlets( enter Qty= [) I each Ildditional 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 City Of Springfield FirstAppliance fee I State Surcharge (12% of pennit fee) I City or Springfield fees * I TOTAL PERMIT ,,'I<:E .. City Of Springfield fees: 5% Technology Fee $17.00 I $79.00 $]1.52 $4.80 I $] ]232 I NOTE: This Authorization To Begin Work expires within 180 days if a permit is not obtained. The rocal 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. (hrn:;J(;rtJ9 -OCQrS 0' d~ d"7~cJ9 MhG This Authorization To Begin Work must be posted at the. job site until replaced by a Permit. Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00258 , ISSUED: 02/24/2009 APPLIED: 02/24/2009 EXPIRES: 08/24/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 847 MARILYN CT ASSESSOR'S PARCEL NO.: 1703342101707 Springfield TYPE OF WORK: Mechanical Only TYPE OF USE: New Residential PROJECT DESCRIPTION: Replace gas furnace Owner: EYSTER NANCY Address: 847 MARILYN CRT SPRINGFIELD OR 97477 Phone Number: 541-741-8155 I CONTRACTOR INFORMATION I Contractor Type Mechanical Contractor License ASSOCIATED HEATING & AIR CONDITIO 106275 BUILDING INFORMATION' Expiration Date 08/31/2010 Phone 541-683-2590 # 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 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMENT INFORMATION' REQUIRED PARKING Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: , Total: Handicapped: Compact: Street Improvements: I PUBLIC IMPROVEMENTS I, ~"'nf 'IOU to "'\O\SideWalk!T~P~:":'O"-~,On Utility p-l'TEl'l, .. dorted D~ \lIe' -"'8 set torth tolloW ru\e'D~h'\~\,O."tS/Driiihs~ ~f."952-001-, , Noti\icall0n _~01-001 0 thrOUgh ~\ the rules by in OP-R 952 obtain copies telep\Wne 0090,,:<0~:ea~enter. \Not~~ii~~ Noti\ication IIInTI,.!:. . ca\\lng '" .hl> Oregon __~ MAll\. THIS PER'MIT SHAll EXPIFlE\liimlifilJ'ri)tlScriotio~ir~~'c~nter is HjUU-V~- AUTHORIZED UNDER THIS IWT I NOr' / COl\1M~~~~h1Qf.bl:%A8AND~Nf~lI \9", Squa.re Footage ANy'l~O DAY PERIO'D. or milt'tipQit or Bid Amount Value Date Calculated Storm Sewer Available: Special Instruction: Notes: Description Page 1 01'2 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2009-00258 ISSUED: 02/24/2009 APPLIED: 02/24/2009 , EXPIRES: 08/24/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726'3676 Fax 541-726-3769 Inspection Line Total Value of Project' ~ Fees Pai~ J Fee Description + 12% State Surcharge + 5% Technology Fee 1st Appliance Furnace - up to 100,000 btu Amount Paid Date Paid Receipt Number $11.52 2/24/09 3200900000000000117 $4.80 2/24/09 3200900000000000117 $79.00 2/24/~~ 3200900000000000117 $17,00 2/24/09 3200900000000000117 ~ Total Amonnt Paid $112.32 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. I, Reollir~~ Inspecti~nsJ 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 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 of Springtield 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 Pa2e 2 of2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-00258 COM2009-00258 COM2009-00258 COM2009-00258 Payments: Type of Payment ONLINE CHGS cRcceiotl RECEIPT #; Description I st Appliance Furnace - up to 100,000 btu + 5% Technology Fee + 12% State Surcharge Paid By ONLINE PERMIT CHGS 3200900000000000117 City of Springfield Official Receipt Development Services Department Public Works Department Date: 02/24/2009 Item Total: Check Number Authorization Received By Batch Number Number How Received NJM ONLINE ASSOCIAT Online ED HTG Page I of I Payment Total: 7:07:34AM Amount Due 79,00 17,00 4,80 11.52 $112.32 Amount Paid $112.32- $112.32 2/2412009