HomeMy WebLinkAboutPermit Mechanical 2009-2-25
Status
Issued
CITY OF SPRINGFIELD'
,Building/Combination Permit
PERMIT NO: COM2009-00266
ISSUED: 02/25/2009
APPLIED: 02/25/2009
EXPIRES: 08/25/2009
VALUE:
225 Fifth Street, Springlield, OR
541-726-3753 Phone
541-726-3676 Fax .
541-726-3769 Inspection Line
SITE ADDRESS: 658 S 57TH ST SPACE 11
ASSESSOR'S PARCEL NO.: 1802040.000200
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Replace package heat pump uoit
Owner:
Address:
JOE AND LEE LIMITED
PO BOX 717
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Contractor License
ASSOCIATED HEATING & AIR CONDITIO 106275
BUILDING INFORMATION I
Expiration Date
08/3112010
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
Front yard Setback: Overlay Dist: Total:
Side I Setback: # Street Trees Rqd: Handicapped:
Side 2 Setback: Pavell.l}rive Rqd: Compact:
Rearyard S'\l~~CE: EXPIRE \I: THt!>1T\\lf1t1h Coverage:. I w requires you to
Solar Setbac~~IS P~~~~~ ~~,~~'R THIS 1'~~~\1~~:,~Oi' 1~~:.~~~:~~S~~?eO~ b~~t~~,~~e_g~~~~~;Yh
~U'\\\!I\~'~~\'CED OR IS ABANDlrpUBLlc IMPROVEMENTS' Notification centg~'1~~~rough OAR 952.001-
{.Ii !v,C~ ~n'OD ' in OAR 952-001- , . lthe rules by
Street Improvements:('1 01\\: p:_nl ' . 009Sidewa\lqf/\ype:tam copies 0 t I hone
\ . --' . u', ,u~. . t (Note: the e ep ,
Storm Sewer Available:. C;D"iW'n~~Il.ft~ID~~'ins:'n Utility Notification
, b r'ortflt: Vlv::1....
Special Instruction: nUIn e 1 t 's 1 800.332-2344).
Cen er I -
Notes:
I Va,llIation DescriDtiou'
Description
Type of Construction
$ PerSq Ft
or multiplier
Square Footage
or Bid Amount
Value'
Date Calculated .
Pal?:e I of2 .
Status
Issued
CITY OF SPRINGFIELD I
Building/Coinbination Permit
PERMIT NO: COM2009-00266
ISSUED: 02/25/2009
APPLIED: 02/25/2009
EXPIRES: 08/25/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fee, Paid I
Fee Description
+ 120/~ State Surcharge
+ 5% Technology Fee
1st Appliance
Heat Pump
Amount Paid
Date Paid
$11.52
$4.80
$79.00
$17.00
2/25/09
2/25/09
2/25/09
2/25/09
Receipt Number
1200900000000000129
1200900000000000129
1200900000000000129
1200900000000000129
Total Amount Paid
$112.32
I Plan Reviews I
To Request an inspection call the 24 hour recording at 726-3769. All iuspections request~d 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, Reouirerl In,neetinn, I
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical workis complete.
By signature, Istate.and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, andI further certify that any aod 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 tbe work described herein, and
tbat 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 du~ring construction. .
.~
Owner or Contractors Signature
Date
Pal?:e 2 of 2
"
City of Springfield
/
~Ofl~
~__"'~r,,^~.
Mechanical Authorization To Begin Work
E-mailedTo:associatedheating@gmail.com
Receipt # EC547329
2/25/2009 10:50:02 AM
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
I D New construction
[X] Addition/alteration/replacement
I Description
Ea.
Total
I [X] 1 or 2 family dwelling
o Multi-family
o Accessory Building
I Fumace- up to ]00,000 BTU
I Furnace - above 100,000811)
I Electric~umace
I Duct alterations and additions
I Gas heater units/ in~wa]], in-
duct. suspended. etc/
I Vent, flue, liner for above
"I Air Conditioner
I Heat Pu~p
I Air Hand-Ier
I
I
j
IJob no.: 3583A jJob address: 658 S 57TH ST
I CityJStateJZIP: SPRINGFIELD, OR 97478-5437
I Suilc/bldg./apt.no.: srI:; 11
I Project name:
Cross streetldiredions to job site:
I
$]7.001
I
I ~aterheater
I Gas fireplace/insert/stove
I Gas log! log lighter
I Gas clothes dryer
I Gas stove/range
I Pool or spa healer, kiln
I Wood/pellet stove/insert
1 Wood fireplace
I Name: Ardycc Johnson !1:~[~~~~{]i::~~:;::D:V".iil;;i;on;;~Ji"~I!~'c~lj1;"~~'ll
IPllOne: (54]) A1lT5":T""'" ""on"n 'A~~/inlJireS VOU to 1~'I!l~._._"~,~. '~~'o'''''"''''''+::'''''''-''I?;' ,~"" "I
11;;:'~i'i~~~~i~;"~:!~~e~~~;~~;,,~.~~~~~~<~~~~,~~ j~S"prnMI~ SHft.lt ~1~~R~i~,tlll~Z( ,j
l=c:,::~":~g~~:~g~~'g~'1~-tnrOUghu:~:;;~~~::,"1t~"5rr~~~,,,"I (Q~~r~!!iNfi Ri;tS' AB \NDONE) FOR
I. "~9~ _)lru, ="n'"~l''' CI]'uOO '" J,~ . ~,-- ~j II.fjllm'1"1 :1~' I:'~nl"'''
Busmes~ Nwne "7;s~~~~~~~~~{:!!.Nt~~:~'f: ~~~D~I,!!~~hr'l~p '~tlicf~~'i~sf'!lt~ta~.s..l\ "-'1.1.
leonlaet. Bran~~C~;1:r t~'2 0ra::y,n Iltility NotifIcatIon I
IAddress: PO~/iI(4]2 ('ontor i< 1-800-332-2344). I
\ City/StatelZlP: EUGENE, OR 97440 I
IPhone: (54])6832590 IFax: (54])6070287 I
I Em3il; associatedheatj)lg@gmaiLcom I
I Metro lie. no.: I Citylic. no.: I
I Subdivision:
jLot no.:
map/parcel no.: 1802040000200
Replace package WP unit
I upto first 4 outlets(enter Qty==l)
I each additionilloutlet
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.
Subtotal I $17.00 I
City Of Springfield First Appliance fee $79.00
State Surcharge (12% ofpemlit fee) I $11.52
CilV Of Springfield fees. $4.80
I rOTAL PERMIT FEE I $] ]2.32
II< City Of Springfield fees: 5% Technology Fee
Cq- dVV k1L 1.\~D\09
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 ordin~nces;
This Authorization To Begin Work must be posted at the job siie until replaced by a Permit.
225 Fifth Street
Spriugfield, Oregon 97477
541-,!26-3759 Phone
Job/Journal Number
COM2009-00266
COM2009-00266
COM2009-00266
COM2009-00266
Payments:
Type of Payment
ONLINE CHGS
cReceinll
RECEIPT #:
Description
1st Appliance
Heat Pump
+ 5%.Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
City of Springfield .official Receipt
Development Services Department
Public Works Department.
1200900000000000129
1-'.'
Date: 02/25/2009
Item Total:
Check Number Authorization
. Received By Batch Number Number How Received
KR
ONLINE Associated Online
Heating
Payment Total:
Page 1 of I
11:29:03AM
Amount Due
79.00
17.00
4,80
11.52
$112.32
Amount Paid
$112,32
$112.32
2/25/2009