HomeMy WebLinkAboutPermit Mechanical 2009-3-25
Mechanical Authorization To Begin Work
E-mailedTp:associatedhcating@gmail.com
Receipt.# EC54R916
3/25/200911:55:11 AM
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City of Springfield
/
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.ns
IDNcwconstruclion
o Addition/alteration/replacement
I Descrilltion
I.
10 1 or 2 family dwelling
D Multi-family
D AcccssOI)' Building
I Fumace- up to 100,000 BTU
I Furnace" above 100,000 BTU
I Electric Furnace
I Duel alterations and'additions
IGasheaterunits/in-wall,in-
duct. suspended, ctel
I Vent, flue, liner for above
I Air Con9itioner
I Heal Pump
I Air Handler
$17.00
$17001
I
I
I
I
I
$17.001
I
I
I
I
I
II
$17.00
IJob no.: 3603 IJob address: 304 23RD ST
!City/StaterLIP: SPRINGFIELD, OR 97477-5109
I Suile/bldg./apt.no.:
I Project nlune:
Cross sired/directions to job sile:
I Subdivision:
ITnx R111p/pllrcelno.: 1703361405800
I Lot ':10.:
I
I
I
I
I
I
I
I
I Chi~ileY/liner/flue/ventw/o I
appliance
I'E " 'Mt,'j~~m3lj"iBP~~tWh~\lI';'f!J(('i".~~r..)""~'ii."';'~'""~"'.J'::'1
:,-,n~~~~,. ",' ',' 'I~" 01 "/i1't&ni'11r~~;:J;ilftn4~;
I Rang, h'filillnlJ!' ,"l".. ~rln tAd bv t e GreaOl1 Utility I
Cloth"tWt,ij-el'l!rbn Cente. Those ules are let forth I
Single-11'f'0'Af'l'!l'6 bOO'1"O 10throu hOAR 52-UU1.
~~~~se)o6'Bw."'{lo~~ay }tn CO pi s of the rules by I
A\\icl,,"w~Wli\filst!1e ~emjr. \,"o~~I:;:r:~~I~'.'~ I
I;F\iCi),ip.i,A!MJ~~~>:. !.u,I{,~~J.~;"y:!,~,~~~cii~ ~~.:.~'-4~:J:l~,cx~~jL:fl;;;;1
I :p;o't,,,; 4 o-u;\e;s(,"ge78~~\ lS 1'1 S~$i.t~1 " ~$7,0;1.
I each additional outlet I "
I"_~H'_ "1i.'~'~ . . . " ,_. - ----.~-,,--_ -?I
~f1!"jV~~~o{::j~.~,E~S!:t~!it9"".t.::PJg~'YII!ic~~,E~R~t~o.":;~:}'~
I Subtotal I $41.00
I City'OfSpringfield First Appliance feel $79.00
I State Surcharge (12% of permit fee) I $14.40
I CitY Of Springllcld fees" $6;00
I TO'IAL P.:H.MIT FEE I $140.40
.. City Of Springfield fecs: 5% Technology Fee
CC} -390
Waterhei:ilcr
I Gas'lireplacelinsert/stove
I Gas log! log lighter
I Gas clothes dryer
I Gas stove/range
I Pool or spa heater, kiln
I Wood/pellet stove/insert
I Wood fireplace
Install gas furnace and Ale
I Nanll': Sharon Sinc!<lir
I Phone: (54l) 343-6059
IEmail:
IF.."
ICCB Ik 110. 10627'r-P.I~~r:OMIT <::1-1 ~LLE'lIPIRF IF THE WORK
IBu>illts'N""H" AS~j~~jJtpl~I-f'jr>I:lOJ'mf!9!FRMIT IS NOT
I Clint..", BmlldYF"'m..1MENC~L' 00 Ie:: ABANnONfD FOR
IAddres" PO BOX 41MlY 1 &e O.^X Dliol0n
I City/State/ZIP: EUGENE, OR 97440
Phone: (541 )6832590 I FIn: (541 )6070287
I Email: associatcdheuting@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 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.
vP
&l:251D1
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.
This Authorization To Begin Work must be posted at the job site until replaced by a Permit
Status
,
Issued
225 Fifth Street, Springtield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 304 23RD ST
. .
ASSESSOR'S PARCEL NO.: 1703361405800
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00390
ISSUED: 03/25/2009
APPLIED: 03/25/2009
EXPIRES: 09/25/2009
VALUE:
Springfield TYPE OF WORK: Heating System
PROJECT DESCRIPTION: Install gas furnace andA/C
TYPE OF USE: New
Residential
Owner: SINCLAIR SHARON L
Address: 304 23RD ST
SPRINGFIELD OR 97477
I CO~TRACTOR INFORMATION'
Contractor Type
MechaniCal
Contractor License
ASSOCIATED HEATING & AIR CONDITIO 106275
BUILDING lNFORMA T10N ~
# ofUuits:
Primary Occupancy Group:
Secondary OCCUPlllICY Group:
Primary Construction Type
Secondllry Coustruction Type:
# of Bedrooms:
Front yard Setbllck:
Side 1 Setbllck:
Side 2 Setback:
Rearyard Setback:
Solar Setbllcks:
Expiration Date
08/31/20 I 0
Phone
541-683-2590
# of Stories:
Height of Structure
Type of Hellt:
Water Type:
Range Type:
Energy Pllth:
Sprinkled Building:
Lot Size:
Sq Ft I st Floor:
Sq Ft 2nd Floor:
Sq Ft Basemeut:
Sq Ft Garnge/Cacport
Sq Ft Other:
Occupant LOlld:
nlll
I DEVELOPMENT INFORMATION'
REQUIRED PARKING
TOtlll:
Handicllpped:
Compllct:
OverlllY Dist:
# Street Trees Rqd:
Pllved Drive Rqd:
% of Lot Coverage:
. I PUBLIC IMPROVEMENTS I
Street ImprovtJ,JUA~E: THE WORK Sidewalk T,rpe:
THIS PERMIT SHAll EXPIRE IF ATTENTION: oregon law requires you to
Storm Sewer 'A'fI1~'HIZED UNDER THIS PERMIT IS NOT follolh>M:.'!~e~p~'1 the Oregon Utility
Speclallnstru'C\'JrviMENGED OR IS ABANDONED FOR ~otification Center. Those rules are set forth
o ' In OAR 952-001-0010 through OAR 952-001-
Notes: ANY 180 DAY PERI D. 0090. You may obtain copies of the rules by
calling the center. (Note: the telephone
numoer ror me uregon UlI\I!Y NOllTICallOn
I Valuation Description I Center is 1-800-332-2344).
Description
Type of Constructiou
$ Per Sq Ft
or multiplier
Square Footllge
or Bid Amount
Vlllue
Dllte Clllculated
Page I of2
Status
Issued
CITY OF ~l'KlJ~GFIELD
Building/Combination Permit
PERMIT NO: COM2009-00390
ISSUED: 03/25/2009
APPLIED; 03/25/2009
EXPIRES; 09/25/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phoue .
541- 726-3676 Fax
54] - 726_3769 Inspection Line
Total Value of Project
Fees Paid I
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Appliance Not Listed
Furnace - up to t 00,000 btu
Gas Outlets 1-4
Amount Paid
Date Paid
Receipt Number
$]4.40
$6.00
$79.00
$17.00
$17.00
$7.00
3/25/09
3/25/09 ,
3/25/09
3/25/09
3/25/09
3/25/09
1200900000000000210
1200900000000000210
1200900000000000210
]200900000000000210
]2009000000000002]0
1200900000000000210
Total Amount Paid
$140.40
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 Reouired Insoections 10
, r 1
Rough Mechanical: Prior to Cover
,
Final Mechanical: When all mechanical work is complete.
Rough Gas: After line is installed and required testing and capped if not attached to an appliance.
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
informatiou hereon is true aud correct, and I further certify that auy and 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 the work described herein, and
that NO OCCUPANCY will he made of any structure without permission of the Community Services Division, Building Safety.
1 further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
I fnrther agree to ensure that all required inspections are requested at the proper time, tbat each address is readable from tbe
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 Contra~tors Signature
Date
Page,2 of 2
225 Fifth-Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-00390
COM2009-00390
COM2009-00390
COM2009-00390
COM2009-00390
COM2009-00390
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
Description
1st Appliance
Furnace - up to 100,000 btu
Appliance Not Listed
Gas Outlets 1-4
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
1200900000000000210
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 03/25/2009
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
KR
Page I of 1
ONLINE Associated Online
Heating and
Air
Payment Total:
] :45:32PM
Amount Due
79.00
17.00
17.00
7.00
6.00
14.40
$140.40
Amount Paid
$140.40
$]40.40
3/25/2009