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Home My WebLink AboutPermit Mechanical 2009-3-27 City of Springfield Mechanical Authorization To Begin Work E-mailedTo:associatedheating@gmail.com Receipt # EC549079 3/27/20091:32:21 PM ~\i\ o{ t Check on status of permit By Phone: (541)726"3753 or Email: permitcenter@ci.springfield.or.ns 10 New construction [K] Addition/alteration/replacement I DescripHon Qty. Ea. \ w 1 or2 family dwelling," D Multi-family D Accessory Building ,. ".'. ti" ~"""'~"'" '1~'\' .',,~ .. .. ':,~"'"' .,'..- .. ~".' ,"" ,.-~,.. -,- '~~.-".'~ "-';':- .. ~'.' '," -,:", >-"- .. ,..... .. ... - ,,- '. . olE ._~".,.. _ .,:- ~,i..~,W',.;/;> t~JA '~qE! ~ITI;:1 NF~~MAIIO!'(',A,Ng,h.9Pb IIQ~~e~"', r;:il' 1,lobIlO.: 358HA IJubllddrcss: 2150 LAURAST ICity/State/ZIP: sPRINqrIEL:D, OR 97477-2186 ISuitc/bldg.lapt.no.: SPC 62 j"Projectnllme: Cross street/directions to job site: I Fumace- up.to 100,000 BTU Furnace'- !lbovc 100,000 BTU I Electric Fumm:e I DUCllllteralions and additions Gasheaterunits/in-wall,in- duct. susnended, ele/ Vent, flue, liner for above I Air Con9itioner I Heat Pump I Air Handler I 1 1 1 I 1 1 $17.001 $17001 $1700 $1700 ISubdivision: ITax map/parcel no.: 1703271102100 ILot no.: I Water heater I Gus firephlce/insert/stove I Gas log! log lighter I Gas c10lhes dryer I Gas stove/range I Pool or spa healer, kiln I Wood/pellet stove/insert I Wood fireplace I ChimneY/lirierlnue/vent w/o appliance I"E'" ., ," . '1' 'h' ""AN"'D"'"''I''' '. "",.~.,","1" ','>";;:" "." "'I ; nvu-onmentaex :lUst . .,venb ahon.;,-,-t~'t'/."lH#i.;..,.~.'i"-~"",.~,..crj......,t;.; Y'-,' "".-3":'. 'C~."'.., "'"'_rcH'''0!....,''''.......'P"Jii..,._..,-.+.. "f'f.?~..~'~\ ~ _>+~+ ::F"'t..-.,,,~ I Range hood I' . . I Clothes dryer exhaust I I Singlc.duct exhaust (bathrooms, toilet compartments, utility rooms) I Auiclcrawlspacefans Replace HIP system I Phone: (54] )747-6855 !t:mail: I,."" ICCll lie. no.: 106275 I Business Name: ASSOCIATED HEATING & AIR CONDITIONl I Contact: Brmidy Forsman [Address: PO BOX 4\2 I City/StlltcfLlP: EUGENE, OR 97440 I Phone: (54] )6832590 I Fax: (541 )6070287 I Email: associatedheating@gmail.com 11\'lctro 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 in~pection. I I I I upto first 4 outlets(cnter Qty=l) I I each additional otlllet I 11;!I;"r~r;%~:rl~rMEc"HANTcAiX;PERMIf,i~EE's~j .~~}f"tr; .;;"~:,"'f.}I~~1 fflj;~J""...,.,..~\t1. 1U-~."JE",'N0_"-'w~~_',~~, 0~._~+"j.. ._., ~.2~#?'.};.,4w.,_".'r @,..'-. I I Subtotal $34.00 I I I City OfSpririgfit:ld First Appliance fee $79.00 I I Stale Surcharge (12% orpennit ree) "$]3.56 I I City or Springfield rees * $5,65 I I TOTALPER1\llTFEE I $132.2] I * City Of Springfield fees: 5% Technology Fee ('JM NOTE: This Authorization To Begin Work expires within 180 days if a permit is not obtained. Cq -- OOZ{ r7 s /L--7/ 00, The local building department may determine that an Authorization To Begin Work is null and void if it does not meet applicable land use Il:'lws and local ordinances. ~~D'cf^. . ro. '() t$Q<J/ ~~ 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: COM2009-004I7 ISSUED: 03/27/2009 APPLIED: 03/27/2009 EXPIRES: 09/27/2009 VALUE: 225 Fifth Street, Springfield, OR 541- 726-3753 Phone 541-726-3676 Fax 541-726-3769Irispection Line SITE ADDRESS: . 2150 LAURA ST SPACE 62 ASSESSOR'S PARCEL NO.: 1703271004400 Springlield TYPE OF WORK: Mechauical Only TYPE OF USE: New Residential PROJECT DESCRIPTION: Replace HIP system Owuer: Address: ROBERTA MANSFIELD 2150 LAURA STREET SPRINGFIELD OR 97477 Phone Number: 541-747-6855 I CONTRACTOR INFORMATION I Contractor Type Mechanical Contractor License ASSOCIATED HEATING & AIR CONDITIO 106275 BUILDING INFORMA T10~ I Expiration Date 08/31/2010 Phone 541-683-2590 # of Units: Primary Occupancy Group: Secondary Occupaucy Group: Primary Construction Type Secondary Construction Type: # of Bedruoms: # 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 GaragelCarport Sq Ft Other: Occupant Load: nla I DEVELOPMENT INFORMATION I REQUIRED PARKING Total: Handicapped: Compact: ATTENTION. Oregon law requires follow wles adootGri hlf tho r.,~,,_!?~ ,10 I PUBLIC IMPROVEMENii,s~I'\~,"~~;~~1n~;'1 Those ruies a7e seti~;rh UU80 VA ._._ - Olhrough OAR 952-001- Street Improvements: NO '. S,oe",alk,mype:Jpies of the rul b neE. calling the center "Info', i" es y Storm Sewer Available: THIS . number DownspoutslDrains:"e telephone PERM 'v, ,'," ule!Jon UlIIlt N IT . Special Instruction: AU IT SHAlL EXP , Center is 1-800 0 Y Olleatlon THOR/ZED UNO IRE IF THE WOR -3v2-2344). Notes: ,,??,MlV!ENCED OR I~R THIS PERMIT IS NO: , '," ',w." '." h__ L ABANOQ,\trn C.'1h Overlay Dist: # Street Trees Rqd: Paved Drive Rqd:' % ufLot Coverage: Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: . ....;l I Valuation Description I Description Type of Construction $ Per SqFt or multiplier Square.Footage or Bid Amount Value Date Calculated Page I of 2 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00417 ISSUED: 03/27/2009 APPLIED: 03/27/2009 EXPIRES: 09/27/2009 VALUE: 225 Fifth Street, Spriugfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees Paid I Fee Description + 12% State Surcharge + 5% Technology Fee 1st Appliance Air Handling Unit Up to 10,000 Heat Pump Amount Paid Date Paid Receipt Number $13.56 $5.65 $79.00 $17.00 $17.00 3/27/09 3/27/09 3/27/09 3/27/09 3/27/09 2200900000000000308 2200900000000000308 2200900000000000308 2200900000000000308 2200900000000000308 Total Amount Paid $132.21 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 ReCllJi~e~ ~,!sne~~ion~ I By signature, 1 state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and 1 further certify that any and all work performed shall be done in accordance with the Ordiuances 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 auy structure without permission of the Community Services Division, BuiIdiug Safety. I further certify that OI~,ly coutractors 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 constructioll. Owner or Contractors Signature Date Paee 2 01'2 225 Fifth Street Springfield, Oregon 97477' 541-726-3759 Phone City of Springfield Official Receipt Development Serviees Department Public Works Department Job/Journal Number COM2009-00417 COM2009-00417 COM2009-00417 COM2009c00417 COM2009-00417 Payments: Type of Payinent ONLINE CHGS cReceintl RECEIPT #: 2200900000000000308 Date: 03/2712009 Description 1st Appliance Heat'Pump Air Handling Unit Up to 10,000 + 5% Technology Fee + 12% State Surcharge Paid By ONLINE PERMIT CHGS Item Total: Check Number Authorization Received By Batch Number Number How Received nJm ONLINE associated Online Payment Total: Page I of I 3:37:09PM Amount Due 79.00 17.00 17.00 5.65 13.56 $132.21 Amount Paid $132.21 $132.21 3/27/2009