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Home My WebLink AboutPermit Mechanical 2009-4-27 Mechanical Authorization To Begin Work E-mailedTo:associatedheating@gmail.com Reccipt # EC550663 4127/20092:58:42 PM s\jtJ ~I () City of Springfield Check on status of permit By Phone: (541)726-3753 or Emaii: permitcenter@ci.springlield.or.us I. ; fy~~:OF"\lvqB~~;~ :"' lliJ Addition/alteration/replacement :F,EE"SCH.EDULE" . .j_" ,: -t,,-' -~'I ':~< ':'~... -; I, , "-., Ie':' "0/" ',r;CQNTRA9TPR ~f~;:";.~~~_1'. I I I ""1 "-'" "-,#_, I I I Description Qr)'. I) Ici~i~~~o~!.ingapp!ian~~~~.!t~ '_~_;, ~.' I Furnllce- up lo 100,000 BTU I Furnace. above 100,000 BTU I Electric Furnace \ I Duct lllterations and "dditions I Gas heater unitsl in-wall, in- duel. suspended. clel 1 Vent, flue, liner for above I Air Conditioner I I Ileal Pump 1 I Air HandJer I 1~~i~~~}ucr_~ii!~Jn~'up'Pliiircfst~:tJc;'~!~:r6.',; I Water heater I G<lS fireplace/insert/stove I GllS log/log lighler I Gas clothes dryer I Gas stove/range I Pool or spa heater, kiln I Wood/pellet stove/insert I.Wood fireplace I Chi,:,ney/lincrlfluc/vent w/o I I. aoolHlnce l: ~m:i{o~n~~!eriiii~e~~,,~,u,st'AN!l"~entjlltliin .t~:.".~_~,: .~ ~~,:;~: :f:."f ~,'. I Runge hood I I I Clothes dryer exhaust I Single-duct exhaust (bathrooms, I toilet compllrtments, utility rooms) j Attic/crawlspace fans I I<:a. Total I .,( '." I I I I I I I I $17.001 I D New construction ".:; ''l:f~TEGORY:OFCONSTr{ugTION;k:~". I2J I or 2 family dwelling D Multi-family D Accessory Building ,. -"JOBSrr!, INFORM...TIO~:i~DLo9AfI2,N.: IJob no.: 3617A IJob address: 1160 F ST I City/Stlltt.'rLIP: SPRINGFIELD, OR 97477-4153 I Suite/bld~.!a(lt.no.: I Project name: Cross street/directions 10 job site: I I $17.00[ ,~:}~~~~:f,:~~: ,-- I Subdivision: 11'" ma:/~:I~:;::O.; . Install ductless HIP ILot no.: ] 7033511 05600 . RESCRifJIONO}~V>'ORK;.. , ~'--'t I' ~<.~-~,!;..';tSltE};ONT~~tl~~' I i\'llmc: Ricky Shaw I Phone: (541) 505-8927 I Fllx: ]I<:mllil: I CeB lie. no.: 106275 I Business Nllme: ASSOCIATED HEATING & AIR CONDITION] I Contact: Brandy Forsman IAddress: PO BOX 412 ]City/State/ZIP: EUGENE. OR 97440 I Phone: (541 )6832590 I Fnx: (541 )6070287 Il<:mail: ussociatedheating@gmail.com I Metro lie, no.: I City lie. no.: I"~uel,~i~~~. ,~; ~~i~\_': ~i-;~~1~ .:~ ~:: ~:tt'j~~~.<; ~~ ?'~'i' ',', ,. I I 'I I I <"'.~:";I $17.00 I $79.00 I $11.52 I $480 I $112.321 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 upto firsl4 outlets(enter Qty=l) I I ~ach additional outlet I i '-~-~::fr~~~C?HAN}f~G'~ER~~;o~a~~~ :.:+:~~ti'. I I City Of Springfield First Appliance feel I State Surcharge (12% of penn it fee) 1 1 City Of Springfield fees 'I 1 TOTAL Plm1\UT n:[ 1 , City Of Springfield fee~: 5% Technology Fee The local building department may detennlne that an Authorization To Begin Work is null and void if it does not meet applicable land use laws and local ordinances. ~~# tt'b '6 'b"\V CoIY7 {;) (JTJf - OOSrc 0 . jJ rv) 0'- .)7 ~o '1 NOTE: This Authorization To Begin Work expires within 180 days if a permit is not obtained. This Authorization To Begin Work must be posted at the job site until replaced by a Permit. : 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line , CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00560 ISSUED: 04/27/2009 APPLIED: 04/27/2009 EXPIRES: !IJ/27/2009 VALUE:" Status Issued SITE ADDRESS: 1160 F ST ASSESSOR'S PARCEL NO.: 1703351105600 Spring1ield TYPE OF WORK: Mechanical Only TYPE OF USE: New' Residential PROJECT DESCRIPTION: Install dnctless HIP Owner: SHA W RICKY B & JULIE ANN Address: 1160 F ST SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION "I Contractor Type Mechanical Contractor License ASSOCIATED HEATING & AIR CONDITIO 106275 BUILDING INFORMATION I Expirati~n 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 I Front yard Setback: Side I Sethack: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: 0/0 of Lot Coverage: .! REQUIRED PARKING , Total: ~: Handicapped: " Compact: Description NnT'f'!:. THIS PERMIT SHALL EvPIR~tlF Tiff ~Nn.R~ ~ AUTHORIZED UNDER",~vu, ~~~,e", tC~!~, on Cmfi~r,ENCm OR IS t$:pe'ilSlj'Ff:D FOR Square Footage Type 01. ConstructIOn. . . . '.,j'H I (jl! L1/w I-'tRIOl9r mulllpher or Bid Amount I PUBLIC IMPROVEMENT,s:,TENTION: Oregon law requires yo t ~w rules ad0f.1ted h.th 0 u .0 Notificat Sidewalk Type: y e regon Utility in OAR 9';;~;:::; ,~e~.", ".os;e rules are set forth 0090 '1\ Downspouts/DramsJh OAR 952-001- '. au may obtain copies of the rul cailmg the center. (Note: the telephoe~e by numbercfor the Oregon Utiiity Notification enter is 1-800-332-2344). Street Improvements: Storm Sewer Available: Special Instruction: Notes: Value, Date Calculated Page 1 of2 _S~F1I1:lCilF.IE~p. 1 :i CITY: OF SPRINGFIELD , Status Issued " Building/Combination Permit PERMIT NO: COM2009-00560 ISSUED: 04/27/2009 APPLIED: 04/2712009 EXPIRES: 10/2712009 VALUE: 225 Fifth Street, Springlield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees P~id .1 Fee Description + 12% State Surcharge + 5% Technology Fee 1st Appliance Heat Pump Amount Paid Date Paid Receipt Number $11.52 $4.80 $79.00 $17.00 .4/27/09 4/27/09 4/27/09 4/27/09 3200900000000000276 3200900000000000276 3200900000000000276 3200900000000000276 . . Total Amount 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. Renuired In~nections 1 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 h~rehy certify that all information hereon is true and correct, and I further CCJ:tify that any and all work performed shall be done in accordance with the Ordinances of the City of Springlield 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 Servites 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 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 Of Contractors Signature Date Paee 2 of2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-00560 COM2009-00560 COM2009-00560 COM2009-00560 Payments: Type of Payment ONLINE CHGS cReceinl1 RECEIPT #: Description Heat Pump I st Appliance + 5% Technology Fee + 12% State Surcharge Paid By ONLINE PERMIT CHGS ~ 3200900000000000276 City of Springfield Official Receipt Development Services Department Public Works Department Date: 04/2712009 Item Total: t:heck Number Authorization Received By Batch Number Number How Received NJM ONLlNEASSOCIAT Online ED Page I of I Payment Total: 3: 15:44PM Amount Due 17.00 79.00 4.80 11.52 $112.32 Amount Paid $112.32 $112.32 4/27/2009