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Home My WebLink AboutPermit Mechanical 2009-5-1 City of Springfield Mechanical Authorization To Begin Work E-mailedTo:associatedheating@gmail.com Receipt # ]:C551011 5/1/2009 1 :51 :24 PM 0rA."J 0\ t; Check on status of permit By Phone: (541 )726-3753 or Em.iI: permitcenter@ci.springfield.or.us I D New construction [X] Addition/alteration/replacement !Oescription IJob 110.: 3629A IJob address: 5257 DAISY 5T I City/StatelZlP: SPRINGFIELD, OR 97478-6764 I Suite/bldg.hlpt.1I0.: I Project name: Cmss stn'ct/directiolls to job site: I FumaC(:- up to 100,000 BTU I Furnace - above 100,000 BTU I Eleclrkfumace I DUCl alterations nnd additions I Gas healer units! in.wall~ in- duel. susoended. ctef r Vent, Out', liner fOf above I Air Conditioner I Heat Pump Air Handler I I I I I I I $17.001 $17.00 [ill or 2 family dwelling o Multi-family o Accessory Building $17.00 $17.00 ISubdivision: !Tax map/parcel no.: 1702333404625 I Lot 00.: I Water heater I Gas fireplace/insert/stove 1 Gas log! log lighter I Gas clothes dryer I Gas stove/range I Pool or spa heater, kiln I Wood/pellet stove/insert I Wood fireplace ~himneY/lirier/l1Ue/ventw/o . L a Hance . ~i!ii~nJll$~'faji~i~i~l1l~~,9~Ve~ija!i~~~:;~::1?'r~<h~~1~~ I Range hood I I Clothes dryer exhaust I I Single-ducl e.maust (bathrooms, I toilet compartments, utllny , rooms\ I Atlic/crawlspucl' fans I Replace HIP system I Name: Thomos Kephart I Phone: (541)736~3774 IEmail: IF"" I CCB lie. no.: 106275 I Business Name: ASSOCIATED HEATING & AIR CONOlTIONI I Contact: Bnll1dy Forsman JAddress: PO BOX 4 I 2 I City/State/ZIP: EUGENE, OR 97440 I Phoo" (541)6832590 I Fa" (541)6070287 I Email: associCltedheating@gmail.com 11\lctro lie. no.: I City lie. no.: I upto first 4 olllkts(enter Qty=l) I each additional outlet I 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 City Of Springfield FirstAppliance fee State Sureh<lrge (12% of penn it fee) 1 'City Of Springfield fees *1 I TOTAL PERMIT FEE I * City Of Springfield fees: 5% Technology Fee $34.001 $79.001 $13.56.1 $5651 $13221 I NOTE: This Authorization To Begin Work expires within 180 days if a permit is not obtained. wm2tJVy - (}O\s93 17 /lI .. O-O//OCj The local building department may determine that an Authorization To Begin Work is null arid 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 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00593 ISSUED: 05/01/2009 APPLIED: 04/3012009 EXPIRES: 11/01/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 5257 DAISY ST ASSESSOR'S PARCEL NO.: 1702333404625 Spriuglield TYPE OF WORK: Electrical Work Only TYPE OF USE: New Residential PROJECT DESCRIPTION: Wire electric furnace with heat pump Owner: MAISH DIXIE L YN Address: 5257 DAISY ST SPRINGFIELD OR 97478 Phone Numher: 541-746-7837 I CONTRACTOR INFORMATION I Contractor Type Electrical Mechanical Contractor OREGON ELECTRIC SERVICE ASSOCIATED HEATING & AIR CONDITIO License 181997 106275 Expiration Date 05/09/2010 08/31/2010 Phone 541-343-1681 541-683-2590 BUILDING INFORMATION I # ol'Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construciiou Type Secondary Construction Type: # 01' Bedrooms: # 01' Stories: Height'of Structure Type 01' Heat: Water Type: Range Type: Euergy 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 REQUIRED PARKING Total: Haudicapped: Compact: . , to ATTENTION: Oregon la\:I,r:6~~~~~~i\itY follow rules adopte~~t:!,: ~,II"O "re set forth I PUBLIC 1MPROVEMENTS:lo~~~a~~~_OO;':'O(;1 0 through OAR 95~-UU~y- MOnCE:' 1 'fro""' "btain copies ofthe ru es Street Improvements: XPIRE IF THE WORK 0090,SldeWJilkJType: (Note' the telephone . . . THIS PERMIT SHALL E calling the ~er'~'~_._n ;'\t Notification Stor'," Sewer A~all~~~el:HORIZED UNDER THIS PERMIT IS NOT numge)V,,_spoutslDraIllo:~d~~~344). Spec,allnstructlOu:Corv1MENCED OR IS ABANDONED FOR Center IS 1-80 Notes: ANY i 80 DPN PERIOD. Froutyard Setback: Side I Setback: Side 2 Sethack: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % 01' Lot Coverage: Pa2e 1 01' 3 _SI;':RINlii1l!'JID j;l, ~I Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00593 ISSUED: 05/0112009 APPLIED: 04/30/2009 EXPIRES: 11101/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line, I Valuation Descrintion I Description Tvne of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project L.Fpp< P~ilU Fee Description + 12% State Surcharge + 12% State Surcharge + 5% Technology Fee + 5% Technology Fee 1st Appliauce Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Air "andling Unit Up to 10,000 "eat Pump Amount Paid Date Paid Receipt Number $7.32 5/1/09 3200900000000000290 $13.56 5/1/09 2200900000000000471 $3.05 5/1/09 3200900000000000290 $5.65 5/1/09 2200900000000000471 $79.00 5/1/09 2200900000000000471 $55.00 5/1/09 3200900000000000290 $6.00 5/1/09 3200900000000000290 $17.00 5/1/09 2200900000000000471 $17.00 5/1/09 2200900000000000471 Total Amount Paid $203.58 I Plan Reviews I To Request an inspection call the 24 hour reco~ding 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. ~pdion<1 Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Paee 2 of 3 _~!,,~I":l~1!l,-2i 1 Status Issued CITY OF SPRIN&l'mLD Building/Combination Permit PERMIT NO: COM2009-00593 ISSUED: 05/01/2009 APPLIED: 04/30/2009 EXPIRES: 11/01/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726~3676 Fax 541-726-3769 1nspection.Line By signature, 1 state and agree, that I have carefully examiued 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 descrihed 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 readahle from the street, th:lt the permit card is located at the front of the property, and the approved set of plans will remaiu on the site at all times during construction. Owner or Contractors Signature Date Page 3 of 3 City of Springfield Official Receipt Development Services Dep'artment Public Works Department 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-00593 COM2009-00593 COM2009-00593 COM2009-00593 COM2009-00593 Payments: Type of Payment ONLINE CHGS cReceiOll RECEIPT #: 2200900000000000471 2:35:35PM Date: 05/01/2009 Description 1 st Appliance Air Handling Unit Up to 10,000 Heat Pump + 5% 'Technology Fee + 12% State Surcharge Amount Due 79,00 17,00 17,00 5,65 13,56 $132,21 Paid By ONLINE PERMIT CHGS Item Total: Check Number Authorization Received By Batch Number Number How..Received Amount Paid nJm ONLINE associated Online Payment Total: $132,21 $132.21 Page I of I 5/1 /2009