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HomeMy WebLinkAboutPermit Mechanical 2009-5-22 . City of Springfield Mechanical Anthorization To Begin Work E.,mailed To: associatedheating@gmail.com Receipt # EC552233 a 5t:i2/20093:02:17PM () ~/~').:\ Check on status of permit By Phone: (541)726"3753 or Email: permitcenter@ci:springfield.or.us D New construction [K] Addition/alteration/replacement ~(-~__""~'A~\"'~'""""~'~""~'~"'\W'~le~~""'!l'1 tg~ii~mJ~,~~*~F:g~";~StI!J?~gJJc~!~~t:~~1'U I Description Qty. Ea. f Total I '"''''''',LiJi",'ilA!%'''-''''lf''' """"""-""""-"-"-'-'-""'-'-""""""'_'.~~8'iC""""1 iy~f;i~]'~L~:~lill~"~Q!!rJ,gE~q,g-.~~~"Sr!.Oft51?i~4%~~~;~g~~~~~ [X] I or2 family dwelling D Multi-family 0 Accessory Building I Furnace. up 1.0 ] 00,000 BTU . I Furnace -above 100,000 BTU I Electric Furnace Duct alterations and additions Gas heater unirs/ in-wan, in- duct. suspended. etcl I Vent, flue, liner for above I Air Conditioner I Heat Pump I Air Handler $17.00 $1700 Job no.: 3635A ! Job address: 906 56TH ST I City/State/ZIP: SPRINGfiELD, OR 97478-68 I 8 I Suite/bldg./apt.no.: 'I Project name: Cross street/directions to job site:, Install ductless HIP Water heater I Gas fireplace/insert/stove I Gas log! log lighter I Gasc10thes dryer I Gas stove/range I Pool or spa heater, kiln ! Wood/pellet stove/insel1 I Wood fireplace I Chimney/linerlflue/vem w/o 1. I I Subdivision: ILot no.: Tax map/parcel no.; 1702331104000 I Name: Mark Roche I Phone: (541) 335.9261 I Fox, I Range hood I Clothes dryer exhaust I Single-duct exhaust (bathrooms, toilet compartments, utility , rooms) I Altic/crawlspacefans ceB lie, no.: 106275 I Business Name: ASSOCIATED HEATING & AIR CONDITIONI I Contact: Brandy Forsman IAddress: PO BOX 412 I City/StatelZlP: EUGENE, OR. 97440 /Phon" (541)6832590 IFax: (541)6070287 I Email: associatedheating@gmail.com I Metro lie. no,: I City lie. no.: I upto first 4 outlets( enter Qty= 1) I each additional outlet Upon review and approval by your localjurisdlction, 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 First Appliance fee State Surcharge (J 2% of pennit fee) City Of Springfield fees *"1 I TOTAL PERMlT FEE .. City Of Springfield:fees: 5% Technology Fee $]700 I $79.00 I $] 1.52 I $4.80 I $112.32 I NOTE: This Authorization To Begin Work expires within 180 days if a permit is not obtained, The local building departm~nt may determine that an Authorization To Begin Work is null and void if it does not meet applicable land use la....ys and local ordinances. Com ?CT7f? ,- OJ7:J..1 IJrn 6/-;;((;9/09 This Authorization To Begin Work must be posted at the job site until replaced by a Permit. _~Ii'AJH~~I~'lt"", . 4, ., Ii Status Issued .1 CITY OF SPRINGFIELD Building/Combination Perinit PERMIT NO: COM2009-00729 ISSUED: OS/26/2009 APPLIED: OS/26/2009 EXPIRES: 11/26/2009 VALUE: 225 Fifth Street, Springfield, OR " , 541-726-3753 Phone . 541-726-3676 Fax 541-726-3769Inspection"Line SITE ADDRESS: 906 56TH ST ASSESSOR'S PARCELNO.: 1702331104000 Springfield TYPE OF WORK: Mechanical Only TYPE OF USE: New Residential PROJECT DESCRIPTION: Install ductless heat pump Owner: ROCHE MARK J Address: 906 56TH ST . SPRINGFIELD OR 97478 Phone Number: 541-335-9261 I CONTRACTOR INFORMA :nON , .Contractor Type Mechanical Contractor License . ASSOCIATED HEATING & AIR CONDITIO 106275 BUILDING INFORMATION I Expiration Date 08/31/2010 Phone 541-683-2590 # of Units: Primary O"ccupancy Group: Secondary Occup,illcy Group: Primary Construction Type Se.condary Construction:Type: # of Bedrooms: " # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft I st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport . Sq Ft Other: Occupant Load: n/a I DEVELOPMENT INFORMATION' Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: " Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: " % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: Street Improvements: Storm Sewer Available: Speciallllstruction: I PUBLIC IMPROVEMENTS rTTENTJON' Or I ,ollow ~,.rc. . ri" ~>gon aw requires you to No!,f' Sldewallif.ype:1 by the Oregon U'lt . I Icallon Cenler. Th0se r 'II y " In OARDownspouts/Draius: uJes are set forth " 0090 v - - 'vv, ':' "" uugh OAR 952-001- . 'au may obtain c " . calling the center (N orres of the r.u:es by number for the Or' .DUe"" the telepl~one C . egon t1/uy Notiiic"li.'n enter IS 1-80n..1':!'J.I)"JA ,~\ '-' Notes: "IV I ILrt:: 1 I . . THIS PERMIT SHALL EXPIBIVIHult'6diillRlScriDtion AUTHORIZED UNDER THIS PERIVIII I~ NU I Description CCTy'~e[!if ~.Q!istJU:ctiou\BANv..~~rr\~~ " ~~';;i~e :~o::~; MN 'I~O DAY PERIOD. p Value Date Calculated Paee 1 of 2 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project F~es ~aid I Fee Description Amount Paid Date Paid Total Amount Paid $0.00 I Piau Reviews I CITY OF M"KINGFIELD . Building/Combination Permit PERMIT NO: COM2009-00729 ISSUED: OS/26/2009 . APPLIED: OS/26/2009 EXPIRES: 11/26/2009 VALUE: Receipt Number , 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 7:00a.m. will be made the following work day. Reollired Tnsllect,ions . 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 hereby certify that all information hereon is true and correct, and I further certify that any 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 be made of any structure without permission of the Community Services Division, Bnilding Safety. I further certify that only contractors and employees who are in co~pliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at the prop~r 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 or Contractors Signature Paee 2 01'2 Date 225 Fifth Street 'Springfield, Oregon 9,7477 . 541~ 726~3759 Phone" RECEIPT #: Job/Journal Number Description' . C8M2009-~07 5 C\ Heat Pump . COM2009-00 25 ~ I st Appliance . COM2009- 7251'\ + 5% Technology Fee COM2009-00725 + 12% Slate Surcharge Payments: Type of Payment ON l.IN f' CHGS " ('.R~r?int) Paid By ONLINE PERMIT CHGS 3200900000000000390 City of Springfield Official Receipt Development Services Department Public Works Department Date: OS/26/2009 8:18:22AM Amount OUl' 17.00. 79.00 4.80 11.52 5112.32 Item Total; Check Number Authorizatipn Received By BatchNumber Number How Received NJM Page 1 of I Amount Paid ONLlNEASSOCIA T Online ED $112.32 Payment Total: $112.32 5i26/2009