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
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I Description Qty. Ea. f Total I
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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