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Home My WebLink AboutPermit Mechanical 2009-6-1 I I I I I I I Wood/pellet stove/insert I I I Wood ficeplace , I, I, I Nam, Riehacd Salsbury I l:~~:~;;~;~J:I~~'~~~~0~1 ~~~f1~19~~~;~~~iJ'i~V I iEn""'nnieitnl'liih."q'''Nn,y' ,olnatio"" r"ll eS' a"re"rs'e'tifor'th, IPhone (541)7~T61(;I:: [.,,,, .,. _"_..,"v.,,,ct'''''','-'l''', ""_W''''. . . , , IEmi~~' ~if THIS PERMIT; SHALL EXPI,Rl: I~ I~: V~Ut\1\_,;~,~' : ~::t~Ui~~X~;:~Z~~~I;~nt~oo~~: ~~~e9r5Lij~~O~~ 1~~~~;;~:!,';=J:~~E~~~I~~~~l~~ltJ!~~bH~~!'\'+k ," ;r~~~ I ~~i~~:~;:~=:~~~~m6;;g\~"n"~iili ; N~;;;:~' ~;i~n I IHiD"H~"1:\ rooms) ,...-......- . -410(\1'\ ~Ot") "')1')1111) B",in"sN"m'Al'II~cj<W'OO\E""'!T""'llIV<-CONDITIONI I' ..."",or IS '1-0- w-'~ r-" - AttIc/crawlspace fans I I Cootact: Brandy Forsman IAddress: PO BOX412 'City/State/ZIP: EUGENE, OR 97440 I Pllone: (541 )6832590 I Email: associatedheating@gmail.com !Metro lie. no.: , City of SpringlicJd ,Mechanical Authorization To Begin Work E-mailedTo:associatedheating@gmail.com Check on status of permit, By Phone: (541)726,3753 or Email: permitcenler@ci.springfield.or.us o New construction I Descripiion [KJ Addition/alteration/replacement 10 1 or 2 family dwelling I Fumace-' up to 100,000 BTU I Furnace - above 100,000 BTlJ I Eleclric Furnace I Duct allerations and addi~ions II Gas heaterunits/in-wall, in- duct. susoended. etc/ II Vent, nue, liner for above '1 I Air Conditioner 1 Heat Pump Air Handler o Multi-family o Accessory Building !Jobno.: 3653A IJobJlddress: 7)43 C 51' ICi~Y/State/ZIP: SPRINGFIELD, OR 97478A201 Sultc/bldg./apt.no.: I Project name: Cross street/directions to job site: I Subdivision: ITax map/parcel no.: !Waterheater I Gas fireplace/insert/stove I Gas log! log lighter I Gas clothes dryer I Gas slovelrange I Pool or spa heater, kiln - ILot no.: 1702353106400 ReplaceH/P IFax: (541)6070287 I upto first 4 outlets(enterQty=l) I each additional outlet 'y EC552729 "V , ~/ (j R~ceipt # 611/20092:00:35 PM $1 $17.UO I I I I Subtotal I City Of Springfield First Appliance fee State Surcharge (12% of permitfee) City Of Springfield fees *1 I TOTAL PERMIT FEE .. CilyOf Spririgtleld fees: 5% Te,chnology Fcc . 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 yo'ur inspection. tq -'\\)1 NOTE: This Authorization To Begin Work expires within 160 days if a' permit is not obtained. The local building depa-rtment may-determine that an Authorization To Begin Work is null and void If it does not meet applicable land use laws and local ordinances. $17.00 $79,00 I $11.521 $4.80 I $112,32 kL 19 \ l l 0 C1 This Authorization To Begin Work must be posted at the job site until replaced by a Permit. , _Qf;t~~,.~,q~I_~~ii i!j Status Issued CITY OF SPRINGFIELD Building/C~mbination Permit PERMIT NO: COM2009-00762 ISSUED: 06/01/2009 APPLIED: 06/01/2009 EXPIRES: 12/01/2009 VALUE: 225 Fifth Slreel, Springfield, OR 541-726-3753 Phone ' 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS:' 7143 C ST ASSESSOR'S PARCEL NO.: 1702353106400 Springfield TYPE OF WORK: Healing Syslem TYPE OF USE: New Residential PROJECT DESCRIPTION: Replace heat pump Owner: Address: SALSBURY RICHARD L & JOAN M 7143 C ST ' SPRINGFIELD OR 97478 Phone Number: 541-726-7056 I CONTRACTOR INFORMATI()NI Contractor Type Mechanical Contractor License ASSOCIATED HEATING & AIR CONDITIO 106275 l BUILDING INFORMATlO~.1 Expiration Date 08131/2010 Phone 541-683-2590 # ofUnils: Primary Occupancy Group: Secondary Occupancy Group: Primary Construclion Type Secondary Conslruction Type: # of Bedrooms:, # of Slories: Height of Struclure Type of Heal: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Fl 2nd Floor: Sq Fl Bascment: Sq Ft Garage/Carport Sq Ft Olher: Occupanl Load: n/a r!~TlG:. THIS PERMIT SHALL EXPIRE~~~,~.~~~[,~~NT INFORMATION I AUTHORIZED UNDER THIS PERMIT~NnI . F.ronlyard ~i1MENCED OR IS ABANDONED F vel'! y D.st: ' ATTENTION: Oreg ~otral\\1 reo," ps ou to S.de I Setbl!lq~y 180 DAY PER/DO lreel Trees Rqd: follow rules adopte raiiiIl~~p~if:J Y ,. SOd 2 S lb k' . P d D' R d' N " , fOV Cl.CJregon Utility lee ac . 0 ave rive q. . otlflcatlon Center. '11'ml?J'Vures are set forth Rearyard Setback: Yo of LOl Coverage: In OAR 952-001-0010 through OAR 952-0 _ Solar Selbacks: 00_9.~;" Yo~ may obtain copies of the rules O~v -_.....~ t."" "".....,'.v..\IIIUlt:, lilt: lelepnone I PUBLIC tMPROV~MENTS I number for the Or!3gon Utility Notification Sidew~Ii{lWJg: 1-800-332-2344). REQUIRED PARKING StreelImprovemenlS: Slorm Sewer Available: Special Jnstruclion: DownspoutsiDrains: Noles: I Valuation Description I Description Type of Conslruclion $ Per Sq Fl or mulliplier Square Foolage or Bid Ainounl Value Dale Calculated Pa2e I of 2 . _/ilili!mN~IlIELI?,' ~~, - p , Status' Issued 225 Fifth Slreel, Springfield, OR 541-726_3753 Phone ' 541-726-3676 Fax 541-726-3769 Inspection Line 'Fee Description + 12% Slale Surcharge + 5% Technology Fee 1st Appliance Heal Pump Amount Paid $11.52 $4.80 $79.00 $17.00 Total Amounl Paid $112.32 Tolal Value of Projecl F~,e.~ Paid I I Plan Reviews I Dale Paid 6/1109 6/1109 6/1109 6/1/09 CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2009-00762 ISSUED: 06/01/2009 APPLIED: 06/01/2009 EXPIRES: 12/01/2009 VALUE: Receipt Number 1200900000000000584 1200900000000000584 1200900000000000584 1200900000000000584 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. R,eouired Insnecti~ns I Rough Mechanical: Prior 10 Cover Final Mechanical: When all mechanical work is com pie Ie. By signalure, I stale and agree, that I have carefully examined the completed application and do hereby certify lhal all informalion hereon is lrue and correcl, and I further certify that any and all work performed shall be dOlle in accordance with lhe Ordinances of lhe Cily of Springfield and the Laws of the Stale of Oregon pertaining to the work described herein, and lha't NO OCCUPANCY will be made of any struclure wilh?Ul permission of lhe Communily Services Division, Building Safely, I furlher certify lhal only conlraclors and employees who are in compliance wilh ORS 701.005 will be used on lhis project. I furlher agree 10 ensure thaI all required illspeclions are requested allhe proper time, that each address is readable from the streel, that the permit card is localed at lhe front of lhe properly, and lhe approved set of plans will remain on lhe sile at all times during construction. Owner or Conlraclors Signature Page 2 of2 Dale 225-Fifth Street Springfield, Oregon 97477 541,726-3759 Phone Job/Journal Number COM2009-00762 COM2009-00762 COM2009-00762 COM2009-00762 Payments: , Type of Paymenl ONLINE CHGS cRcceintl RECEIPT #: Description 'I st Appliance Heat Pump + 5% Technology Fee + 12% Slate Surcharge Paid By ONLINE PERMIT CHGS City of Sprhlgfield Official Receipt Development Services Department Public Works Department 1200900000000000584 '. Date: 06/01/2009 2:22:16PM Item Total: Check Number Authorization Received By Batch Number Number How Received KR ,ONLlNEASSOCIAT Online " ED HEATING &AIR Payment Tolal: Amount Due 79,00 17,00 4,80 11,52 $112.32 Amount Paid $112.32 $112,32 .. 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