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HomeMy WebLinkAboutPermit Mechanical 2009-5-28 r).{'" ?yO V ~ity of Springfield Mechanical Authorization To Begin Work E-mailedTo:associatedheating@gmail.com , Receipt # EC552566 5/28120092:58:20 PM Check on status of permit By Phone: (541)726'3753 or Email: permilcenler@ci.springfield.or.us I 0 New construction " [X] Addition/alteration/replacement 10 1 or 2 family dwelling 0 Multi-family 0 Accessory Huilding I:'" "+~~,:;~ vt~"J9!(S~!~IN'~Q~~~fl(ir(t\~Q:LO~~tL9~~;;li1~4;;',~~~t,~;~, IJobno.: 3649A IJobnddress: 5927 GST ICily/State/ZIP: SPRINGFIELD, OR 97478-6897 I Suite/bldg./apt.no.: I Project RlImc: Cross street/directions to job site: ISUbdivision: I Tax-map/parcel no,: 170234220042 [ ILot no.: Install a du\:tkss Heat Pump ''"'':;'',' """",''\'&,I 5-; .'::,n~,\T;;:\ "' I Name: Chuck Hammer I IPhonC:(541)74ll!d07l1GE: I Fa" I 11:,:a;""~W'4'AT~IS?gR.MJL~H~LLf2<pm ~1f,T~E 14'gg K'I!,,,~~~I ,.;vi>~';cl~;,'. uJI:lBRI%FD;IIl~~J'M€Jfil:RDIORMITlrs'NC'1" .!'~ii"jh'lT;~ ICCB 1;0, na,' lOOf,i'lMFNr;m OR IS ABL\.~Ir:'I]~!1ill-FQR I I Bn,;ne>s NamcA1'itsCl'RflrHmEf.'IJl11lllIlF'lIR CONDITION I I I Contact: Brandy Forsman' I IAddress: PO BOX 412 I [City/State/ZIP' EUGENE, OR 97440 I I Phnn" (541 )6832590 I Fa>' (541 )6070287 I I f:mail: associatedheating@gmail.com ) i Metro lie. no.: I City lie. no.: I Upon review and approval by your local jurisdiction, your permit will be a-mailed or faxed within one business day, with instructions on how to schedule your inspection. NOTE: ThiS Authonzatlon To Begin Work expires wIthin 180~ days if a permit IS not obtained. ~ The local bUilding department may determine that an QJ Authorization To Begin Work is null and void If it does not I ~'\l ~~ meet applicable land use law: ~:~nances, ~ 'iJ~ \J ' '~.~ \0 ~ ~1}:Q 0 I Description Qty. Ea. Total I Furnace- up to 100,000 BTU I Furnace - above 100,000 BTU I Eketrie purnace i Duct alterations and additions I Gas heakrunits/in~wall, in- duct. suspended. cte/ I Vent, l1ue, liner for above I Air Conditioner I Heat Pump I Air Handler l 1~9i~!j:Juc'II~~fpi~~gTI1~Jrli~j_cs~~~'~f-= I Water heater I Gas j"ircplace/inserVstove I 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 Chimney/liner/nue/vent v.jfo ) a liall~r".':rI('\"J' C'r=:;j;-:-:1I"'~r*-..!)'......:.t.'t:Je CEnvi' ,j }ne~iiil'exhau~t AI~hveniliaHon.!f.t;;5,~"!' ~'~,11~.~~:~;.,;,~,. "!'::,'I r",,, Tn.w""HC\'M&t"l.u::u~~ann"'n:H'l.n\f.tnolAroril;n Ilhltt~f .~ Rang qrRir.etinn r"n~Thn:'" ,,/,," a~" ""'I fnrth I CIUll'il1 tI-,y.err"l'h@~-001-001 ) throuat OAR 95: ~-001- I SlOgIO(l}lSlJ.xltfOO\>ltf\:j'yoll'!!JtE in copie~ of the ru es by I ;~~~s\o'/J!'t'\mgtlt\~I~enter, (Note: t le teleph )ne Att;e/e,QlJJIi\lRf'lF.!}pr me, uni~'?~ ;;_t~' X_I~~!I"G U10n ,I I ;;- ".~- ',It.~,,'I?nlGI'4i,'?4,J;v~'-'':5i~,V,_~,;foV~''',J'';;'11~;:''',','\f2.JO'$.;:7r! ,.4JI :fiJ,~)"pip.i~g:_.. <5; /y;;~ ~'{ b'.d~"- >r:--" ". ,j,'1:?,' ':!~', ~ '," 5/\, ',', ,'1'; }'s,,,~,q 1 upto first 4 OllllclS(emer Qty=l} eucll <ldditional outlet . $17,00 I I I I I I I $17,00] I I I 1 I I TOTAL PERMIT n:[ to City Of Springfield fees: 5% TeChnology Fee $1700,1 $79,001 $1152 I $480 I $112.32 I Subtotal City or Springfield First Applianee!i:e State Surcharge (12% of permit lee) City Of Springfield fees" C'l-1~O ~ , ' 5 \tCd 01 This Authorization To Begin Work must be posted at the job site until replaced by a Permit. Status Issued CITY OF ~rKmGFIELD Building/Combination Permit PERMIT NO: COM2009-00750 ISSUED: OS/29/2009 APPLIED: OS/28/2009 EXPIRES: 11/29/2009 VALUE: 225 Fifth Streel, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 In spec lion Line SITE ADDRESS: 5927 G ST ASSESSOR'S PARCEL NO.: 1702342200421 Springfield TYPE OF WORK: Heating Syslem TYPE OF USE: New Residenlial PROJECT DESCRIPTION: InslaII a duclless heal pump Owner: HAMMER CHARLES L & K M Address: 5927 G ST SPRINGFIELD OR 97478 I CONTRACTOR INFORM A TION I Contractor Type Mechanical Contractor License ASSOCIA TED HEATING & AIR CONDITIO 106275 BUILDING INFORM,A !ION I Expiration Date , 08/31/2010 Phone 541-683-2590 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary COIlstruclion Type Secondary Construction Type: # of Bedrooms: # of Slories: Height of Slruclure Type of Heal: Waler Type: Range Type: Energy Palh: Sprinkled Building: LOl Size: Sq Fll sl Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft 9aragelCarport Sq Ft Olher: Occupanl Load: n/a I DEVELOPMENT INFORMATION I I PUBLIC IMPROVEMENTS I REQUIRED PARKING ATTENTION: OregoT~ll1i:requires you 10 follow rules adopted-.", 'dh,Pc ()ro(Jon Utility N t'f' , "an I appeu. . 0 I Icatlon Center. J'C6'ffiP.~tt~ are set forth In OAR 952-001-0010 Inrougli OAR 952-001- 0090. You may obtain copies of the rules by calling the center.: (Note: the telephone IIUlllu~r lur me uregon uwny I\JOtlIlcanon Center is 1-800-332-2344). Sidewalk Type: NOTICE: Fronlyard Setbac~: PERMIT SHALL EXPIRE IF Tt-m"#OOlIQisl: Side I Selbac~'~~HORIZED UNDER THIS PERMllIl'erf'.~rrees Rqd: S.de 2 SetbacIt! NED \!t~d Dnve Rqd: Rearyard Settla~~MENCED OR IS ABANDO % 'M Lol Coverage: Solar Setbacks'1NY 180 DAY PERIOD. Slreellmprovemenls: Slorm Sewer Available: Special Instruction: Downspouls/Drains: Notes: I Valuation Descriotion .1 Description Tvpe of Constniction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Dale Calculaled Pa2e I 01'2 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2009-00750 ISSUED: OS/29/2009 APPLIED: OS/28/2009 EXPIRES: 11/29/2009 VALUE: ' 225 Fifth Slreet, Springlield, OR 541-726-3753 Phone 541- 726-3676 Fax 541-726-3769 Inspection Line Tolal Value of Projecl t ,.Fees P~id . Fee Description + 12% Slate Surcharge + 5% Technology Fee Isl Appliance Heal Pump Amount Paid Dale Paid Receipl Number $11.52 $4.80 $79.00 $17.00 5/29109 5129/09 5/29/09 5129/09 1200900000000000573 1200900000000000573 1200900000000000573 1200900000000000573 Total Amouul Paid $11'2.32 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. I. Reouired Tnsnections I Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. By signalure, I slale and agree, lhat I have carefully examined lhe compleled applicalion and do hereby certify lhal all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with lhe Ordinauces of lhe City of Springlield aud lhe Laws of lhe Slale of Oregon perlaining 10 lhe work described herein, and lhal NO OCCUPANCY will be made of any slruclure wilhoul permission of lhe Community Services Division, Building Safely. I furlher cerlify lhal only conlractors and employees who are in compliance with ORS 701.005 will be used on lhis projecl. I further agree 10 ensure lhat all required inspeclions are requesled allhe proper lime, lhal each address is readable from lhe streel, lhallhe permit card is located allhe fronl of the property, and lhe approved sel of plans will remain on lhe sile al all times during construction. Owner or COlllraclors Signalure Dale Page 2 01'2 225 F)fth Street Springfield, Oregon 97477 541-126-3759 Phone Job/Journal Number COM2009-00750 COM2009-00750 COM2009-00750 COM2009-00750 Pa'ymenls: Type of Payment ONLINE CHGS cReceintl RECEIPT #: Description , I st Appliance Heat Pump + 5% Technology Fee + 12% Stale Surcharge Paid By ONLINE PERMIT CHGS irii 1200900000000000573 City of Springfield Official Receipt Development Services Department Public Works Department Date: OS/29/2009 Item Total: Check Number Authorization Received By Batch Number Number How Received KR Page 1 of 1 ONLINE associated Online heal & air Payment Tolal: 8:13:09AM Amount Due 79,00 17,00 4,80 11,52 $] 12.32 Amount Paid $112.32 $112.32 5129/2009