HomeMy WebLinkAboutPermit Mechanical 2009-5-28
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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