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Home My WebLink AboutPermit Mechanical 2009-6-1 , City of Springfield Receipt # l'C552753 1\ \p 0 6/1/20094:39:58 PM V rA. / Mechanical Authorization To Begin Work E-mailedTo:associatedheating@gmail.com Check on status of permit By Phone: (541)726-3753 or Email: permitcenter@cLspringfield.ur.ns 10 New construction lliJ Addition/alteration/replacement J [KJ lor 2 ramilydwelling 0 Mul~i-family D Accessory Building ~~~~}:}:1!JQ,~i~fEh~'(Q[M~1!R,"ij~~J(ll69~TiQii'0\l;~'~;~~;:::_ no.: 3656^ IJob address: 157 12TH S.T I City/State/ZIP: SPRINGFIELD, OR 97477-4871 I Suitelbldg./apt.no.: SPC 58 I Project name: CrQss street/directions to job site: I Subdivision: ]Tax map/parcel no.: 1703354100201 I Lot no.: Replace electric furnace I Name: Leona Moss I Phone: (541)747-8304 I Fax: II ~~...~,~~..'''>'' "JJaJJCI:: ""'S" ' ''"'" ':;',~ 0L",*,-.,' ',,,,,,,ec "'- " 7:;b'" II ~'~~'I':~~~'~'O~; ~;';~;~rrt:~iG~~~;2n;~;~f~BilALlrEXFiRE~iif;c~fh~~~~'6~K~0~:~t-~;~;;0t1 I Businc," Nam" A@8lU~~'#itliMW~~cbt1mrk!R~v~j~ ~~ ;VU" , I I Contact: Smndy FO.r~,\~ril"E,.h,EEi eii I~ ~BANDum:u run I IAddrcs" PO Box'4'l~ I 183 fJA\ FEfiluu.. I I City/StolcIZIP: 'EUGENE, OR 97440 I I Phonc: (541 )6832590 I Fa" (541 )60702S7 I I Email: llssociatcdheating@gmail.com I j Met~o lie. no.: I Citylic. no,: I Upon review and approval by your local jurisdiction, your permit will bee-mailed or faxed within one business day, with instructions on how to schedule your inspection. NOTE: This Authorization To Begin Work expires within 180 days if a permit is not obtained, The local building department may determine that an Authorization To Begin Work is null and void if it does not meet applica~_le land use laws and local ordinances. I Dcseription I Furnace- up to 100,000 BTU I Furnace - above 100,000 BTU I EJeclricFumace I Duct alterations and additions I Gas heater u-nits/ iri-wall, in- duel suspended.-ete/ I Vent, Oue, liner for above I Air Conditioner I HeatPump I Air Handler $17.00 $17.00 Water heater IOas fireplace/insert/stove I' I GaslogJ log lighter I Gas c10thes dryer I Gas stove/range I Pool or spa heater, kiln I Wood/pellet stovelinsert I Wood fireplace I Chil~ney/linerlflue/vent \v/o I aoollance :,,~;;~:~~~~~'~~.~~ffE;~':o3!'~!~~:i~l,::rV;1 I Clo'hesR"Wb%~JW'1 C~II~o. TI-,;;~~ 1:.:IZ5 2.::13"~ . ly___...... "r"'" "'no! I'\..:l n ...h.."",1*th nl!.R J5?_n()1T~--1 I Slngle-dUI1',,;i)iilds"(8jthri\~O\s,'" .:.... '. '" f, loilelco61Ii",;)",nlit:\llilliilay ot tam COPI,S of the ules by moms) rolHnn thA rAnt, ,r. (Note the telel )hone I Alticlcm"i!~'i'il':'l91 for the (/reqon U ility Noti~lcation i;;~~i:~;:::g~:~~~;~~~;!~~t:1'~QJriR~5\~.y.:t1)Z1'~r.. \i_; ,_'1 I each additional outlet \ I Subtotal I City OfSpringlleld'FlrstApplianee fee I State Surcharge(12% of permit fee) I City Of Springfield fees '" I TOTAL PERMIT FEE "'City Of Springfield fees: 5% Technology Fee $17.00 I $79.00 I $1152 I $480 I $11232 I LC) -'lloS LeJ 2J 09 vo 'This Authorization'To Begin Work must be posted at the job site until replaced by a Permit. Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00765 ISSUED: 06/02/2009 APPLIED: 06/01/2009 , EXPIRES: 12/02/2009 VALUE: 225 Fifth Street, Springlield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 157 12TH ST SPACE 58 ASSE;SSOR'S PARCEL NO.: 1703354]00201 Springfield TY!'E OF WORK: Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: Replace electric furnace Owner: Address: MOSS LEONA 157 N 12TH ST SPACE 072 SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type Mechanical Contractor License ASSOCIATED HEATING & AIR CONDITIO 106275 I, BUILDING INFORMATION I Expiration Date 0813112010 Phone 541-683-2590 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type . Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occupant Load: nla I DEVELOPMENT INFORMATION I REQUIRED PARKING Front yard 'Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: NOTICE- 1"'U J I::PI IIVI\!. VI t:::~UIJ IdW Il::YUlft:lti you \0 . ..1 PUBLIC IM~ROV~MENTS I follow rules adopted by the Oregon Utility Street Impl~IS P_~RMIT SHALL EXPIRE k "'L. ".'" '" NotifSJat~!llfT1I.\'l' Those rules are set forth t\'U'm'tlKlZED UNDER THIS PERMIT IS NOT in OAR 952-001'-00'10 through OAR 952-001- Storm Sew'(m"'~M1!Rffi'ED DR IS ABANDONED FOR 009(Dd.i!:Qspll.lJ,t'lbQ"aA~'tiopies of the ruies by Special Ins~p.f{i~'lfO DAY PERIOD' . . calling the center. (Note: the telephone . number for the Oregon Utility Notification Notes: Center" is 1-800-332-2344). I Valuation DescriDtion.' Description Type of Construction $ Per Sq Ft or, multiplier Square Footage or Bid Amount Value Date Calculated Paee I of 2 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00765 ISSUED: 06/02/2009 APPLIED: 06/01/2009 EXPIRES: 12/0212009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 54I-726-3769'Inspection Line Total Value of Project Fees Paid. Fee Description + 12% State Surcharge + 5% Technology Fee 1st Appliance Furnace - up to 100,000 btu Amount Paid Date Paid Receipt Number $11.52 $4.80 $79.00 $17.00 6/2/09 6/2/09 6/2/09 6/2/09 1200900000000000598 1200900000000000598 1200900000000000598 1200900000000000598 Total Amount Paid $112.32 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, Relluired rnsneetilln~ . Rough Mechanical: Prior to Cover . . Final Mechanical: When all mechanical work i,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 pertainiug to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at the proper 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 duri,ng construct~on. Owner or Contractors Signature Date Pa2e 2 of2 225 Fifth Street S~ringfield, Oregon 97477 541-726-3759 Phone "1i!'~,t.IlI^~Q~^F,I~O'.1 .I'~II":"...',; .', i IlL. . Job/Journal Number COM2009-00765 COM2009-00765 COM2009-00765 COM2009-00765 Payments: Type of Payment ONLINE CHGS cReceintl RECEIPT #: 1200900000000000598 Description I st Appliance Furnace - up to 100,000 btu + 5% Technology Fee + 12% State Surcharge City of Springfield Official Receipt Development Services Department Public Works Department Date: 06/02/2009 Item Total: Check Number Authorization Received By Batch Number Number 'How Received KR ONLlNEASSOCIAT Online ED HEATING &AIR Payment Total: Paid By ONLINE PERMIT CHGS Page I of 1 7:56:24AM Amount [)ue 79.00 17.00 4.80 11.52 $II2.32 Amount Paid $.1 ]2.32 $II2.32 6/2/2009