HomeMy WebLinkAboutPermit Mechanical 2009-6-2
. City of Springfield
Mechanical Anthorization To Begin Work
E-mailedTo:associatedheating@gmail.com
Receipt # EC552R61
6/2120093:40:56 PM
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Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
, "j1"li'fOF WORK".r
[K] Addition/alteration/replacement
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'FE'E SCf!EDULE
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)Oesrription
I ~~_Ieltti nglcoo.lf~g-up~ iis n-c~ ;>",;
I Furnace- up to 100,000 BTU
I Furnace - above 100,000 BTU
I Electric Furmu:e
i Duct alterations and additions
I Gas heater uilitsl in-wall, in-
duct. susoended. elcl
I Vent, flue, liner for above
I Air Conditioner
I Heat Pump
I Air Handler
liOt!~ff~~lit)uffii'ng~li,lpli~~c.~r,
I Water heater I
I Gas fireplace/insert/stove I
I Gas log/log I;ghter I
I Gas clothes dryer I
I GrlS slOve/mnge I
I Pool or spa heater, kiln I
I Wood/pellet stove/insert
. ..f I I Wood fireplace
I Chimney/linerlnue/vcnl w/o ,
I aooliance
I 1'~:.~,~i~9me!lt~Lexh~~sl i~N:O>ern.tiIati~n"-
I I Range hood
>.1 I Clothes dryer exhaust
I Single-duct exhaust (bathrooms,
I toilet compartments, utility
1 rooms)
I Aniclcrawlspacefnns
I k~'UC(PilliJrgt'~r;,_ ".:;:';;~- "".1"
IluPlofirSI40U1ICIS(CnterQty=1) I I
I I each additional outlet
: I:.' <E4'.;!\fE~\iANlsAl!fERs~~;o~a;Es,~F.,
I I City Of $pringlidd First Appliance fee
I State Surcharge (12% of peon it fee)
I CilY Of Springfidd fees.
i TOTAL P.:Ri\IIT .'EE
* City Of Springfield fees: 5% Technology Fee
10 New construction
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CATEGORMF CONl'TRUgTlON,.;,
1[8 I or 2 family dwelling 0 Multi-family 0 Accessory Building
1;:tJJ; .,. .';;JOB SITE INFORM~TI01:~fA1:llj(bcATI9N
IJob no.: 3645 IJob address: 1617 MARKET ST
I City/State/ZIP: SPRINGFIELD, OR 97477-3341
I Suite/bldg./apt.no.:
I Project name:
Cross street/directions to job site:
$17.00
I Subdivision: I Lot no.:
ITax nmp/parccl no.: 1703253214300
I,>, ,F"::':'~,,:gES(;~IP!i6Nc:iF:V'iOR:Kr"-
Inslllll ductless H/P
I Name: Rita Vait
IPhone: (541)747-6419
IEmail:
I.'ax: 747~64'19
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~!(:ONTRAC,OR
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1 CCB lie. no.: 106275
I Business Name: ASSOCIATED HEATING & AIR CONDITION I
I Conlllcl: Brandy FOrSlTIllD
IAddress: PO BOX 412
I City/Slate/ZIP: EUGENE, OR 97440
! Phone: (541 )6832590 I Fax: (541 )6070287
I Email: associatedheating@gmail.com
!Metro lie. no.: 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 your inspection.
NOTE: This Authorization To Begin Work expires within 180
days if a permit is not obtained.
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The local building department may determine that an
. Authorization To Begin Work is null and void If It does not
meet applicable land use laws and local ordinances.
This Authorization To Begin Work must be posted at the job site until replaced by a Permit.
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$17,00
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$17.00 I
$79.00 I
$11.52 I
$480 I
$112.321
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: C0I\12009-00773
ISSUED: 06/03/2009
APPLIED: 06/03/2009
EXPIRES: 12/03/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1617 MARKET ST
ASSESSOR'S PARCEL NO.: 1703253214300
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Install ductless heat pump
Owner: V AIT RITA A
Address: 1617 MARKET ST
SPRINGFIELD OR 97477
Phone Number: 541-747-6419
Contractor Type
Mechanical
I CONTRACTOR INFORMA TION I
. Contractor License
ASSOCIATED HEATING & AIR CONDITIO '106275
BUILDING INFORMATION'
Expiration Date
08/31120 I 0
Phone
541-683-2590
# of Units:
Primary Occupancy Group:
Secondary Occnpancy 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 I st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION'
REQUIRED PARKING
Front yard Setback:
Side I Setback:
Side 2 Sethack:
Rearyard Setback:
Solar Setbacks:
Overlay Dist: Total:
# Street Trees Rqd: ,liandicapj,'ed:
Paved Drive Rqd: n lavI \CClCompact:,.,IW
\'l' 01890 tI- p 0,~" \ 101\n
% Of Lot Coveragc.:,t.\'fnO 'd pled \)~ ,- \8S ale se 01-
}\\ uleS a 0 ,nose \U \'1952,0
. lol\ov-J t,.~~ ('.13\\\6(.. ~ .",nuQn o~.,^ n,\e5 o~.
I PUBLIC IMPROVEMi~:TS;1952-00\-~b\;i\\ COp\~~;~ \e\epno~~n
'IoU tna'i '~I [\'lo\e... \'loli\ica.
0090.\. 9 t\~Jdewal"'T.yp,e:\.l\lI\W344).
cal 1\\ ~I \ne U\,~;~[\,332-2
nutnoel IDownslloutslDrains:
cent'Ci'
Street Improvements:
Storm Se,wer. A~ilable:.
1.1 ~ i I f ~ ......
Special' I nstr'uCtion:
THIS PERMIT SHALL EXPIRE IF THE WORK
Notes: AUTHORIZED UNDER THIS PERMIT IS NOT
r.Of\nMF~Ir.m OR IS ARMlnONFO FOR
ANY 180 DAY PERIOD.
I Valuation Descriotion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee I of2
_$~G~.I.:.,..~.\
~~.!
~." ,
...... ' ....., ......, ,'_..,~.."". .':"'. ._~ J' J
Status
Issued
CITY OF ~rf(11"\..>l'IELD
Building/Combination Permit
PERMIT NO: COM2009-00773
ISSUED: 06/03/2009
APPLIED: 06/03/2009
EXPIRES: 12/03/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
F~~s Pair! I
Fcc Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Heat Pump
Amount Paid
Date Paid
Receipt Number
$11.52
$4.80
$79.00
$17.00
6/3/09
6/3/09.
6/3/09
6/3/09
3200900000000000413
3200900000000000413
3200900000000000413
3200900000000000413
Total Amount Paid
$112.32
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 Reouirer! Inspections,
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, 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 dUf!ng construction.
Owner or Contractors Signature
Date
Page 2 of 2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-00773
COM2009,00773
COM2009,00773
COM2009,00773
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
Description
1 st Appliance
Heat Pump
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
iii4i:
3200900000000000413
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 06/03/2009
7:14:28AM
Amount Due
79.00
17.00
4.80
11.52
$]] 2.32
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
nJrn
Page 1 of I
Amount Paid
ONLINE associated Online
Payment Total:
$112.32
$112.32
6/3/2009