HomeMy WebLinkAboutPermit Mechanical 2009-6-8
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Mechanical Authorization To Begin Work
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E-mailedTo:associatedheating@g~ail.com
Receipt # FC553210
6/8/200911:54:05 AM
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li;ity of SpringficId
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
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o New constmction
lliJ Addition/alterationJreplaceTllent
I Dcscriptivn
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$17001
I
I Furnace~ up to 100,000 BTU
I Furnace - above] 00,000 BTU
I Electric Furnace
I Duct alterations afld additions
I Gas heater units/ in-wall, in-
duct, suspended. etel
I Vent, flue, liner for above
. I Air Conditioner
I Heat Pump
I Air Handler
$1700
I [2J lor 2 family dwelling 0 Multi-family D Accessory Building
,",~/~j:f'~~2~:r~~~":~P,~:SIi]:I,~Ig~MATfoN)A~t;>~~R~~~i,QN~;;",~~t:;:;, ~--".r
IJob no.: 3652A IJob address: 637 56TH ST
I City/StlltelZlP: SPRINGFIELD, OR 97478-6885
I Stiite/bldg./apl.llo.:
I Project name:
Cross street/directions to job site:
"...~
I Water heater
I Gas llreplace/insertJslovc
I Gas log! Jog lighter
I Gas clothes dryer
I Gas stove/range
I Pool or spa heater, kiln
I Woodipellet stove/insert
I Wood firepl<lce
Chimncy/linerlflue/vent wlo
aooliance
:;'".,,:C"':,' , ~"'-"P".'",:''' ' '',,,''c., ",'c': ::,." " ' .. ",~'
:,fnviro_nme~lltal~~aus~~~p ventilation:,
;~~[;~.7+;V:~~ ',1'.:.;;.~;:."".;1
I Subdivision:
ITax mllp/pan:cI no.:
ILot no.:
/70233/402400
Install ductless HIP
.".,_..r.'r'""'~
I
I Phone: (541)746-!279 -l!7!7SG-GSS-OOj:Nx:S! J81U8:) I
:'~'~~~"~~~;~'€~5~~;l~i:1.~"~~i~~~~~?~~'"A~~i~;~~1.~~9.~~\~ml ~E IF TH: WORKII I
. . ."'~" ':~n MUn U no"" r;~':'C-lC2':'Xi ~"/v ~i A rro""'PI7J:n IIMnn~ THI~ PFRMIl IS NOT
: ::::t:::~ ~:r~n'~~;~r~g~h~~~;I;~~~~~:I::'~:~~P~~~I;~~ L ~1\t~~~:.~f~~~J?l~ A~89, ~I ~ ~Q~0,~.ls;., f.')
]Address: PO 130)('412"'\ '''''i''UdJ Mel UOOSJO :NOI1N311\t AI~I'~~~:.;Z~'~~'XI;E(~::r~~:;"+'c"...,.."..:._t..0.'?c;~".''''T',,!
I CitylStattlZlP: EUGENE, OR 97440 I I each additional outlet I
I Phone: (541 )6832590 IF",: (54 I )6070287 I
i Email: associatedheating@gmail.com I
i Metro lie. no.: I City lie. no.: I
I Name: LU<lnne Roche
NOTE: This Authorization To Begin Work expires within 180
days if a permit is not obtained.
I Subtotal
I City Of Springfield First Appliance fee
I State Surch<lrgc (12% of penn it fee)
I City Of Sjxingfield fees ..
I TOTAL PERMIT .'[E
* City Of Springfield fees: 5% Technology Fee
C9- '6DS
$17.00
$79.00
$11.52
$4.80 I
$112.321
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.
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LPI~\OC1
The local building department may determine that an
Authorization To Begill Work is null arid 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 untit replaged by a Permit
.
_~FlI~,QIlIIit\;I:!.f
l
.
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00805
ISSUED: 06/0812009
APPLIED: 06/08/2009
EXPIRES: 12/08/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
54]-726-3676 Fax
54]-726-3769 Inspection Line
SITE ADDRESS: 637 56TH ST
ASSESSOR'S PARCEL NO.: 170233]402400
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New'
Residential
PROJECT DESCRIPTION: Install ductless heat pump
Owner: ROCHE LUANNE
Address: 637 N 56TH ST
SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION'
Contractor Type
Mechanical
Contractor License
ASSOCIATED HEATING & AIR CONDITIO ]06275
BUILDING ]NFORMATION I
Expiration Date
08/31120] 0
Phone
54]-683-2590
# of Units:
Primary qccupancy 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 ]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 Sethack: '(17178Z-Z88-009-l S! J8\U~erffi.l:lrlUst:
Side] Setback: UOI\B:Jlll\ON AI!I!ln U068JO 8lj\l)fS't~~~\13trees Rqd:
Side 2 Setback: 8uoljda\8l aljl :a\oN) 'J8lUan E'P~"~~!~gJ'io Rqd:
Rearyard Setbackliq S81nJ 8ljllo S8ldon UP3\qO A13~'~f'L%~verage:
Solar Setbacks: _ ~OO-ZS6l:l'v'O lj6noJlj\ 0 ~OO- ~OO So t! N .
'I' ,~, ,~o ~'" OAmJ 8S0!-l1 'J8\U80 UO!lBn!l!lo
All\!\n U06810 8lj\ Aq P8iP.UBLIC'iMP'iiQVEMENT9~T1CE: .
0\ noA s8JmbaJ MBI:uof.-' .. ....- rllS ~mMI~tl-l '
Street Improvements: '. AUTH ~v I T~U, SXPIRE IF THE WORK
. t NttE'Fl THIS PERMIT IS NOT
Storm Sewer A~aIIable: COMM~U~U'tJW~rj\~A'NDONED
SpCClal InstructIOn: ANY 180 DAY PERIOD. FOR
Total:
Handicapped:
Compact:
Notes:
I Valuation Descriotion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value,
Date Calculated
Page] of2
. ..
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00805
ISSUED: 06/08/2009
APPLIED: 06/08/2009
EXPIRES: 12/08/2009
VALUE:
225 Fifth Street, Springfield, OR
54]-726-3753 Phone
54]-726-3676 Fax
54 ]-726-3769 Inspection Line
Total Value of Project
Fees Paid I
Fce Description
. + ]2% State Surcharge
+ 5% Technology Fee
]st Appliance
Heat Pump
Amount Paid
Date Paid
Receipt Number
$] 1.52
$4.80
$79.00
$17.00
6/8/09
6/8/09
6/8/09
6/8/09
1200900000000000632
1200900000000000632
1200900000000000632
]200900000000000632
Total Amuunt Paid
$] ]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 Insne.ctions I
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete. .
By signature, I state and agree, that] have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and] 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 Communi!)' 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 during construction.
Owner or Contractors Signature
Date
Page 2 of 2
t
225 Fifth Street
Spril;1gfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-00805
COM2009-00805
COM2009-00805
COM2009-00805
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
Description
I st Appliance
Heat Pump
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
,
iiii4
City of Springfield Official Receipt
Developme!lt Services Department
Public Works Department
1200900000000000632
Date: 06/08/2009
] :09:57PM
Amount Due
79.00
17.00
4.80
11.52
$112.32
Item Total:
Check.. Number Authorization
Received By Batch Number Number How Received
ONLlNEASSOCIAT Online
ED HEAT & ./
AIR'
, Payment Total:
KR
Page I of I
Amount Paid
$112.32
$ 112.32
"
6/8/2009