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HomeMy WebLinkAboutPermit Mechanical 2009-6-8 .. '" Mechanical Authorization To Begin Work , . E-mailedTo:associatedheating@g~ail.com Receipt # FC553210 6/8/200911:54:05 AM ,/1 f\ /'1, ('; li;ity of SpringficId Check on status of permit By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us ~\,,_t. .;. o New constmction lliJ Addition/alterationJreplaceTllent I Dcscriptivn I - '.:1 I I I I I I I $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. vo 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