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Home My WebLink AboutPermit Mechanical 2009-6-10 City of Springfield Mechanical Authorization To Begin Work [-mailed To: associatedheating@gmail.com Receipt # EC553407 6/10/2009 11: 15:24 AM 'h'ryV ~f\' . ..~m.,."""...','.. !. ' . I(~ Check on status of permit By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us , :;'~~r: Sc,HEDUlE I Description Qty. J ~ Il!ea'tingJ~oo~in~,app~~~ncesi.,~'{ ,~- I Furnace. up to 100,000 BTU j Furnace + above] 00,000 BTU I Electric Furnace "._-, I DUcl alterations and additions I Gas heater units! in-wall, in- duct. susocndcd. cle/ I Vt."nt, flue, liner for above I Air Conditioner I Heat Pump I Air Handler 1:9~~cr^~~_~I_tiur_~ie~-a.ppli~~ces -;- ~-.. ._ I Wmcrheater ! G:lS fireplace/insert/stove I Gas log! log lighter I Gas clothes dryer I Gas stove/range I Pool or spa heater, kiln I Wood/pellet slove/inscn I Wood fireplace I Chimney/lincrlflue/vent w/o I a~oli~nce_.. ". I l E."v~l'9nme~t~1 exb,au~t A~q.ventil:ttion . 1 1 Rang, I/'!"C!T/('r-- I I .<"~, I Clothesp,ryt):.exfl'~mr. 'L '.~'~II Si~gle-ddctrHh~uStraMjrboilit1dLL EXPI~E IF TH WOR,K lod"c.&!~if1W'Pl'12.1g'lJ UN ER THIS P rooms).. _, . ERM I Altic/c\;'WI~'II:I~JlH,\\!(;tu OR'S ABANb 1!,~,elrfil!\~tvl~J'!lUh\Y PERioD.'" I upto first 4 outlets(enterQty=l) I I I each additional outlet ~;~\':::MECHA~.I~~L p~~MiT F;EE~ '., ~~~:^ Subtotal I City Of Springfield FirstAppliunce feel State Surcharge (12% of permit fee) I City Of Soringfie]d fees ., I TOTAl. i)ER~IIT FEE . City or Springlie]d fees: 5% Technology Fec I, TY~fOFWORK,> !KJ Addition/alteration/replacement .. ~~,. I D New construction I' -~.< :'~1""._, CAT""E~O~Y"~F CO~NSI~':JCTlq-N:1~: .... I [i] ] or 2 family dwelling D Multi-family D Accessory Building I. ~. ;", :'J08 S'tiEINfDRl'itilTION A~b'LpCil110N,' , IJob no.: 3658A IJob address: 1996 M'CTAVISI" CT I Cil)'/Stalc/ZIP: SPRINGFIELD, OR 97477-1903 I Suile/bldg.lapt.no.: I Project name: Cross street/directions to job site: I Subdivision: ITax map/parcel no.: 1703271306000 I;t-)~:~~~:t-~~~ ~'H~<~~::-:;~&ri.:;;t4i~~9RIPJlo.N:Ofj~~9RK!~~€~:~~~~r~'~j~:~'~~l,.:~l'~1 Replace H/P system I tot no.: ."~",,,.,"'" .."U" ~~"",'~ "'A~' :..i)ITE\C..O_~TAC1;,,,: -- ~,-::," IName: RodStalZer A"'T""'T"t"t-ITlf"'I"'. r"\,."..,.,.....n I~,^, rQnllirp~ VOIl to 1 Phone: (541) 726.5~7~;~,;:;';;,i':~orlnn~1 t'~it the Oreaori Utility 1 EmaH: Nntification Center. Those rules are set forth "'. in.. 0... AR952,OOi:ON:fRACT6R;ghV.tI)i~~;<"u!!,.!~ , " , ",.,"',,', "',,_ '_._"" . _,"', ~,","" -", ",_"'4,,, ,,,.c,,,,,,'- ICCD lie. no.: I06:G~90. YO~ may o.Dtalr~~~~~I~;l- ~l..l~::~~~.:'...uy I Business Name: ^Sroq}\J!!:9~~f\1jflq'~:~!~~~9~Q1~.!~Qt'!!~~~~';t.i~n I Contnct: Brandy Fo~s,;;:~~{",v'':'':~t:'r:'ir::.-1 =RnO-332~2344). IAddress: PO BOX 4]2 I Cily/State/ZIP: EUGENE, OR 97440 \ Phone: (541)6832590 I Email: associatedheating@gmaiLcom I Metro lie. no.: I r,,,: (541 )6070287 ICily lie. 110.: 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. 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. """~ , CCl-13l9 kL- En. Total :1 1 I $17.001 $17,001 $17,001 $17,001 ;'1 I I I 1 1 1 1 I 'I 1 1 'I $3<.00 I $79,00 I $13,56 I $5,65 I $132,21 J La [lDt cf1 This Authorization To Begin Work must be posted at the job site until replaced by a Permi!. Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspeetion Line SITE ADDRESS: 1996 MCTAVISH CT ASSESSOR'S PARCEL NO.: 1703271306000 CITYOF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2009-00836 ISSUED: 06/10/2009 APPLIED: 06/1012009 EXPIRES: 12/1012009 VALUE: Springfield TYPE OF WORK: Heating System, I CONTRACTOR INFORMATION I Contractor License ASSOCIATED HEATING & AIR CONDITIO 106275 BUILDING INFORMATION I I DEVELOPMENT INFORMATION I ATTENTION' Oregon law reC!"ire~ you to Front yard Setback: ' ~,ver1<lY Dist: , follow rules adopted by the "ily"" L\un,y Side I Setback: Notification Center. Those ruI8s~r~cjerr5r~.p.qd: S,de 2 Setback: in OAR 952-001-0010 through 1Jt>:r.d.;gp1:!Ol;Uld: Rearyard Setback: 0090, You may obtain copies (j'y g!Eh't!i&:JllVage: Solar Setbacks: calling the center. (Note:,t,he ,tel~p'ho.ne_ numot:H IUI lilt;;: \..11'1::;:'" "" 'Hun.. ..........".--..-.. Center is 1-BOI)PJ;lJ!I.a&4IMPROVEMENTS . Street Improvements: PROJECT DESCRIPTION: Replace heat pump system Owner: STATZER RODNEY T & MARY M Address: 1996 MCTAVISH CT SPRINGFIELD OR 97478 Contractor Type Mechanical # 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: Storm Sewer Available: Special Instruction: Notes: I V al~ation Descriotion I Description $ Per Sq Ft or multiplier Square Footage or Bid Amount Tvpe of Construction Page 101'2 TYPE OF USE: New Residential Expiration Date 08/3112010 Phone 541-683-2590 nla Lot Size: Sq Ft I st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: , Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: N BOWft~utslDrains: THI~ I~ERMIT SHALL EXPIRE IF THE WOR~, AUTHORIZED UNDER THIS PERMIT IS NO r.OMMENCED OR IS ABANDONED FOR ANY 180 DAY t'tt'\IUU. Value Dale Calculated Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Fee Description + 12% State Surcharge + 5% Technology Fee 1st Appliance ' Air Handling Unit Up to 10,000 Heat Pump Amount Paid $13.56 $5.65 $79.00 $17.00 $17,00 Total Amount Paid $132.21 Total Value of Project' Fees Paid I ,I Plan Reviews I Date Paid 6/10/09 6/10/09 6/10/09 6/]0/09 6/]0/09 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00836 ISSUED: 06/10/2009 APPLIED: 06/10/2009 EXPIRES: 12/10/2009 VALUE: Receipt Numher 2200900000000000649 2200900000000000649 2200900000000000649 2200900000000000649 2200900000000000649 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 Re</",ired Insnections . , 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 compliancewith 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 al) times during construction. Owner or Contractors Signature Paee 2 of2 Date 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone " Job/Jourm,) Number COM2009-00836 COM2009.00836 COM2009.00836 COM2009-00836 COM2009-00836 Payments: Type of Payment RECEIPT #: 8PAIN:OcFJltLO 1,/,.,,,11 *"'....... ~ ........ . 2200900000000000649 Description 1st Appliance Air Handling Unit Up to 10,000 Heat Pump + 5% Technology Fee + 12% State Surcharge ONLINE CHGS ONLINE PERMIT CHGS Paid By cReceinl1 City of Springfield Official Receipt Development Services Department Public Works Department Date: 06/10/2009 1 :20:22PM Amount Due 79,00 17,00 17,00 5,65 13,56 $132.21 Item Total: l.:heck Number Authorization Received By Batch Number Number How Received KR Pa,ge I of I Amount Paid ONLINEASSOCIA T Online ED HEATING Payment Total: $132,21 $132,21 611 0/2009