HomeMy WebLinkAboutPermit Mechanical 2009-6-11
City of Spri~gfield
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Mechanical Authorization To Begin Work
E-mailedTo:associatedheating@gmail.com
Receipt # RC55351R.
6/11/20091:32:38 PM
G ~,~~\
,
Check on status of permit
By Phone: (541)72?-3753 or Email: permitcenter@ci.springfield.or.us
I 0 New constructi~,n .
[i] Addition/alteration/replacement
I Description
Ea.
Total
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>~,~s.~"f~gpRy~q':C;;O~,SJ~YP"!J9~~.$~,r-~t~~~~Y;;:'~:;f; ~.,,~~
J [Xl 1 or 2 family d~;el1ing D Multi-family D Accessory Building
-:;1. ''TJOB'SiTEI/IIFOR'MATfO/lltA/IID
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IJob no.: 3666A IJob address: 2323 CLEAR-VUE LN
I City/State/ZIP: SPRINGFIELD, OR 97477-] 343
I Suitc/bldg./apt.no.:
Project lI11me:
Cross street/dircctio'nsto job site:
~-:.-
.""'-,,,",,-
I Fumace~ up to 100,000 BTU
I Furnace - above] 00,000 BTU
I Electric Furnace
I Duct alterations and additions
I Gas heateru,nils/in-wall, in-
duel. suspended, elc/
I Vent, flue, liner for above
I Air Conditioner
I }ica! Pump
I Air l?and1er
I
$1700
$17.00
I Water heater
I Gas fireplace/insert/stove
I Gas log! log lighter
I Gas clothes dryer
I Gas stove/range
I Pool or spa heater, kiln
I Wood/pellet stove/inseIl
I Wood fireplace
I Chimney/1iner!f1ue/vent w/o
apoliance .
I: Envfro'llm'entalexhaust:ANjj'vermiatioH~t;';;'~';~,~ "'"?;,' '^~ ~~';:~ :"
", 'V'-""'_"'~'.'", - ~,:'"_""r:,,,-,;'=-rx='-"'..... ,.;, :,_...., ~"_"." '"
I ""go hood I
I Clo_thes dryer exhaust I
I Single-duct exhaust (bathrooms,
toilet compartments, ulility
rooms)
I Attic/crawlspace fans
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ISUbdh'jsion:
I Tax map/parcel no.:, 1703271204500
I Lotno,:
]nstall a ductkss H/P
I Name: Gary Cairns::
IPhone: (54])741-7?56
IEmail:
IF""
JCCB lie. no.: ]062?5
I Business Name: 'A$SOCIATED HEATING & A]R CONDITIONI
I Contact: Brandy Forsman
IAddress: POBOX412
I City/Stnre/ZIP: EUGENE, OR 97440
!Phon" (541)683:f\W}TIr.F' IFa" (54])6070287
I Ema;l: assoc;aledp?~!ll<~~Mrp <::1-11111 I=\lDII~i: Ii: Tl-li: \MnQI(
I Met," ]i<. nn.' AIHHORI7Fn IIMnFrnC\'l'ii,,-,nI!>FQMlT Ie:: MnT
. COMME~I~D O~I~ABAMDONED FOR
Upon. reV:lew aRftil~J?RrR~l YPW c~ nSjjl~llon, your
permit will bete.lmiilJdJar 'd Wi II .bus mess 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.
I upto first 4 outlets(enter Qt)~'=l) I j l
I each additional outlet .. _ .,.___ 'J .. "'^
1'- '~^=ENt .".,.c"...,"J"~.."".........-- ,-.'...'-- ... 'I
,:h';~::~,"'.0s;.~.EPI-!':',filIC~.t_PE~MITl~'i'.~:.H;;'ii. ihilij\{i~".
I !OIlOW rUIt~;:t o.uvtJ~,i~ "'l$ybtQt~[~ -~:,... rot f...Jlf;OO )
I NO\iait\E0fiS~I">it'~]iFfI"s;fAR'PJi1i;c"'FJ:::.;:;"'- ,;,,~ ",r;,7fl,00 I
I in ()AStaferSijHili.bf.jle\..l~~%\1M~'r.~lif~e~ y.n," ....-"';' .-.-~n-?2
I nnnn Vr.11 rreil}' Q(Srmngfi'eJq:fee~*4-.l1 lllt:: I Ul~"". !'4':80
I o_~ ,-,;,-~" h^ '(Ol~,"'PE!t~IlT'f.E1l:1e te]epIlUI$~2J2
. City or Sprmg"b1U I,es: i"h% TOChnQ!<il'Jrl''lltility Notification
number tor 1 e U]. ~\J ,
CCI - Byqente~~O-33U\4f)t \ O~
This Authorization To Begin Work must be posted at the job site until repla'ced by a Permit.
CITY OF SPRINGFIELD
"
. -
Building/C6mbination Permit
it
Status
Issued
PERMIT NO: COM2009-00841
ISSUED: 0'6/11/2009
APPLIED: 06/11/2009
EXPIRES: 12/11/2009
VALUE:
225 Fifth Street, Springlield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2323 CLEAR VUE LN
ASSESSOR'S PARCEL NO.: 1703271204500
Springtield TYPE OF WORK: Heating S~stem
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Install a dnctless'heat pump
Owner:
Address:
CAIRNS GARY L & NORMITA J
2323 CLEAR VUE LN
SPRINGFIELD OR 97477
Contractor Type
Mechanical
I CONTRACTOR INFORMATION I
Contractor License
ASSOCIATED HEATING & AIR CONDITIO 106275
BUILDING INFORMATION I
Expiration Date
I 08/31'/2010
Phone
541-683-2590
# of Units:
Primary Occupancy Gronp:
Secondary Occupancy Gronp:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Strnctnre
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Bnilding:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occup~nt Load:
n/a
I DEVELOPMENT INFORMATION I
:, REQUIRED PARKING
Frontyard Set!\!@f:/CE: Overlay Dist:
Side 1 Setbac"FHIS PERMIT SHALL # Street Trees Rqd:
Side 2 SetbaCk-:UIHO EXPIRE IF TH6tW(P~J(ive Rqd:
Rearyard Set~'t5k: .R/ZED UNDER THIS PERMI1'lq3>JNe>TCoverage:
Solar Setback~: IVIMENCED OR JS ABANDONED FOR
A~IV 1 Qn n ^." neX3E
Total:
ATTENTION: OregC'.!l ,~'" rp.(1' ur.~s you to
f II I' d . n~nDlcap-pen.
o ow ru e~ a opteQ-.b'''IhP Oregon Utility
Notification Center..,lnoWe~8fes are set forth
in OAR 952-$01-0010 through OAR 952:001-
0090. You may obtain copies of the rules bv
\"'Clllllltf LIlt! l,;t::IIl~I:~ ll\jOle: me lelepnone
I PUBLIC IMPROVEMENTS I number for the Oregon Utility Notification
SideJ;nRlf:y~: 1'800,332,2344).
Street Improvements:
Storm Sewer Available:
Special Instruction:
DownspoutslDrains:
Notes:
. I Valuation DescriDtion I
DescriPtion
Type. of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee 1 of 2
Status
Issued
CITYOF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00841
ISSUED: 06/11/2009
APPLIED: 06/11/2009
EXPIRES: 12/11/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
F~es Paid I
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Heat Pnmp
Amonnt Paid
Date Paid
Receipt Number
$11.52
$4,80
$79,00
$17,00
6/11/09
6/11/09
6/11/09
6/11/09
1200900000000000663
1200900000000000663
1200900000000000663
1200900000000000663
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 Reou ired "lsneeti?ns .
1111111111111 f
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical ,vork 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 fnrther 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 witbout permission of the Community Services Division, Building Safety.
1 further certify that only cuntractors 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 reqnested at the proper time, that each address is readable from tbe
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 Signatnre
Date
Pa2e 2 of 2
225 <Fifth Street '
Springfield, Oregon 97477
.541-726-3759 Phone
Job/Journal Number
COM2009-0084I
COM2009-0084I
COM2009-0084I
COM2009-0084I
Payments:
Type of Paym~nt
RECEIPT #:
Description
I st Appliance
Heat Pump
+ 5% Technology Fee
+ 12% State Surcharge
ONLlNp CHGS ONLINE PERMIT CHGS
Paid By .
cReceint I
if~
1200900000000000663
City of Sprin'gfield Official Receipt
Development Services Department
Public Works Department
Date: 06/1112009
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
KR
Page I of 1
ONLlNEASSOClAT Online
ED
HEATING
Payment Total:
2:09:0IPM
Amount Due
79.00
17.00
4,80
11.52
$112.32
Amount Paid
$112,32
$112.32
61 II 12009