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HomeMy WebLinkAboutPermit Mechanical 2009-7-6 City of Springfield Mechanical Authorization To Begin Work E-mailed.To:brandy@associatedhe.ating.com 69600"BMC-09-000 13 7/2/2009 3:55 pm Check on status of perinit By Phone: 54] -726-3753 or Email: permitcenter@ci.springfield.or.us o New Construction o AdditionlallerationlrcplacClilcnt IOcscrilllion 10l"2f='IYdW"li"g I First Appliance Fee o Muhi-family o Commercial DAccessoryBuiJding I Subtotal I State surcharge (12% orpermit tOtal) I Techno]ogy fec (5% orpemiit totall I TOTAL. PERMIT FEE I JobAddress:A48 DST [ Cit)'IStale/ZIP: SPRINGFIELD, OR 97477 jSuitelb!dg.JlIPr.no.: I Project NlImc: I C"" S.""ld'","oo"" job ,i", I I I I CP\_. 0\ DO :~~;;:~~;:~t~FIwg~~~T~-F-~~l ~t 'lIlY I Dq InSlall Ale I N:mle: Bruce Berg IPhune: 541-726-(jJ 19 I Em.il NU II!;E: 1;t;:~~1'&I'~:>;;~";';;";~I;l;fl;:;2Px~lilMlfRf>#.l$~i:rJ::jRRfQ'e"Ii:':i;i::ri:',\~';~vjj CCnli,.oo 106275 AUTi10RIZfD UNOFR THIS pf:D~nIT-'E.~j~ ll"'i"" N.m" AssoclAft6JMM~NCB!9WI5'1j\m:ll\mn~lf:n f:f"1D ANY 180 DAY PERIOn Fax: I Contact: I Address: 1'0 BOX412 j City/State/ZIP: EUGENE, OR 97440 I Phone: 54]-683-2590' r ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001- 0090. You may obtain copies of the rules by calling the center. (Note: the telephone number for the Oregon Utility Notification Center is 1-800-332-2344). Fax: 54]-607-0287 11-:"'''i1: I Metro lie. no.: City lie. no.: Upon review and approval by your local jurisdiction, your permit will be a-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 This Authorization To Begin Work must be posted at the job site until replaced by a Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00980 ISSUED: 07/02/2009 APPLIED: 07/02/2009 EXPIRES: 01/02/2010 VALUE: SITE ADDRESS: 448 D ST ASSESSOR'S PARCEL NO.: 1703352407200 Springfield TYPE OF WORK: Heating System TYPE OF USE: PROJECT DESCRIPTION: Wire heat pump and air conditioner in resideoce Owner: BERG BRUCE R & SHERRI M Address: 448 D ST SPRINGFIELD OR 97477 Residential I C?NTRACTOR INFO~ATION , Contractor Type Electrical Mechanical Contractor OREGON ELECTRIC SERVICE ASSOCIATED HEATING & AIR CONDITIO License 181997 106275 Expiration Date 05/09/2010 08/31/2010 Phone 541-343-1681 541-683-2590 ~U1LmNG INFORMATION I # of Units: Primary Occnpancy 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: n/a Lot Size: Sq Ft I sl Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: I DEVELOPM~NT INFORMATION ,I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: I PU~L1C IMPROVEMENTS 1 Street Impro~@l16e: Storm Sewer THllllOOtlMIT SHAll EXPIRE IF THE WORK Special InstnM!.iQfI~ORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Notes: Paee 1 01'3 REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: ATTDb1Wh~~u'i's!DJ'3ih~,W requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001- . 0090. You. may obtain copies of the rules by calling the center. (Note: the telephone number for the Oregon Utility Notification Center is 1-800-332-2344). Status Iss u ed CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00980 ISSUED: 07/02/2009 APPLIED: 07/0212009 EXPIRES: 01/02/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descriotion I Description Type of C:onstruction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project I . Fees P3id I Fee Description + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 12% State Surcharge + 5% Technology Fee 1st Appliance Amount Paid Date Paid Receipt Number $8.64 7/2/09 1200900000000000771 $3.35 7/2/09 1200900000000000771 $55.00 7/2/09 1200900000000000771 $12.00 7/2/09 1200900000000000771 . $9.48 7/6/09 1200900000000000772 $3.95 7/6/09 1200900000000000772 $79.00 7/6/09 1200900000000000772 Total Amonnt Paid $170.82 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 Rennired Insrec~~~n~ I Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Rough Mechanical: Prior to Cover Final Mechanical: Whenall mechanical work is complete. Page 2 of 3 Status Issued CITY OF ~rK1J~GFIELD Building/Combination Permit PERMIT NO: COM2009-00980 ISSUED: 07/02/2009 APPLIED: 07/02/2009 EXPIRES: 01102/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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 pcrformed 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 during construction. Owner or Contractors Signature Date Paee 3 of 3 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-00980 COM2009-00980. COM2009-00980 Payments: Type of Payment ONLINE GIGS cReceintl RECEIPT #: Description 1 st Appliance + 5% Technology Fee + 12% State Surcharge Paid By ONLINE PERMIT CHGS . .' City of Springfield. Official Receipt Development Services Department Public Works Department 1200900000000000772 Date: 07/06/2009 Item Total: Check Number Authorization Received By Batch Number Number How Received KR ONLINE associated Online heating Paymcnt Total: Page 1 of 1 8:27:30AM Amount Due 79.00 3.95 9.48 $92.43 Amount Paid $92.43. $92.43 7/6/2009