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:
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I N:mle: Bruce Berg
IPhune: 541-726-(jJ 19
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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