HomeMy WebLinkAboutPermit Mechanical 2009-7-8
City of Springfield
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69600-BMC-09-00019
Mechanical Authorization To Begin Work
E-mailedTo:brandy@associatedheating.com
7/8/2009 2:08 pm
Approval Code: 091958
Check on status of permif
By Phone: 541-726-3753 or Email: permitccnter@ci.springfield,oLuS
o New ConstnlClion
o AduilionJalterationireplacemenl
o I or 2 family dwelling 0 Multi-family 0 Commercial
DACCI;SSOryBllilding
1~~~~~yi;"~:lT~ho~SITE~INF:CJRMATioNAN~Ci!/::oCA710N::~r~:f :~1f'L' _.l~,~
I Job Address; ]654 S 59TH ST
I City/Stale/ZIP: SPRINGFIELD. OR 97478
I Suitcfbhlg.fapl.no.:
I ProjectN8me:
I C""S',,"/d;"'"'""'i,b,"O:
I Tn,,,/p"""': Jfmtf~~' 0~UD
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Install HIP system
I Name:ChelseeMarqllardl
I Phone: 541-359.8074
I Emllil:
Fax;
I CCB lie. no.: 106175
Business Name: ASSOCIATED HEATING &. AIR CONDITIONING INC
I Contatt;
I Address: PO BOX 412
I City/State/ZIP: EUGENE, OR 97440
Phone: 541-683-2590
Fax: 541-607-0287
Email:
Metro lir. no.:
City Ik. n!l.:
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 .
I Description
It~~ting~~og~~g'~l!Pp~~cH~Y?;;::
Heat Pump
Qt}'.
Total
I First Appliance Fcc I
11't~~-(HA~!GAL,'I~~.@lff}E~$:~_,
Subtotal
l $79,001,
":,f~)f_'..~":=,1
$96.00
$]1.52
Statcsurcharge(12%ofpenJlil
tOlal)
ITCchnOJOgYfeC(5%OfPt:mlil
lotal)
ITOTAL PERMIT, FEE
$4.80
SII2.32/
CG\ -~tJJ.D
~~ 1~oq
(IOnCE:
1 HIS PERMiT SHALL EXPIRE IF THE WORK
, UTHOR1ZED UNDER THIS PERMIT IS NOT
r DMMENCED OR IS ABANDONED FOR
~ W 180 DAY PERIOD.
ATTENTION: Oregon law requires you to
foNow rules adopted by the Oregon Uti lit
.Notlflcatlon Center. Those rules are set forlh
rn OAR 952-001-0010 through OAR 952-001-
0090.. You may obtain copies of the rules b
caNrng the center. (Note: the telephone y
number for the, Oregon Utility Notification
Center IS 1-800-332-2344).
\..
This Authorization To Begin Work must be posted at the job site until replaced by a Permit
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-0I006
ISSUED: 07/08/2009
APPLIED: 07/08/2009
EXPIRES: 01/08/2010
VALUE:
Status
Iss u ed
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
..
SITE ADDRESS: 1654 S 59TH ST
ASSESSOR'S PARCEL NO.: 1802033103200
Springfield TYPE OF WORK: Heating System
PROJECT DESCRIPTION: Install heat pnmpsystem in residence
TYPE OF USE: New
Residential
Owner: MARQUARDT KYLE J & CHELSEE L
Address: 1654 S 59TH ST
SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION'
Contractor Type
Mechanical
Contractor License
ASSOCIATED HEATING & AIR CONDITIO 106275
. I BUILDING INFORMATION'
# of Units:
Primary Occnpancy Gronp:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
. Range Type: .
NOTICE. ~\i:K~~PIRE IF THE W~RK
~~~u~E~~~rr1~~t'R~~il,~~~,~:~~;T~~:,~hlT .
COII~D.EY.EJ:OP-MoE)NT'INFORMATlON ,.
ANY 1BO UM n:n'vv,
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Expiration Date
08/31/2010
Phone
541-683-2590
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
ATTENTION: Oregon law requires you to
4.....II....u, .....Ior ...........^nt~M h" tho r'lrannn Iltilihf
I PUBLIC IMPROVEMENTS i'Jotification Center. Tho'se rules are set forih
ln OAR 952-001-0010 through OAR 952-001-
0090.Si~S~v~,\\iy~IWidn copies of the rules by
calli)'o'V.\sptS'8rsiDrai~!r:'te: the telephone
number for the Oregon Utility Notification
Center is 1-800-332-2344).
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
I, Valuation Descriotion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Page 1 of2
'Value
Date Calculated
$P.RINGI!I'J.lILDi
-Ii -,", ~_'m';
~ii
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2009-01006
ISSUED: 07/08/2009
APPLIED: 07/08/2009
EXPIRES: 01/0812010
VAL.UE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees Paid I
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Heat Pump
Amount Paid
Date Paid
Receipt Number
$JI.52
$4.80
$79.00
$17.00
7/8/09
7/8/09
7/8/09
7/8/09
1200900000000000790
1200900000000000790 ,
1200900600000000790
1200900000000000790
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' Reouired 1 [lsflections I
_11.1[1 1IIIIfl II
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
By signature, I state and agree, that 1 have carefully examined the completed application and do herehy 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 OCCUP ANCY will be made of any structure without permission of the Community Services Division, Building Safety.
1 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 construc~ion. . r
Owner or Contractors Signature
Date
Pa2e 2 of2
225.Fifth Street
Springfield, Oregon 97477
541,726-3759 Phone
Job/Journal Number
COM2009-0 1 006
COM2009-0 I 006
COM2009-0 I 006
COM2009-0J006
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
Description
1st Appliance
Heat Pump
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONL)NE PERMIT CHGS
/
>
City of Springfield Official Receipt
Development Services Department
Public Works Department
1200900000000000790
Date: 07/08/2009
2:18:38PM
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
79.00
17,00
4,80
I I ,52
$112.32
Amount Paid
KR
ONLlNEASSOCIAT Online
ED
HEATING
Payment Total:
$112.32
$112.32
Pa,ge I of I
7/812009