HomeMy WebLinkAboutPermit Mechanical 2009-7-28
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'. City of Springfield
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69600,BMC-09-00044
Mechanical Aulhoriza1ion To Begin Work
E-mailedTo:brllnd).@asstlcialcdhcating.com
Check on status or permit
7/28/2009 I :00 pm
Approval Code: 059520
By Phone: 541-726-3753 ,or Email: pcrmitccnter@ci.springfield.or.us
-, ",':,"\-::'TYPE -OF:WORK, i-:_
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I
NewCOllstruction
o Additionlaltcmtioll/replaccmclII
CATEGORVOF,CONSTRUCTION',_':- ,
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10] ,,2 'mn;]y dw"];" 0 M,It;,'",,;], 0 Co~"';'] OA""'O'1' B,;Id;,"
I C', . JOB SITE INFORMATlmtAND LOCATION,,"
I Jub,\ddress: 1542 9TH ST
I City/State/ZIP: SPRINGFIELD,OR 97477
I Suitelbldl:1Ppl.no.:
I ProjeclName:
I Cm" S""ud;",""", '0 job ,;",
I Tux mllp/parcel no.:
't ~~ .~{iDE'SCRIP:T10N:OF;V,jORKf;;t:i;::,'&f.>'1f:,\:1'~'-\.~_'-~Z:c.,.~_~
Install HIP & AlH
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fSITe:CONTACT
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I Name: SIIlCY Hnrris
I Phone: 541-653.85]9 Fax:
I Em.n, NnTlf.I='
1 ,'TWIc: ikbnnlT C:1.G:~~t~'I\JOBt'I!:TI'l!:\I:,rii:!1f:
1 CCB''', no,' ]~n'fl-lnRI7I:n 11~lni:R TI'lIC: Ri:RMIT Ie:: MnT
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1 CO""'" IIMV 1 Rn nllv Ri:Rlnn
I AlIureu: P0I30X412
I Cily/Slllle/ZIP: EUGENE, OR 97440
I Phone: 54]-683-2590 1<'~lO: 541.607-0287
I Emili!:
I Metro lie. no,: Cil)'lie.no.:
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 tt does not meet applicable land use laws
. and local ordinances
ID'''';p"," ;';;':FEESCt:~LE'I' E., T"'" :'1
IHeatini:tc'oo~Di applia~cc~ _ .:::' .,'. _
I Heat Pump J] I $17.00 I $17.00
l~linim urn' Fc'cs\;-- _~;.
I First Appli,mcl;: FI;:I;:
I:\J~CHA~ICALPER~j(J't''';ESr .~ ( .'~
ISublOlal
I Slale surchnrge (12% of permit
lotal)
I Technology fee (5% of permit
IOtu\)
'TOTAL PERMIT FEE
~q~\cr\\ ~ 1(62([01
,1:-
$79.001
I
$96,00 I
$]1.521
S4.80I
S1I2.321
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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).
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This Authorization To Begin Work must be posted at the job site until replaced by a Perm'it
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01091
ISSUED: 07/28/2009
APPLIED: 07/28/2009
EXPIRES: 01/28/2010
VALUE:
225 Fifth Slreet, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1542 9TH ST
ASSESSOR'S PARCEL NO,: 1703264204000
Springfield TYPE OF WORK: Healing Syslem
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Inslall heal pump and air handler
Owner: STACY LYNN HARRIS TRUST
Address: 1542 9TH ST
SPRINGFIELD OR 97477
Owner: HARRIS ROSEMARY TE
Address: 1542 9TH ST
SPRINGFIELD OR 97477 ,
I CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Contractor License
ASSOCIATED HEATING & AIR CONDITIO 106275
BUlLDlNC: INFORMATION I
Expiration Date
08/31/2010
Phone
541-683-2590
# of Uni1s:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Heighl of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq FIls! Floor:
Sq F1 2nd Floor:
Sq Ft Basemenl:
Sq FI GaragelCarporl
Sq FI Olher:
Occupanl Load:
nla
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Front yard Sethack: Overlay Disl: Total:
Side I Setback: # SIree1 Trees Rqd: Handicapped:
Side 2 ~~\!!m~. Paved Drive Rqd: ATTENTION: OregonQ&,I)lI1!'~tJires you to
Rearyat;i1l~~16~I' SHALL EXPIRE IF THE Wo~'K"f Lot Coverage: follow rules adopted by the Oregon UliIity
Solar Set~acfs~ V1IT K, Notification Center, Those rules are set forth
81IT!-lnJ:1I7i=n IIMn~R Tf.ll~ P~RMIT IS NOT in ()AP o~., "'" "n,,, 'h_~..:" ,,^,,": :::: ee 1
COMMENCED DR IS ABANooNEDllI\lI.1IilLlC IMPROVEMENTS ,090" You may obtair copies of the rules by
1{\1l'~ t~Jrl&Y PERIOD.' , call1l'!g the center, (Note: the telephone
Streel po, num~l!IelVll~l!J(!)l'&gon Utility Notification
Storm Sewer Available: DoQli~lllii~D~oo.,332-2344).
Special Instruction:
Notes:
Page 1 of2
Status'
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-0I091
ISSUED: 07/28/2009
APPLIED: 07/28/2009
EXPIRES: 01/28/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation DescriDtion I
Description
Type of Cons1ruction
$ Per Sq F1
or multiplier
Square Foo1age
or Bid Amount
Value
Date Calculated
Total Value of Projecl
Fees Paid I
Fee Descriptiou
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Heat Pump
Amount Paid
Dale Paid
Receipt Numher
/
$11.52
$4,80
$79.00
$17,00
7/28/09
7/28/09
7/28/09
7/28/09
1200900000000000849
1200900000000000849
1200900000000000849
1200900000000000849
Total Amouut 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 Reollirerl Insnec!ions I
Rough Mechanical: Prior 10 Cover
Final Mechanical: When all mechanical work is complete,
By signature, 1 state and agree, Ihall have, carefully examined Ihe completed application and do herehy certify thai all
illformalion hereon is true and correct, and 1 furlher certify 1hal any and all work performed shall be done in accordance with
the Ordinances of the City of Springfield and Ihe Laws of the Slale of Oregon pertaining 10 1he work described herein, and
that NO OCCUPANCY will be made of any strncture wi1bout permission of 1be Community Services Division, Building Safety,
, I further certify that only contraClors and employees who are in compliance with ORS 701.005 will be used on Ihis project.
1 further agree to ensure Ihat all required in spec lions are requested at the proper lime, thai each address is readable from Ihe
street, that the permit card is located at the front of the property; and the approved sel of plans will remain on the site at all
times during construction.
Owner or Conlractors Signature
Date
Page 2 of 2
2Z"5 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-0 I 091
COM2009-0 I 091
COM2009-0 I 091
COM2009-01091
Payments:
Type 'nf Payment
ONLINE CHGS
cRcceint I
RECEIPT #:
Description
1st Appliance
Heat Pump
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
~.jt4
1200900000000000849
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 07/28/2009
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
KR
Page I of I
ONLlNEASSOCIA T Online
ED
HEATING
Payment To1al:
\ :40:00PM
Amount Due
79,00
17,00
4,80
11.52
$\ \2,32
Amount Paid
$112.32
$1 \2,32
7/28/2009