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HomeMy WebLinkAboutPermit Mechanical 2009-7-28 , '. City of Springfield liifil,: ~...;..,."....,. ..-"::""'....,.---.... .~",; ._~:'".,.;- '.~ L' , 10 I 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-:_ ,-<I I NewCOllstruction o Additionlaltcmtioll/replaccmclII CATEGORVOF,CONSTRUCTION',_':- , -~ ,,', 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 "l-,-. fSITe:CONTACT ~~~. :;;- 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 I ",,','" N.m'r.~~W~WK~ff'~fi:f ~R I\Wti\\<1l'\l\\j:!l'f FO R 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 ',_CI I 1 I '"I 1 I 1 I I j I ~ 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). , ~~ ~ \\ .fLC\ .DC\. '\ ~~ ~ 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