HomeMy WebLinkAboutPermit Mechanical 2009-7-31
City of Springfield
Mechanical Authorization To Begin Work
E-mailedTo:brandy@associatedheating.com.
Check on status of permit
By Phone: 54] -726-3753 or Email: permitcenter@ci.springficld.or.us
I 0 New Construciion
o Addition/a1tcrationlreplacemerit
10 I or 2 family d~e\ling 0 Multi-family
o Commercial
o Accessory Building
Job Address; 483 SPRINGDALE AVE
City/State/ZIP: SPRINGFIELD, OR 97477
Suite/bldg.lllpt.no.:
.'rojectName:
I C'"" S""tld;",",""" job ,it"
I Tax map/parcel no.:
Install a ductless HIP
I Name:Oliveloms
I Phone: 541-741-1897 Fax:
I Email:
r~ "~:-~COI;;'ITRAiCTO~,~'~j!~~~,;:;{~'r'i--' .:-,.
I CCB lic. no.: 106275
I Business Name: ASSOCIATED HEATING & AIR CONDITIONING INC
I Contact:
I Address: PO BOX 412
I City/State/ZIP: EUGENE, OR 97440'
Phone: 541.683.2590
Fax: 541.'607-0287
Email:
Metro lie. DO.:
Cily lie, 1l0,:
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
p~nnit 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
;;;;:,1
I
IDe~criPlion
l~l)~.i.~iun .' iiee~;~';;Zi'
I First Appliance Fee
IMEc;H.:\Nf<;::AVPERA1-IT~ F~ES~:
ISublotal
ISlatesurcharge(12%OfPemlil
tOlal)
I Technology fee (5% ofpennil
total)
I TOTAL PERMIT FEE
cq/IIDf;;
69600-BMC-09-00049
7/31/2009 12:16 pm
Approval Code: 035617
$79.001
:\;-4A::~1
$79,00
$9.48
$3.951
$92.431
~
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This Authorization To Begin Work must be posted at the job site until replaced by a Permit
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CITY OF SPRINGI<JJi.-LU
Building/Combination Permit
Status
Issued
PERMIT NO: COM2009-01106
ISSUED: 07/31/2009
APPLIED: 07/31/2009
EXPIRES: 01/31/2010
VALUE:
225 Fifth Street, Springlield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 483 SPRINGDALE AVE
ASSESSOR'S PARCEL NO.: 1703224204500
Springfield' TYPE OF WORK:
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Install ductlesheat pump
Owner: IORNS OLIVE L
Address: 483 SPRINGDALE AVE
SPRINGFIELD OR 97477
Phone Number: 541-741-1897
I CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Contractor License
ASSOCIATED HEATING &AIR CONDITIO 106275
BUILDING INFORMATION'
Expiration Date
08/31/2010
Phone
541-683-2590
# of Units:
Primary Occupancy 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:
Lot Size:
Sq FUst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
0/0 of Lot Coverage:
, laW requires youto
._orTlnN: Oregon ,,-_ ""Mrln U\1l1ty
I PUBLIC IMPROMEMENTS'I~~~~r~~Th~s~'r~\es are ~~i!g~~~
NOW-V .~.- r; ~ a thff"'lUnh OAR b
. O"n 952-00i-OSidewa!l{,Type:the rules Y
m ron , tam cop.t:::.... u.
0090 You may O')D ... - t'''/D' t~.\Aohone
. t ownspou s ralOs: t n
calling the cen~.. 'on Utility NOUl1ca 10"
nurf\ber lor theorie~OO_332'2344).
Center IS -
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer'A:vailable:
I'llVlIvC
Speciallnstr.uction:. .
I riJ~ I-'tRMIT SHALL EXPIRE IF THE WORK
~l!.THORIZED UNDER THIS PERMIT IS NOT
,,1J'Pi1f:IENCED OR IR ~R~~lnmlcn rAn
/,,/)' 1bO DrW PERIOD, '1-- ,~" I
, Valuation DescriDtion
Notes:
Description
Type of Construction
)
$ Per SqFt
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pa2e I of 2
SI!!RINGF;IEJ;O,
- :~""'''''i'-'''''''''''''''~':'<'' -."
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Amount Paid
$9.48
$3.95
$79.00
Total Amount Paid
$92.43
Total Value of Project
Fees Paicl I
Date Paid
I Plan Reviews ,I
7/31/09
7/31/09
7/31/09
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01106
ISSUED: 07/31/2009
APPLIED: 07/31/2009
EXPIRES: 01/31/2010
VALUE:
Receipt Number
3200900000000000560
3200900000000000560
3200900000000000560
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.
~elllJirecl Insnections I
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
By signature, I state and agree, that I have carefully examined the completed application and do hereby certifytbat all
information hereon is true and correct, 3.nd ] 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 descrihed 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 he 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
Page 2 01'2
Date
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-0 II 06
COM2009-0 II 06
COM2009-0 11 06
Payments:
Type of Payment
ONLINE CHGS
cReceiotl
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
3200900000000000560
1:10:I2PM
Date: 07/31/2009
Item Total:
Check Number Authorization
Received By Batch Number Number I-low Received
Amount Due
79,00
3,95
9.48
$92.43
Amount Paid
NJM
ONLINE ASSOCIAT Online
ED
$92.43
Payment Total:
$92.43
Page i of I
713 1/2009