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HomeMy WebLinkAboutPermit Mechanical 2009-8-10 (2) - " C,it)' of Springfield &~-~~~~~)- - 69600-BMC-09-00066 Mechanical Authorization To Begin Work [-mailed To: brandY@llssociatedheating.com 8/10/2009 10: 17 am Approval Code: 068617 Check on status of permit By Phone: 541-726-3753 or Email: permitcenter@ci.springfteld.or.us f'C'-~1 I I 0 New Constructio~ o Additionllllterarionln:plllcemenl [EJlor2familYdWelling o Multi-family 0 Commncial o AccessorY Building Job Address: 2150 LAURA ST City/State/ZIP: SPRINGFIELD, OR 97477 Suitefbldg.lapt.no.: 37 Project Name: I C,""S""t1d;","'",tojob,i", I Tmn.plp",,' no,' .\. f') J) 3'2r)\ 0 nA.~ QU 1.''''C'';''::~i~_ ~:::.~:.r;+Jili'iiiJJt:~;::rD'E~"S~"'C'RlnT'I--O""'=N';O"'''''FrW''""O"':"R'~K~i:'c"15 ;"~-$A;:''''' ~~4";:g;::'F;01(;> ,~ ,",',=.;::...,.o._...,.At+?04i&i)i0~~ r.::.., <, .. .".;d=",[i'" ,_:,.,,-,,,,,,,.<;._ '.' ,~~..::;",,:,.~ Replace HJP syslem Name: Clair Mock Pbo", 'fl~rrt;~: Email: T " ~., .~lg:::,Ph1.l10j.;Jil1bkllii~F ;Jf.J~J~;:(v';9~jk';-",~", ,"&c ..' -,^::Y~!':Onrl:L'''~lJnL~~ THr:-/~~thivii,:';5~i~IU-{'~ ."'w...... " "~re\_ ~~'~n::~i\r- ~;:~~SiM~ MRr,l~ b~blt~ihlil "I n ""'/l'( .....,...,....',..,C" . IV ../H i'L.I\IVU. ' Contact: . .'ax: Address: PO BOX 412 Cit)'/State/ZIP: EUGENE, OR 97440 Phone: 54[.683-2590 Fall: 54[-607-0287 Emuil: I Metrolic.no.: Citylic. no.: Upon review and approval by your local jurisdiction, your permit wi)) 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 1:'~6:;t""_~::_;",~~:;;FEE1SCHE[j'uIE'FC I Description I Qty. lEa. lij~;Hl.i-li/CQNinjF'1rpp~ilces\~ ' -~ .' l1~eat Pump 11 $]7,00 I I first Appliance Fce I Subtotal IStatesurCharge(12%ofPemlit total) I Technology fee (5% ofpennil total) I TOTAL PERMIT FEE c'9 -1\l.PO KR. B /tD { 0C1 Total $]7,001 '.,'7'1 $79.001 $96.00 $11.52 $4.801 5112.32/ ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification C,enter. Tho'se 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). ~~ ~~ lb:O\'\O \'{\~ W 6\ lQ'\\: ~ ~cs. ~ This Authorization To Begin Work must be posted at the job site until replace,d 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: COM2009-01I60 ISSUED: 08/10/2009 APPLIED: 08/10/2009 EXPIRES: 02/I0/2010 VALUE: SITE ADDRESS: 2150 LAURA ST SPACE 37 ASSESSOR'S PARCEL NO.: 1703271004400 Springfield TYPE OF WORK: Heating System PROJECT DESCRIPTION: Replace heat pump system in residence Owner: MONTA LOMA MHP Address: 2150 LAURA STREET SPRINGFIELD OR 97477 TYPE OF USE: Residential Phone Number: Unlisted I CONTRACTOR INFORMATION I Contractor Type Electrical Mechanical Contractor 'OREGON ELECTRIC SERVICE ASSOCIATED HEATING & AIR CONDITIO License 181997 106275 'Phone 541-343-1681 541-683-2590 Expiration Date 05/09120 I 0 08/31/2010 BUILDING INFORMATION' # of Uuits: . 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: u/a Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: I DEVELOPMENT INFORMATION I REQUIRED PARKING Frontyard Setback: Overlay Dist: Total: Side I Sethack: # Street Trees Rqd: Handicapped: Side 2 Selblick':;E: Paved Drive Rqd: Compact: Rearya;dISetback:MIT SHALL EXPIRE IF THE WC'o)!;ibf Lot Coverage: ATTENTION' Oreg I ' """ I ~" T IS NOT . on aw reqUires you to Solar SeAhJfl'i'QRIZED UNDER THIS !,~.R~~ "M ~oll.?w rules adopted by the OreQon Uti/itv COIVIIVltNLtU Uti '" "D""UV"~" ' ~,. i .~""v""u,, V~""". ,"use rUles are set forth AY PERIOD. . I PUBLIC IMPROVEMENTS II OAR 952-001-001, 0 through OAR 952"001- . ANY 180 D. !l090 V,," rr~\I",ht"' . I h Street Improvements: ,i.SiDewalk' t'ype:'n caples 0 t e rules by ca Ing I.he Center. (Note: the telephone numID.ownspo~tslDs~m1:Utility Notilication Center is 1-800.332-2344). Storm Sewer Available: Special Instruction: Notes: Page I of3 Status Iss u ed 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction Fee Description + 12% State Surcharge + 12% State Surcharge + 5% Technology Fee + 5% Technology Fee 1st Appliance Add, Alter, Extend Circ Add, Aiter, Extend Circ Ea Add Heat Pump Total Amount Paid I Valuation Description I $ Per Sq Ft or multiplier Square Footage or Bid Amount CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01160 ISSUED: 08/10/2009 APPLIED: 08/10/2009 EXPIRES: 02/10/2010 VALUE: Value Date Calculated Total Value of Project Fees ~a.i~ I Amount Paid Date Paid Receipt Number 2200900000000000905 . 1200900000000000893 2200900000000000905 1200900000000000893 1200900000000000893 2200900000000000905 2200900000000000905 1200900000000000893 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. $7.32 $11.52 $3.05 . $4.80 $79.00 $55.00 $6.00 $17.00 8/10/09 8/10109 8/10/09 8/10/09 .8/10/09 8/10/09 8/10/09 .8/10109 $183.69 Plan Reviews , Re,ouke~ Inspections I Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Page 2 of 3 Status Iss u ed 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009c01l60 ISSUED: 08/10/2009 APPLIED: 08/10/2009 EXPIRES: 0211012010 VALUE: 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 performed shall be done in accordance with the Ordinances of the City of Springfield aud the Laws ofthe State of Oregon pertaining to the w~rk 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 coinpliance 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 Paee 3 of 3 Date , 225 FiCth Street Springfield, Oregon 97477 541~726-3759 Phone Job/Journal Number COM2009-01160 COM2009-0 1160 COM2009-0 1160 COM2009-01160. Payments: Type of Payment ONLINE CHGS cReceintl RECEIPT #: Description 1st Appliance Heat Pump + 5% Technology Fee + 12% State Surcharge Paid By ONLINE PERMIT CHGS City of Springfield Official Receipt Development Services Department Public Works Department 1200900000000000893 Date: 08/10/2009 Item Total: Check Number Authorization Received By Batch Number Number How Received KR ONLlNEASSOCIAT Online ED HEATING Payment Total: Page 1 of I 1I:II:S8AM Amount Due 79.00 17.00 4.80 11.52 $112.32 Amount Paid $112.32 $112.32 '\ 8/ I 0/2009