HomeMy WebLinkAboutPermit Mechanical 2009-8-10 (17)
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C,it)' of Springfield
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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
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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:
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Replace HJP syslem
Name: Clair Mock
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Email: T
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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).
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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