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HomeMy WebLinkAboutPermit Mechanical 2009-8-25 _SIj!~l;!lI~,!7I!!'~,i. 'f II: Status Issued' U I t OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01252 ISSUED: 08/25/2009 APPLIED: 08/25/2009 EXPIRES: 02/25/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1148 DARLENE AVE ASSESSOR'S PARCEL NO,: 1703272207604 Springfield TYPE OF WORK: Mechanical Only TYPE OF USE: New Residential PROJECT DESCRiPTION: Replace gas furnace & Ale. Owner: MYERS THOMAS 0 & SHARON L Address: H48 DARLENE AVE SPRINGFIELD OR 97477 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 Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occupant Load: nla 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: % of Lot Coverage: Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I ' Street Improvements: Sidewalk Type: Downspouts/Drains: Storm Sewer Available: Special Instruction: ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center, Those rules are set forth . ,........ --- - -. -. THIS PERMIT SHALL EXPIKI/lt I Ht yvvi1r\ .. I 0090:' Y~-u~;;;y ;bt~in"~'ovpi~~' ~7he<>r~I~~U~y- f-.UTHORIZED UNDER THIS f ~V.aluatlOnrDescrlDtlOn calling the center. (Note: the telephone COi\nTMENCfrCO OR IS .ABANDC$~Pe~siP?t Square Foot~~lPber for the Oregon Utility Notification vpe 0 onstructlOn ' .. B'd A t CenterV:aliJe100-332->"atel Calculated "NY 'j tlU uAY t'thlVU, or multiplIer or I moun ' -^< , , . ~lnTII't:. Notes: Description Page I of2 Status Iss u ed CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01252 ISSUED: 08/25/2009 APPLIED: 08/25/2009 EXPIRES: 02/25/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Pbone 54 I -726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees Paid I' Fee Description + 12% State Surcharge + 5% Tecbnology Fee 1st A'ppliance Heat Pump Amount Paid Date Paid Receipt Number $11.52 $4.80 $79.00 $17.00 8/25/09 8/25109 8/25/09 8/25/09 2200900000000000963 2200900000000000963 2200900000000000963 2200900000000000963 Total Amount 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. win be made the following work day. I Reouired Tnsnectio~s 1 Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. By signature, I state and agree, that I have carefully examined tbe 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 and the Laws of the State of Oregon pertaining to the work 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 compliance with ORS 701.005 will be used on this project. I further agree to ensure that all reqnired 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 Date Page 2 of 2 City of Springfield Mechanical Authorization To Begin Work E-mailedTo:brandy~associatedheating.com 69600-BMC-09-00094 8/25/2009 t:27 pm Apprm!al Code: 064444 .,'.~''''''','",...,..,'.:......,,,~i.,_. "" :, ~:"'- " " .' ~" :j ;--'.''., . .' ......_ J __ '_ _,cJ '__""'.:--'~ ....c.>...: Check on status of permit By Phone: 541-726-3753 or Email: permitcenter@ci.springfield.or.us I~' ~-' ~~,;''''<:';f6-~ ~--:Sk~:+:TYBE.oEWORK,-:.; '-.'> ~,,~ "-.. "- I D New Construction 0 Addition/alteration/rcphlcement rr., . .!:::t;:j",::'_~;~;~;CATEGORi'OF::CONSfRUCTldN:fZ'~~' .:- ..-~-, ,.~ 10J"2f=lJYdWOll',, DM,lt'.f=lJY Dcommo""J DA"""''YB'lldl'' . ,,~;jOB srrE.INFORMATION'ANO'LOCATION", ''Y!' I Job Address: 1148 DARLENE AVE CityfStllte/ZIP: SPRINGFIELD, OR 97477 Suitelbldg.Iapt.no.: Project Name: Crou Street/directions to job sill': I Tall map/parctl no.: Ij.:.i;~",~,;:~~:h;::'"-;;,t3~;t2~~DES:g:-RI~tloi{OF.5v_qR_k'~,~"~~~+:" .,~ Replace gas furnace and AlC I'h-~' . I Name: Thomas Myers I Phone: 541-741-2930 I Email: 1 I CCO Iic. no.: 106275 I Business Name: ASSOCIATED HEATING & A]R COND[T]ON]NG ]NC I Contact: , . SitE CONTAct.:'" Fall: CONTRAcJcf~5;;t __ ^",#<'C'~ ) Address: PO BOX 412 Cily/SlatelZII': EUGENE, OR 97440 Phone: 541.683-2590 Fal:: 541-607-0287 Email: MetTolic.no,: Citylic.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. NOlE: This Authorization To Begin Work expires within 180 days If a pannit 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 1 ~,,<,- 1 F' I.~.".'-';. 1 I I"':' :'.: ..', FEE:SCHEDULE.'t Q.,., IOeSCriPtion Iile!tline:/cooUng.allpiiances I Furnace . up 10 ]00,000 BTU IMinhnu~Fees. ''': ~ "" "';" IFirslApp]iall~cFee 1~!Eq(ANICAL rERJ\i!'i::I<'EES~ : I Subtotal ISlnlesurChar~e(]2%Orperrnit total) I Technology fee (5% ofpennil total) 'TOTAL PERMIT FEE ';.'," , ,~-. :::...L ~ ~nr..."~ ?j '-1 ThiS Aut_horization To Begin Work must be posted at the job site until r~placed by a Permit (;;oJY72ewf- O/d5;;) /7 /Yl S/;;;S 10 '1 , Ea. Tulal 'I S17.001 $[7.001 ,ej $79.001' i ,96001 SI1.521 $4.801' SII2.321, "j '~ ~. ...0. ~~"'~ v-..'fl.. ~ 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-0 1252 COM2009-0 1252 COM2009-0 1252 COM2009-0 1252 Payments: Type of Payment ONLINE CHGS cReceintl RECEIPT #: Description 1 st Appliance Heat Pump + 5% Technology Fee + 12% State Surcharge Paid By ONLINE PERMIT CHGS &p~P~I'-,~'_'P1,~,.BU>,"'~!'~"'" ..,'..., ." . . -i ~ aIIL" , , , .~"._,.. ..-.:-., .."-. .~/ -' City of Springfield Official Receipt Development Services Department Public' Works Department 2200900000000000963 Date: 08/25/2009 Item Total: Check Number Authorization Received By Batch Number Number How Received NJM ONLlNEASSOCIAT Online ED Payment Total: Page 1 of I 2:40:28PM Amount Due 79,00 17,00 4,80 11.52 $112.32 Amount Paid $112.32 $112.32 8/25/2009