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