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HomeMy WebLinkAboutPermit Mechanical 2009-9-2 City of Springfield Mechanical Anthorization To Begin Work E-mailedTo:brand:y@associatedheating.com Checkop status of permit' By Phone: 541-726~3753 or Email: permitcenter@ci:springfield.or.us 69600-BMC-09-00111 91212009 12:53 pm Approval Code: 047244 \}~~ (J~/ o 1 or 2 family dwelling D Multi-family D Commercial ,if':l I I Description , "QIy. ( Ea. I Total lr\iio,iili~!I!~-t:ees""~Q.{~-in.7J::lFJ~11t~:,..;:.::}.~i'j~~f+'?'i~t~-:~ I First ApplilUlce Fee $79.00 D NewCoflstruction o AdditionJalterationlreplacemen; DACCeSSOryBUilding I Sub/Mal I State Sllfcharge (12% ofpenllit tolal) ITeChnOIOgy fee (5% ofperm!t total) hOTAL PERMIT FEE Job Address: 1858 ] ST City/State/ZIP; SPRINGFIELD, OR 97477 Suite!bldg.lapt.no.; ProjectNllme: CrossStreetldinctions tojobsite: Tomp/p,,'" no.: \ r'). 0 ?'lr6\P't. \ OL.f"P.J ~k~r~~~~D~s~_Fij~I!_QNJ6F2W:ORKA~~~7~~1'i0:Y2,~~jl Replacefumace I Name: Bonita Larsen r Phone: 541-746-2753 Fax: Emnil: CCBlic.oo.:106275 Busine'-5Nnme: ASSOCIATED HEAT1NG & AIR CONDlTlONING INC Contact: Address: PO BOX 412 City/State/ZIP: EUGENE, OR 97440 Phone: 541-683-2590 Fax: 541-607.0287 Email: Metro lie. no.: City lie. 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. NOTE: This Authorization To Begin Wor~. expires within 180 days if a permit is not obtained. '# .. 0:"'1 ~ ,,0 .~""'-' oo~' 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 ~o/~ 0/0 l{X'iV ~ This Authorization To Begin Work must be posted at the job site until replaced by a Permit., Q:;m2-t57J'1 tJ9/()2/07 Old7J /J~ $79,00 $9.48 $3.95 $92.43 -~I!\~~~I\II~~;.!!:"i""~~ 'n . " ",I Status Iss u ed CITY 'OF SPRINGFIELD Building/Co!"-bination Permit PERMIT NO: COM2009-01293 ISSUED: 09/02/2009 APPLIED: 09/02/2009 EXPIRES: 03/02/20]0 VALUE: 225 Fifth Street, Springfield, OR '541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1858 I ST ASSESSOR'S PARCEL NO.: 1703362102800 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New r, Public PROJECT DESCRIPTION: Electric furnace exchange Owner: WARREN A & BONNITA S LARSEN TRUST Address: 1858 I ST SPRINGFIELD OR 97477 . I CONTRACTORINFORMATlON 1 Contractor Type Electrical Mechanical Contractor OREGON ELECTRIC SERVICE ASSOCIATED HEATING & AIR CONDITIO License 181997 106275 Expiration Date 05/09/2010 08/3112010 Phone 541-343-1681 54 1-683-2590 BUILDING INFORMATION,' # 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 1 st Floor: Sq Ft 2~d Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMENT INFO~A TlON I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: ~/o of Lot Coverage: REQUIRED PARKING :.Total: r Handicapped: " Compact: Street Improvements: I pUBLIC IMPROVEMENTS 1 ATTENTION: Or~~'t~l"I!I!i- n~mres you to follow rules ador.D'M-l ~A' '''t "D' " Ut'!'t N t'f" tI own,pou s, ra}ns: II Y . 0 r Icatlon Center. Those rules are set forth In OAR 952-001-0010 through OAR 952-001- 0090., You may obtain copies of the rules by call11lg the center. (Note: the telephone number for the Oregon Utility Notification Center IS 1-800-332-2344). Storm Sewer Available: Spesiallnstruction: IvUIICE: NotIWS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED ORIS ABANDONED FOR ANY 180 DAY PERIOD. Paee 1 of 3 _~~~~9W~\'~) 'I" ,-"':,\,.:' - ~<~/'tt;,;:;;;j> Status Iss u ed 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descripti?n , Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Total Value of Project Fpf'~.~ Fee Description + 12 % State Surcharge + 12% State Surcharge + 5% Technology Fee + 5% Technology Fee 1st Appliance , Add, Alter, Extend Circ Minimum/Adjustment Electrical Amount Paid Date Paid $6.96 $9.48 $2.90 $3.95 $79.00 $55.00 $3.00 9/2/09 9/2109 9/2/09 9/2/09 9/2/09 9/2/09 9/2/09 Total Amount Paid $160.29 Plan Reviews I CITY OF SPRIN(Jt<1ELD Building/Combination Permit PERMIT NO: COM2009-01293 ISSUED: 09/02/2009 APPLIED: 09/0212009 EXPIRES: 03/02120]0 VALUE: Value Date Calculated Receipt Numher 3200900000000000625 2200900000000000997 3200900000000000625 2200900000000000997 2200900000000000997 3200?00000000000625 3200900000000000625 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. I ~f'\Wr~1 '/\W~r't!r'l~ 1 Rough Electric: Prior to Cover , Final Electric: When all electrical work is complete. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Paee 2 of 3 _g!~~_!~2,j;.;_~I,Jt~: -~L", ,.,... '..'.. Status Iss u ed CITY. OF SPRINGFIELD Building/Combination Permit 'PERMIT NO: COM2009-0]293 ISSUED: 09/02/2009 APPLIED: 09/02/2009 EXPIRES: 03/02/20]0 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line By signature, I state and agre~, 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 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 ORS701.005 willi 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 titnes during construction. . Owner or Contractors Signature I I I Date Paee 3 of3 225 Fifth Street Springfield, Oregon 97477 541-,726-3759 Phone Job/J~urnal Number COM2009-0 1293 COM2009-0 1293 COM2009-0 1293 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 2200900000000000997 Date: 09/02/2009 Item Total: Check Number Authorization Received By Batch Number Number How Received NJM ONLlNEASSOCIA T Online ED Payme~t Total: Page I of I 1:08:39PM Amount Due 79,00 3.95 9.48 $92.43 Amount Paid $92.43 $92.43 9/2/2009