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
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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
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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.
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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
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This Authorization To Begin Work must be posted at the job site until replaced by a Permit.,
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tJ9/()2/07
Old7J
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$79,00
$9.48
$3.95
$92.43
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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
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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
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,.,... '..'..
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