HomeMy WebLinkAboutPermit Mechanical 2009-9-3
Mechanical Authorization To Begin Work
E~mailed To: brandy@associatedhellling.com
Check on status of permil
By Phone: 541-726-3753 or Email: pennitcenter@ci.springficld.or.us
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D New Construction 0 Addition/alteration/replacement I
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I Job Address: 949 65TH 51
I City/Stale/ZIP: SPRINGFIELD, OR 97478
I Suite/bldg.lapt.no.:
I Project Nanle:
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I Tax mllpfplIrcel no.:
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I Description
Itlclltlnglc_ooIiD&:lIpplia.nces.
IHealPump
Il'tlinimum' Fel'~;.r'.~ -~ ~ .... . ,;., ,.
I Firsl Applianl;c Fcc
l~tI-;CIiANlcA!!-PEMilT HE1i~;'
ISubl011l1
I Slate surcharge (12% of pennit
totnl)
IT::l;hnO!OgYfee(5%ofpennit
total)
!TOTAL PERMIT HE
CC\ -IQDl
]nstall HII' system
I','"
'J:l,'~..J:,~. lts.
I Name: Diane Oberg
I Phone: 541.954.7429 Fax:
I Email:
hr .~ ~" ;t~~I~r~~":;~~~"'-;:j~:::'~CONTRACf()R:"~<:+~~~' .'.' .;.i,",,,
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I Coo,'',: \,;UIVIIVltN\,;tU UK I::; AtlANUUI~tU rUK
I Add",,, I0;JJox41zU UAY t-'tKIUU.
I CitylStatelZIP: EUGENE. OR 97440
I Phone: 541.683-2590 FUll: 541.607-0287
I Emili!:
I Metro lie. no.: Citylic.no.:
69600-BMC-09-00112
9nn009 3:28 pm
Approval Code: 094991
FEE~SCHEbuLE:~7, ;
Tot:,':1
~ $'17.~~"1
'..
$79.00
; Ie ~ .'.,
$96.001
$]1.52
$4.80
S1I2.321
k\l ~ l3jo~
ATTENTION: Oregon law requires youto
follow rules adopted by the Oregon ~~h;ih
Notification Center. Those rUhleos :~e ;;2-g01-
in OAR 952-00.1-0010 throug
0090, You may obtain caples of the rules by
callin the center. (Note: the telephone
numb~r for the Oregon Utility Notification
Center is 1-800-332-2344).
Upon review and approval by your local jurisdiction, your permit will be
e-malled or faxed within one business day, with instructions on how to
schedule your Inspection.
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~fSJ Qj~
NOTE: This Authorization To Begin Work expires within 180 days if a pennlt Is
not obtained.
The local building department may detennine that an Authorization To Begin
Work is null and void if It does not meet applicable land use laws and local
ordinances
This Authorization To Begin Work must be posted at the job site untit replaced by a Permit
~~
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CITY OF SPRINGFIELD'
Building/Combination Permit
Status
Issued
PERMIT NO: COM2009-0I30]
ISSUED: 09/03/2009
APPLIED: 09/02/2009
EXPIRES: 03/03/20]0
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 949 65TH ST
ASSESSOR'S PARCEL NO.: 1702341200405
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Insatll heat pump system in residence.
Owner:
Address:
OBERG RODNEY R & DIANE L
949 N 65TH ST
SPRINGFIELD OR 97478
Phone Number: 541-954-7429
I CONTRACTOR INFORMATION 1
Contractor Type
Mechanical
Contractor License
ASSOCIATED HEATING & AIR CONDITIO 106275
BUILDING INFORMA nON,
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 Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION 1
", REQUIRED PARKING
ATTENTION' Oregon law reauires you to
Frontyard S~f~ack:. . Overlay Dist: les ~do ted by iffIJ'!!;;egon Utility
Side 1 SetbacK:11 iLE. # Str~rtTrees Rqd: follow ru P Th Handicapped: forth
T" MIT SHALL EXPIRE IF THE'\^1I1 N tificallon Center. ose ,u.w -' ---
Side 2 Setback:IS PER Pav~,'; rive Rqd: . 0 AR 952-001-001 0 thrc.~gWp_qc'; 952-001-
Rearyard S~t))jicl(:JRIZED UNDER THIS PERMIT PA ~f'L\'t Coverage: ~O~O You may obtain copies of the rules by
Solar Sctba~~MMENCED OR IS ABANDONED FOR caliing the cent~r. (NO~~:,:,~e !~~;;P:~~'~:n
I-\I~ T I au UI-IJ n:n,uu. I PUBLIC IM~ROVEMENTsymu"'C~~t~'r"i;;~800~i32~2344).
Street Improvements: Sidewalk Type:
Storm Sewer A vaj(able:
Special Instruction:
Downspouts/Drains:
Notes:
I V aluation Desc~iotion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee 1 01'2
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2009-0I30]
ISSUED: 09/03/2009
APPLIED: 09/02/2009
EXPIRES: 03/03/20]0
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
F~~~ P.~\I!.II
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Heat Pump
Amount Paid
Date Paid
Receipt Number
$11.52
$4.80
$79.00
$17.00
9/3/09
9/3/09
9/3/09,
9/3/09
2200900000000001001
2200900000000001001
2200900000000001001
2200900000000001001
Total Amount Paid
$112.32
Plan Reviews ,
To Request an inspection calI the 24 hour recording at 726-3769. AII 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 folIowing
work day. '
I Rpouirpd Insn~..t~
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
By signature, I state and agree, that 1 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 ORS 701.005 will he used on this project.
I further agree to ensure that all required inspections are requested at the proper time, that each address is readahle 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
Paee 2 of2
225. Fifth Street
Springfield, Oregon 97477
54)-726-3759 Phone
Job/Journal Number
COM2009-0 130 1
COM2009-0 130 1
COM2009-0 130 1
COM2009-01301
Payments:
Type of Payment
RECEIPT #:
Description
1st Appliance
Heat Pump
+ 5% Technology Fee
+ 12% State Surcharge
ONLINE CHGS ONLINE PERMIT CHGS
Paid By
cReccintl
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City of Springfield Official Receipt
Development Services Department
Public Works Department
220090000000000]00]
Date: 09/03/2009
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
KR
ONLlNEASSOCIAT Online
ED HEAT &
AIR
Payment Total:
Page 1 of I
8:30:19AM
Amount Due
79.00
17,00
4.80
11.52
$112.32
Amount Paid
$112,32
$112.32
9/3/2009