Loading...
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 . --~.~.c'h~-:~~~-:~~~TYp.E:dF.iWORK-~S:=~{~,:~~--i., ~-:'~~" ~fu~:7-;, '''':''.,~'~I D New Construction 0 Addition/alteration/replacement I i ~-~~~~CATEGOFl\i6F"CONSTRiJCTIONC";,\:, '~-.I 10 lo'''''''''ydw,lIi". DM'''i-'''''''Y D Comm"",1 DA""",>,B"Id'" I I.; -=~. '. '~~,,':- \~;\~~~iJoB-:SITE'"lr.jFoRMATfc:jNANDiocA TTON,..1~j:~:":j~~C-;~i.~';~' ~ I Job Address: 949 65TH 51 I City/Stale/ZIP: SPRINGFIELD, OR 97478 I Suite/bldg.lapt.no.: I Project Nanle: Ie"" S""Vdi,,,",", "job oil" I Tax mllpfplIrcel no.: 1--,','::*,;): ,:~~,'#':;;'~~:;DEscRIFr-TION.oF.;'N_C:)RK:~:1t~~~,_, I'"',:.'{ 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,",,, 1 CCBI".,J.Ndki,l'tKIVIII ::iHALL tXl-'IKt I~ I Ht VVUKK 1 Buoi.m N:hhl,IAssoclATE6JitNOW:.H<Md&roful"f,'IIINt::i NUl 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. '# ~,<J ~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 ~~ ~ ~'<. \P 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 a~~~~';!IlU>~,"; ..,','_' "'-:,:, , ~.l 1'7 . :-.:' '.'. ' - " ...' ."'" .; '. .. -' -.~..' . -,,,-'-._. -.".. 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