HomeMy WebLinkAboutPermit Mechanical 2009-9-8
Mechanical Anthorization To Begin Work
E-mailedTo:brandy@associatedheating.com
696IJO-BMC-09-00118
ry~0
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City of Springfield
9/8/2009 1:38pm
Approval Code: 077534
Check on status of permit
B)' Phone: 541~726~3753 or Email: permitcenter@ci.springfield.or.us
ApplilillceFee
o NewCOllstructiou
o Additionlaltenltionlreplacement
I Description
10 I oc 2 '.nily dwd"'g 0 M"Ii-"mily 0 C'mm'~;"
o Accessory Building
City/State/ZIP: SPRINGFIELD, OR 97478
I Subtotal
IStatesurCharge(12%ofpemlit
total)
I Technol6gy fee (5% of permit
total)
I TOTAL PERMIT FEE
Job Address: 4710 DAISY 51'
Suil~bldgJapt,no,:
ProjtctName:
CrossSlreetldirections to job site:
I To> ~.plp",,' eo, \ '),c;11-- ~ l'"'(f'I,f.oQ \ .
~~lI!f~~:1$~1';E:jID~scRil?rl.oNlp€,woR){:~-ii-~~~:!f:;;i€~lj~'!1t1il
Install ductless HIP
Name: Gary Brougher
Phone: 541-741-0257
Fax:
Email:
lie, no,: 106275
Business Name: ASSOCIATED HEATING & AIR CONDITIONING INC
Contact:
Address: PO BOX 412
City/Slale/ZIP: EUGENE, OR 97440
Phone: 541c683-2590
,
Fax: 541-607-0287
Enlail:
Melro lie. no.:
City Iie,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,
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NOTE: This Authorization To Begin Work expires within 180 days if a permit is
nat 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 iocal
ordinances
,ThiS Authorization To Begin Work must be posted at the job site until replaced by a Permit',:
ComJoD/- ()/3;;(S
liP) 9-0'..-05
Status
Iss u ed
CITy,- OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01325
ISSUED: 09/08/2009
APPLIED: 09/08/2009
EXPIRES: 03/08/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 4710 DAISY ST
ASSESSOR'S PARCEL NO,: 1702324306601
Springfield TYPE OF WORK: Heating System,
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Install ductless heat pump
Owner:
Address:
BROUGHER GARY J & SUSAN J
4710 DAISY ST
SPRINGFIELD OR 97478
Phone Number: 541-741-0257
Contractor Type
Mechanical
I CONTRACTOR INFO~A TtoN I
Contractor License
ASSOCIATED HEATING & AIR CONDITIO 106275
B,UILDING INFORMATION I
Expirati~n Date
08/3I12010
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 IsrFloor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupa'nt Load:
,
nla
I DEVELOPMENT INFORMA nON I
REQUIRED PARKING
FrontyardSetback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
~/o of Lot Coverage:
Total:
, Handicapped:
Compact:
I PU~LlC IM,PROVEMENTS I
Street Improvements:
Sidewalk Type:
Storm Sewer Available:
Special Instruction:
ATTEDownspoutslD,rains: "
, III IIVI\:. VI t:!;jUIJ!i:::I.W reqlllres you to
follow rules adopted by the Oregon Utility
~otification Center, Thqse rules are set forth
In OAR 952<001-0010 tHrough OAR 952-001-
NnTff'f;. 0090, YOll mRV nhtRln "nn;co nf tho.. .1M I."
THIS PERMIT SH L ,. I calling the center, (Note: the telephone'
AUTHORIZED ALL EXPliHf\}f}.ifatlolJ.rD~8cnDtlOn number for the Oregon Utility Notification
COMMEN UNDER THIS PER~T~NOT Center IS 1-800.-332-2344),
_,[:0 S uare Foota e . '
ANiTvIPe,l'tQJ1RJ?,J~.A\BANooift 1, q B'd A gt Value' Date Calculated
I OU bAY PERIOD. or n\n II' or I moun . .
Notes:
Description
Paee I of2
, _~!!~J,~~J!'I~~I
]f';:r" --"t. ,,':y Ie, "...
Status
Iss u ed
CITY OF SPRIN\JUJ<.LD '
Building/Combination Permit
PERMIT NO: COM2009-01325
ISSUED: 09/08/2009
APPLIED:' 09/08/2009
EXPIRES: 03/08/2010
VALUE:
225 Fifth Street, Springfield, OR
54~-726-3753 Phone
541-726-3676 Fax
541-726'3769 Inspection Line
Total Value of Project
Fees Paid I
Fee Description
+ 12% State Surcharge
+,5% Technology Fee
1st Appliance
Amount Paid
Date Paid
$9.48
$3,95
$79,00
9/8/09
9/8/09
9/8/09
Receipt Number
2200900000000001019
2200900000000001019
2200900000000001019
Total Amount Paid
$92.43
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. will ,be made the following
work day.
I ~<9uired Tn.sl]~ctjonsJ
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete,
By signature, I state and agree, 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 auy 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 wilrbe 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
, times during construction.
Owner or Contractors Signature
Date
Page 2 of 2
225 Fifth Street: .
Springfield, Ore'gon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-01325
COM2009-0 1325
COM2009-0 1325
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
Description
1st Appliance
, ,+5% Technology Fee
'+ ] 2% State Surcharge
Paid By
ONLINE PERMIT CHGS
City of Springfield Official Receipt
Development Services Department
Public Works Department
2200900000000001019
"
Date: 09/0,8/2009
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
nJm
ONLINE associated In Person
Payment Total:
Page I of I
2:39:S1PM
Amount Due;
79,00
3,95
9,48
$92.43
Amount Paid
$92,43
$92.43 ..
9/8/2009