HomeMy WebLinkAboutPermit Mechanical 2009-9-8
City of Springfield
'A.'~aFl..IU.D._.. .'. :'~; ~.
=ii"". - ,
.,__J.'.,
\ _"C !
- ,;:....," ~
.,"".... ,<.' ~.. __ -:.,_..-1 ,_.~~ : ;:-.
Mechanical Anthorization To Begin Work
E-mailedTo:brandy@associatedheating.com
Check on status of permit
By Phone: 541-726-3753 or Email: pennitcenter@ci.springfield.or.us
FEE:SCHEDUl;E:" ;
:E~.::;:t:~:'";.t;;~.g:-t~~k)~/~~t\;TY~E:-OF,;WORK.~};;~~t"tt~Jl:'.(~:~~/'~):j,....,~_"; 't>:;
o New Construc~~n
o ,:\ddi;iOnlnlteratiOnlrep[a~emenl
C-',f%~' ':"~~~CAi'EG6RY 6FCON5fRUcti6N~_; c.'
~-":':.~~
o I or 2 family dW~~'I.ing ., 0 Multi-family 0 Commercial
o Accessory Building
:;r~~'.),~"~~~~JOB"sifETIN'ifORMATiON~AND'flOCAiI6ii,i~'...',tp:~~~j:,~2jff,+;\E,!':''-,~~ <'
Job Address: 1625 HENDERSON AVE
I City/State/ZIP: EUGENE, OR 97403
I SUit,elbldg,/apf,no.: DI8
Project Name: ~.
Cross Slreet/direction! to job sire:
Tnm.p/p",""', ~f)07?~~. rt5bD'~
j~~~'^~'~,,~l~$~TQESCijl~f!ONl6FffioR_K;:":~~:~ "F-_'::-~7::-_-;:t- ~,:,.;.~~I
Replace electric furnace
Nllme: Elizabeth Curran
Phone: 54).357.2434
Fllx:
Emllil:
eCOlic.no.: 106275
Business Nllme: ASSOCIATED HEATING & AIR CONDITIONING INC
l Contllct:
r Address: POBOX4)2
Cit)'lStlltelZIP: EUGENE, OR 97440
Phone: 541-683-2590
Fllx: 541-607-0287
Emuil:
MetTo Iic, no,:
Citylic, no,:
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,
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
13;~,':
"rrr~
~/\
G
69600- BM C-09-00 120
9/8/2009 3:25 pm
Approval Code: 083517
I Description
1!\~_i~iilium"Fet'st2~.;-'c.~, ',~ ,-
1::;~:I::~~:~;ERM_rr, FE~y' ~;.\. '.
Subtotal
State surchurge (12%ofpennit
total)
Te<:hnology fee (5% of permit
totall
TOTAL PERMIT FEE
~I
I
I
I
~;I
~
Qty, Ell,
.
.
_~\O~ ,9
r"~
tO~
This Authorization To Begin Work must be posted at the job site until replaced by a Permit
ConU-09 _01.2 2Y
j'J/Y) 9-9-07
~
:1
Total
-'.;"'<.-l
"-" .':1
$79.001
',p " .f
$79.00
$9.48
,i:~,;, "., ,
$3.95
$92.43
\1)~
4.\0 -cY\
~~(L-
LL\
Status
Iss u ed
CITY OF SPRINGFIELD
Building/Combination Permit
. PERMIT NO: COM2009-01328
ISSUED: 09/09/2009
APPLIED: 09/09/2009
EXPIRES: 03/09/2010
VALUE: .
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726,3769 Inspection Line
SITE ADDRESS: 1625 HENDERSON AVE SPACE Dl Eugene
ASSESSOR'S PARCEL NO.: 1703344313302
TYPE OF WORK: Mechanical Only
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Replace electric furnace
Owner:
Address:
ELIZABETH CURRAN
1625 HENDERSON AVENUE #018
EUGENE OR
,
Phone:Numher: 541-3572434
I CONTRACTOR INFORMATION.
Contractor Type
Mechanical
Contractor License
ASSOCIATED HEATING & AIR CONDITIO 106275
BUILDI~G INFORMATION.
Expiration Date
08/31/2010
Phone
541-683-2590
# of Units:
Primary Occupancy Gronp:
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 !lasement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION .
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overiay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I ~UBLlC IMPROVEMENTS I
Notes:
NOTICE:
Sidewalk,T'Ype:, ,
, .. , -... ~,.. vregon law requires you to
. ffi11f'lIM 1"1110.... ....J......,.l.:.., d b th 0
N'o ownspoutslDrams: y e regon Utility
, omlcauon Center, Those rules are set forth
In OAR 952-001-0010 through OAR 952-001-
0090" You may obtain copies of the rules b
caJ,lrng the center, (Note: the'te!eohone y
nJ 1......1-.....~ &_.. .11_ _ '" " '
-- ."- ::-'''''~v,' ~lIIlLY I'IIVlIIH':aUon
Center is 1-800-332-2344),
.
Street Improvements:
Storm Sewer Available:
Special Instruction:
Description
""111(,,\ ,....r-I""'l.n,"T" ....,.... ....,._.__ '__.'_\'.__.;
AUTliORIZ'ED UNDER rTv~~~iti~Albb~iWition I
COMMENCED OR IS Abi'\hUUI~tu rUrI
T ANYficRn Ot l:Nt10r:RIOD $ Per Sq Ft Square Footage,
ype 0 ons rllc oit ' I' I' B'd A
' . or mn tip leI' or I mount
Valu~
Date Calculated
Paee 1 of2
Status
Issued
CITY OF SPRINGFIELD
BuiIding/O)mbination Permit
PERMIT NO: €OM2009-01328
ISSUED: 09/09/2009
APPLIED: 09/09/2009
EXPIRES: 03/09/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees Pair! ,
$9.48
$3,95
$79,00
9/9/09
9/9/09
9/9/09
Receipt Number
3200900000000000637
3200900000000000637
3200900000000000637 .
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Amount Paid
Date Paid
Total Amount Paid
$92.43
I 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. ~,elluirer!lnsn,ections I
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,h'ereby 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 Springtield 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 oftbe Community Serv.ices Division, Building,~afety.
I further certify that only contractors and employees who are incompliance with ORS 701.005 will be used on Ihis project.
I furlher agree to ensure Ihat all required inspections are requesled at Ihe proper time, thai each address is readable from Ihe
slreet, that the permit card is located allhe fronl of ihe property, and Ihe approved set of plans will remain on the site at all
times during construction.
Owner or Contractors Signature
Date
Pa2e 2 of2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number.
COM2009-01328
COM2009-0 1328
COM2009-01328
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
Description
I st Appliance,
. ,+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
3200900000000000637
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 09109/2009
7:08:08AM
Amount Due
79,00
3,95
J
9.48
$92,43
Item Total:
CheckNumber Authorization I
Received By Batch Number Number How;Received
nJm
Page I of I
Amount Paid
ONLINE associated Online
Paym~nt Total:
$92.43
$92,43
9/9/2009