HomeMy WebLinkAboutPermit Mechanical 2009-9-4
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Mechanical Authorization To Begin Work
E-mailedTo:brandy@associatedheating.com
Check on status of permit
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By Phone: 541-726-3753 or Email: permitcenter@ci.springfield.or.us
I.D NewCo'nstruction.
o .,:.;dditionlalt;~atiOnlrep]lICemenl
o lor 2 family dw;_i~ing D Multi-family
D-COmmerCiil]
DACCeSSOryBui]ding
I Job Address: ]280 S ST
City/State/ZIP: SPRINGFIELD, OR 97477
Suite/bldg./apt.no.:
Project Name:
Cross Streetldirectio~s'to job site:
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Rep]acegasfumac~
Name: Derick Langendoerfer
Phone: 541-913-6835
Fax:
Email:
CCBlic, no.: 106275
Business Name: ASSOCIATED HEATING & A]R CONDITIONING INC
Contact:
Address: PO BOX 412
City/State/ZIP: EUGENE, OR 97440
Phone: 541-683-2590
Fax: 541-607-0287
Email:
J\.1etrolic.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 Work expires within 180 days if a permit is
not obtained.
The local building department may determine that an Authoritation To Begin
Work is null and void if it does not meet applicable land use laws and local
ordinances
Description
F"
I Subtotal
IStllte surcharge (12% ofpermil
total)
I Technology fee (5% ofpennit
total)
ITOTAI.. PERMIT FEE
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69600-BMC-09-00116
9/4/2009 12:29 pm
Approval Code: 093369
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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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CITY OF SPRINGFIELD
Building/Combination Permit
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Status
Issued
PERMIT NO: COM2009-013I6
ISSUED: 09/04/2009
APPLIED: 09/04/2009
EXPIRES: 03/04/2010
. VALUE:
225 Fifth Street,Springfield, OR
541-726-3753 Phone
541 ~ 726-3676 Fax
541-726-37691nspedion'Line
SITE ADDRESS: 1280 S ST
ASSESSOR'S PARCEL NO,: 1703261400107
Springfield TYPE OF WORK: Mechanical Only
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Replace gas furnace
Owner: LANGENDOERFER DERICK C
Address: 1280 S ST
SPRINGFIELD OR 97477
Phone Number: 541-913-6835
Contractor Type
Mechanical
I CONTRACTOR INFORMATION I
Contractor License
ASSOCIATED HEATING & AIR CONDITIO 106275
BUILDING INFORMATION I
Expiration Date
0813l1z01O
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 I,t Floor:
Sq Ft 2nd Floor:
,
Sq Ft Basement:
Sq Ft d~rage!Carport
Sq Ft Other:
"
Occupant Load:
nja
I DEVELOPMENT INFORMATION I
Frontyard Setback:,.
Side 1 Setback: . \
Side 2 Setback: ~'---
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage.:
REQUIRED PARKING
Total:
, Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements: Sidewalk Type: .
" ATTENTION: O'egon law r,eqUlres youto
Storm Sewer Available: follow rulE;-YoJl:'!.~P!!I!t~i-9tainS"regon Utility
Special Instruction: , . Notification Center. Those rpies are set forth
NOTICE:.' in OAR 952-001-0010 through OAR 952-001-
THIS PERMIT SHALL EXPIRE IF THEWORK 0090. You may obtain copi~s of the rules by
{.l'TI'nnI7cr\ "MnI:Q THIS PERMIT IS NOT callinq the center. (Note:.,the telep'ho~e
.-. '.-' d-ED OR IS ABANDOicu Fef. ..ufber lor me urelJull UlHny ",v,",'vu"_"
COMMENC r Valuation Description Center IS 1-800-332-2344),
ANY 180 DAY PERIOD. '. ,:
$ Per Sq Ft Square Footage
or multiplier or Bid Amount
Notes:
Tvpe of Construction
Value;
Date Calculated
Description
Paee I of 2
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CITY V1< ~rKmGFIELD
Building/Combination Permit
Status
Issued.
PERMIT NO: COM2009-0I316
ISSUED: 09/04/2009
APPLIED: 09/04/2009
EXPIRES: 03/04/2010
VALUE: '
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fee~ Pai~ I
$9.48
$3.95
$79.00
Date Paid
I
9/4/09 '
9/4/09
9/4/09
Receipt N llmher
Fee Description
+ 12% State Sllrcharge
+ 5% Technology Fee
1st Appliance
Amount Paid
3200900000000000635
3200900000000000635
3200900000000000635
Total Amount Paid
$92.43
I Plan Reviews ,
To. Request an inspection call the 24 hour recording at 726~3769. All inspections requested before 7:00
'a.m. will be mac:Ie the same working day, inspections requested after 7:00 a.m. will be made the following
work day.
,~e(1.~ir~~ Tn~rection~ 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 hereby certify that all
information hereon is true and correct, and I further certify that any and all work performed shall:he 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 Sen,j~es Division, Building Safety,
I further certify that only contractors and employees who are in compliance with ORS 701.005 will: 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 wil,l remain on the site at all
times during construction.
Owner or Contractors Signature
Date
Pae:e 2 01"2
225 Fifth Street , ,. .
Springfield, Oregon' 97477
541-726-3759 Pliorie"
RECEIPT #:
Job/Journal Number
COM2009-01316
COM2009-01316
COM2009-01316
Description
1 st Appliance
+ 5% Technology Fee
, + 12% State Surcharge
Payments:
TypeofPayment
ONLINE CHGS
:paid.By.
ONLINE PERMIT c;HGS
cReceintl
I
City of Springfield Official Receipt
Development Services Department
Public Works Department
3200900000000000635
12:50:56PM
Date: 09/04/2009
, Item Total:
Check Number Authorization
Received By Batch Number Number How Received
NJM ONLINEASSOCIAT Online
ED
Amount Due
79.00
3.95
9.48
$92.43
Amount Paid
$92.43
Payment Total:
$92.43
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9/4/2009