HomeMy WebLinkAboutPermit Mechanical 2009-9-11
..
City of Springfield
Mechanical Authorization To Begin Work
E~mailed To: brandy@associatedheating.com
69600-BMC-09-00 124
9/tO/2009 5:07 pm
Approval Code: 062773
Check on status of permit
By Phone: 541-726-3753 or Email: permitccnter@ci.springfield.or.us
I 0 New Constnlction
o Addition/alteration/replacement
Descriptioll
Heat Pump
10 I ,,2 fomily dw,lIin. 0 Mol'i-fomily 0 Cmrunmiw
o Accessory Building
-'>'
I Job Address: 144 J N ST
I City/Slate/ZIP: SPRlNGFIEL~,' OR 97477
I Suitelbldg./llpt.no.:
I Project NlIme:
I C,."S""tldi","n", 'OiOb_,,'"
I Tax mal)fpan:e1 no.: ~O'DOO
StRleSllfcharge(12%ofpemlil
total)
Technology fee (5% vfpemlit
tOlal)
TOTAL PERMIT j.'EE
$96,00
$11.52
$4.80
$112.32.
- C}1 - \ 3Lt:r kl2-- Cj III \ oq
Install HIP system
I Name: Nancy RidenoUl
I Phone: 541-726-9033
I Email:
Fax:
I eCB lie. no.: 106~15 ,~ .
.--~t:"!:
I Business Name: ~~~?~IA.~ HEA~.JN? & AIR CONDITIONING INC
I Con'"'' ~ fl~~~r\~VIII i)MflLL t^t'ltlt It' I Mt VVUKI\
I Add",,, PO BcI.:"':l' nU~,ILCU UNUttl I HI:> t'tKIVIII I::; NU I
I Ci<y'S'''dZIP, kkJEN€!i:lRI,:''''''U Uti Ii) AbANUUNtU t'UK
I Phone:?41-683~!I'4J IO~, UAl t'ttil\iUJ.541-607-0287
ATTENTION: Oregon law requires you to
follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth
in OAR 952-001-0010 through OAR 952-001-
0090. You may obtain copies of the rules by
calling the center. (Note: the telephone
number for the Oregon Ulility Notification
Center is 1-800.332-2344).
I Email:
I Metro lie. 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.
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NOTE: This Authorization To Begin Work expires within 180 days if a permit is
not 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 local
ordinances
This Authorization To Begin Work must be posted at the job site until replaced by a Permit
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Status
Iss u ed
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-0I342
ISSUED:. 09/11/2009
APPLIED: 09/11/2009
EXPIRES: 03/11/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone,
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1441 N ST
ASSESSOR'S PARCEL NO.: 1703253301000
Springfield TVPE OF WORK: Heating System
TVPE OF USE: New
Residential
PROJECT DESCRI~,TION: Install beat pump in residence
Owner: RIDENOUR JOHN E & NANCV ANN
Address: 1441 N ST
SPRINGfIELD OR 97477
Phone Number: 541-726-9033
I CONTRACTOR INFORMA nON I
Contractor Type
Mecbanical
Contractor License
ASSOCIATED HEATING & AIR CONDITIO 106275
BUILDI!"G INFORMATION'
Expiration Date
08/3112010
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 st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
NOTICE' .. I DEVELOPMENT INFORMATION' ,.'
TH S . .' AI I cNTION: OregoRFjQtJil~"EDrp'WifidNG
" P~~~ITSHALL EXPIRE IF THE WORK. follow rules adopted by the Oregon Utility
F~ontyJitilr$!@j\l.~JDUNDER THIS PERMIT IS NrW'erlay D.st: Notification Center. T1i'.'.\JlJrules are set forth
S~de I ~~~~'<;~NCm OR IS ABANDONED FOR CfI'Street Trees Rqd: in OAR 952-001-001 olt\l)':D-dJf,app.~\I:. 952.001.
S.de 2 J:lftV"fkb nAY PERIOD Paved Dnve Rqd: 0090. You may obtai,CQ!!1P~~t:)f the ruies by
Rearyard Setgacl<':'" % of Lot Coverage: calling the center. (Note: the telephone
Solar Setbacks: number for the Oregon Utility Notification'
:':':.:':':_ :: ~ ~--:~ ~"n 1"}"),1 "}
I ~UBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction: '
Sid'ewalk Type:
Downspouts/Drains:
Notes:
I Valuation Descriotion I
Description
Tv"e of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid AnlOunt
Value
Date Calculated
Paee I of 2
CITY OF SPRINGFIELD
"
Status
Issued
Building/Combination Permit
PERMIT NO: COM2009-01342
ISSUED: 09/11/2009 ,
APPLIED: 09/11/2009
EXPIRES: 03/1112010
VALUE:
,225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
Total Value of Project
Fees Paid I
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
9/11/09
9/11/09
9/11/09
9/11/09
2200900000000001032
2200900000000001032
2200900000000001032
2200900000000001032
Total Amount Paid'
$112.32
Plan Reviews ,
To Request an insRection 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 Rellllire~ Insnections I
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
By siguature, 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 1 further certify that auy and all work performed shall be done in accordance with
the Ordinances ofthe pty 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.
1 further certify tbat only contractors and employees who are in compliance with ORS 701.005 will be used 00 this project.
,
I further agree to ensu're that all required inspections are requested at the proper time, that each address is readable from the
street, tbat the permit'card'is located at the frout of the property, aud the approved set of plans will remain on the site at all
times during c~nstruction.
Owner or Contractors Signature
Date
Paee 2 of 2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number'
COM2009-0 1342
COM2009-0 1342
COM2009-01342
COM2009-01342
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
Description
1st Appliance
Heat Pump
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
City of Springfield Official Receipt
Development Services Department
Public Works Department
2200900000000001032
Date: 09/11/2009
9:06:42AM
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
79.00
17.00
4.80
11.52
$112.32
Amount Paid
KR
ONLlNEASSOCIA T Online
ED HEAT &
AIR
Payment Total:
$112.32
$112.32
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9/11/2009