HomeMy WebLinkAboutPermit Mechanical 2009-9-28
...
City of Springfield
Mechanical Authorization To Begin Work
E-mailedTo:brandy@as~odatedheating.com
69600-BMC-09-00137
9/28/2009 1 :59 pm
Approval Code: 026421
Check on status of permit
By Phone: 541-726~3753 or Email: pennitcenter@ci.springfield.or.us
,!
o I or 2 family dw:_!iin~. :,;.0 Mlllti~famiJ~.. D Commercial
DACCeSSOl)' Building
Appliance" fee
D New Constructi.on
~.:::_~dditiOnlalteratiOnlrePlaCemenl
Description
I Heat Pump
Project Name:
.,1
Subtotal
IStalcsurCharge(12%Ofpennit
total)
I TcchfloJogy fl:e'(5% of pen nil
total)
TOTAL PERMIT HE
$96.00
$]1.52
Job Address: 1125 58TH ST
City/Stale/ZIP: SPRINGFIELD, OR 9747.8
Suite/bldg.lapt.no.: &9
$4,801
$112.321
Cross SlreetldirectioU:s to job site:
Tax map/parcel DO.: \1:
00 \'t::x:.:>
to -IGL\'3 ~
q I CSI01
Replace Hip system
I Name: Richard Roberts
I Phone: 54i-71YP~Oh",~. Fax:
I ...-..--.
Email: TIlI(.nrnllnITC>L.i^.L.CV)1IDC IC:rUF.\~ln.o,J(
1!!i3~l~.J~;;J.~~'if,i:PI')YMGT.Ciil~'#t({",~~J!
I "......,IIUIIIt..i.......;.VI~.LJ.....'. "".... ,"E:r:~:n":;;Tt".....:.
CCBlic,Do.:.l-9?~?,5Hn,..~'.........."1 ......,.,.. /f~II}"'! ".tV""f"\Pllr:) rlJr.
Business Nam'i:~SSOBA tEb' HEA TINd & ~nr1::6N\)rtl'ONiNG INC v .
,^,~~'" ~ ~<J ~/I\.\' r{~:88,
Co;'tact:
City/Sfat~ZIP: EUGENE, OR 97440
Phone: 541-683.2590.
Fax: 541.607.0287
ATTENTION: Oregon iawTequires'youtto
follow rules adopted by the Oregon Utility
Notification Cen1er. Those rules are set:fot.th
in OAR 952-001-0010 1hrough OAF! 952fOOlt-
0090. You may obtain copies of the rulesaw
calling the center. (Note: 1he telephone
number for the Oregon Utility Notification
Center is 1-800-332-2344).
Address: PO BOX 412
Email:
MelToUc, DO.:
Cily lie. no.:
NOTE: This Authorization To Begin Work expires within 180 days if a permit is
not obtained.
. ~0>
. ~ ~'*~ ,,0
w~'O,.
0...
~x'P
\.0' cfX.~
~~
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. '
The local building department may detennlne 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 l1)ust be posted at the job site until replaced by a Permit
"
"". ".
CITY OF :'Il'Kll~\.jI<lELD
Building/Combination Permit
PERMIT NO: COM2009-0I443
ISSUED: 09/28/2009
APPLIED: 09/28/2009
EXPIRES: 03/28/2010
VALUE:
Status
Iss u ed
225 Fifth, Street, Springfield, OR": ...... .
541-726-3753 Phone...: '...... ,"
541-726-3676 Fax
541-726-3769 Inspection Line
" .... i'
SITE ADDRESS: . 1125 58TH ST SPACE 89
ASSESSOR'S PARCEL NO,; 1702342200100
Springfield TYPE OF WOR!<: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: i Replace heat pump in residence
- '!
Owner:
. Address:
ROBERTS RICHARD
1125 58TH ST SPACE 089
SPRINGFIELD' OR 97478
Phone Numher: 541-741-9709
Contractor Type
Mechanical
./ CONTRACTOR INFORMATION I
Contractor License
, ASSOCIATED HEATING & AIR CONDITIO 106275
BUILDING INFORMATION'
Expiration Date
08/31/2010
Phone
541-683-2590
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type .
Secondary Construction TYl!e:
# of Bedrooms:
# of Stori~s:
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
NOTICE:, I DEVELOPMENT INFORMATION I
rH~~PERMIT SHALL EXPIRE IF THE WORK "
Frontyard sle,t,~ack9RIZED UNDER THIS PERMIT Rv~r.w Dist:
Side 1 Setback:MMENCED OR IS ABANDONED IIRtWJ Trees Rqd:
Side 2 Setba~kW 180 DAY PERIOD FlP~ved Drive Rqd:
Rearyard Setback: ". % of Lot Coverage:
Solar Setbacks:
REQUIRED PARKING
Street Improvements:
Storm Sewer Available:
Special Instruction:
Total:
Handicapped:
Compact:
ATTENTION: Oregon law requires you to
follow rules adopted by 1he Oregon Utility
Nntification Cen1er. Those rules are set forth
I PUBLIC IMPROVEMENTS;.' OAR 952-001-001 u mrougn u'"'" >:JO"-uu ,-
)90. You may ob1aln copies of the rules by
calliSide:WalkYFyife: (Note: the telephone
. numh8r for the Oreg(1n Utility No1ification
Do,wnsp'outs/n~alns"32 .2344) .
vl:;:ll.t:1 I~ T-""vv-v - .
Notes:
;1 ~ I
" I Valuation DescriDtion ,I
Description
Type of Construction
$ Per Sq Ft
or multiplier
, Square Footage
or Bid Amount
Value
Date Calculated
P"l!e 1 of2
Status.
Issued
.,
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01443
ISSUED: 09/2812009
APPLIED: 09/2812009
EXPIRES: 03/28/2010
VALUE:
225 Fifth Street, Springfield,OR
541-726:3753 Phone .
541-726:3676 Fax
541-726~3769 Inspection Line
.,.-'...
Total Value of Project
Fe\~s Paid I
."
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee.
1st Appliance
Heat Pump
Amount Paid
Date Paid
Receipt Number
l'
$11.52
$4.80
$79.00
$17.00
9/28/09
9/28/09
9/28/09
9/28/09
1200900000000001099
1200900000000001099
1200900000000001099
1200900000000001099
j
Total Amount Paid
$112.32
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. .
,
Reouired T nsnecHon.s I
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
By signature, I state and ag~ee, 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 allwork 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 pennission of the Community Services Division, Building Safety.
I further certify that only co.ntractors and employees who are in compliance with ORS 701.005 will be used on this project.
1 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
Paee 2 of 2
.-.','
215 Fifth Street. ..
, I.'" . ,
Springfield, Oreg9u97477
541-726-3759 Phon{}.. .
. . L.
Job/Journal Number "
COM2009-01443-,i.
COM2009-01443
C0M2009-01443
COM2009-Q]443.
Payments:
Type of Payment
ONLINE CHGS
cReceintl
;. .
RECEIPT #:
Des~ription ' , .,':
,'!,sLf\pp,liance.';,
. .:Heat Pump
,+ 5% Tbchnology Fee
... ::.;t-Jiyo ~tate Surcharge
i" .'
Paid By
ONLINE PERMIT c::. HGS
. .
!'."
.(
,',;
..
. .
I.
1200900000000001099
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 09/28/2009
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
KR ONLINEASSOC1AT Online
ED
HEATING
Payment Total:
,.
Page I of I
2:07:39PM
Amount Due
79.00
17.00
4.80
] 1.52
$112.32
Amount Paid
$112.32
$112.32
9/28/2009