HomeMy WebLinkAboutPermit Mechanical 2009-10-8
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'. City of Springfi~ld';~:"
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Mechanical Authorization To Begin Work
, E-mailedTo:brandy@associatedheating.com
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Check on status of permit
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:..",<;;-,,~y,Phon.: 541-726-3753
or Email: permilcenier@ci.springfie1d.or.us
69600-BM C-09-00 14 7
10/8/2009 2:32 pm
Approval Code: 093793
I Description
Total
o .~dd(lionlalt~rationlreptacement
,0
NewConsrrUction..
,".f
I First Appliance Fee
$79,00 I
$9.48
01 or2 family dweJtin~ DMUlti<famity
. D Commercial
DACCeSSOryBuitding
I Subtotal
Istatesurcharge(12%ofpennit
lOIn])
I Technology fee (5% of per mil
lotal)
ITOTAL PERMIT FEE
Job Address: 448 S 70TH PL
City/State/ZIP: SPRp':lOFIELD,~6R 97478'
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Install ductless HIP
I Name:CharlesM"ontague
r Phone: 541.636-3805
Fax:
Emai!:
$79.00
$3.95
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Address:POBbX4'i21V1~~":::~~ ~Cp.\no_
CityfStatelZlp:tEUGENE~dR !r7440
ATTENTION: Oregon law requires you to
foliow rules adopted by the Oregon Utility
Notification Center, Those rules are set fortli1
In OAR 952-001-0010 through OAR 952-00~.
0090, You may obtain copies of the rules b,Y
calling the center, (Note: the telephone
number for the Oregon Utility Notification
Center is 1-800-332-2344),
Phone: 541-683-2590
FllX: 541.607-0287
Email:
Metro lie, po.:
City lie. 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 InsP&~on. . ,;,
NOTE: This Authorization To Begin Work expir~s within,180 days if a permit is
not obtained;
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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 ...
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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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Status
Issued; .
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-0]490
ISSUED: ]0/08/2009
APPLIED: ]0/08/2009
EXPIRES: 04/08/20]0
VALUE:
"
. 225 Fifth Street, Spr,ingfield, OR
541-726-3753 Phoue..' ,.;
541-726-3676 Fax
541-726-3769 Iuspection Line
SITE ADDRESS: 448 S 70TH PL
ASSESSOR'S PAR<:;ELNO,: 170~3533050.06
Spriugfield TYPE OF WORK: Heatiug System
TYPE OF USE: New Residential
. ~ROJECT pESCRltTION: lustall ductless heat pump iu residence
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Owner: MONTAGUE CHARLES FAY'
Address: 448 S 70TH PL
SPRINGFIELD OR 97478
PhoueNumber: 541-636-3805
":'
I, CONTRACTOR INFORMATION'
Contractor License
ASSOCIATED HEATING & AIR CONDITIO 106275
Expiration Date
08/31120 t 0
Phone
541-683"2590
..
Contractor Type'
Mechanical ~r:
BUILDING INFORMATION'
# 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:
Rauge Type:
Energy Path:
Spriukled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2ud Floor:
Sq Ft Basemeut:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a'
I DEVELOPMENT INFORMATION'
REQUIRED PARKING
Street Improvements:
Frontyard Setback: Overlay Dist: Total:
Side I sJj,~Ckl:~l::, 'SHALL EXPIRE IF THE Wll'SYreet Trees Rqd: ATTENTION: Oregon law ,H~nilkaIlPeil:O
Side 2 SetDa'[k:PERMIT HIS PERMIT IS ~ij;v~d Drive Rqd: follow rules adopted by thCompjlct: Utility
Rearyar"'~j'!11ack':\ZED UNDER T DONED FORolo of Lot CoverageiJotification Center. Those rules are set forth
Solar Setta,sM:JfENCED OR IS ABAN in OAR 952-001-0010 through OAR 952-001-
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1-\1~1 IOU ....n" -,"P, IPUBLICIMPROVEMENT,s;lin'gth~~~nter. (Noie:thetelephone
, number f')r the Oregon Utility Notification
, CSldewalk1,,"yp.e:,332-2344)
t:::11lt;;11>:l -,",,",v. .
DowuspoutslDrains:
Storm Sewer Available:
Speciallnstructiou: ,
Notes:
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I Valuation Descriotion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Sq uare Footage
or Bid Amount
Value
Date Calculated
. ::
Page 1 of2
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone,'
541-726-3676 Fax ;' ,,;::.
541-726-3769 Inspec'ti~'; Line
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:;
'..< .'
Total Value of Project
Fees PaidJ
" \:~.'
Fee Description'!,' '.. ..
+ 12% State Surch;rge
+ 5% Technology Fee'
1st Appliauce :
Amouut Paid
Date Paid
$9,48
$3,95
$79.00
"
Total Amount Paid
$92.43
I Plan Reviews I
..
-
10/8/09
10/8/09
10/8/09
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-0]490
ISSUED: 10/08/2009
APPLIED: 10/08/2009
EXP]RES: 04/08/2010
VALUE:
Receipt Number
2200900000000001161
2200900000000001161
2200900000000001161
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 Insnections I
..
Rough Mech~nical: Prior to Cov.er
Finat' Me.~hanical: When all mechauical 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, aud I further certify that any and all work performed shall be done in accordance with
the Ordinances of the City of Springlield aud the Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any structure without permissiou of the Community Services Division, Building Safety.
I further certify that only coutractors and employees who are iu compliauce 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 frout of the property, aud the approved set of plans will remain ou the site at all
times during construction. .
Owner or Contractors Signature
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Page 2 of2
.t. ...
Date
.
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
"i'
RECEIPT #:
City of Springfield Official Receipt
Development Services Department
Public Works Department
2200900000000001]61
Date: ]0/08/2009
3:13:46PM
Jobdournal Nu~ber.~;:::!,fQescription ,..'; ::.
COM2009-0 1490 'I st Appliance
COM2009-01490 + 5% Technology Fee
C0M2009-01490 . + 12% State Surcharge
~~~;no~n~:~ment .-' ':~~id;~/:N; ';
ONLINE CHGS
ONLINE PERMIT CHGS
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cReceiotl
Recei~ed By
KR
Page 1 of I
Item Total:
Check Number Authorization
Batch Number Number How Received
,
Amount Due
79,00
3.95
9.48
$92,43
Amount Paid
ONLINE ASSOCIAT Online
ED
HEATING
Payment Total:
$92.43
$92,43
10/8/2009