HomeMy WebLinkAboutPermit Mechanical 2009-10-14
City of Springfield "
69600-BMC-09-00t5t
Mechanical Authorization To Begin Work
E-mailedTo:brandy@associatedheating.com
10/12/2009 3:33 pm
Approval Code: 043810
Check on status of permit
By Phone: 541-726-3753 or Email: permitcenter@ci.springtield.or.us
o New Construction
o . ~dditionlallcralionlreplace~ent
01 or2familydwe]~n~ ; DMU]ti~famil~ D Commercial DACCeSSOryBUilding
I Job Address: 5335 MAIN ST
I city/State/ZIP: SPRINGFIELD;OR 97478
I SuiteJbldg.lapt.no.: J
I Project Name:
I C"" S.."lId;",".., to job ,;,.,
I T.mp/p.",''"" ( O~~?:'OOD(
ReplaceA/H
I Phone: 541-744-5643
I Email:
Fal;:
I CCBH","" 1062\'1-l1~ PERMITSHALL t)\t-'II'\C -'~"'~ I~ ['\"1
I Business Name: AS~?Ff1TBH~(Ef~~!iAld:mOllribNINcH.~V~"'1"",,0n ....
I Coot"" r.nMMENCED OK It; Ab!-\l~u0",_u (v"
I Add",,,"OBOXmN 180 DAY PE:KIUU,
I City/State/ZIP: EUGENE, OR 97440
I Phone: 541-683-2590 ,. Fax: 541-607-0287
I Emai!:
I Metro lie. no.: City. lie, no.:
Upon review and approval by your'lo.~al jurisdiction, your permit will be
e-mailed or faxed within onff business day, with Instructions onhow 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 Authorization To Begin
Work Is null and void if it does not meet applicable land use laws and local
ordinances I
I Description
Qty.
Appliance Fee ('
l~nrqH~~~_qAfjj~ERJ\1'J't/F}:E$~~~~:~;i'i-~:~:;'~;'
!Sllbtotal
I State sllrcharge(12% of penn it
total)
I Techno]ogy fec (5% of permit
total)
I TOTAL PERMIT-FEE
$79,00 I
$9.481
$3.951
592.431
Cq- rcj)}- ~ I of iH!IOq
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 Utility Notification
Center is 1-800-332-2344).
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This Authorization To Begin Work must be posted at the job site untll replaced by a Permit
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Status
Iss u ed
CITY OF SPRINL.l'lJi,LD
Building/Combination Permit
PERMIT NO: COM2009-01S02
ISSUED: 10113/2009
APPLIED: 10113/2009
EXPIRES: 0411312010
VALUE:
225 Fifth Street, Springfield,-QR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 5335 MAIN ST 3
ASSESSQR'S PARCEL NQ,: 1702330001300
,
SPRINGFIETYPE QF W()RK: Heating System
TYPE QF USE: New
Residential
PRQJECT DESCRlPTIQN:" Change out electric furnace in residence
Qwner:
A~dress:
CLARK CQNSTANCE L
5335 MAIN ST SPACE 003
SPRINGFIELD' QR 97478
I
I CONTR~,CTQR INFQRMA TIQN I
Contractor Type
Electrical
Mechanical
Contractor
QREGQN ELECTRIC SERVICE
ASSQClATED HEATING & AIR CQNDITIQ
License
181997
106275
Expiration Date
05/09/20 I 0
08/31/2010
Phone
541-343-1681
541-683-2590
BUI~DING INFQRMATIQN'
# of Units:
Primary Qccupancy Group:
Secondary Qccupancy 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 l,st Floor:
Sq Ft ~nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Qther:
Qccupant Load:
n/a
I DEVELQPMENT INFQRMATIQN I
REQUlREDP ARKlNG
Frontyard Setback: Qverlay Dist: Total:
Side 1 S'Jt~Icif,E:" # Street Trees Rqd: ' Handicapped:
Side 2 S~rMc~:ERMIT SHALL EXPIRE IF THE WOi'.lVed Drive Rqd: ATTENTION: OregoeJffi" Jf'fluires you to
" follow rules adopted by fhe 6regon Utility
Rearya~L~~~~..c,~.:ED UNDER THIS PERMIT IS N~Tof Lot Coverage: Notification Center, Those rules are set forth
Solar S~e~~f"':cNCED OR IS ABANDONED FOR in OAR 952-001-0010 throuQh OAR 952-001-
ANY 11)U UAY t-'tKtUU, I PUBLIC IMPRQVEMENTS I uu~u', YOU may OOlam caples aT me rUles oy
," calling the center, (Note: the telephone
nUSia€w~lI{ ifypQregon Utility Notification
Center is 1-800-332-2344).
Downspouts/Drains:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
. Page 1 of3
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CITY V!' ~ntil~lJFIELD
Status
Iss u ed
Building/Combination Permit
PERMIT NO: COM2009-01S02
ISSUED: 1'0/13/2009
APPLIED: 10/13/2009
EXPIRES: 04113/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspecti~n Line
I V~luation Descriotion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
Fees Paid I
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Amount Paid
Date Paid
$6.96
$2,90
$58,00
$9.48
$3,95
$79,00
10/13/09
10/13/09
10/13/09
10/14/09
10/14/09
10/14/09
. Receipt Number
1200900000000001135
1200900000000001135
1200900000000001135
1200900000000001139
1200900000000001139
1200900000000001139
Total Amount Paid
$160,29
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 saine working day, inspections requested after 7:00 a:m. win be made the following
work day.
I R,eollired Insllections I
Rough Electric: Prior to Cover
Final Electric: When "all electrical work is complete,
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete,
Paee 2 of 3
_~~!j:\!-!'!"1I"~~Q~
'131 1;. ..c
1t ~-'
Status
Issued
225 Fifth Street, Springfield, OR
54]-726-3753 Phone
54] -726-3676 Fax
54]-726-3769 Inspection Line
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01502
ISSUED: 10/13/2009
APPLIED: 10/13/2009
EXPIRES: 04/13/2010
VALUE: '
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is true a,!d correct, and I further certify that any and all work 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 strncture without permission of the Community Services 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 will remain on the site at all
times during construction.
Owner or Contractors Signature
;,
"
Pa2e 3 of 3
, Date
2"25 Fifth Street
~pringfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-01502
COM2009-0 1502
COM2009-0 1502
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
Description
1st Appliance
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
City of Springfield Official Receipt
Development Services Department
Public Works Department
1200900000000001139
Date: 10/14/2009
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
KR
ONLINE ASSOCIA T Online
ED
HEATING
Payment Total:
1',
i l
I
Page 1 of 1
9:00:43AM
Amount Due
79,00
3,95
9,48
$92.43
Amount Paid
$92,43
$92.43
10/14/2009