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HomeMy WebLinkAboutPermit Mechanical 2009-11-6 City ef Springfield 225 Fifth St Springfield, OR 97477 Phone: 541-726~3.753 ~.: Email: pennitcentE:r@ci,springfietd.or.us Ii \ Residential Mechanical Autherizatien To. Begin Werk 69600-BMC-09-00179 Approval Code; 037055 11/6/2009 11 :50 am E~mailed To: bra~dy@associatedheating.com o New qonstruction,! .. lRJ Addition/alterationlreplacement I Description $79.00 I I 00 1 or 2 family dwelling 0 Multi-family 0 Commercial 0 Accessory 1~~JOB'!Sn'EjJt-iFf6RM...tToNrgND!l!oCAtloN~~l1Ii~ I Job Address: 4475 DAISY,ST ";' . ,:'.':" . I City/StatelZlP: SPR1N'GFHi'LD, OR 97478 I Suite/bldg.lapt.no.: 7?: I Project Name: . " I Cross StreetJdlrections to job site, I ~irst Appliance Fee I Subtotal I Slate ~urcharge (12% of permit totan I Technology fee (5% of permit total) I TOTAL PERMIT FEE $79.00 $9.48 $3,95 I . $92.43 I [C1-1 LP2 '1 I~ \lllJJ I DCf Tax mapfparcel no.: 1702324309300 Replace electric furnace I Name: Sleven Sutler I Phone: 541-653-4986 I Email: Fax: "", '>. CCB lie. no.: 106275 Business Name: ASSOCIATED HEATING & AIR CONDITIONING INC ATTENTION: Oregon law requires you to foll.~W r~leB adepted by the Oregon Utility Notiflcatien Center. These rules are set fertll In OAR 952-001-0010 through OAR 952-001. 0090,. You may obtain cepies of the rules br calltngthe center. (Nete: the telephone number for the Oregen Utility Nellficatlon Center is 1-800-332-2344). 'Intll':F' Address. PO Box:f:J2PERMrT SHALL EXPIRE IFlHIWl!"K CltylStatelZlP, EUGE~g'3k?!j;Q,dJNDER I HI~ t't111V11'i'16"Nv'T I ',' 1',"I"ltLI un'~ ':'o,:,~EBron Phone: 5416832590. ":....\..'.; t, \ I i-or rll - Fax: 5416070287 I ,.... ,..." , ,",,',8 D-. Email: I Metro lic. no.: Contact: City lic. no.: .. Upon review and approval by' your local jurl5dlctlon, your permit will be e-malled or faxed withIn one business day, with InstructIons on how to schedule your InspectIon. NOTE: This Author1zatlon To Begin Work expIres within 180 days If a permit Is not obtained. ~ ~~'\ ~"'~9J\:\\) ~~cf' ~: ,~ e;,-<<.<V' ~ ThliJ 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. Inspections Phone; 541-726-3769 This Authorization To Begin Work must be posted at the job site untif replaced by 8' Permit ; Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax " 541-726-3769Inspection'Line SITE ADDRESS: 4475 DAISY ST SPACE 77 ASSESSOR'S PARCEL NO.: 170p23406500 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01627 ISSUED: 1110512009 APPLIED: 11/0512009 EXPIRES: 05/0612010 VALUE: Springtield TYPE OF WORK: Heating System PROJECT DESCRIPTION: Change out e'ectric furnace in residence Owner: Address; .,",.;-,: . SUTER STEVEN R ;". 4475 DAISY ST SPACE 077 SPRINGFIELD OR 97478 TYPE OF USE: New I CON~RACTOR INFORMA nON I Contractor Type Electrical Mechanical Contractor OREGON ELECTRIC SERVICE ASSOCIATED HEATING & AIR CONDITIO I BUILDING INFORMA~ION,I # 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: License i81997 106275 Expiration Date 05/09/2010 08/31/2010 Residential Phone 541-343-1681 541-683-2590 I DEVELOPMENT INFORMATION I , ATTENTION: Oregon lR~~ }lqq,\P.NG . follow rules adopted! b,y the Oregon UtifJff' Frontyard Setback: Overlay Dist: 'f' I' Center Th~NlIes are set forth . . . Not. ,ca Ion " . '""'2-001 S~de I setlJ(JH<j-/CE' . '..'# Street Trees Rqd: in OAR 952-001-0010t~lilAA..... - Side 2 setb!',M! . .f.ll.",lIoDnve Rqd; 090 You may obtain ~Qf:lhe rules by Rearyard sellJao'iERMIT SHAll EXPIRE IF THE ~ot Coverage: 0 Ii, the center. (Nole: tlle tal~pho~e Solar Setbac,!<'$HORIZED UNDER THIS PERMIT IS NOT ncuam'~;r for the Oregon Utility NotificatiOn .... ....J..E- -r I~ AS ' PISSNES FQFl ' , ..- nM M\" )h'II~IL..1 V U VI' 0../ " J . VIifIILI\iJI 1';'0 t;.... . . IY 180 DAY PERIOD. I PUBLIC IMPROVEMENTS I ..... "".~ Street Improvements: Storm Sewer Available: Special Instruction: '--"-',' Notes: , .. " , Paee I of3 n/a Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: Sidewalk Type: DownspoutslDrains: Status 225 Fifth Street; Springfield, OR'" ' 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspec'tion Line, ,_" ,,1 Valua,!ion I?escriDtion I Description ,'Type'of Construction $ Per Sq Ft or multiplier ~;; '. ,. Square Footage or Bid Amount .. .~.' Total Value of Project Fe~' Paid I 11",11. I . Fee Description ,- + 12% State Surcharge ' + 5% Technology Fee Add, Alter, Extend Orc + 12% State Surcharge + 5% TechnologyFee 1st Appliance Amount Paid $6.96 $2.90 $58.00 $9.48 $3.95 $79.00 Total Amount Paid $160.29 , ,. Plan Reviews , Date Paid 11/5/09 11/5/09 11/5/09 11/6/09 11/6/09 11/6/09 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2(109-01627 ISSUED: 11/05/2009 APPLIED: 11/05/2009 EXPIRES: 05/0612010 VALUE: Value Date Calculated Receipt Number 1200900000000001238 1200900000000001238 1200900000000001238 1200900000000001241 1200900000000001241 1200900000000001241 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 reque~ted after 7:00 a.m. will be made the following work day. .~e~lJired ~ ,!~nection~1 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. ; .' 1. Page 2 of3 --~~9,m;m~~L Iff'--'-. 'i ' ii',,'-~"--'';' .:ijil>~,~'r " Status Issued. ~ ~~ . ,/ . '. 225 Fifth Street, Springfield, OR,., 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line ',} CITY OF SPRINGFIELD -Building/Combination Permit PERMIT NO: COM2009-01627 ISSUED: 11/05/2009 APPLIED: 11/05/2009 EXPIRES: 05/06/2010 VALUE: By signature, I stat"and agree, that'I have carefully examined the completed application and do hereby ce'rtify that all information hereon is tr,ue and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances ofthe City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be mad~ of any structure without permission of the Community Services Division, Bnilding 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 ofthe property, and the approved set of plans will remain on the site at all times during construction. ., Owner or Contractors Signature " l'aee 3 of3 Dale 225 Fifth Street Springfield, Oregon. 97477" ,:-, 541-726-3759 Phon~' '.. ",-, >.' RECEIPT #: Job/Journal Number COM2009-0 1627 COM2009"01627 COM2009-0 1627 Description ;;.',1_ I st Appliance + 5% Technology Fee + 12% State Surcharge . ...' " 31:; .:,,~ -,' . ' Payments: Type of Payment Paid By ONLINE CHGS 'ONLINE PE!(,MIT CHGS ,..' ".", ,.' ::jt~::J~ ' , ", cReceint 1 ,', City of Springfield Official Receipt Development Services Department .Public Works Department 1200900000000001241 Date: 11/06/2009 Item Total: t.:heck Number Authorization Received By Batch Number Number How'Received KR ONLlNEASSOCIA T Online ED' HEATING Payment Total: " Page I of I 1:34:I1PM Amount Due 79.00 3.95 9.48 $92.43 Amount Paid $92.43 $92.43 1116/2009