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:
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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.
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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
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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