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Home My WebLink AboutPermit Mechanical 2009-11-18 . . SP_~I~;=~~, " l;J. :((~;'lQI .L~.~",", OREGON City Of Springfield 225 Fifth 5t Springfield, OR 97477 Phone: 541-726-3753 Email: permitcenter@cLspringfieJd.or.us ')i-".TYPE'OE.WORK'''l1''f.?:&:;r'':~~''. I 0 New Construction 1Kl Addition/alteration/replacement 11,:"_.' ,,-,."':'''''"'1': ,i~\CATEG6RY.OF.'C-6NSTRU'CTIl)t,fli;""it~<.:~~::,'/, ::';1' .... c \:."~*";";"""""'_'__"" ... _, .''''..,' _,"'" _.....,,_.... _."".~." ..... ~t; -- (l.~., I [R] 1 or 2 family dwelling 0 Multi-family 0 Commercial 0 Accessory W' :,i-;'~'!'J6BSITE[NF6RMATIOt":AND'L6CATlON;" ,J;.t;"'" .. ..,:A I Job Address: 522 67TH ST I City/State/ZIP: SPRINGFIELD, OR 97476 I Suitelbldg./apt.no.: I Project Name: I C.OSS St",eUd;",ctlons to job site, I Tax map/parcel no.: 1702341403727 Ir: _~;;f '>;i' ~ .~,~' .. ~ }~:':~' !~'-;,~-:, DES'GRIPjI6N;'6F)\'6~1<t~~i~ ~~>b~~<::, . i -:~ Install ductless HIP I Name: Dennis Patterson I Phone: 541-747-6399 I Email: I:. : :, '~);:~P~l.:e~"~1-ij~*-~""~ ~J;.~9N_TAA~TOR~-~~1'p. -;'~:;!~!f/:~, "j~~:~r::.-<5iJ I NOTICE: CCBIJ,i"l\fl...~H~_.U"'""" . -- --mAll t.-~ ~ I Bos;ne" Name .l.n~Il-:'-lE9~~~I~/<~...t:".wdf 18 NOT I hU, IIJR1i!EI." 'J:'.._ ....- Contact, ('mnM~Mr.J:n OI\IS ABANDON~lIIIrvn I Add.ess, PO BO~ 180 DAY PERIOD. I City/State/ZIP: EUGENE, OR 97440 I Phone: 5416832590 Fax: 5416070287 I Emili!: I Metro lie. no.: City lie. no.: Fax: Upon review and approval by your local Jurisdiction, your permit will be e.mailed or faxed within one business day, 'NIth Instructions on how to schedule your inspection. NOTE: This Authori~atlon To Begin Work uplres within 180 day. If 8 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 law& and local ordlnancelii. Residential Mechanical Authorization To Begin Work 69600-BMC-09-00184 Approval Code: 035066 11/18/2009 10:50 am E.mailed To: brandy@associatedheating,com Ilj(ift'~?1~':;:,:Jl?k-;:i~:",":~~F-EEJSC-HEDULE:I'~~\'2.:""-1V{t?;;:;,. ;,- . ~'. , " >"K. ,-"",,-:, ""U'?i,-", .-r-", _'' ~ ' _.-'_' , 1 Description Ea. IMhlirril~n(Fees~ 1 First Appliance Fee lMechafih::al.p'ermjfFee!i ." I Subtotal State surcharge (12% of permit total) Technology fee (5% of permit total) Total . .:~ J;'- :;"~.::j I l ~~ .>2,j' I;' , ....-, - $79,00 I -:~~_,".~-,. ~-, -;~:r)l $79,00 I $9.481 $3.951 $92.43 , ,If-.,,-;;:'...,t I TOTAL PERMIT FEE CP\ - \ lQloi I' 11'6 {ocr ~ 'ATTENTION: Oregon law requires you to follow rules adopted by the Oregon UtIlity Notification Center. Those rules are set tolth In OAR 952-001-<1010 through OAR 952.oot- 0090. You may obtain copies of the rules br calling the center. (Note: ltIe telephone number lor the Oregon Utility NotIIIClatIOI Center 111 BOO nR-2344). ...~ S ~~~-~ \:.; ~ 6 '.b ': ~~6" ~~'b' ~ ~?~ ~ Inspections Phone: 541-726-3769 This Authorization To Begin Work !n.ust be posted at the job site until replaced by a Permit Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01667 ISSUED: 1'1/18/2009 APPLIED: ll/18/2009 EXPIRES: 05/18/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 522 67TH ST ASSESSOR'S PARCEL NO.: 1702341403726 Springfield TYPE OF WORK: Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: Install ductless heat pump in residence Owner: ZIMMERMAN TODD W & KRISTINE M Address: 90426 MARCOLA RD SPRINGFIELD OR 97478 Contractor Type Mechanicat I CONTRACTOR INFORMATION I Contractor License ASSOCIATED HEATING & AIR CONDITIO 106275 BUILDING INFORMATION I Expiration Date 08/31/2010 Phone 541-683-2590 # of Stories: Lot Size: Height of Structure Sq Ft 1st Floor: Type of Heat: Sq Ft 2nd Floor: Water Type: Sq Ft Basement: Range Type: Sq Ft GaragelCarport . ~ergy Path: Sq Ft O,ther: - "N. ". ,,-~QW rinkled Building: nla Occupant Load: l~': of' , ~V\V-'(.~l\~\b~LOPMENT INFORMATION I. ' . "-" ..ul'-\.\. v.\~ y" "'\~~ .' . I.. ; ct.IION: Oregon Rm:pQq~ ~1.'tNG .n1:\Clo;',,"~ ':>" ~90"'\ ~fJ(;j\" , "..' follow rulesadopted bY the Oregon Utility F~onty1i.~~~e~t~'K\" S) 'Uv.\> ~ I>-'i'>t-I Overlay Dtst: Notification Center. ThoWtli,les are set forth SIde I Se'l!a~J()\lSLt; \> O'?- 'I ()\>. # Street ~rees Rqd: In OAR 952-OO1-0010ttli'd6d1f@1A1l\<952.Q01. SIde 2 Setb!!.c~(..lI'(.V.c.t: \l'(.'?-'i ~aved Dnve Rqd: 0090. You may obtaln~:the rules by Rearyard S.5ttiaeRio\) \>~ . ' Vo of Lot Coverage: calling the center. (Note: ltle tele~hone Solar Setback~,;{ \ number for the Oregon Utility NotlficallOn " . 1--a-o--1<I') ua'1l'OI IV -- -,=",...., ~ . I PUBLIC IMPROVEMENTS I ' # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: DownspoutslDrains: Notes: .1 V al~ation DescriDtion I Description Tvpe of Construction $ Per Sq Ft or mnltiplier Sqnare Footage or Bid Amount Valne Date Calculated Paee I of 2 ::'s;F!IlII~,"ii:I\l'll:Il;' , ,f Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01667 ISSUED: 11/18/2009 APPLIED: 11/1812009 EXPIRES: 05/18/2010 VALUE: 225 Fifrh Street, Springfietd, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 IlIspectioll Lille Total Value of Project l..fu,~ Paid I Fee Description + 12% State Snrcharge + 5% Technology Fee 1st Appliance Amount Paid Date Paid Receipt Number $9.48 $3.95 $79.00 11/18/09 11/18/09 11/18109 2200900000000001307 2200900000000001307 2200900000000001307 Total Amollnt Paid $92.43 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 same working day, inspections requested after 7:00 a.m. wil,' be made the following work day. 'I Rl'ouired Il1sn~~tions ~ , .' . . II I I IIiiiIiiiiiiiii Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. By signature, I state and agree, that I have carefully examined the completed application and do hereby certil"y that all information hereon is true and correct, and I fnrther certify that any and all work performed shall be done in accordance with the Ordinances of the City of Sprillgfield and the Laws of the State of Oregon pertaining to the work described herein, and th.t NO OCCUPANCY will be made of .ny structure without permission of the Community Ser~'ices Division, Building Safety. I further certify that only contractors and employees'who are in compliance with ORS 701.005 wIll be nsed on this project. I further agree to ensure that all reqnired inspections are requested at the proper time, that each address is readable from the street, th.t 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 Pa2e 2 of2 2,25 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-0 1667 COM2009-01667 COM2009-0 1667 Payments: Type of Payment RECEIPT #: Description t 51 Appliance + 5% Technology Fee + 12% State Surcharge ONLINE CHGS ONLINE PERMIT CHGS Paid By cReceintl 2200900000000001307 City of Springfield Official Receipt Development Services Department Public Works Department Date: 11/18/2009 Item Total: Check Number Authorization Received By Batch Number Number How Received KR '. .-'... . ~'l '.-!. r c..' . I.:: Page 1 of 1 ONLlNEASSOC1AT Oniirie ED HEAT & AIR Paym,ent Total: 10:51:57AM Amount Due 79.00 3.95 9.48 $92.43 Amount Paid $92.43 $92.43 II II 8/2009