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HomeMy WebLinkAboutPermit Mechanical 2009-11-18 " , 'i 'S.~,=I~"G~~LO ~ ~~J '\OREGON City Of Springfield 225 Fffth 51 Springfield, OR 97477 Phone: 541-726-3753 Email:.per~itcenler@ci.springfjeld.or.us Residential Mechanical Authorization To Begin Work 69600-BMC-09-00185, Approval Code: 069324 11/18/2009 2:47 pm E-mailedTo:brandy@associatedheating.com o New Construction IRJ Addition/alteration/replacement [X] 1 or 2 family dwelling 0 Mul~i-family D Commercial o Accessory ~;\~w;'~4,;1(OB~SfrE.iNFbRMA riONAfio'ITOCA TIONI?~'B'~1'~!~ Jo~ Address: 3290 RALEIGHWOODAVE I CityIStateIZIP:SPRINGFIELD, OR 97477 I Su'ite/bldQ,/apt.no.: I Pr?iect Name: I c.6", Stn,,"d;,.,';ons '0 job s;t., I Ta~ map/parcel no.: 1703221320600 Install ductless HIP I " Name: Ron Dobrowski I Ph~ne: 541-747-2501 I E~ail; Fax: . I "lnTI"'-J:. CeB.lie. ;,o.:'1'0627'5W.-~;,;-~;!~,~:,;',,'\ I Bus;n.ss Nam'm~ffi~~W'!HAll! WIRf~-~ I Conta,,, AUTHORIZED UNDER TH~ ~...!.IIIUI,.' I Add,"ss, PO Bcl,((JN!MtNlil:U Utc l::i 1\1l~lu,rVh .\ " ':"if,' 136 r,;-i/ ~EF.I!)O. I Ci'o//State/zrp: EUGENE, OR 97440 I 'Phone: 5416832590 Fax: 5416070287 I Em~ail: I Me~ro lie. no.: c.:ity lie. no.: Upon ~eview and approval by your lo'cal jurisdiction, your permit will be e-malled or failed withl.n one business day, with instructions on how to schedule your inspection. NOT~: ThIs Authorization To Begin Work ellplres 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 nol meet applicable land use I~Ws and local ordinances. '~ ,~\ .p ;-,.!\ n~ t>;)~ '0Y t?J' I Description I First Appliance Fee I Subtotal I State surcharge (12% of permit total) I Technology fee (5% of permit total) I TOTAL PERMIT FEE $79.00 $9.48 $3.95 I $92.43 I CC\ -[ LllO ~ It I \ 'D I O~ ....' 1tTTENT10N: Oregon law reqtilreS yau- follow rules adopted'bythe Oregon\t:ltiliIJ Notification Center. Those rul" are aet;1adII kl OAR 952;oQ1;(l(),10 through OAR 9524111- 0090. You may obtiln copies of the.rule8i1!r calling the center. ,(Note:,ttletelephOllll IlUQer 10r the'Oregan'Utlllty NotifIoat- Genter 11.1 800 ~"'.aa44). \~\f\ ~~ ~ S'<.' ~ Inspections Pbone: 541-726-3769 This-Authorization To Begin Work must be posted atthejo~ site until replaced by a Permit. Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01670 ISSUED: 11/18/2009 APPLIED: 11/18/2009 EXPIRES: 05/18/2010 VALUE: 225 Fifth Street, Springlield, OR 541-726-3753 Phone 541-726-3676 Fax 54,1-726-3769 Inspection Line SITE ADDRESS: 3290 RALEIGHWOOD AVE ASSESSOR'S PARCEL NO.: 1703221320600 Springlield TYPE OF WORK: Heating System TYPE, OF USE: New Residential PROJECT DESCRIPTION: Install ductless heat pnmp in residence. Owner: DOBROWSKI RONALD J Address: 3290 RALEIGHWOOD AVE SPRINGFIELD OR 97477 Phone'Number: 541.747-2501 I CONTRACTOR INFORMATION I Contractor Type Mechanical Contractor License ASSOCIATED HEATING & AIR CONDITIO 106275 BUILDING INFORMATION I Expiration Date 08/31/2010 Phone 541-683-2590 # 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: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMEN: INFORMA TlON , REQUIRED PARKING Street Improvements: ,. ",." .,.":::-:.::..,.,,~.,;,,~;,,j:'~:'."'i" Frontyard Si.~'tiCE:, ,"" . ',A, Qi:!'.I:.llI.r.Dist: Total: Side 1 Setba~ll.l" rr SHAll iXPIRE \F TMiI~rees Rqd: HandicaEped: Si1e 2 SetbaJJ:\IS PERM THIS PERMMNODrive Rq"d: ATTENTION: Oregon 1!W.fflI.!l1~es you.t.O Reuryard selt.WJIHORIZEO UNDESRAB^'NDONiD mf L.?f Coverage: follow rules adopted by the Oregon Utility Solar SetbaclOOMMENCED OR 1,.. ", Notification Center. Those rules areselfOl'lb All: 1B8 e~:, DCI"?? lnnAR~fi'-OO1.qQ.1Qthrou9hOAR952.oot. , I PUBLIC IMPROVEMENTS'III"v, You may obtain copies Of me rules Dr ,. . 1 calling the center. (Note: \he telephone , numfitl.ol3t1ufDJegon Utility NotifloatIoII Do_u'3A>1.f!g;~3i-2344). St~rm Sewer Available: Special Instruction: Notes: "";'''.\ I Valuation Descriotion I Description Tvpe of Construction $ Per Sq Ft or multiplier . Square Footage or Bid Amount Value Date Calculated . Page 1 of2 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01670 ISSUED: 11118/2009 APPLIED: 11/18/2009 EXPIRES: 05/18/2010 VALUE: 225 Fifth Street, Springlield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fpps Paid I Fee Description + 12% State Surcharge + 5% Technology Fee 1st Appliance ' Amount Paid Date Paid $9.48 $3.95 $79.00 11118/09 11/18/09 11/18/09 Receipt Number 1200900000000001268 1200900000000001268 1200900000000001268 Total Amount 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. will be made the following work day. I ~eou1rpd Tnsnections I .Rongh Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. By signature, J state and agree, that I have carefiJliy e~~mtned the completed application and do hereby certify that all information hereon is true and correct, and I furtIler c'ertify that any and all work performed shall be done in accordance with . .. the Ordinances of the City of Springlield and the~Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any stnictnre without permission of the Community Services Division, Building Safety. J further certify that only contrllctors 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 ~re 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, lInd the approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature Date Page 2 of2 125 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number C0M2009-0 I 670 COM2009-0 1670 C0M2009.0 1670 Payments: Type of Payment ONLINE CHGS cReceint 1 RECEIPT #: Description I st Appliance + 5% Technology Fee + 12% State Surcharge Paid By ONLINE PERMIT CHGS ..~...,...,......, ..'"., .~""'.,.,.,."'~,..~,~'-,.. "'".'"'-''' ",.,""", ~"""""'-' .._~ ,..... ~. "', ., '_'''"''m.'.."_"__.~ i .,.. ~.~'~ City of Springfield Official Receipt Development Services Department Public Works Department 1200900000000001268 Date: 11/18/2009 Item Total: Check Number Authorization Received By Batch Number Number How Received KR ONLINE ASSOCIAT Online ED HEAT & AIR Payment Total: .. ,.; ~ W' \ai.. t)\ ..., -,..;:.~,. ,t:' ':,':.,: ~':r i:~: ,:<:-' , " ,- ..........;.,~ '. .> . .;: ~ ..... Page I of! 2:52:0IPM Amount Due 79.00 3.95 9.48 $92.43 Amount Paid $92.43 $92.43 11/1 8/2009