HomeMy WebLinkAboutPermit Mechanical 2009-11-18
..
SPRINGFIELD
_1~~~;f;4?r~ ",
, ~~,,~{ ($;!.c
.~ OREGON
City Of Springfield
225 Fifth 51
Springfield, OR 97477
Phone: 541-726-3753
Email: pElITnilcenter@ctspringfield.or.us
I 0 New Construction
I2U Addition/alteralionlrepjaceme~t
I [K] ~ or 2 family dwelling 0 Multi-family 0 Com~ercjal 0 Accessory
Iii'fJ;)f:~ c~~~"li-oB;SITE'iNF-6RiiiI~TI6N'AND;~6cA'rjOt-f""J!l!l,l!;;'~i~"1':~~
I Job Address: 235 24TH ST .
I CitylStatelZlP: SPRINGFIELD, OR 97477
I SUit~/bld~.Iapt.no.:
I proJ~Ct Name:
I C'oss St'eeU~i"'t;ons to job sit.,
I Tax :maplparcel no.: 1703361409800
Replace gas furnace. Install tankless W/~ & gas piping for
I NarT!~: Sue Watkins
I Phorie: 541-747-1132
Ema!l:
Fax:
eea lie. no.: 106275
I Business NameNOTtI&E~ HEATI~G'& AIR CONDITIONING INC,:.....;.
I con1.ot THIS PERMIT SHALL EXPIRE ~1JIIWQIIK
I Add;." PO Bo\\lJ,kHUKILtL1 UI~Ut:H I HI~ t't:ta;ii Ii Nay
I cityiStatelZ'P' Eti~jtg'b~\~4~P iih 13 ,\exrn:1B :":r. .
I\I\fV 1~ll "D'\V O~D'n{'
I Phorie:5416832'S9"O.. "-... ,. .:'_."-F.i~:5416070.2B7
I Ema!l:
I Met~~ lie. no.:
City lie. no.:
u~o~ .review and approval by YQur local Jurisdiction, your permit will be e-malled or faxed
within one ~usiness day, with tnstru~llons on ~ow 10 schedule your Inspection.
NOTE/hiS Authorization To Begin Work explre5 within 180 days If a permit is not obtained.
The local building department may determine thai an, Authorization
VOldlfltdoe8nOlmeelappncabletandusela~andlOClllordinances.
To Begin Work is null and
._" 'f,
Residential Mechanical Authorization To Begin Work
69600-BMC-09-00183
Approval Code::082937 11/18/2009 9:21 am
E.mailed To: brandy@associatedheating.com
I Description
Total
,",;~,i~.ing,,~,~i~~~fO~~ "y,,__.- _ ~I _ 1 ) $7.00 l _m __ $7,00
IHeatlng/Coollng:~ppliance5rr~~:;;l'?rr'1.~;,~;;;r~'fi;J:.~~~~~
I Furnace. up to 100,000 BTU 1 $17.00 $17.00
I First Appliance Fee
$79.00
Subtotal
I State surcharge (12% of permit
total)
I Technology fee (SOlo of permit total)
I TOTAL PERMiT FEE
$103.00
$12.36
$5.15
$120.51
~q-\LQ~6
ll/l~/'CA
\Ge-
ATTENTION: 'Oregon'law requites you to
follow rules adopted'bythe Oregon Utility
Notification Center. Those rules are set fa""
In OAR 952-00H101 0 through OAR 952.001-
0090. You may obtain copies of.the rules by
calling the.center.(Note:.the telephone
number for the Oregon Utility Notifi08lIoft
r Center is 1-iOO-aaa-2344).
c:Y ~
7 ?:J"
~ ().:
~t; \J
~rY'
~\Qd ~
~ t.f<.
~
. Inspections Phone: 541-726-3769
This Au~~orization To Begin Work must be posted at the job site until replaced'by a permit
Sta'tus
Issued
CITY OF ~t'KINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01665
ISSUED: 11/18/2009
APPLIED: 11/18/2009
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: 235 24TH ST
ASSESSOR'S PARCEL NO.: 1703361409800
Springlield TYPE OF WORK: Mechanical Only
TYPE OF USE: New
PROJECT DESCRIPTION: Replace gas furnace, install tankless water heater and gas piping.
Residential
Owner: WATKJNS SUE
Address: 235 24TH ST
SPRINGFIELD:OR 97477
Phone Number: 541-747-1132
I CONTRACTO~ INFORMATION I
Contractor Type
Mechanical
Contractor License
ASSOCIATED HEATING & AIR CONDITIO 106275
BUILDING INFORMATION'
Expiration Date
08/31/2010
Phone
541-683-2590
# ofUriits:
Primary Occupancy Group:
Secondary Occupancy Group:
Priinary 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 DEVEL~)PMENT INFORMATION I
REQUIRED PARKING
Front yard Setback:' ',. <.' ,. . Overlay Dist: 'Total:
Side I Setb:NOTleE:, ' ", " '''ii Stre~J Trees Rqd: ATTENTION: Oregon,',," m.
Sid~ 2 Setb:iffiIS PERMrr SHALL EXPIRE IF THE tNWIllDrive Rqd: follow rules adopted bQ' .
Rearyard S-,th""""RIZED UN DER THIS PERMrr I&NCifot Coverage: Notification Center. Those es are set forth
"""rn:J In OAR 952-001-0010 through OAR 952-001.
Solt SetbarmMMENCED OR IS ABANDONED FOR 0090. You may obtain copies ofthe rules by
ANY lllU UAY l"'t:I'IIUU. I PUBLIC IMPROVEMENTS I calling me cemer. \'~Ole:.l!'t1 't1I~I'IIUlI"
, number for the Oregon Utility NoUficallon
Stn,et Improvements: 'Si~IIl~P\&00-332.2344).
Storm Sewer Available:
Special Instruction:
DownspoutslDrains:
Notes:
I Valuation Descriotion 1
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Hid Amount
Value
Date Calculated
;"','
"
Page 1 of2
Status.
Issued
225 Fifth Street, Springtield, OR
541-726-3753 Phone
541- 726-3676 Fax
541.726-3769 Inspection Line
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Furnace - up to 100,000 btu
Gas Outlets 1"4
Total Amount Paid
Amount Paid
$12.36
$5.15
$79.00
$17.00
$7.00
$120.51
Total Value of Project
Fees Paid I
'Date Paid
I Plan Reviews I
CITY OF SPRINhJ<l1i.LU
Building/Combination Permit
PERMIT NO: COM2009c01665
ISSUED: 11/1812009
APPLIED: 11/18/2009
EXPIRES: '05/18/2010
VALUE:
11118/09
11118/09
11118/09
11118/09
11/18/09
Receipt Number
220~900000000001306
2200900000000001306
2200900000000001306
2200900000000001306
2200900000000001306.
To Request an inspectiort 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, Reouired In~nPdions I
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 certify that all
information hereon is true and 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 structure without permission of the Community Servi~es Division, Building Safety.
I further certify that only contractors and employees who are in compliance with ORS 70l.005,will be used on this project.
I further agree to ensure tha't 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
Page 2 of2
Date
215 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works D,epartment
RECEIPT #:
2200900000000001306
Date: 11/18/2009
9:29:46AM
Paid By
ONLINE PERMIT CHGS
Item Total:
<":heck Number Authorization
Received By Batch Number Number How Received
Amount Due
79.00
17.00
7.00
5.15
12.36
$120.51
Job/Journal Number
COM2009-0 1665
COM2009-0 1665
COM2009-0 1665
COM2009-0 1665
COM2009-0 1665
Description
1 st Appliance
Furnace - up to 100,000 btu .
Gas Outlets 1-4
--I- 5% Technology Fee
+ 12% State Surcharge
Payments:
Type of Payment
ONLINE CHGS
Amount Paid
KR
ONLlNEASSOCIA T Online
ED HEAT &
AIR
Payment Total:
$120.51
$120.51
'.
','
.,
.>'''.;'',
."
cRw:iritl
Page 1 of 1
11/18/2009