HomeMy WebLinkAboutPermit Mechanical 2009-11-27
City 01 Springfield
225 Fifth 51
Springfield, OR 97477
Phone: 541-726-3753
Email: permilcenter@ci.springfield.or.us
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Residential Mechanical Authorization To Begin Work
69600-BMC-09-00198
Appro.val Cod,,: 000767 11/27/2009 3:33 pm
e-ma,iled To: brandy@associatedheatin9,com
I 0 New Construction
[K] Addition/alteration/replacement
Description
I First Appliance Fee l
1~~'chani~_~f'~~rrjljt~~~eS~::;1t1i~;~ :~<~K~*~ ~ 4,"'11
I Subtotal
I Stale surcharge {12% of pe~mil
totan
I Technology fee (5% of permit total)
I TOTAL PERMIT FEE
$79,00
$9,48
IlZl1 or 2 family dwelling 0 ~ullj-family D Commercial D, Accessory
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I City/State/ZIP: SPRINGFIELD, OR 97478
Suite/bldg./apt.no.: 21
$3,95
$92,43
Project Name:
Cross Street/directions to job site:
Tax mapfparcel ~o.:
1702323406500
Replace furnace
Name: David McGuffin
Phone: 541-968-2964
Fax:
Email;
CCB lie. no.: 106275
Business Name: ASSOCIATED HEATING & AIR CONDITIONING INC
I Contact:
I Address: PO BOX 412
I CityfStatefZIP: EUGENE, OR 97440
I Phone: '5416832590
Fax: 5416070287
Email:
Metro lie. no.:
City lie. no.:
Upon review and approval by your local jurisdiction, your permit will be e-mailed or faxed
within one business day, with instructions on how to schedule your inspection.
NOTE: This Authorization To Begin Work expires 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 dOllS not meet applicable land use laws and local ordinances.
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Inspections Phone: 541-726-3769
This Authorization To Begin Work must be posted at the job site until replaced by a Permit
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: COM2009-01704
ISSUED: 11130/2009
APPLIED: 11130/2009
EXPIRES:' 05/30/2010
VALUE:
SITE ADDRESS: 4475 DAISY ST SPACE 21
ASSESSOR'S PARCEL NO.: 1702323406500
Springfield TYPE OF W,ORK: Mechanical Only
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Replace furnace
Owner: COUNTRY MANOR LTD PARTNERSHIP
Address: 7007 SW CANRDINAL SUITE 185
PORTLAND OR
Contractor Type
Mechanical
I O:mTRACTOR INFORM A TION I
Contractor License
ASSOCIATED HEATING & AIR CONDITIO 106275'
BUILDING INFORMATION I
Expiration Date
08/3112010
Phone
54 I -683-2590
# of Units:
Primary Occupancy Group:
Secondary Occupancy Gronp:
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:
S,q Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION I
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solllr Setbllcks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMP~OVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Description
;'OTlGE:
. HIS PERMIT SHALL EXPIRt~ wo;m
,UTHORIZED UNDER THIS t~}I~scriJ)tion I
COMMENCED OR IS ABANDq~P/qcm Square Footllge
ANyrW!l'!)A)o~m019~ or multiplier or Bid Amount
Sidewalk Type:
DA'fTENTlb~~~~~gon law requires Y6W16
follow rules adopted by the Oregon Utility,
Notification Center. Those rules at.e ~_~l @~H
In OAR 952-001-0010through OAR 95~:OO,1:
388:. ...:~~ ::Aa;C-...L-..,...:... ......~i6~ nf +h.~ .".;I.Q~ ~
calling the center. (Note: ttle teleptlone
IlUmberfor the Oregon UtilitfNolimtiOfi
Center Ia 1..eoo-_~..
Vlllue Datc Clllcnlllted
Notes:
Pllee I of2
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Status
Issued
/, If
€ITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01704
ISSUED: 11/30/2009
APPLIED:. 11/30/2009
EXPIRES: 05/30/2010
VALUE:
225 Fifth Street, Springlield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
F~~s Paid I
$9.48
$3.95
'$79.00
11/30/09
11/30/09
11/30/09
Receipt Number
3200900000000000777
,3200900000000000777
3200900000000000777
Fee Description
+ 12% State Surcharge
+ 5ulcl Technology Fee
1st Appliance
Amount Paid
Date Paid
Total Amount Paid
$92.43
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 Reouiredlnsnections I
I IT r ~, r ,
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 1 further certify that any and all work performed shall he dOlle 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 strllcture without permission ofthe CommllnitYServices Division, Building Safety.
I further certify that only contractors and employees who are in compliance with ORS 701.095 will he used on this project.
I further agree to ensure that all required inspections are requested at the proper time, that each address is readahle 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
tim~s during construction.
Owner or Contractors Signature
Date
Paee 2 of2
225 Fifth Street
Spr,ingfi,eld, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-0 1704
COM2009-0 1704
COM2009-0 1704
Payments:
Type of Payment
ONLINE CHGS
cRcceintl
RECEIPT #:
Description
+ 5% Technology Fee
+ 12% State Surcharge
J st Appliance
Paid By
ONLINE PERMIT GIGS
City of Springfield' Official Receipt
Development Services Department
Public Works Department
3200900000000000777
Date: 11/30/2009
Item Total:
t:heck Number Authorization"
Received By Batch Number Number How Received
nJm
ONLINE
associated Oriline
,
Payment Total:
Page I of I
7:53:53AM
Amount Due
3,95
9.48
79,00
$92.43
Amount Paid
$92.43
$92.43
11/30/2009