HomeMy WebLinkAboutPermit Mechanical 2009-12-3
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City Of Springfield
225 Fifth St
Springfield, OR 97477
Phone: 541-726-3753
Email: permitcenter@cLspringfield.or.us
Residential Mechanical Authorization To Begin Work
69600-BMC-09-00201
Approval Code: 054956 12/3/2009 10:35 am
E-mailedTo:brandy@associatedheating.com
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I D New Construction IR] Addition/alteration/replacement
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I [Z] 1 or 2 family dwelling D Multi-family D Commercial D Accessory
1[: ',i :,s. l"JOS SITE INFORMATI611j'AMjT()CAfIClN'~,::::'C,:\ \\i{'
I Job Address: 2145 31ST ~T
I City/State/ZIP: SPRINGFIELD, OR 97477
I Suite/bldg./apt.no.: 18
I Project Name:
I C'OSS St,ee.dl'ectlons to job sile,
I Tax map/parcel no.: 1702302104200
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Replace electric furnace
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I Name: Melanie S~ .11l.;t: . i,~',:,;,
I Phone, 541'556'9~j]I" t"ttilVlI I ::'HAlJ..,I;XI'IKI: ,.. UtI: WURK
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eee lic. no.: 106275
Business Name: ASSOCIATED HEATING & AIR 99NDrTIONING INC
Contact:
Address: PO BOX 412
I City/State/ZIP; EUGENE, OR 97440
I Phone: 5416832590
I Emait:
I Metro lie. no.:
Fax: 5416070287
City Iic. no.:
Upon review ancl approval by your loeal Jurisdiction, your permit will be e-malled or faxed
within one business day, with Instructions on howto schedule your I n'pecllon.
NOTE: This Authorlzallon To Begin Work expires within 180 days If. permit Is not obtained.
The local building depllrtment may determine that an Authorization To Begin Wol1l. Is null and
void If II does not meet applicable land use laWlll ancllocal ordinances.
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I Description
IMinimum,Fe~s:,
I First Appliance Fee
IMe-c~ani~~I,perm !fF:e'es
I Subtotal
I Stale surcharge (12% of permit
totall
I Technology fee (5% of permit tOla!)
I TOTAL PERMIT FEE
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fb'i.I
~~.cf\
"w: l6r
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'~~,',:fEETiIC_HEPULE "
I Qty, I
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Eo,
Total
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i
$79.00
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)
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$79.00
$9.48
$3.95
$92.43
tq -110:3
~ ro13!DQ
'-
ATTENTION: Oregon law requires YQq "
follow rules adopted by the Oregori i,ffil~
Notification Center. Those rules are... ~
In OAR 952~1~10t~rough OAR ~~
0090. You may obtain coplea of thaN'""
OlIIllng the OBnter. (Note: the telePha
'1IlImIMr for lIle Oregon UtIlity NotifloI_
Center II tilOQ an ~i).
Inspections Phone: 541-726-3769
This Authorization To Begin Work must be posted at the job site until replaced by a Permit
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01723
ISSUED: 12/03/2009
APPLIED: 12/03/2009
EXPIRES: 06/03/2010
VALUE:
225 Fifth Street. Spdngfield, OR
541-726-3753 Phone
54 1,726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2145 31ST'ST SPACE 18
ASSESSOR'S PARCEL NO.: 1702302104200
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Replace electric furnace in residence.
Owner: STRUBE THOMAS J & BETTY J
Address: 2145 N 31ST ST #18
SPRINGFIELD OR 97477
Contractor Type
Mechanical
I CONTRACTOR INFORMATION I
Contractor License
ASSOCIATED HEATING & AIR CONDITIO 106275
BUlLDI.NG INFORMATION I
Expiration Date
08/31/2010
Phone
541-683-2590
# of Units: # of Stories:
Primary Occupancy Group: Height of Structure
Secoudary Occupancy Group: Type of Heat:
Primary Construction Type Water Type:
Secondary Construction Type: Range Type:
# of Bedrooms: /",,,:':,', ",Eriergy Path:
NOTICE: T'L1..s9f~d Building:
~Ilh" (''"'oc,~ JJ.t 'i'I
TH\~ 6~~~O UNDER THIS Il'tDt1Wln~p~!NT INFORMATION I
AUTH CEO OR IS ABANOI'Jirt;~ rv'! ' REQUIRED PARKING
COMMEN ' I 1 ......to
Fronl)'ard Se'\~-N"i80 DAY PERIOD. Overlay Dist: ATTENTION: Oregon lI'<<~u ree '--'1'
Side I Setbacli: .' # Street Trees Rqd,: follow rules adopted bYi~l~A':~to%
Side 2 Setback: Paved Drive Rqd: Notification Center, Tho~lall~AAv:S2-001
Rearyard Setback- % of Lot Coverage- In OAR 952.oo1-C1010throug rut"':
, - . tal . of the es..,
Solar Setbacks: 0090. You may ob n cOptSS
"altlnn tJuo RSnter. lNote: the telephone
I PUBLIC IMPROVEMENTS !jl\Umber for the oregon UUIlt;;4)"n..........
I Center Is 1-800-332- "
Sidewalk Type:
Lot Size:
Sq Fl 1st Floor:
Sq Ft 2nd Floor:
Sq Fl Basement:
Sq Ft Garage/Carport
Sq Fl Olher:
Occupant Load:
nla
Street Improvements:
Storm Sewer Available:
Special 'nstruetion:
Downspouts/Drains:
t. .'~''''' ~,~'1~~ ;
Noles:
Dcscrilltion
Tvpe of Construction
I Valuation Descrintion I
$ Per S.q'Ft ;, Square Footage
or multiplier or Bid Amount
Value
Date Calculated
Paee I 01'2
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11
Status
Issued
225 Fifth Street, Springfield, OR
541,726,3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fcc Description
+ 12% State Surcharge
+ 5% Technology Fcc'
I st Appliance
Amount Paid
$9.48
$3.95
$79,00
Total Amount Paid
$92.43
Total Vlllue of Project
Fee~ Paid'
I Plan Reviews I
Date Paid
12/3/09
12/3/09
12/3/09
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2009-0]723
ISSUED: 12/03/2009
APPLIED: ]2/03/2009
EXPIRES: 06/03/2010
VALUE:
Receipt Number
1200900000000001297
1200900000000001297
1200900000000001297
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 ReolJir~d Insnections I
Rough Mechanical: Prior to Cover
FinllI Mechanical: When all mechanical work is complete.
By signatllre. I stllte and agree. thlltl have carefully examined the completed appliclltion 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 Ordinllnces of the City of Springfield and the LllWS of the Stllte of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety,
I further certify that only contractors llnd employees who arc in complillnce with ORS 701.005 will be used on this project.
I further llgree 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 of the property, and the approved set of plans will remain on the site at all
times during constru'ction.
Owner 01' Contractors Signature
Pll~e 2 01'2
Date
22~Fifth Strcet
Springfield, Oregon 97477
541Jf26-3759 Phonc
Job/Journal Number
COM2009-0 1723
COM2009,O 1723
COM2009-0 1723
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
Description
1st Appliance
+5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
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1200900000000001297
City of Springfield Official Reccipt
Development Services Dcpartmcnt
Public Works Department
Datc: 12/03/2009
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
KR
Page I of I
ONLlNEASSOCIAT Online
ED
HEATING
Payment Total:
II :09:48AM
Amount Due
79,00
3,95
9.48
$92.43
Amount Paid
$92.43
$92,43
12/3/2009