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Home My WebLink AboutPermit Mechanical 2009-12-21 City Of Springfield 225 Fifth SI Springfield, OR 97477 Phone: 541-726-3753 Email: permilcenter@ci.springfield.or.us (/~. m-\ Residential Mechanical Authorization To Begin Work 69600-BMC-09-00227 Approval Code: 056549 12/21/2009 4:05 pm D [Kl Addition/alteration/replacement New Construction F,- ~~ CA iEGOI(Y.OF,C.0NST@tfi6Ni1:":~4:i:.iv:~~~l:!7il2d [g] 1 or 2 family dwelling 0 Multi-family 0 Commercial 0 Accessory ,-:~": ~'";f;;j6B:SI'(EINF.ORMAildNANDilf6'CAjION:'.;'; ::~~i~jl Job Address: 4795 FRANKLIN BLVD City/StatefZIP: EUGENE, OR 97403 Suitelbldg.lapt.no.: 50 Project Name: I Cross StreeUdirecUons to job site: Tax map/parcel no.: 1803022002900 Replace electric furnace It Name: Donna Sedoski Phone: 541-741-7481 Fax: Email: eea lie. no.: 106275 Business Name: ASSOCIATED HEATING & AIR CONDITIONING INC Contact Address: PO BOX 412 City/State/ZIP: EUGENE, OR 97440 I Phone: 5416832590 I Email: I Metro lie. no.: Fax: 5416070287 City lie. no.: Upon review and approval by your local jurisdiction, your permit will be e-mailed or failed 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 does not meet applicable land use laws and local ordinances. j1 /\ ~ /.O\e 2- \ UJrA , . ) 100 '(\rA 12 vi E-mailedTo:brandy@associatedheating.com . :;'"] I 11 $79.00 I . .i1 Description First Appliance Fee I Subtotal I State surcharge (12% of permit total\ I Technology fee (5% of permit total) I TOTALPERMIT FEE ~~~ ~~ {\~ \ ~ '-b"- ~ /0 ~~rvo ro'b" Inspections Phone: 541-726-3769 This Authorization To Begin Work must be posted at the job site until replaced by a Permit $79.00 $9.48 $39S $92.43 __RI...!3101~" "I ~ Status Issued CITY OF ~rKINGFIELD Building/Combination Permit PERMIT NO: COM2009-01821 ISSUED: 12/22/2009 APPLIED: 12/21/2009 EXPIRES: 06/22/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax .541-726-3769 Inspection Line SITE ADDRESS: 4795 FRANKLIN BLVD SPACE 50 Eugene ASSESSOR'S PARCEL NO.: 1803022002900 TYPE OF WORK: Electrical Work Only TYPE OF USE: New Residential PROJECT DESCRIPTION: Replace electric furnace Owner: SEDOSKI DONNA Address: 4795 FRANKLIN BLVD SPACE 044 EUGENE OR 97403 Phone Number: 541-741-7481 Contractor Type Mechanical I C?NTRACTOR INFORMATION I. Contractor License ASSOCIATED HEATING & AIR C:ONDlTIO 106275 BUILDING INFORMAT~ON I Expiration Date 08/31/2010 Phone 541-683-2590 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secundary 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: nla I DEVELOPMENT INFORMATION 1 Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lo( Coverage: ,REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS 1 "....' ..-.,...... Street Improvements;- Sidewalk Type: i;~':_ Storm Sewer Available: -"" .t' Special Instruction; _. . NOTICE' '".' ATTENTlON:Oregonlawrequlresyouto Notes: . MIT SHAll EXPIRE IF THE WOR fonow roles adopted by the Ofegon Utility THIS ~~_~_ 'J"ncD THIS PERMIT IS NOT NotllicatlonCenter. !hoserulesares~etfo~ \UlnVI"'-~~ -,.- N' DONEU~"~ ......"^..:I.&...,;.~.-eetv.I..._,,:-.BAR-e~l!g9. :-;OMMENCED OR IS ABA I Valuation DeSCri~tRRfJll You may obtain copies of the rules by ~ NY i 80 DAY PERIOD. ' Wing the centef. (Note: the telephone n $ Per Sq Ft SqUa5the Oregon Utility Notification Description Tvpe of Construction It' I' B'd A ter 18 1-6OOt8a2-2344). Date Calculated or rou Ip Ief or I roo ~ -, , . Downspoutsmrains: . Pa2e I of 2 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 54] -726-3769 Inspection Line ". :.}!. CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01821 ISSUED: 12/22/2009' APPLIED: 12/21/2009 EXPIRES: 06/22/2010 VALUE: Status Issued Total Value of Project Fees Paicl I $9.48 $3.95 $79.00 Date Paid 12/22/09 12/22/09 12/22/09 Receipt Number Fee Description + 12% State Surcharge + 5% Technology Fee 1st Appliance Amount Paid 3200900000000000822 3200900000000000822 3200900000000000822 . Total Amount Paid $92.43 I Plan Reviews I To Request an inspection call the 24 hour rec.ordingat 726-3769. All inspections requested before 7:00 a.m. will be made the same working day, in~pections requested after 7:00 a.m. will be made the following work day, I R,eclUirecl I nsp~ctions I Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. By signatnre, I state and agree, that I have carefnlly 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 Services Division, Building Safety. 1 further certify that only contractors 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 are requested at the proper time, that each address is readable from the street, that the permit card is located at the front ~f the property, and the approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature ';~'. ',.;\ \" Date Paee 2 of2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-0 1821 COM2009-0 1821 COM2009-0 1821 Payments: Type of Payment ONLINE CHGS cReceintl RECEIPT #: Description .lst Appliance + 5% Technology Fee -I- 12% State Surcharge Paid By ONLINE PERMIT CHGS City of Springfield Official Receipt Development Services Department Public Works Department 3200900000000000822 Date: 12/22/2009 Item Total: Check Number Authorization Received By Batch Number Number How Received . njm ONLINE associated Online Payment Total: ':",:' ;'1. ,-;; ., Pa.ge 1 of 1 7:39:16AM Amount Due 79.00 3.95 9.48 $92.43 Amount Paid $92.43 $92.43 12/22/2009