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Home My WebLink AboutPermit Mechanical 2010-1-6 Ci I 0 . ~tJ St~~lN:::~ It;~;,;( ~'.~ .lft<,..~ OREGON City Of Springfield 225 Fifth 5t Springfield, OR 97477 Phone: 541-726-3753 Email: permitcenter@ci.springfield.or.us Residential Mechanical Authorization To Begin Work 69600-BMC-10-00007 Approval Code: 013716 1/6/2010 1 :10 pm E-mailedTo:brandy@associatedheating.com I .., :,,' I 0 New Construction (K] Addition/alteration/replacement .. '..,,;/lCAi'EGORYOF.-:.C9Ns.fI'iUc'n()rf~:;'r:::,,;:'j 00 1 or 2 family dwelling 0 Multi-family D Commercial D Accessory IQ~i'):.J;~lP:Ifrib'6B'slfEljNi7.6RMATj6N'ii"Ni5.~o'cAtlONr;fJ;!i!i;:~~lf!ir'1 I Job Address; 5335 DAISY ST I City/State/ZIP: SPRINGFIELD, OR 97478 I Suitefbldg.fapt.no.: 132 I Project Name: I C,." St"e"di",Hons to jOb site: I Tax map/par<:el no.: 1702330001300 \ Description .:..'[,," Total I First Appliance Fee ., Il~ltEt@~~j~'a-I:Feri!ii1f~~s~~"~i~i::;~,...d,::~j.~-1~"li:c&~-f off, ~~ , I Subtotal [' Stale surcharge (12% of permit total) I Technology fee (5% of permit lotal) TOTAL PERMIT FEE $79.00 I $79.00 I $9.48 $3.95 $92,43 CJO~05' ~e 1!l2!IO Replace package HIP Name: Pam Kennedy I Phone: 541-747-5594 I Email: Fax: I Nnr 6 ,~,'" CCBlic. no,: 1~6~7~ ' " I .. mc ... ,q,.. Business Name: mRCI"lrEAtlWI~Ci f< AIR CONDITIONING INC '..: .': _"H I . '~,,:..t n:F'if.! 1F'7:1:'IJ~J{ Contao' AUTHORIZED IINnl=R Tf-lll:: Dl:D~lIT IS NC'!" I Add,ess PO BoCOMMENCED OR IS ABANDONED FOR I City/Sta'e/ZlP: Eill'!~E~~,I;I,W PERIOD, I Phone: 5416832590 Fax: 5416070287 I Emaif: I Metro lie, no.: City'lie. no,: ATTENT1ON: Oregon laW requires you to follow rulea adopted by the Oregon UtIlity Notiflcatlon Center. Those Nles are let forItI In OAR 952.001..0010 through OAR 952.001- 0090, You may obtain copies of the rules by OBIllng the center. (Note: the telephone IllI/IIb8I' for the Oregon Utility NotIlIcatIOn Center II 1-800432-2344). Upon review and approval by your "tocal jurisdh;tion, your permit will be e.mailed or faxed within one business day, With Instructions on how to sChedule yourl nspection" ". NOTE: This Authorization To Begin Worll. expires"Wlthin 180 days if a pe~lt is not obtained, The local building depMtment may determine thaI ,an Authorization To Begin Wol1l. Is null and void if it does not meet applicable land use laws and localordinan ces, ~~~ d!$ '\..; '\.]V 6''0 \" ( ~\'"'\-'\\) ... \ (')Q/ ~ 0" '0- A. . . Inspections Phone: 541.726-3769 This Authorization" To Begin Work ,must be posted at the job site until replaced by a Permit _$enINO,E;IE!:-!:!, 'y r CITY OF SPRINGFIELD Building/Combination Permit . PERMIT NO: COM2010-00025 ISSUED: 01106/2010 APPLIED: 0110612010 EXPIRES: 07/0612010 VALUE: Status . Issued 225 Fifth Street. Springfield, OR 541-726-3753 Phoue ' 541-726-3676 Fax 541-726-3769 Inspectiou Line J SITE ADDRESS: 5335 DAISY ST 132 ASSESSQR'S PARCEL NO,: 1702330001300 SPRINGFIETYPE OF WORK: Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: Replace package heat pump in residence Owner: KENNEDY RICHARD E & PAMELA S Address: 5335 DAISY ST SPACE 132 SPRINGFIELD OR 97478 Phone Number: 541-747-5594 Contractor Type Mechanical I C?NTRACTOR INFORMATION I Contractor License ASSOCIATED HEATING & AIR CONDITIO 106275 BUILDING INFORMATION. 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: EiiergYPatti: Sprinkled Buildi~g: Lot Size: Sq Ft1 st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport SqFt Other: Occupant Load: nla REQUIRED PARKING . . ATTENTION: Oregon law requires you to Frontyard Set~ack: _,.. ""d..~ve~lay DlSt: . follow rules adopted b] ~W'ore 0 ,Utility S,de 1 Setback, . ".::" ...: .."', ,,# St.eet Trees Rqd, NolificatlonCenter. Tho"Ifi\S\lfeWIl~9tforth Side 2 SetbackN QTICE. PlRE IfT~~e Rqd: In OAR 952-001-0010 thn\Y?lR'!5tiR 952-001- Rearyard ~etb~IS PERMIT SHflLL EX ERMIT ~ mn~;overage: 0090.. You may obtain copies of the rules by Solar Setbacks'AUTHOR\ZE~ U_NO~R .~}~~mll:n FOR " calling the ~en~r. (No~e:.~he tel~p'hone liUIVIIVltl\lvCU uf. 10 . .-, ,......b\iii'. J...... ...... _l\Jl::I""'" ....~'..'1 :\.......",.........,...... ANY 180 DAY PERIOD, I PU~LIC IMPROVEMENTS ~ Center is 1-800-332-2344). Street Improvements: Sidewalk Type: I DEVELOPMENT INFORMATION I Storm Sewer Available: Special Instruction: Downspouts/Draius: Notes: I VaIu~~ion DescriPtion' Description Type of Construction $ Per Sq':Ft . or multiplier Square Footage or Bid Amount Value Date Calculated .Page I of2 CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2010-00025 ISSUED: 0110612010 APPLIED: 0110612010 ExpiRES: 07/06/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . 'Total Vahie of Project ",' I . Fee.~ Paid I Fee Description + 12% State Surcharge + 5% Technology Fee 1st Appliance Amount Paid Date Paid Receipt Number $9.48 . $3,95 $79,00 1/6/10 1/6/10 1/6/10 2201000000000000004 2201000000000000004 2201000000000000004 Total Amount Paid $92,43 Plan Reviews .1 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. Reonifed:rns'Iections I , r III II , ~ 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 aecordance 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 structure without permission of the Commuuity Services Division; Building Safety, I 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 frout of the property, and the approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature Date . '. , .' , ,,' ,'i_I Paee2 of 2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM20 I 0-00025 COM20 I 0-00025 COM20 I 0-00025 Payments: Type of Payment ONLINE CHGS cReceintl RECEIPT #: Description I st Appliance + 12% State Surcharge + 5% Technology Fee Paid By ONLINE PERMIT CHGS 2201000000000000004 City of Springfield Ofticial Receipt Development Services Department Public Works Department Date: 0110612010 Item Total: Check Number Authorization Received By Batch Number Number How Received KR Paj!,e I on ONLINE ASSOCIAT Online ED HEATING Payment Total: 1:52:20PM Amount Due' 79.00 9.48 3.95 $92.43 Amount Paid $92.43 $92.43 1/6/2010