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HomeMy WebLinkAboutOccupancy Mechanical 2010-1-6 SPRINGFIELD _'.h '.""'.<..'.- --.. w- .,21>.... "i,/-r iit:U .,...,. \......~ ., g- ,..>"OREGON City Of Springfield 225 Fifth 5t Springfield, OR 97477 Phone: 541-726-3753 Email: permitcenter@cLspringfield.or.us Residential Mechanical Authorization To Begin Work 69600-BMC-10-00008 Approval Code: 048697 1/6/2010 1 :38 pm E-mailedTo:brandy@associatedheating.com c 10, 2-1 I 0 New Construction [XJ Addition/alteration/replacement I Description Qty. IE'. I [Z] 1 or 2 family dwelling D Multi-family D Commercia! 0 Accessory 1\,. '. riir't;~t';:€;jOBSW~;INFORMATIQN;AND1~"6CATI6N~' :"<,r.-i::,~;'j:;:::; .1 Job Address: 1997 MCTAVISH CT I City/State/ZIP: SPRINGFIELD, OR 97477 I Suite/bldg./apt.no,: Project Name; Cross Street/directions to job site: I Tax map/parcel "no.: 1703271307100 Replace HIP & NH I Name: Jim Nunn I Phone: 541-988-3311 I Em,;I: I" ,~~."," I Fax: CCB Iic. no,: 106275 I Business Name: ASSOCIATED HEATING & AIR CONDI~JONING INC I Contact: I Add,...: PO BOX "'''OlICE' H. - ."ORK I C;tyISt,\eIZIP, EUGEi('Ei-i:lS ~[<!aMIT SHALL EXPIRl: I~ I nc\"vv 'InT . -. .1- f~~1 '-'T " I Phone: 5416832590 AU I HUKILl:U U'W,t;n,b~oil\7.. oJ. .~ FOcR. - I CG;vi;vi;:;~-CG on Ie ^8,'d'WQNf- Em,;I: N!Y ; 21] ~.^V DCQlnn I Metro lie, no.: City Iic, no,: Upon review and approval by your local jurisdiction, 'your permit will .be'. e-malled ,or faxed within one business day, with Instructions on how to schedule your inspection. NOTE: This Authorization To Bf:!gin Work expires within 180 days if a pennlt Is not obtained. The local building department may deterrillne that an Authorization To Begin Work Is null and void ifildoes notmeel applicable land use laws and local ordinances, I Heat Pump I First Appliance Fee Subtotal I State surcharge (12% of permit total) I Technology fee (5% of permit total) I TOTAL PERMIT FEE $96.00 I $11.52 $4,80 $112,32 tlO - 04'.1<>>-- I \ Lu,\ lO ,. . ATTENTlON: Oregon law requires YOU,to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth In OAR 952-001-0010 through OAR 952,001- 0090. You may obtain copies of the rules by calling the center. (Note: the tel~~ho~ll number for the Oregon Utility Notllication Center is 1-800-332-2344). \;~'o/: \,/~\O . L:;?". ~~ I- ~ ~ r)....\.\\) ~.v Inspections Phone: 541-726-3769 This Authorization To Begin Work must be posted atthe job site until replaced by a Permit CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2010-00027 ISSUED: 01106/2010 APPLIED: 01106/2010 EXPIRES: 07/06/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone . 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1997 MCTAVISH CT ASSESSOR'S PARCEL NO.: 1703271307100 Springfield TYPE OF WORK: Heating System TYPE OF USE: New PROJECT DESCRIPTION: Replace heat pump and air handler in residence, Residential Owner: Address: NUNN JIMMIE DEE & M LA VERNE 1997 MCTAVISH CRT SPRINGFIELD OR 97477 Phone Number: 541-988-3311 I C,ONTRACTOR INFORMATION I Contractor Type Mechanical Contractor License ASSOCIA TED HEA TING & AIR CONDITIO 106275 BUIL))ING 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: Energy Path: . Sprinkled Building: Lot Size: Sq Ftlst Floor: . Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: nla I DEVELOPMENT INFORMA TIO~':VENTION: Oregon law requires you to . .. iI'w rules adopt~utw.Q{~J.Mw Notification Center. 'tllose rules are seYfarth Front yard Se,tP.m . Overlay Dist: In OAR 952.Q01-0011hthrbugh OAR 952-001. Side 1 Setba~\U E. l EXPIRE IF THEIWt)\i\!\i Trees Rqd:. 0090. You may obtl1i/blla~t1lhe rules by Side 2 SetbaHclS PERMIT SHAl fB1ml'Prive Rqd: i calling the center.c(Mqlllt6S16 telephone Rearyard S~tIlJi]ik!ORIZED UNDER THIS PERMITFO'ROf Lot Coverage: number for the Oregon Utility Notification Solar Setbac,!H3MMENCED OR IS ABANDONED Center 'e 1-800-332-2344). ,""I~ 1 10,) ;.,;.:.. r:frr3D-, I PU~L1C IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Downspouts/Drains: Notes: I y ~Iuation Description ~ Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee I of 2 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769Inspectiou Line Fee Description + 12% State Surcharge + 5% Technology Fee 1st Appliance Heat Pump Amount Paid $11.52 $4.80 $79,00 $17,00 Total Amount Paid $112,32 Total Value of Project Fees. Paid I I Plan Reviews 1 Dale Paid 1/6110 1/6110 1/6/10 1/6/10 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00027 ISSUED: 01106/2010 APPLIED: 0110612010 EXPIRES: 07/06/2010 VALUE: Receipt Number 2201000000000000005 2201000000000000005 2201000000000000005 2201000000000000005 To Request an inspection call the 24 hour recording at 726-3769. Ail 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. " Reouired lnsnections I IIII1II II Rougb Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete, By signature, 1 state and agree, that I have earefully examined the completed application and do. bereby certify that all iuformation hereon is true and correet, and I further certify that any and all wOI.k performed shall be done in accordance with the Ordinances of the City of Spriugfield aud 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. 1 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 of the property, and the approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature Paee 2 of2 Date 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM20 I 0-00027 COM2010-00027 COM20 I 0-00027 COM20 1 0-00027 Payments: Type of Payment ONLINE CHGS cReceintl RECEIPT #: Description 1st Appliance Heat Pump + 12% State Surcharge + 5% Technology Fee Paid By ONLINE PERMIT CHGS G.r."~~9,F1.~'~. !... Witt.\6 - , n" ,. ........,....,.:.,.,.,.. .... City of Springfield Official Receipt Development Services Department Public Works Department 2201000000000000005 Date: 01106/2010 Item Total: Check Number Authorization Received By Batch Number Number How Received KR ONLlNEASSOCIAT Online ED HEATING Payment Total: Page 1 of I 2:03:24PM Amount Due 79.00 17.00 11.52 4.80 $112,32 Amount Paid $112.32 $112,32 1/6/2010