HomeMy WebLinkAboutOccupancy Mechanical 2010-1-6
SPRINGFIELD
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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
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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).
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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 - ,
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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