HomeMy WebLinkAboutPermit Mechanical 2010-1-12
S:p'~I~G:L~O
If)!;
......-
OREGON
City Of Springfield
225 Fifth 5t
Springfield, OR 97477
Phone: 541~726.3753
Email: permitcenler@ci.springfield.or.us
I 0 New Construction
~ Addition/alteration/replacement
IfY'c _
I [8]1 or 2 family dwelling 0 Multi-family 0 Commercial 0 Accessory
IfJ:~~:::::';.~':~~'"5lt~E;IN"6RMi\-rION7i\ND;r6Ci\TiON;it~]{L:'lff;~~:~
I City/StatefZIP:,SPRINGFIELD, OR 97477
I Suitelbldg.lapt.no.:
I Project Name:
I em,. S'meVd;'ec';on, '0 job ,;'e,
I Tax map/parcel no.: 1703351207700
Replace gas f'urnace. Inslall NC
.~~S4
I Name: Larrv Garcia
I Phone: 541-520-3320
I Email:
Fax:
eee lie. no.: 106275
I Business Name: ASSOCIATED HEATING & AIR CONDITIONING INC
I Contact:
I Address: PO BOX 412
I City/State/ZIP: EUGENE, OR 97440
Phone: 5416832590
Fax: 5416070287
Email;
Metro lie. no.:
City lie. no.;
Upon review and approval by your local jurisdiction, your pennlt will be e-mailed or faKed
within one business day, with Instructions on how to sChedule yourl nspectlon.
NOTE: This Authorization To Begin Work tKpires within 180 days ]f a permit Is not obtained.
The local buildIng department may detennlne that an Authorization To Begin Work Is null and
void If It does not meet applicable land use laws and local ordinances.
~~Q
Residential Mechanical Authorization To Begin Work
69600-BMC-10-00011
Approvat Code: 005828 1/12/2010 12:34 pm
E~mailed To: brandy@associatedheating.com,
I Description I Qty. J Ea.
IH~~ti~'gICriq!ing"Appli~D:c~~~~~.:~t~:;:i~~"t~:, :"~'
I Fumace - up to 100,000 BTU I $17.00
Total
J
$17.00,,1
"j
$79,00 I
H
$9600 I
$11.52
I First Appliance Fee
I Subtotal
I State surcharge (12% of permit
total)
I Technology fee (5% of permit total)
I TOTAL PERMIT FEE
$4,80
$112.32
CJO - L/3 ~\L ~(I'L\lD
AnENTlON: Oregon Iawrequ!res you to
follow rules adopted by the Oregon Utility
Notification Center. Those rules are set lorttl
In OAR 952-001-0010 through OAR 952.001-
0090. You may obtain copies of the rules by
calling the center. (Note: the telephone
number lor the Oregon Utility NotIfIcatIOn
Center 18 1-800-332-2344).
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
~
\~~
~
Inspections Phone: 541-726-3769
This Authorization To Begin Work must be posted at the job site until replaced by a Permit
_GP-FlINCliF,IEi.O; ,
f
,
Status
Issued
CITY OF SPRl~lJJ:<U.LV
Building/Combination Permit
PERMIT NO: COM2010-00043
ISSUED: 0111212010
APPLIED: 0111212010
EXPIRES: 07/1212010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 946 G ST
ASSESSOR'S PARCEL NO.: 1703351207700
Springfield, TYPE OF WORK: Heating System
, TYPE OF USE: New
PROJECT DESCRIPTION: Replace gas furnace and install air conditioning in reisdence.
Residential
Owner: GARCIA LAURENCE DANIEL
Address: PO BOX 452
EUGENE OR 97440
Phone Number: 541-520-3320
Contractor Type
Mechanical
Expiration Date
08/3112010
Phone
541-683-2590
# of tJ nits:
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 Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
'n/a
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
I DEVELOPMENT INFORMA TlQJ'L L .
. . ,. .!ffflON. Oregon I/Iw;fMl4!r~)lO!Jd~ING
, follow rules adopted bY'fl\1l ~regon' OlltltY
Overlay Dist: Notification Center. Tho!l8lrdes are set forth
# Street Trees Rqd: In OAR 952-o01-0010thd:lugltie.{iiM62-o01-
Paved Drive Rqd: 0090. You may obtain c~li'Idl1e rules by
% of Lot Coverage: calling the center. (Note: the telephone
number for the Oregon Utility Notification
"','5'rlt~'i: I~ ~."n'1'""?,'l-~4\
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storlll Sewer AVi\\iJiiltE"
speciallnstruct~~is PERMIT SHALL EXPIRE If THE y.JORK
Notes: AUTHORIZED UNDER THIS PERMIT IS ~9,T
COMMENCED OR IS ABANDONED,FOR "
ANY 180 DAY PI:KIUU.
"..' .;:',~'.,;e~~;..~'~' '.
Sidewalk Type:"" ..
DownspoutslDr;'ins:
I Valuation Descriotion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee 1 of 2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00043
ISSUED: 0111212010
APPLIED: 0111212010
EXPIRES: 07/1212010
VALUE:
225 Fifth Street, Springfield, OR
54]-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
./:"
Total Value of Project
Fees Paid I
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Furnace _ up to 100,000 btu
Amount Paid
Date Paid
Receipt Number
$11.52
$4.80
$79.00
$17.00
1112/10
1112/10
. 1112/10
1/12/10
1201000000000000035
1201000000000000035
1201000000000000035
1201000000000000035
Total Amount Paid
$112.32
I, Plan Reviews I
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.
Remiii-ed I nsnediilns I
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
By signatnre, 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 accordance with
the Ordinances of the City of Springtield and the Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made ofany structure without permission ofthe Community 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.
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. . : , I
Owner or Contractors Signature
Date
Pa~e 2 012
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM20 1 0-00043
COM2010-00043
COM20 I 0-00043
COM20 1 0-00043
Payments:
Type of Payment
ONLINE CHGS
cReceintl
REcEIPT#:
1201000000000000035
Description
151 Appliance
Furnace - up to 100,000 btu
+ 12% State Surcharge
+ 5% Technology Fee
City of Springfield Official Receipt
Development Services Department
Public Works Department,
Date: 0111212010
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Paid By
ONLINE PERMIT CHGS
KR
';"',:Ji
::;'
-'
. .,~ ti.,
Page 1 of 1
ONLINE ASSOCIAT Online
ED
HEATING ,
Payment Total:
2:23:57PM
Amount Due
79.00
17.00
11.52
4.80
$112.32
Amount Paid
$112,32
$112.32
1/12/2010