HomeMy WebLinkAboutPermit Mechanical 2010-2-3
City Of Springfield
225 Fifth 51
Springfield, OR 97477
Phone: 541-726~3753
Email: permitcenter@ci.springfield.or.us
C,IO' i~.7
Residential Mechanical Authorization To Begin Work
69600-BMC-10-00020
Approval Code: 092049 2/3/2010 1 :23 pm
E-mailedTo:brandy@associatedheating.com
o New Construction
[KJ Addition/alteration/replacement
l
r:
001 or 2 family dwelling 0 M~lli-family ,0 Commercial 0 Accessory
. , :!:JOBSltE:INF()RMAfi6ii1;ANr:il~OCA'Tj6N~::"J""",;~~~~
Job Address: 1253 30TH 5T
City/State/ZIP: SPRINGFIELD, OR 97478
Suite/bldg.fapt.no.:
Project Name:
I Cross StreeUdir.clions 10 job sit.:,
I Tax map/parcel no.: 1702303402701
Install ductless HIP
Name: Alberta Baker
I Phone: 541-302-9221
Fax:
Email:
cee lie. no.: 106275
Business Name: ASSOCIATED HEATING & AIR CONDITIONING INC
Contact:
Address: PO BOX 412
City/State/ZIP: ~UGENE, OR 97440
Phone: 5416832590
Fax: 5416070287
Email:
Metro lie. no.:
City lie. no.:
Upon review and approval by your local jurisdiction, your permit will be a-mailed or faxed
within one business day, with instructions on how 10 schedule your inspection.
NOTE: This Aulhori.:ation To Begin Work expires within 180 days if a permit is not obtained.
The local building department may determine thai ail Authori.:ation To Begin Work is null and
void if it does not meel applicable land use laws and local ordinances.
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I Description
1 First Appliance Fee
$79,00 I
-,:j'< .!~..,'.~~l":l
I Subtetal
1 State surcharge {12% of permit
totall
I Technology fee (5% of permit total)
I TOTAL PERMIT FEE
,0
;-..,.
CO':?
$79.00
$9.48
$3,95
$92.43
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Inspections Phone: 541-726-3769
This Authorization To Begin Work must be posted at the job site until replaced by a Permit
_~RINIllI"'Im.D;
I
i
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO:COM201O-00143
ISSUED: 02/03/2010
APPLIED: 02/03/2010
EXPIRES: 08/0312010
VALUE:
Status' Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
, 541-726-3676 Fax
541-726-37691nspection Line
SITE ADDRESS: 1253 30TH ST
ASSESSOR'S PARCEL NO,: 1702303402701
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
PROJECT DESCRIPTION: Ductless heat pump w/receptical at equipment
Residential
Owner: POOLING & SERVICING AGREEMENT
Address: 701 CORPORATE CENTER DR MC: NC
RALEIGH NC 27607
"
I CON!RACTOR INFORMATION.
Contractor Type
Electrical
Contractor
OREGON ELECTRIC SERVICE
License
181997
Expiration Date
05/09/2010
Phone
541-343-1681
BUILDING INFORMATION'
# 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 Ft I st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION I
.:';";r
REQUIRED PARKING
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay. Dist: Total:
# Street Trees Rqd: Handicapped:
Paved Drive Rqd: Compact:
% of Lot 'Covera~ N' 0 law requires you to
,.. , ATTENTIO. regon . ,
;,.', .,", ,;,. fnl\l}w rules adopted by the Oregon U~!~S-'
, I PUB~IC IMPROV~ME~'i~_~6~_~~'1~r;h;;U:;h"OAj:t95~.061~
0090. You may;llIeWiIJ~WIAA of the rules by
. calling the center. (No(e:':h~ telephone
. lWlIlber lor t~~O"tWit}'4<<I\ifiOIllICIII
Center is f-800-332-2344).
Street Improvements:
Storm Sewer Availahle:
Special Instruction:
. NOTICE: ,','
Notes: THIS PERMIT SHAll EXPIRE IF THE WORK
;.t;-;-IIiX1C:: ~tlr'::" TUIC D!:J:unrr. ~~ NOT
COMMENCED OR IS ABANDONED Ir~luation Description I
ANY 180 DAY PERIOD. '
Descrl'ptl'Ol1 T t. C t t' $ Per Sq Ft Square Footage
ype 0 ons ruc IOU. I . I" 'B'd A
. Or mu tip lcr or I mount
Value
Date Calculated
Paee I of2
_S~IUN!IlI/i:f"iU"I?/
,
-,
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fee~ Paid I
Fee Description
+ 12% State Surcharge
+ 12% State Surcharge
+ 5% Technology Fee
+ 5% Technology Fee
1st Appliance
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Amount Paid
$7,32,
$9.48
$3.05
$3.95
$79.00
$55.00
$6.00
Total Amonnt Paid
$163.80
Phin Reviews I
Date Paid
2/3/10
2/3/10
2/3110
2/3/10
2/3/10
2/3/10
2/3/10
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00143
ISSUED: 02/03/2010
APPLIED: 02/03/2010
EXPIRES: 08/03/2010
VALUE:
Receipt Number
3201000000000000037
3201000000000000038
3201000000000000037
3201000000000000038
3201000000000000038
3201000000000000037
3201000000000000037 ,
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.
RNlUired Insneelions I
Rough Electric: Prior to Cover
Final Electric: When all electrical work.is cOIl)plete:
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
By signature, I state and agree, that Ihave carefully examined the completed application and do hereby certify that all
iuformation hereon is true and correct, ;lJId 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 ofany structur(~Vithiiufpermission of the Community Servi~es 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 ensnre that all required inspection; are req';~sted 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 constructio?"
Owner or Contractors Signature
P';2e 2 of 2
Date
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM20 I 0-00 143
COM20l0-00l43
COM20 I 0-00 143
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
Description
151 Appliance
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
ONLINE PERMIT CHGS
3201000000000000038
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 02/03/2010
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
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Page I of I
ONLINE associated Online
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Payment Total:
1:3S:I3PM
Amount Due
79,00
9.48
3,95
$92.43
Amount Paid
$92.43
$92,43
2/3/20 I 0