The URL can be used to link to this page

Home My WebLink AboutPermit Mechanical 2010-2-12 Residential Mechanical Authorization To Begin Work 69600-BMC-10-00030 City Of Springfield 225 Fifth 5t Springfield, OR 97477 Phone: 541-726-3753 Email: permitcenter@ci.springfield.or.us SPRINGFIELO~~~ '1:i"~\/\0~;' 11'=, q .~ ,'., " 0;;A~jf' '~,"" y:&'>1> :;..oo"~ ~ ",11>. OREGON , ',(jl (j\O' I" Approval Code: 037568 2/12/2010 10:05 am E-mailedTo:brandy@associatedheating.com ;~~~l I Description 00 Addition/alteration/replacement o New Construction t,f I Gas Piping - first four jH~'~m~iVG2qfin'gfAPPH~nces~~ I Furnace - up to 100,000 BTU 1Z]1 or 2 family dwelling D Multi-family 0 Commerdal o Accessory Job Address: 1209 EST I First Appliance Fee I I 1!VI9c~~nic~~,;p,er!!ii.t:f~j~~~~fL~~:~~::;e~,~~; I Subtotal I Stale surcharge (12% of permit lotal) I Technology fee (5% of permit tolal') I TOTAL PERMIT FEE City/StatelZIP: SPRINGFIELD, OR 97477 Suite/bldg./apt.no.: $103.00 I $12.361 $515 I $120.51 I Project Name: Cross Street/directions to job site: Tax maplparcel no,: 1703351405700 Install gas furnace and NC Name: Debra Keffer . Fax: Phone: 541.968-3649 Ernail: 1_:_.., ~~ cce lie. no,: 106275 Business Name: ASSOCIATED HEATING & AIR CONDITIONING INC ..~ ~. Do'b Contact: Address: PO BOX 412 ~ , I CltylState/ZIP: EUGENE, OR 97440 I Phone: 5416832590 I Ernai': .l Metro lie. no.: Fax: 5416070287 City lie, no,:. Upon review and approval by your local jurisdiction, your permit will be e,mailed or faxed within one business day, with instructions on how to schedule your inspection. NOTE: This Authorization To Begin Work expires within 180 days if a permit is not obtained. The local building department may del~rmine that an Authorization To B~~!~';:~ork,";i~ ,;nurr and void if it does not meet applicable land use laws and local ordinances, ~\Q &~~ ~~ Co--n2.010 - (Jj)2J:Jv (\ '(Y\ '1--116/ 2-'0 \ 0 " Inspections Phone: 541-726-3769 This Authorization To Begin Work must be posted at the job site until replaced by.a Permit Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00200 ISSUED: 02/12/2010 APPLIED: 02/12/2010 EXPIRES: 08/1212010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax' 541-726-3769 Inspection Line SITE ADDRESS: 1209 E ST ASSESSOR'S PARCEL NO.: 1703351405700 Springfield TYPE OF WORK: Mechanical Only TYPE OF USE: New Residential PROJECT DESCRIPTION: Install gas furnace and AIC Owner: KEFFER DOUGLAS B & DEBRA M Address: 1209 E ST SPRINGFIELD OR 97477 Contractor Type Mechanical I. CONTRACTOR INFORMA nON I Contractor' License ASSOCIATED HEATING & AIR CONDITIO 106275 BUILDING INFORMATION I Expiration Date 08/3l!20 I 0 Phone 541-683-2590 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Coustruction 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 GaragelCarport Sq Ft Other: Occnpant Load: nla I DEVELOPMENT INFORMATION I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: '..,"~ ..', L ',-, REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I ,. .. ATTENTION: OSlgooJlW'/I1iIllWlres you.to follow rules adI),Rted by the Orellon Utility Notification Cent!!'f.~fffi\!S'l\m:set forth In OAR 952-001-0010 through OAR 952-001- 0090 You may obtain copies of tha rules by .. caliing the center. (Note:. t~e tel~phon:n f . -_. ~ - . "":":' :_~dnr 'hI> .o[egon Utility Notificatl , .v t .".... , nter is HIOO-~~-.z~"J' THIS PERMIT SHALL EXPIRE IFfl-JbJ\trom<DescriDtion r .. AUTHORIZED UNDER THIS PEhlvlIl." I~U I DescriPtionC 0 M MMlG IiI'Jc:aRsI~MJ\J'J 0 0 Nt: ""F~.R~t ANY 180 DAY PERIOD. or multIplIer Street Improvements: Storm Sewer Available: Special Instruction: Notes: Square Footage or Bid Amount Value Date Calculated Page 1 0)' 2 ',i, CITY OF SPRING!' IJ:l,LD Building/Combination Permit PERMIT NO: COM2010-00200 ISSUED: 02/12/2010 APPLIED: 02/12/2010 EXPIRES: 08/12/2010 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541..726..3753 Phone 541-726..3676 Fax 541-726-3769 Inspection Line Total Valne of Project Fe~s Paid' $12,36 $5,15 $79,00 $17.00 $7.00 Date Paid 2/12/10 2/12/10 2/12/10 2/12/10 2112/10 Receipt Nnmber Fee Description + 12% State Snrcharge + 5% Technology Fee 1st Appliance Fnrnace - np to 100,000 btn Gas Ontlets 1..4 Amonnt Paid 1201000000000000125 1201000000000000125 1201000000000000125 1201000000000000125 1201000000000000125 ",l; Total Amonnt Paid $120.51 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. Reouiredlnsnections I Rongh Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Final Gas: When all gas 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 wo,'k performed shall',be done in accordance with the Ordinances of the City of Springfield and the L~')'~, 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, I further certify that only contractors and employee~ who are.in compliance with ORS 701.005 will1be used on this project. I further agree to ensure that all required inspectioh~,fre req'n'ested at the proper time, that each address is readable fr'om 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 Date ,. Paee 2 on 225 Fifth Street Springfield, Oregon 97477 54]-726-3759 Phone Job/Journal Number COM20 1 0-00200 COM20 1 0-00200 COM20 1 0-00200 COM20 1 0-00200 COM20 I 0-00200 Payments: Type of Payment ONLINE CHGS cReceinll RECEIPT #: Description 1 st Appliance Gas Outlets 1-4 Furnace - up to 100,000 blu + 12% State Surcharge + 5% Technology Fee Paid By ONLINE PERMIT CHGS ]20]000000000000]25 City of Spr!ngfield Official Receipt Development Services Departm'ent Public Works Department Date: 02/12/20]0 Item Total: Check Number Authorization Received By Batch Number Number How Received njm Page I of 1 ONLINE associated Online htg . Payment Tolal: 10:44:02AM . Amount Due 79.00 7.00 17.00 12.36 5.15 $12U.51 Amount Paid $120.51 $12U.51 2/12/2010