HomeMy WebLinkAboutPermit Mechanical 2010-3-15
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City Of Springfield
225 Fifth St
Springfield, OR 97477
Phone: 541-726-3753
Email: permitcenler@ci.springfield.or.us
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-fYP-E OF-wciRK~---- 7 ~c .
D New Construction
~ Addition/alteration/replacement
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CA TEGORY:OF. CONSTRUCTION:;:
00 1 or 2 family dwelling 0 Multi-family D Commercial
D Accessory
.'JOB SITE INFORMATION AND'L:OCATION,
Job Address: 559 S 715T 5T
City/State/ZIP: SPRINGFIELD, OR 97478
Suitelbldg.lapt.no.:
Project Name:
"
Cross Street/directions to job site:
Tax map/parcel no.:
1802022106000
~.:;,: :DESCRIf:~TIO",~6F'WORK,:
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SITE;CONTACT
N.me, F.r" ~H):nCE:
Phooe' 541.,Id:l.lSoPERM
Emait:
, ,
eca lie. no.: 106275
Business Name: ASSOCIATED HEATING & AIR CONDITIONING INC
Contact:
Address: PO BOX 412
City/State/ZIP: EUGENE, OR 97440
Phone: 5416832590
Fax: 5416070287
Email:
Metro Iic. no.:
City lic. no.:
Upon review and approval by your local jurisdiction, your permit will be a-mailed or faxed
within one business day, with inslrucllons 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 determine thaI an Authorizatlon To Begin Work 15 null iimd
voict If It does not meet applicable land use laws and localordlnanc el>.
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Residential Mechanical Authorization To Begin Work
69600-BMC-10-00050
Approval Code: 087737 3/15/2010 12:00 pm
E-mailedTo;brandy@associatedheating.com
, '. FEE.SCHEDULE " ..".-, ,"
. . .' .
Description Qty, I E., I Total
Minirrium,Fees::j, ," ' ,,' ',. ..'"::. .",' , . c..\' :_~
First Appliance Fee I $79.00
Mechl!nici:liPe'rmkFeeso' _: .:,,': ! -;;- . , ..' '," ,
Subtotal $79.00
State surcharge (12% of permit $9.48
total'
Technology fee (5% of permit total) $3.95
TOTAL PERMIT FEE $92.43
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ATTENT10N: 'Oregon'law'reqlilres'yeJUttD
follow nile. adopted by the Oregon UtIIIW
Notification Center. Those rules are set forth
In OAR 952~1~1 0 through OAR 952;001-
. 0090. You may obtain copies of the rules:Jw
calling the center. .(Note: the telephone
number for the Oregon Utility Notification
Center is 1-800,332,234,4).
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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
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM20IO-00323
ISSUED: 0311512010
APPLIED: 03/15/2010
EXPIRES: 09/15/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 559 S 71ST ST
ASSESSOR'S PARCEL NO.: 1802022106000
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Install ductless heat pump in residence.
Owner: ZOBAIRI FARAZ M
Address: 559 S 71ST ST
SPRINGFIELD OR 97478
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I CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Contractor License
ASSOCIATED HEATING & AIR CONDITIO 106275
BUILDING INFORMA TION ,
Expiration Date
08/31/2010
Phone
541-683-2590
# of Stories: Lot Size:
Height of Structure Sq Ft 1st Floor:
, Type of Heat: Sq Ft 2nd Floor:
Water Type: ,,' '., 'Sq Ft Basement:
Range Type: Sq Ft Garage/Carport
Energy Path: Sq Ft Other:
Sprinkled Building: n/a ON' 61ccu8~'I&-N%~lres you to
NelTleE. R.~1f ~~es ~<1~~lea cy inti 0"'1:1"''' l:llility
THIS PERMIT SHALL EXPIRE on.. <fi - NT INFORMA~!ilIIion Center. Those rules are set forth
AUTHORIZED UNDER THIS PER In OAR 952-o01-OO10t~W~952KBII'IG
Front yard ~1v!fv\<ENCED OR IS ABANDONED F<\B.w1ay Dist: 0090. You may obtain ClllR,!!s o':e r~:eby
Side I Setb\9, it 180 DAY PERIOD. ' # Street Trees Rqd: calling the center. (~~\\;l'(~'llcSm:catlon
Side 2 Seth~ : Paved Drive Rqd: number for the. oreg~~~~4).
Rearyard Setback: % of Lot Coverage: Center IS 1-80
Solar Setbacks: ..
# of Units:
Primary Occupancy Gronp:
Secondary Occnpancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
,
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspouts/Drains:
Notes:
1 Valuation Description I
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calcnlated
Paee I 01'2
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1*.... II -'" CITY OF SPRINGFIELD
II . . '.
Il Building/Combination Permit
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Status Issued PERMIT NO: COM2010-00323
225 Fifth Street, Springfield, OR ISSUED: 03/15/2010
541-726-3753 Phone APPLIED: 03/15/2010
541-726-3676 Fax EXPIRES: 09/15/2010
541-726-37691nspection Line VALUE:
. Total Value of Project
I Fees Paid I
Fee Description Amount Paid Date Paid Receipt Number
+ 12% State Surcharge $9.48 3/15/10 1201000000000000232
+ 5% Technology Fee $3.95 3115/10 1201000000000000232
1st Appliance $79.00 3/15/10 1201000000000000232
,-->.-.-. .. ,-. ~, -
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Total Amount Paid $92.43
.'.'
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.
I Reauired InsDections I
Rough Mechanical: Prior to Cover ,
Final Mechanical: When all mechanical work is complete.
By signature, 1 state and agree, that 1 have carefully examined tbe 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 Springfield and the Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any structur~.lYith.ou,t permission of the Community Services Division, Building Safety.
I further certify tbat only contractors and employees.whoarf'in compliance with ORS 701.005 will be used on this project.
I 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 orthe.propei.ty, and the approved set of plans will remain on the site at all
'times during coush"uetioo. ~
Owner or Contractors Signature Date
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Page 2 of2
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225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
1201000000000000232
Date: 03/15/2010
1 :22:0SPM
Job/Journal Number
COM20 I 0-00323
COM20 I 0-00323
COM20 I 0-00323
Payments:
Type of Payment
ONLINE CHGS
cReceintl
Description
I st Appliance
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
ONLINE PERMIT CHGS
Amount Due
79.00
9.48
3.95
$92.43
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
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Page I of 1
Amount Paid
ONLINE Associated Online
Heating
Payment Total:
$92.43
$92.43
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3/15/20 I 0