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Home My WebLink AboutPermit Mechanical 2010-2-22 City Of Springfield 225 Fifth 5t Springfield, OR 97477 Phone: 541-726-3753 Email: permitcenter@ci.springfield.or.us C, iO -))..1 Residential Mechanical Authorization To Begin Work 69600-BMC-10-00034 Approval Code: 055049 2/22/2010 11:18 am E-mailedTo:brandy@associatedheating.com [X] Addition/alteration/replacement 't"'CAl'EG-OR:fOf;IG()NSfRl.JGT!ON'. ";: '>;JOB SITE'INFORMAtlowAND L6cATfoN"'> o Multi-family 0 Commercial o .~ccessl?,ry ,. Job Address: 4531 FRANKLIN BLVD Suite/bldg.lapt.no.: 97 CityfState/ZIP: EUGENE, OR 97403 Project Name: Cross Street/directions to job site: Tax map/parcel no,: 1703344400301 Replace HIP system --",,:'.,' tS:'r.:'~"t :'.'DESCRIPTION OF:WORK': . .... _' ~""_ .,.. ..;w< .,""......, '" .. ~ .... _ ,.... "_ ..... .. "', _, ',.. _'.._""~. -__ Na.me: Judv HolalinQ Phone: 541-726-4267 Email: .:~ "'. ..SltE'CONTACT'~? Fax: '(CONTRACTQR:: Contact: Business Name: ASSOCIATED HEATING & AIR CONDITIONING INC ceB lie, no.: 106275 Address: PO BOX 412 Phone: 5416832590 CitylStatefZIP: EUGENE, OR 97440 Fax: 5416070287 Email: Metro lie. no.: City lie. no.: Upon review and approval by your lo\;al jurisdiction, your permit will be a.mailed Of 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 determine that an Authorization To Begin Work is null and void if it does not meet applicable land use laws and local ordinances. lhn 201 0 ;2/;}d/ro 00::98\9 /J^ :';",;,." ,...'p. ~j FEr;SCHr;DUL.E ." :'1 .~,., ~! :Ii"'. . -..1 $96.00 $11.52 <i.:.~ Description <Heatingj(;qqli~~JApplfanc~s: Heat Pump Minil11urTf'Fees; Total $1700 First Appliance Fee lYIe(!"h,!~j~aJ 'Per!11i(fees ~- Subtotal State surcharge (12% of permit total Technology fee (5% of permit total) $79,00 $4.80 TOTAL PERMIT FEE $112.32 "'I \r y'X. ~ ~ t> ":J ,..sJ 00, \))~"J ,\J I\~ ~ (J ~ /".F:J. ~ 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: COM2010-00229 ISSUED: 02/22/2010 APPLIED: 02122/2010 EXPIRES: 08/22/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 4531 FRANKLIN BLVD SPACE 97 Eugene ASSESSOR'S PARCEL NO.: 1703344400301 TYPE OF WORK: Mechanical Only TYPE OF USE: New Residential PROJECT DESCRIPTION: Replace HIP system Owner: HOTALING JUDITH L Address: 4531 FRANKLIN BLVD SPACE 097 EUGENE OR 97403 Phone Number: 541-726-4267 Contractor Type Mechanical I CONTRACTOR INFORMATION ~ Contractor License ASSOCIATED HEATING & AIR CONDITIO 106275 BUILDING INFORMATION ~ Expiration Date 08/31/2010 Phone 541-683-2590 # of Units: Primary Occupancy Group: Secondary Occupancy Gronp: 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 I DEVELOPMENT INFORMATION ~ Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS ~ Sidewalk Type: NOTICE: Dowllspouts/Dniins: THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT CrriilVlENCED OR IS ABANDONED FOR ~ \ "." r'''. 'l ,"',1 r"lrnlnn Description Type of Construction Square Footage or Bid Amount Value Date Calculated Page 1 of2 '.'-' \ ,.:... CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM201O-00229 ISSUED: 02/22/2010 APPLIED: 02/22/2010 EXPIRES: 08/22/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Valne of Project LFees paidJ Fee Description + 12% State Surcharge + 5% Technology Fee 1 st Appliance Heat Pump Amount Paid Date Paid Receipt Number $11.52 2/22/10 3201000000000000058 $4.80 2/22/10 3201000000000000058 $79.00 2/22/10 3201000000000000058 $17.00 2/22/10 3201000000000000058 Total Amount Paid $112.32 "c, .fIan Rev,iews ~ 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. Reuuired InsDections ~ Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. By signature, I state and agree, that I have carefully examined the completed application and do herehy certify that all information hereon is trne and correct, and 1 fnrther 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 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. [ 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 t~e-pr'operty, and the approved set of plans will remain on the site at all times during construction. " Owner or Contractors Signature Date Paee 2 of 2 225 Fifth Street Springfield, Oregon 97477 541- 726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 3201000000000000058 1:39:08PM Date: 02/22/2010 Job/Journal Number COM20 I 0-00229 COM20 I 0-00229 COM20 I 0-00229 COM20 I 0-00229 Payments: Type of Payment ONLINE CHGS cReceintJ Description 1st Appliance Heat Pump + 12% State Surcharge + 5% Technology Fee. Paid By ONLINE PERMIT CHGS Item Total: Check Number Authorization Received By Batch Number Number I-Iow Received Amount Due 79.00 17.00 11.52 4.80 $112.32 Amount Paid nJm ONLINE associated Online Payment Total: $112.32 $112.32 Page I of I 2/22/20 I 0