HomeMy WebLinkAboutPermit Mechanical 2010-3-11
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City Of Springfield
225 Fifth 51
Springfield, OR 97477
Phone: 541-726-3753
Email: permitcenter@ci.springfield.or.us
ClO-36,
Residential Mechanical Authorization To Begin Work
69600-BMC-10-00045
Approval Code: 067846 3/11/2010 12:16 pm
E.mailed To: brandy@associatedheating.com
.'.' , ~ ~ '. " .TYPEOF'WORK"/;~;;;:>':"~Sjj.., ;:: '~[':..:
0 New Construction IRl Add ition/alterationlreplaceme nl
I .... C,A,rEGORY OF,CONSTRUCTION,'" . .',., "
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IRl 1 or 2 family dwelling 0 Multi-family 0 Commercial 0 Accessory
~ - '"'".,'. '~JOB SITE'INf'ORI'v1ATIONAND-L:ciC:AtION..~_, '.-..- "
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Job Address; 7249 B ST
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City/State/ZIP: SPRINGFIELD, OR 97478
Suite/bldg.lapt.no.:
Project Name:
Cross Street/directions to job site:
Tax map/parcel no,: 1702353112200
;";c ".it.;:. :DES~RIPTIONOF;Wci~I5'" ,',8',,',.e... · ;o"r'.':.
Replace HIP system
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. ''- " :* ".' ,SITE CONTAGV:,
Name: Joe Cardoza
Phone: 541-741-7143 Fax:
Emaif:
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CCB lic. no.: 106275 ;-'iT' ".,.
Business Name: ASSOCIATED HEATING & AIR CONDITIONING INC .-"
Contact:
Address: PO BOX 412
City/State/ZIP: EUGENE, OR 97440
Phone: 5416832590 Fax: 5416070287
Email:
Metro Ilc. no.: City lic. no.:
Upon review and approval by your 10Gal jurlsdiGtion, your permit will be e-mailed or faxed
within one business day, with instruGlions on how 10 l>Ghedule your inspection.
NOTE: This Authorization To Begin Work expires within 180 days If a permit Is nol obtained.
The local building department may determine that an Aulhorization To Begin Work is null and
void if it does not meet applicable land use laws and local ordinances.
Comw/(} ~
3-//- /0
00307
)7 rYL
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: 'FEE SCI;lEDULE\>
Description Qty, Ea. Total
Heatlngjc-o-~ling)Xppliances '.>.':" " ,Y,t.. :.. .....;:
Heat Pump 1 $17.00 $17.00
Mliiimum:FeeSi , . "">"'''-';:," . , ,,"0'" . 'j
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First Appliance Fee $79.00
JyI~Ih~";,tcal'Pe~'i:nit;F:e9s "" . ,'. ... .- , . :1
Subtotal $96.00
Slate surcharge (12% of permit $11.52
totall
Technology fee (5% of permit total) $4,80
TOTAL PERMIT FEE $112.32
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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: COM2010-00307
ISSUED: 03/ll/2010
APPLIED: 03/11/2010
EXPIRES: 09/11/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 7249 B ST
ASSESSOR'S PARCEL NO.: 1702353112200
Springfield TYPE OF WORK: Mechanical Only
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Replace HIP system
Owner: CARDOZA-LA WRY TRUST
Address: 7249 B ST
SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Contractor License
ASSOCIATED HEATING & AIR CONDITIO ]06275
BUILDING ]NFORMATION I
Expiration Date
08/3112010
Phone
541-683-2590
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structnre
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
[ DEVELOPMENT INFORMATION I
REQUIRED PARKING
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
'Overlay Dist:.
# 'St"reet Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS ~TION: Oregon law requires you.to
Street Improvements: ~II~; rule~lId~p\lJe. Oregon Utt,llitYth
'Ii f <ri!nter These rules are se .or
Storm Sewer Available: NelllCa len -dtl~w6'6f6~ffi!6lriliP€lAR 952-001-
Specia,.,UMV;l/j;.!:ion: In OAR 952 - . I the rules by
'I U 111I1: 0090 You may .obtain copies .0
catilng the center. (Nete:.t~e telepho~e
NotesTHIS PERMIT SHALL EXPIRE IF THE WORK IllUmber for the Oregen Utility N.ollfioatiOll
/l,UTHOR 7 00-332-2344).
COMMENCED OR IS ABANDONED FOR I
_ ANY 180 DAY PERIOD. r Valuation Description I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
. Page] of 2
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Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00307
ISSUED: 03/11/2010
APPLIED: 03/11/2010
EXPIRES: 09/11/2010
VALUE:
225 Fifth Street, Springtield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees Paid ~
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Heat Pump
Amount Paid
Date Paid
Receipt Number
$11.52
$4.80
$79.00 /L
$17.00.',
3/11/10
3/11/10
3/11/10
3/11/10
2201000000000000230
2201000000000000230
2201000000000000230
2201000000000000230
..
Total Amount Paid
$112.32
I Plan Reviews ,
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 Reouired 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 hereby certify that all
information hereon is true and correct, and I furth~r c,ertify t~.t any arid 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 of any struciu~e without'permission of the 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.
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 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 of 2
2-25 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
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City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
2201000000000000230
Date: 03/11/2010
12:38:37PM
Job/Journal Number
COM20 I 0-00307
C01\120 1 0-00307
COM20 1 0-00307
COM20 I 0-00307
Payments:
Type of Payment
ONLINE CHGS
cReceintl
Description
Heat Pump
15t Appliance
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
ONLINE PERMIT CHGS
Item Total:
Authorization
Number How Received ..
Amount Due
17.00
79.00
11.52
4.80
$112.32
Check Number
Rece'ived By". Batch Number
NJM
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Page 1 of 1
Amount Paid
ONLlNEASSOCIAT Online
ED
$112.32
Payment Total:
$112.32
3/11/2010