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Home My WebLink AboutPermit Mechanical 2010-4-13 City Of Springfield 225 Fifth St. Springfield, OR 97477 Phone: 541~726-3753 Email: permitcenler@ci.springfield.or.us c.\O- 4-S1 Residential Mechanical Authorization To Begin Work 69600-BMC-10-00069 Approval Code: 097411 4/13/2010 1:37 pm E-mailedTo:brandy@associatedheating.com :.:~r::;..: ~.~Y(: .'H ';:1' j::. :v~:'.yJ, D New Construction IXI Addition/alteration/replace ment : ...: :.l~.j .: F".CATEGORy,OFC9NSTRUCTlON". .:0: ..' Y.' IXI 1 or 2 family dwelling D Multi-family D Commercial D Accessory , . ,.:," :.: . t -'JOB SITE INFORMATION AND LOCA TI6N~;: .. ... .. .. Job Address: 3173 U ST ., City/State/ZIP: SPRINGFIELD, OR 97477 Suite/bldg./apt.no.: Project Name: Cross Street/directions to job site: Taxmaplparcel no.: 1702302102700 :; . "!.'>~~*~""'--;O:",..t < ";.";'5',./" bESCRIp,TION'OFtWORK ., .'.:. ".:... .'_,";i ,-.... ... _." ,....,--.--..-. . .. . Replace HIP system " . :::P' '..: :LtC;~ ,,"' .'" i';S.~srtE.CONTACT ''')".. {, F.:".>.;" . , Name: Ivan Newman Phone: Fax: Email: e. .......: .. ..: ," :'" ...; ;"; ....CONT~~1:0R"<;.. ;~:.""..T;:..: .. .... .. .: ;, d;" CeB lie. no.: 106275 -.... ......."" Business Name: ASSOCIATED HEATING & AIR CONDITIONING INC . ~.";",i'. Contact: Address: PQBOX412 City/StatefZIP: EUGENE, 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 Of, faxed within one business day, with instructions on how 10 schedule your Inspection. NOTE: This Authorization To Begin Work expires within 180 days if a permit is nol obtained. The local building department may determine thai an Authorization To Begin Work is null and void if it does not meet applicable land use laws and local ordinances. Con 20/0 Lr-/J-/G ~ tJ 0</57 .A/ /V'l !i,' Description HEl~~ltinglqo~lihg'Applian~e~;,:, '1{. r~' Heat Pump ~i'ni'muhffees <~ First Appliance Fee MechC';lnlcaLf?9rmit Fees', Subtotal State surcharge (12% of permit total Technology fee (5% of permit total) c $17.00 $79.00 $96,00 $11.52 $4.80 $112.32 TOTAL PERMIT FEE ~~ AI/ ~y rO W. ,I 0~ CO 4;.\~.\'Q ~~<v- ~ Inspections Phone: 541.726-3769 This Authorization To Begin Work must be posted at the job site until replaced by a Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line .! ~ "" , , , CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00457 ISSUED: 04/13/2010 APPLIED: 04113/2010 EXPIRES; 10/13/2010 VALUE: SITE ADDRESS: 3173 U ST ASSESSOR'S PARCEL NO.: 1702302102700 Springfield TYPE OF WORK: Heating System I CONTRACTOR INFORMATION ~ Contractor License ASSOCIATED HEATING & AIR CONDITIO 106275 BUILDING INFORMATION ~ PROJECT DESCRIPTION: Replace HIP system Owner: NEWMAN IVAN C & DONNA L Address: 3173 U ST SPRINGFIELD OR 97477 Contractor Type Mechanical # of Units: Primary Occupancy Gronp: Secondary Occnpancy Gronp: Primary Construction Type Secondary Constrnction Type: # of Bedrooms: # of Stories: Height of Structnre ~r-ype otHeat: Waier Type: .. Range Type: . Energy Path: Sprinkled Bnilding: TYPE OF USE: New Residential Expiration Date 08/3112010 Phone 541-683-2590 nla Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occnpant Load: I DEVELOPMENT INFORMATION ~ Frontyard 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 ITTENTION: Oregon law requires yout.o follow Slllffia\lt~p~ by the Oregon Utility Notification Center. Those rules are set forth In OAR~9l!~~Qrt*i~;lgh OAR 952-001- 0090. You may obtain copies of the rules by calling the center. (Note: the telephone number for the Oregon Utility NotllicaliDn Cent.er is 1-800-332-23~4). Street Improvements: Storm Sewer A.vJl~+ble: Speciallnstrncti~n' ICE: ";ilS PERMIT SHALL EXPIRE IF THE WORK Notes: d!HORIZED UNDER THIS PERMIT IS NOr n..MltTCfll " . ,NY 180 DAY PERIOD. ValuatiOll Descri tion Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Date Calculated Pa~e I of2 Value CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2010-00457 ISSUED: 04/13/2010 APPLIED: 04/13/2010 EXPIRES: 10/13/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . ,1'0t~IY~I~~of Project IL "Fees Paid-l " Fee Description + 12% State Surcharge + 5% Technology Fee 1st Appliance Heat Pump Amount Paid Date Paid Receipt Number $11.52 4/13/10 3201000000000000147 $4.80 4/13/10 3201000000000000147 $79.00 4/13/10 3201000000000000147 $17.00 4/13/10 3201000000000000147 Total Amount Paid $112.32 PI.an 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. ReauiredInsnections ~ . ""'~'''' "".. J .,.... Rough Mechanical: Prior to Cover '. 'r' ,." .. ,~ "" . 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 further certify th~lt 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, Bnilding Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I fnrther agree to ensnre that all reqnired 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. ;', :- 'i.,;.~ I Owner or Contractors Signatnre Date ,',." Page 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 #: 3201000000000000147 Date: 04/13/2010 1:43:15PM Job/Journal Number COM20 I 0-00457 COM20 1 0-00457 COM20 1 0-00457 COM20 I 0-00457 Payments: Type of Payment ONLINE CHGS cReceiotl Description I st Appliance Heat Pump + 12% State Surcharge + 5% Technology Fee Paid By ONLINE PERMIT CHGS Check Number R~c.eived ~Y... Batch Number .l1j~ Item Total: Authorization Number How Received Amount Due 79.00 17.00 11.52 4.80 $112.32 Amount Paid ONLINE associated Online Payment Total: $112.32 $112.32 ,. ,:: ~i:y 'J i;.~ ....'.~. ..~ . ,,;,.'.;,/: , ,.~"..; -,. , .'" Page I of I 4/1 3/20 I 0