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Home My WebLink AboutPermit Mechanical 2010-4-14 City'Of Springfield 225 Fifth St. Springfield, OR 97477 Phone: 541-726-3753 Email: perrnilcenter@ci.springfield.or.us C-6~\()-- CO+fnr Residential Mechanical Authorization To Begin WorK 69600-BMC-10-00070 Approval Code: 063704 411412010 3:25 pm E-mailedTo:brandy@associatedheating.com ,"';'C. ~"';"'; ~~- ", ;", .' . " IT 0 New Construction IRl Addition/alteration/replacement _"{ ~',:;'!!; c_,,;+y~',;j~:J' CATEGORY OF CONSTRUCTioN' - ,i", "", ",' , ....., -......, - lRl 1 or 2 family dwelling 0 Multi-family 0 Commercial 0 Accessory , ,'C," ,'''~ '(jOEl;SITE INFORMATION AND 1..0CATION , .' Job Address: 894 S 67TH ST City/State/ZIP: SPRINGFIELD, OR 97478 Suite/bldg.lapt.no.: Project Name: Cross Street/directions to job site: Tax map/parcel no.: 1802031109200 "'[;~',;;!.:;; t;l: ;;.,';;;' ~. ," .','d Inslall Ale ,,- ".'2 "...' ... ',' .,.0,' >,'-' ... .0' ...'" ~". -..:......... .........".-..''''., . " '. :7J4.,c, ',,;;, ",' :. . 'f";'~' "'., v- "q,....".""'"~,,SITE,CQNIACT,,, Name: Ryan Keele Phone: 702-449-1560 Fax: Email: i"",::", ;;";0;" ,~",:,,~; ',... CONl'RA'C:TOI~ ,", ,,''-.:, . ::"d CCB lie. no.: . 1 106275 _.,-~ ..-- H.... Business Name: ASSOCIATED HEATING & AIR CONDITIONING INC '. - .".. Contact: Address: PO BOX 412 CityfStatefZIP: EUGENE, OR 97440 Phone: 5416832590 Fax: 5416070287 Email: Metro lie. no.: City lie. no.: Upon review and approval by your local jurisdiction, your permit will be e-mailed or faxed within one business day, with instructions on how to schedule your inspection. NOTE: This Authorization To Begin Work expires within 180 days if a permit is not obtained. Description M!nfit\.lfmif~e$ " First Appliance Fee Mech'an!ca'l Permit, Fees " Subtotal Slate surcharge (12% of permit total Technology fee (5% of permit total) TOTAL PERMIT FEE $79.00 $79,00 $9.48 $3,95 $92.43 \~ \)' '1!.. '5--'f.\! ~s~ \P The local building departnient may determine that an Authorization To Begin Work is null and " _(\D ,old ;f it do.. "ot m.ot 'pp",,",',"d"," ,'W, ,"d '000' o,d;",""" h. \\ Q) ~ f: Q ~CO~ Wm 201 0 - CXJ10 ( '1-15 -- I'D Ntv1 Inspections Phone: 541.726.3769 This Authorization To Begin Work must be posted at the job site until replaced by a Permit -, CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00467 ISSUED: 04/15/2010 APPLIED: 04/15/2010 EXPIRES: 10/15/2010 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 894 S 67TH ST ASSESSOR'S PARCEL NO.: 1802031109200 Springfield TYPE OF WORK: Mechanical Only TYPE OF USE: New Residential PROJECT DESCRIPTION: Install A/C Owner: KEELE RYAN & CHERYL Address: 894 S 67TH ST SPRINGFIELD OR 97478 I CONTRACTOR INFORMATION ~ Contractor Type Mechanical Contractor License ASSOCIATED HEATING & AIR CONDITIO 106275 BUlI:DING INFORMATION ~ Expiration Date 08/31/2010 Phone 541-683-2590 # of Units: Primary Occupancy Group: Secondary Occnpancy 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 ~ REQUIRED PARKING Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: ,Paved Drive Rqd: 0/0 of Lot Coverage: Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS ~ I" ~\I1'esVO'l" Street Improvements: -eNTION: 01811M:1IIl!' ~8\:li'egon UtllftY ''':q ':' "II~ I.....ad~e~~~md ~ettorth Storm Sewer Available: . 'e '." toIIO'# na ....cent m. 2-001- Spe~trrfC!~tion: It EXPIRE IF T~~ WOR~~~1- , ~og':'~.oo1.o010th~~~ ~ \lie rutes bY Note~~~~~~ ~~~ER lHIS PERMITF~:OT oo:n:U:~;:l~~ii:~~~:':n co t enter is 1 ANY 180 DAY PERIOD, Valuation Descri Descrilltion Type of Construction $ Per Sq Ft or multiplier Squ~re Footage or Bid Amount Value Date Calculated I...; Page I of 2 . , " ,', . -~ > -, CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00467 ISSUED: 04/1512010 APPLIED: 04/15/2010 EXPIRES: 10/15/2010 VALUE: Status Issued 225 Fifth Sh'eet, Springtield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line ':' ~ "1 .' Total Valne of Project Fees Paid ~ Fee Description + 12% State Surcharge + 5% Technology Fee 1st Appliance Amount Paid Date Paid Receipt Number $9.48 $3.95 $79.00 4/15/10 4/15/10 4115/10 3201000000000000152 3201000000000000152 3201000000000000152 Total Amount Paid $92.43 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 Insoections ~ 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 further certify th;'t 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 strueiure 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 ";:.H); 1U'\:;, :(: , :'<',-: !~{. . .! i:";; Page 2 of 2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone ! , x" City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 3201000000000000152 8:46:32AM Date: 04/15/2010 Job/Journal Number COM20 I 0-00467 COM20 I 0-00467 COM20 1 0-00467 Payments: TYI}C of Payment ONLINE CHGS cReceintl Description I st Appliance + 12% State Surcharge + 5% Technology Fee Paid By ONLINE PERMIT CHGS Item Total: Check Number Authorization "Received By Batch Number Number How Received Amount Due 79.00 9.48 3.95 $92.43 Amount Paid 'njrn ONLINE associated Online Payment Total: $92.43 $92.43 . \, .".t:'i"~ ~ \;; : I ';'l,{ ';... ",., , , , "'. .:... ') . f' Page I of I 4115/20 I 0