HomeMy WebLinkAboutPermit Mechanical 2010-5-11
SPRINGFIELD
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, , OREGON
City Of Springfield
225 Fifth St.
Springfield, OR 97477
Phone: 541-726-3753
Email: permitcenter@ci.springfield.or.u5
Residential Mechanical Authorization To Begin Work
69600-BMC-10-00092
Approval Code: 074185 5/11/2010 11:26 am
E.mailed To: brandy@assoclatedheating.com
. ," FEE.SCI;t1OPULE:
o New Construction
IRJ Addition/alteration/replacement
.CA TEG~ORY OF .CONSTRUCTION .... .
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o Multi.family D Commercial
D Accessory
. "".". ":.h~JOB.SITE INFORMATION AND [OCATION.,
Job Address: 2363 VIEWMONT AVE
City/State/ZIP: SPRINGFIELD, OR 97477
Suitefbldg.lapt.no.:
Project Name:
Cross Streetfdirections to job site:
n
Tax mapfparcel no.:
1703244102400
Install ductless HIP
Name: Dorothv Norenbero
Phone: 541-747-2882
Fax:
Email:
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CONTRACTOR;,"
ceB lie. no.: 106275
Business Name; ASSOC1A. '"' A I ~tl\P~aIWS
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,'nH\R\7ED U "n
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Contact
Address: PO BOX 412
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City/State/ZIP: EUGENE, OR 97440
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Phone: 5416832590
Fax: 5416070287
Email:
Metro lie. no.:
City lie. no.:
C\(j'S'61
Description
MinJmum;'Fe~s;~;,:
First Appliance Fee
Mech'm,!caI.Per!TIf(Fe~s', ,~
Subtotal
State surcharge (12% of permit
total
Technology fee (5% of permit total)
1-'
$79.00
$79.00
$9.48
$3.95
TOTAL PERMIT FEE
$92.43
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I6(L 51\1110
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ATTENTION: Oregon \a~;:~~~~~X~ti:'
tallow rules adopted bYse rules are set forth
qotification Center. Tho hOAR 952-001.
in OAR 952.00i -O~; ~~h;~~i~S of the rules by
0090. You may 0 al Note: the telepho~8
caiiing the center. ( Utility Notification
number lor the. orie8g0o~.332.2344).
C8nter IS .
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Upon review ami approval by your local jurisdiction, your pennlt will be e,malled or 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 pennit Is not obtained.
The local building department may detennine that an Authorization To Begin Work
void lfll does nol meel applicable land use laws IInd localordlnance5.
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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
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Status
Iss u ed
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM20I0-00587
ISSUED: 05/11/2010
APPLIED: 05/11/2010
EXPIRES: 11/11/2010
VALUE:
225 Fifth Street, Springfield, OR
54]-726-3753 Phone
54] -726-3676 Fax
54]-726-3769 Inspection Line
S]TE ADDRESS: 2363 VIEWMONT AVE
ASSESSOR'S PARCEL NO.: 1703244]02400
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'Springlield TYPE OF WORK: Heating System
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TYPE OF USE: New
Residential
PROJECT DESCR]PTION: Install ductless heat pump in residence
Owner: D J NORENBERG REV LIV TRUST
Address: 2363 VIEW MOUNT
. SPRINGFIELD OR 97477
Contractor Type
Mechanical
I CONTRACTOR INFORMATION ~
Contractor License
ASSOCIATED HEATING & AIR CONDITIO 106275
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I BUILDING INFORMATION ~
Expiration Date
08/31/20] 0
Phone
541-683-2590
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type: '
Energy Path:
S!l}:ink1,~d: B'uilding:
Lot Size:
Sq Ft Ist Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft,Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION ~
.,/" ~~ . 0 egonRl~~V~~&Pef~~I"" G
Frontyard Setback: . GQ ist: A"TTENTION. r t dl\5l!lthe Oregon Uti ..,
Side] Setback: . ~t. \~\~ \lY' rees Rqd: tollow rules adop \IW!I9~Plldll!lSettorth
Side 2 Setback: f:.. ~\. ~?\ ?t.~~ p~ Drive Rqd: Notification ce~~~~1 ol\\tlroplJlhPAR 952-00~.
Rearyard SetbatI\~\C~' ~\"'i S\\r>: t.~ i\\\S \J~t.~J of Lot Coverage: in OAR 952-00 obtain copies of the rules Y
Solar Setbacks\~::\S ?t.?\ to" ~~D c ~Bf\.~D 0090. You may enter (Note: the tele1JhOt~oen
. \'\ \ _'-v" ,.. in the c . .. Notlltca I
\ '~\;;;~~~~. ,,'l ?t.'i\\\J . I PUBLIC IMPROVEMENTS I numberc~~ter is 1~800.332-2344 .
Street Improvements: . Sidewalk Type:
"
,
Storm Sewer Available:
Special Instruction:
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. Downspouts/Drains:
Notes:
Description
Type of Construction
I Valuation Description ~
$ Per Sq Ft '. Square Footage
or mUlfi"lier.di: 'I f..: or Bid Amount
Value
Date Calculated
':1.:.n1' . .":
".Mill
Paee] of2
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Status,
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00587
ISSUED: 05/1I/20IO
APPLIED: 05/1112010
EXPIRES: 1I/11l2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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Total Value of Project
LFees Paid I
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Amount Paid
Date Paid
Receipt Number
,
,. ~ . ,
$9.481~~i;i:; .~.!;!; :\'
$3.95::';
$79.00 . '
, H 5/11110
5/11110
5/11110
]20]000000000000429
120]000000000000429
1201000000000000429,
"
Total Amount Paid
$92.43
I Plan Reviews I
To Request an inspection call the 24 hour recording at726-3769. 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. '" "
Reouired Insoections I
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
By signature, I state and agree, that I have carefully'examine~ ,the completed application and do hereby certify that all
information hereon is true and correct, and I furth'e'rlChtifyth'at any and all work performed shall be done in accordance with
the Ordinances of the City of Springfield and the ~:iws' of the ,State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any structu.:e ,vithout permission of the Community Services Division, Building Safety.
] 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
'I
Paee 2 of2
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225 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 #:
1201000000000000429.
Date: 05/11/2010
II :49:03AM
Job/Journal Number
COM20 I 0-00587
COM2010-00587
COM2010-00587
Payments:
Type of Payment
ONLINE CHGS
cReceintl
Description
1 st Appliance
+ 12% State Surcharge
+ 5% Technology Fee
r. id 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
KR
ONLINE ASSOCIAT Online
ED HEAT &
AIR
Payment Total:
$92.43
$92.43
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