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Home My WebLink AboutPermit Mechanical 2010-5-19 City Of Springfield 225 Fifth 51. Springfield, OR 97477 Phone: 541~726~3753 Email: permitcenler@ci.springfield.or.us O-l(). 104-lP Residential Mechanical Authorization To Begin Work 69600-BMC-10-00101 . Approval Code: 041728 5/19/2010 12:25 pm E-mailedTo:brandy@associatedheating.com :00;1 ''':''.+:. .> :,. . ",/";":';;'1 0 New Construction IRI Addilion/alteration/replaceme nt h . ;--~_;;::;"-~if~;;~CAIEGOR;yj)Ff(:()NSTRUeTI01:!"'_' ,~--;.:~; .~~ ~ - t! "" ': IRI 1 or 2 family dwelling 0 Multi-family 0 Commercial D Accessory .-.".>'.' '. - . /;IF,';:' '::4.13;JOBSIIEINFORNlATiON ANr:i:C0C:AfIONii!s';~;';: .;;:,,-";. ".. Job Address: 480 22ND ST ~.i.:.-,'"' :: . ~ <. ~ ,"t- CityfState/ZIP: SPRINGFIELD, OR 97477 . Suitefbldg.fapt.no.: Project Name: Cross Street/directions to job site: Tax map/parcel no.: 1703361303800 ,,-/.c'/.d. :;;3;::~ ;;;. 'l ,<,C," .:t:;;;;:;:i _ Replace gas furnace ;:', " ,', .. :....,,;-~j~; ,-'. ;'~::I:0'''' ". SITE:"c6Nf...CTc'i, ': i.' f,-i~ I?lf..,ti. i~ ''t'i' I.. ,i Name: Mavnard Coleman Phone: 541-747-7076 Fax: Email: ! ~ "::....i.. '.d';i., ';JsT '''~'',C9I'.JTRACTOR . "-'~;i4~:'~+;'~ .'i',' ..,- ,- .,_.' ". - . cce lie. no.: 106275 " ._.~. -- ... .. Business Name: ASSOCIATED HEATING & AIR CONDITIONING INC 'n Contact: Address: PO BOX 412 CityfState/ZIP: 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. Tho local building departmant may determine that an Authorization To Begin Work is null and void if It does not meet applicable land use laws and local ordinances. (orYllo \ 0 (LTY\ Ock 4(,0 s-Iq -/0 ,:. .,' '_",I .' Y' Description ~in!mU'miFees - First Appliance Fee ~e~hal1ical:,Penljit;~ees" Subtotal Stale surcharge (12% of permit total Technology fee (5% of permit total) TOTAL PERMIT FEE # ~~~l~p fb1J .', $7900 $79,00 $9.48 $3.95 $92.43 ~o ~.~~ t~ Inspections Phone: 541-726-3769 This Authorization To Begin Work must be posted at the job site untilreplaced by a Permit Status Iss u ed CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00646 ISSUED: 05/19/2010 APPLIED: 05/19/2010 EXPIRES: 11/19/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 480 22ND ST ASSESSOR'S PARCEL NO.: 1703361303800 , Springfield TYPE OF WORK: Mechanical Only TYPE OF USE: New Residential PROJECT DESCRIPTION: Replace gas furnace Owner: COLEMAN MAYNARD P & MARILYN Address: 480 N 22ND ST SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION ~ Contractor Type Mechanical Contractor License ASSOCIATED HEATING & AIR CONDITIO 106275 BUILDING INFORMA nON ~ Expiration Date 08/31/2010 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: 'EjJergtP~th: ' 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 ~ Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: 0/0 of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS ~ Street Improvements: Storm sew!iQflfrJi.le: ", ;', Special Inslt.ib'iiJ'rERMIT SHALL EXPIRE ' AUTHORIZED UN IF THE WORK Notes: COMMENCED ORD,ESR THIS PERMIT IS NOT ANY j n nA, ~ , ABANDONED FnR 1..11IULJ. I Valuation Description , <'r" Sidewalk Type: ~fIR1~~!!~n law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth In OAR 952-001-0010 through OAR 952-001- 0090. You may obtain copies of the rules by ca Ing e cen er. o. number for the Oregon Utility Notification Center is 1-600-332-2344). Description Tvpe of Construction $ Per S;j\'Ft '.t, or multiplier ',' 'Square Footage or Bid Amount Value Date Calculated Paee I of2 .J ,'. CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00646 ISSUED: 05/19/2010 APPLIED: 05/19/2010 EXPIRES: 11/19/2010 VALUE: Status Issued 225 Fifth Street, Springfield, 0 R 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project . Fees P~id ~ ',';'1 \,r., Fee Description + 12% State Surcharge + 5% Technology Fee 1st Appliance Amount Paid ," I,ll, Date Paid Receipt Numher $9.48' $3.95 $79.00 5/19/10 5/19/10 5/19/10 2201000000000000536 2201000000000000536 220]000000000000536 Total Amount Paid $92.43 Plan Reviews ~ "\.,. To Request an inspection call the 24 hour' rec.ording 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. L Reouired Insoections ~ Rough Mechanical: Prior to Cover :. . Final Mechanical: When ~II mechanical work1~i.c'~1,lnti~t~" t, .fili'''' 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 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 strnctnre 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. l , Owner or Contractors Signature .. Date . '.' , :,.~n:~t~~ee 201' 2 ." ~ '"(."/ 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 2201000000000000536 Date: 05/19/2010 2:02:22PM Job/Journal Number COM20 I 0-00646 COM20 I 0-00646 COM20 1 0-00646 Payments: Type of Payment ONLINE CHGS cReceint\ Description 1st 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 NJM ONLINE ASSOCIAT Online ED $92.43 \.... Payment Total: $92.43 , .' 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