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Home My WebLink AboutPermit Mechanical 2010-5-21 o New Construction (Z]1 or 2 family dwelling City Of Springfield 225 Fifth St. Springfield, OR 97477 Phone: 541-726-3753 Email: permilcenler@ci.springfield.or.usl.:. '_:"':~ ~~.!.~\.,.' C/() '(dflO Residential Mechanical Authorization To Begin Work 69600-BMC-1 0-001 07 Approval Code: 094055 5/21/2010 1:56 pm , , ..;:t,;'" '.iIi, IX] A9dilion/alteralion/replacemenl Cf!. TEGORYOF CONsTglJc'nON: , o Multi-family 0 Commercial .","~ , . ~.. ";JOB SITE INFORMATION AND'C'OCAjIOIli'" D Accessory Job Address: 4531 FRANKLIN BLVD Suite/bldg.lapt.no.: 114 City/State/ZIP: EUGENE, OR 97403 Project Name: Cross Street/directions to job site: Tax map/parcel no.: Instal! HIP and A1H Name: Naomi Holland Phone: 541-741-0171 Email: ", 1703344400301 ; DESCRIPTlO'N~bF;Wo~k;" - ".~":+:v '-'~~--~ "....~ -, -" ,'- 'SITE CONT!,-C:t','qc " Fax: ''', "':'.~CONTRACTOR" ~~"-, .'0''0 Contact: Business Name: ASSOCIATED HEATING & AIR CONDITIONING INC ceB lie. no.: 106275 Address: PO BOX 412 CityfStatelZIP: EUGENE, OR 97440 Fax; 5416070287 Phone: 5416832590 Email: Metro lie. no.: City lie. no.: Upon review and approval by your local jurisdiction, your permit will be a-mailed or faxed within onD business dilY, with instructions On how to schedule your inspection. ,..r. ~ NOTE: This Authorization To Begin Work expires within 180 days if a permit is not obt~ined. . ....(fi7~r "Hi To '!3egin.:WOrk' is n'ull '.~ .,.. ' The loc;al building department may detltrmina that an Authorization void if it does not meet applicable land use laws and local ordinances. lan2,o I 0 ~W&(pO 5 -d4-IO (l(Y\. E-mailedTo:brandy@associatedheating.com -,--~_ ,i:';";;'FEESCH-E-DQl~~'.'" ., Description Qty. H~~tin'g/Coolirig':Appliances :s;" Heal Pump i lVIihjmLJrrfFee~~ First Appliance Fee Macha'nical' PermjiFees~' Subtotal Slate surcharge (12% of permit .total Technology fee (5% of permillotal) ".,- $17,00 ," ) $79.00 ..,1', $96.00 $11,52 $4.80 $112.32 -"0 ~~\O~O 0; V" ~ 'V--tP. ~ Inspections Phone: 541-726,3769 This Authorization To Begin Work must be posted at the job site until replaced by a Permit TOTAL PERMIT FEE ~. . ood "# ~~ ~ Qjf0"' .' l.r /" ,-., Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00660 ISSUED: OS/24/2010 APPLIED: OS/24/2010 EXPIRES: 11/24/2010 VALUE: 225 Fifth Street, Springlield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line. SITE ADDRESS: 4531 FRANKLIN BLVD SPACE 114 Eugene ASSESSOR'S PARCEL NO.: 1703344400301 TYPE OF WORK: Heating System TYPE OF USE: New PROJECT DESCRIPTION: Wire change out of electric furnace with heat pump Residential Owner: Address: HOLLAND LOLA P 4531 FRANKLIN BLVD SPACE 114 EUGENE OR 97403 ,..... I CONTRACTOR INFORMATION i Contractor Type Electrical Mechanical Contractor License OREGON ELECTRIC SERVICE 181997 ASSOCIATED HEATING & AIR CONDITIO 106275 BUILDING INFORM A nON i Expiration Date .05/09/2012 08/31/2010 Phone 541-343-1681 541-683-2590 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Constrnction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: witer Type:" ":"ibnge Typei' 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 i REQUIRED PARKING , Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: Total: # Street Trees Rqd: ATTENTION 0 l1:Iandicapped: PaYed D;iv~ Rqd: : regon C'" 'PII: ~res you to . '-- ..... - , follpw r~les adopted by YWiO~egon Utility ,:~~:~fL~tfoverage: NotrflcatlonCenter. Those rules are setforth "::::" In OAR 952-001-0010 through OAR 952-00 . I ~ '. res 0 e rules by PUBLIC IMPROVEMENTS calling the center, (Note: the telephone um~e~O!iH?{llfJon Utility Notification enrer IS 1-800-332-2344) , DownspoutslDrains: ' ' Street Improvements: Storm Sewer Available: Special Instruction: NOTICE: THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT (~OMMENCED OR IS ABANDONED FOR' ' , .:W 1 ~O DW PERIO'), ' . . : .. , Notes: ,-,-',.~~".' "!~. Page I of 3 j1 fi Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description ' Tvpe of Construction Fee Description + 12% State Surcharge + 12% State Surcharge + 5% Technology Fee + 5% Technology Fee 1st Appliance Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Heat Pump Total Amount Paid ?:n , :, ",::! . ;,tr;\';, t, CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00660 ISSUED: OS/24/2010 APPLIED: OS/24/2010 EXPIRES: ll/24/201O VALUE: Value Date Calculated 1.."""; I,.. c " .~> , .'" I Valuation Description ~ $ Per Sq' Ft or multiplier Square Footage or Bid Amount Receipt Number 3201000000000000221 32010000000000002]9 320100000000000022] 320]0000000000002]9 3201000000000000219 3201000000000000221 320]000000000000221 32010000000000002]9 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. Total Value of Project ~ Amount Paid ( i '",..:'~:,; $7.32",,0, 'C''';" $] 1.52. . .'.' $3.05(~ ;, $4.80 $79.00 $55.00 $6.00 $17.00 Date Paid .; ~,~ b", 5/2411 0 5/24/]0 5/24/10 5/24/1 0 5/24/10 5/24/10 5/24/10 5/24/10 , , $183.69 I Plan Revi_ews' ~i .' :,;.1 1,J.! l...J:te{],lIi,~erunsnec~ion~ ~ " !).. ~ \ : 1:. ;" ,. Rough Electric: Prior to Cover ~ "}"i! '.... ,:,.". '.. Final Electric: When all electrical work is <<[mrlete. . Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. J.i .'.' I .\ .;. 'j'>,,). Paee 2 00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line > .,;~ - '"'.: ". ~.' l', " I ~.i, '. .< o^: CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00660 ISSUED: OS/24/2010 APPLIED: OS/24/2010 EXPIRES: 11/24/2010 VALUE: 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 sball be done in accordance with tbe 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 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 1 \.} <.' ." ,,~~ .\. ,.;"~",,..... ": . "\', ,~ '. HI.. ,..[ .' Page 3 of 3 Date I. 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 3201000000000000219 Date: OS/24/2010 7:50:16AM Job/Journal Number COM20 1 0-00660 COM20 I 0-00660 COM20 I 0-00660 COM20 1 0-00660 Description I st Appliance Heat Pump + 12% State Surcharge + 5% Technology Fee ",--t' :.,\,""')~" . hem Total: Amount Due 79.00 17.00 11.52 4.80 $112.32 -:";.L . 1....': Payments: Type of Payment ONLINE CI-IGS cReceintl Paid By ONLINE PERMIT CHGS Check Number Authorization Received By Batch Number Number How Received n1m ~' ,A, " .: l.t:,i',' h:~~ ;', . \ H ... .... . , .;i : :.~ -", :"'~, . ..,:;,.\ ~t t. '';~ 1 )I' '. ..,.' w :....1. ',1'. .:. Page I of I Amount Paid ONLINE associated Online htg Payment Total: $112.32 $112.32 5/24/20 I 0