HomeMy WebLinkAboutPermit Mechanical 2010-6-1
(j/().703
City Of Springfield
225 Fifth St.
Springfield, OR 974n
Phone: 541-726--3753
Email: permitcenter@ci.springfield.or.us
Residential Mechanical Authorization To Begin Work
69600-BMC-10-00116
Approval Code: 08044S 6/112010 4:13 pm
E-mailedTo:brandy@associatedheating.com
00 1 or 2 family dwelling D Multi-family D Commercial
Job Address: 5335 MAIN ST
City/StatelZIP: SPRINGFIELD, OR 97478
Subtotal
State surcharge (12% of permit
total
Technology fee (5% of permit total)
$96.00
$11.52
SuitelbldgJaptno.: 201
Project Name:
$4.80
Cross Street/directions to job site:
TOTAL PERMIT FEE
$112.32
() lD -')03
u~~[U
Tax map/parcel no.: 1702330001300
Replace HIP system
Name: Gerald Walters
Phone: 541-726-0617
Fax:
Ernail:
ceB lie. no.: 106275
Business Name: ASSOCIATED HEATING & AIR CONDITIONING INC
Metro lie. no.:
'I'll l(l
AlTENTION: Oregon law requires you to
follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth
In OAR 952.{)OH)010 through OAR 952'{)01-
0090. You may obtain copies of the rules by
calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center Is 1-800-332-2344).
Contact:
Address: PO BOX ~l
Email:
Phone: 5416832590UTHORIZED UND8Rx'T~S>~RMIT IS NOT
,UMMENCED OR IS ABANDONED F
Upon review and approval by your local Jurisdiction, your permit will be e-malled or faxed
within one buslnll!$S day, with Instructions on how to schedule your Inspection.
NOTE: This Authorization To Begin Wortl: expires within 180 da)'$ tJ a pennlt is not obtained.
'w
~~\O
/l,..,
fbV
{~~
~ 'J\'
The local building department may determine that an Authorb:atlon To Begin Work 15 null and
void If It does not meet applicable land use laws and local ordinances.
Inspections Phone: 541-726-3769
This AuUrorizati.on To Begin Work must be posted at the job site until replaced by a Pennit
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00703
ISSUED: 06/02/2010
APPLIED: 06/02/2010
EXPIRES: 12/02/2010
VALUE:
225 Fifth Street, Sprin2field, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 5335 MAIN ST 201
ASSESSOR'S PARCEL NO.: 1702330001300
SPRINGFIETYPE OF WORK: Heatin2 System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Electric furnace wlheat Pump Exchan2e
Owner: SANTIAGO ESTATES ASSOCIATES LLC
Address: 11211 GOLD COUNTRY DR STE 100
GOLD RIVER CA 95670
I CONTRACTOR INFORMATION ~
Contractor Type
Electrical
Mechanical
Contractor License
OREGON ELECTRIC SERVICE 181997
ASSOCIATED HEATING & AIR CONDITIO 106275
BUILDING INFORMATION ~
Expiration Date
05/0912012
08/3112010
Phone
541-343-1681
541-683-2590
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Hei2ht ofStructure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Buildin2:
Lot Size:
Sq Ft 1 st Floor:
Sq Ft 2nd Floor:
Sq Ft Basemen t:
Sq Ft Gara2e/Carport
Sq Ft Other:
Occupant Load:
nla
REQUIRED PARKING
Frontyard Setback: .';;:'" Overlay Dist: AneNTION: Oregorrlaltl:requires you to'
Side I SetlloGI1CE: RE If THE W0~et Trees Rqd: follow rules adopteclIi<)n\lw:lilj"leillln Utility
Side 2 Set~~~B: PERMIT SHALL EXPI Mil IS 00l'd Drive Rqd: Notification Center. T~p~ are set forth
Rearyard Setba€mIZED UNDER THIS PER fOtfo of Lot Covera2e: In OAR 952-001-0010 through OAR 952-001-
Solar Setb~~';';:M' ENGED OR IS ABANDONED 0090. You may obtain copies of the rules by
Ulvll ote: the tele hone
,NY 1 ~ I PUBLIC IMPROVEMENTS ~ number for the Oregon Utility Notification
I Center Is 1-800-332-2344).
Sidewalk Type:
I DEVELOPMENT INFORMATION .
Street Improvements:
Storm Sewer Available:
Special Instruction:
DownspoutslDrains:
Notes:
Pal!e I of3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Description I
Description
$ Per Sq Ft
or multiplier
Tvpe of Construction
Square Footage
or Bid Amount
Total Value of Project
Fees paidJ
Fee Descriotion
+ 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
Amount Paid
$7.32
$11.52
$3.05
$4.80
$79.00
$55.00
$6.00
$17.00
Total Amount Paid
$183.69
I Plan Reviews I
Date Paid
612/10
612/10
612/10
612/1 0
612/10
6/2/10
6/2/10
6/2/10
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00703
ISSUED: 06/02/2010
APPLIED: 06/02/2010
EXPIRES: 12/02/2010
VALUE:
Value
Date Calculated
Receipt Number
2201000000000000604
1201000000000000603
2201000000000000604
1201000000000000603
1201000000000000603
2201000000000000604
2201000000000000604
1201000000000000603
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.
~eouire1Jnsnections I
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Pal!e 2 00
Status
Issued
225 Fiftb Street, Springfield, OR
541-726-3753 Pbone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00703
ISSUED: 06/02/2010
APPLIED: 06/02/2010
EXPIRES: 12/02/2010
VALUE:
By sil:natnre, I state and agree, tbat 1 bave carefully examined tbe completed application and do bereby certify tbat all
information bereon is true and correct, and 1 furtber certify tbat any and all work performed sball be done in accordance witb
tbe Ordinances of tbe City of Springfield and tbe Laws of tbe State of Oregon pertaining to tbe work described berein, and
tbat NO OCCUPANCY will be made of any structure witbout permission oftbe Community Services Division, Building Safety.
1 furtber certify tbat only contractors and employees wbo are in compliance witb ORS 701.005 will be used on tbis project.
I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from tbe
street, tbat tbe permit card is located at tbe front oftbe property, and tbe approved set of plans will remain on tbe site at all
times during construction.
Owner or Contractors Signature
,
Paee 3 of3
Date
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
1201000000000000603
4:13:53PM
Date: 06/02/2010
Job/Journal Number
COM20 1 0-00703
COM20 1 0-00703
COM20 1 0-00703
COM20 1 0-00703
Description
1 st Appliance
Heat Pump
+ 12% State Surcharge
+ 5% Technology Fee
. .,.
Amount Due
79.00
17.00
11.52
4.80
$112.32
..",-;'
..,..~, }'. ' .
,.j'
Item Total:
Payments:
Type of Payment
ONLINE CHGS
cReceintl
Paid By
ONLINE PERMIT CHGS
Check Number Authorization
Received By Batch Number Number How Received
KR ONLINE ASSOC1AT Online
ED
HEATiNG
Payment Total:
Amount Paid
$112.32
$112.32
,.
I ~.:;
"
"
\ )'.
. " . ~I;'
.Ii
,
"A. ~: t,'
I '~i'ilo,j,~,: ',r
,"',.
.~. j
.,. ~,:
Page 1 of I
6/2/20 I 0