HomeMy WebLinkAboutPermit Mechanical 2010-6-7
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Residential Mechanical Authorization To Begin Work
69600-BMC-10-00123
Approval Code: 037018 6/7/2010 3:28 pm
E.mailed To: brandy@associatedheating.com
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City Of Springfield
225 Fifth $t.
Springfield, OR 97477
Phone: 541-726-3753
Email: permitcenter@ci.springfleld.or.us
o New Construction
IX] Addition/alteration/replacement
Description
1-i~C1~ilt9iq()oling, AppIJ~~~ces?:i"LT'~
Heal Pump
~inimum"F:ees
First Appliance Fee
M9cha~ica! Perrnit,Fees_ ,"" 0. _ c
Subtotal
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r:;ATEG'oRY:~~;~ONSTRl'Jc::1'15N:';"
[Z) 1 or 2 family dwelling 0 Multi-family 0 Commercial
SITEJNFORMATION AND: 1'0CATION' ifiC
Job Address: 525 CASCADE DR
City/StatefZIP: SPRINGFIELD, OR 9747B
Suite/bldg.Japt.no. :
State surcharge (12% of permit
total
Technology fee (5% of permit total)
$96.00
$1152
Project Name:
Cross Street/directions to job site:
TOTAL PERMIT FEE
$4.80
$112.32
Tax map/parcel no.:
170235330B700
Replace HIP and A1H
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Name: Michael Edwards
Phone: 541~990-3404
Fax:
Email:
CONTRAc;.IQR "~
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cce Iic. no.: 106275
Business Name: ASSOCIATED HEATING & AIR CONDITIONING INC'
Contact:
Address: PO BOX 412
CityfStatefZIP: EUGENE, OR 97440
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Phone: 5416B32590
Fax: 54160702B7
Email:
Metro Ilc. no.:
City Iic. no.:
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The local building department may determine that an Authorization
void if it does not meet applicable land use laws and local ordinances.
To Begin Work
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Upon review and approval by your local jurisdiction, your permit will be a-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.
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W//1;!o/()- 00780
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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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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00730
ISSUED: 06/08/2010
APPLIED: 06/08/2010
EXPIRES: 12/08/2010'
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
SITE ADDRESS: 525 CASCADE DR
ASSESSOR'S PARCEL NO.: 1702353308700
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Replace heat pump and air handler
Owner: EDWARD MICHALE DALE
Address: 525 CASCADE DR
SPRINGFIELD OR 97478
Phone Number: 541-990-3404
I CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Contractor License
ASSOCIATED HEATING & AIR CONDITIO 106275
BUILmNG"iNFORMA TION I
Expiration Date
08/31/20 I 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:
Sprinkled Bnilding:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Oecnpant Load:
u/a
I DEVELOPMENT INFORMA TION I
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
,Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements: . NOTICE: . Sidewalk Type:
Stor~ Sewer AA~TION: Oregon I8w reqUire~,~'::<<~O~\i~ ('.1", HUITSfJ6~~~I~~~~~"@~~~~~TE,~~~~
SpeCIallnstruroWB;'~ules adopted by the OregOn.'~tdity.. " ED FOR
Notification Center. Those rules are set forth COMMENCED OR IS ABANDON
Notes: in OAR 952-001-0010 through OAR 952-001- A~JY 180 DAY PERIOD,
Description
'calling the center. (Note: th.~ ~
number for the Oregon Utilit '. Description
Center is 1-800-332-2 .
$ Per Sq Ft Square Footage
or multiplier or Bid Amount
Type of Construction
Value
Date Calculated
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Pa2e I of2
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Status
Issued
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
Fees Paid ~
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Heat Pnmp
Amount Paid
$11.52
$4.80
$79.00
$17.,O.ll._
Total Amount Paid
$112.32
. I Plan Reviews i
Date Paid
'6/8/10
~/8/10
6/8/10
6/8/10
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00730
ISSUED: 06/08/2010
APPLIED: 06/0812010
EXPIRES: 12/08/2010
VALUE:
Receipt Number
3201000000000000278
3201000000000000278
3201000000000000278
3201000000000000278
To Request an inspection call the 24 hour recordi.ng at 726-3769. All inspections requested before 7:00
"., .<\ I
a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following
work day. ''"'r:'::'' " ;.","
Reouired Insoections ~
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
By signature, J state and agree, that I have carefully examined the co~'pleted application and do hereby certify that all
information hereon is true and correct, and J further certify that any and all work performed shall be done in accordance with
the Ordinances ofthe City of Springfield and the Laws of the State of Oregon pertaining to the work descrihed herein, and
that NO OCCUPANCY will be made of any struciure 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
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Pa2e 2 of 2
Date
225 Fifth Street
Sprmgfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
3201000000000000278
Date: 06/08/2010
8:09:26AM
Job/Journal Number
COM20 I 0-00730
COM2010-00730
COM20 1 0-00730
COM20 1 0-00730
Payments:
Type of Payment
ONLINE CHGS
cReceintl
Description
1 5t Appliance
Heat Pump
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
ONLINE PERMIT CHGS
Amount Due
79.00
17.00
11.52
4.80
$112.32
Item Total:
Check Number Authorization
Received By Batch Number Number Bow Received
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Page 1 of 1
Amount Paid
ONLINE A550cated Online
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Payment Total:
$112.32
$1l2.32
6/8/20 I 0