HomeMy WebLinkAboutPermit Mechanical 2010-6-11
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(!/o' 757
.. ~'; Residential Mechanical Authorization To Begin Work
69600-BMC-10-00132
Approval Code: 061508 6/11/2010 1:49 pm
E-mailedTo:brandy@associatedheating.com
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City Of Springfield
225 Fifth 81.
Springfield, OR 97477
Phone: 541-726-3753
Email: permitcenter@ci.springfield.or.us
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001 or 2 family dwelling
o Multi-family 0 Commercial
o Accessory
Description
Heatil1giC~ojjng~Applia.ncesc-,'~t ;'_>
Heat Pump
N1in!mlJ"m~~e5:
First Appliance Fee
N1echiHlical;P.errifiiJ:Et~~:'.~i:Jt,.",i{ ,
Subtotal
Stale surcharge (12% of permil
lolal
Technology fee (5% of permit tolal)
o New Construction
IRJ Addilion/alteralionfreplacement
" CATEGORY OF CONSTRUCTION :~'
~c'- JOB;srfg;fNFORNlATIOt.jjAN'p~aOC'Aij'ON:.i:';~;:; ';.:
Job Address: 904 56TH PL
City/State/ZIP: SPRINGFIELD, OR 97478
$96.00
$1152
Suitefbldg./apt.no.:
Project Name:
Cross Streetfdirections to job site:
TOTAL PERMIT FEE
$4,80
$112,32
Tax mapfparcel no.:
1702331102100
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Install HIP system
:::c~8IIE;CONT ~cj_
Name: Rvan Stone
Phone: 541-915-4038
Fax:
Email:
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CCB Jic. no.: 106275
Business Name: ASSOCIATED HEATING & AIR CONDITIONING INC
Contact:
Address: PO BOX 412
CityfState/ZIP: EUGENE, OR 97440
Phone: 5416832590
Fax: 5416070287
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Email:
Metro lie. no.:
City lie. no.:
Upon review and approval by your local jurisdiction, your permit will be a.mailed or fal[od
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.
The local building department may determine that an Authorization To Begin Work is null and
void if it does not meet applicable land use laws and local ordinances,
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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
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00757
ISSUED: 06/11/2010
APPLIED: 06/11/2010
EXPIRES: 12/11/2010
VALUE:
225 Fifth Street, Springtield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 904 56TH PL
ASSESSOR'S PARCEL NO.: 1702331102100
,C';' ,ro, Springtield TYPE OF WORK: Heating System
TYPE OF USE: New
PROJECT DESCRIPTION: Wire electric furnace wlheat pump, attic light, switch and plug.
Residential
Owner: STONE RYAN & AMBER
Address: 6505 A ST 02
SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION ~
Contractor Type
Electrical
Mechanical
Contractor License
OREGON ELECTRIC,SERVICE 181997
ASSOCIATED HEATING & AIR CONDITIO 106275
BUILDING INFORMATION I
Expiration Date
05/09/20 I 2
08/31/2010
Phone
541-343- I 68 I
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:
i{ange :ry~~:: ' ",'
. Eil"ergy ~atli: .' ,
Sprinkled Building:'
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
nla
I DEVELOPMENT INFORMATION ~
REQUIRED PARKING
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverag~:,
"
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
, ."', ATTEJ:.JTION' CJ,!:eqon law requires you to
Street Improvements: . ,': > followsi8rJ'Sa~'1i~pP6d by the Oregon Utility
Storm Sewer Av-alI1lt';W:'E' . NotificiD~lIWf.D1\iin'S? rules are set forth
, l.uTl" . h hOAR 952-001-
SpecIal InstructlOn:S PERMIT SHALL EXPIRE IF THE WORK In OAR 952-001-0010 t roug ,
1111 0090 You may obtain copies of the rules oy
/I,UTHoRIZED UNDER THIS PERMIT IS NOT caliing the center. (Note: the telephone
r.nMMENCED OR IS ABANDONED FOR number for the Oregon Utility Notification
,., i :0;0 DAY PERIOD. Center is 1-800-332-2344).
Notes:
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Pae" 1 of 3
Status
Issued
225 Fifth Street, Springtield, 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 Eo Add
Heat Pump
Total Amount Paid
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00757
ISSUED: 06/11/2010
APPLIED: 06/11/2010
EXPIRES: 12/11/2010
VALUE:
Value
Date Calculated
I Valuation DescriDtion ~
$ Per Sq Ft
or multlpIier: ;~
Square Footage
': or Bid Amount
Receipt Number
3201000000000000297
2201000000000000684'
3201000000000000297
2201000000000000684
2201000000000000684
3201000000000000297
3201000000000000297
2201000000000000684,
To Request an inspection call the 24 hour redjrding at 726-3769. All inspections requested before 7:00
a.m. will be made the same working day, insp'ections requested after 7:00 a.m. will be made the following
work day.
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:~.Total Value of Project
~
Amount Paid
Date Paid
$8.04
$11.52
$3.35
$4.80
$79.00 '
$55.00 ;
$12.00 ;
$17.00
6/11/10
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$190.71
Plan Reviews ~
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. {'i'pi;',;.
';~ 'r .
l....f.pnnirerUnsnections ~
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical wo&'is complete: ".
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CITY OF SPRINGFIELD
;'0" .
Building/Combination Permit
,
Status
Issued
PERMIT NO: COM2010-00757
ISSUED: 06/11/2010
APPLIED: 06/11/2010
EXPIRES: 12/1112010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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"[ further:" ~ertify thata~y and all work performed shall be done in accordance with
the Ordiuances 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, 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.
'Tu;',
Owner or Contractors Signature
Date
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Paee3 of 3
225 Fifth Street
Springfidd, Ol'egon 97477
541-726-3759 Phone
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City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
,
2201000000000000684
2:27:27PM
Date: 06/11/2010
Job/Journal Number
COM20 I 0-00757
COM20 I 0-00757
COM20 I 0-00757
COM2010-00757
Description
I st Appliance
Heat Pump
+ 12% State Surcharge
+ 5% Technology Fee
';'):) j;. ,1'
Amount Due
79.00
17.00
11.52
4.80
$112.32
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Item Total:
Payments:
Type of Payment
ONLINE CHGS
cReceintl
Paid By
ONLINE PERMIT CHGS
Check Number Authorization
Received By Batch Number Number How Received
Amount Paid
nJm
ONLINE associated Online
Payment Total:
$112.32
$112.32
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