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Home My WebLink AboutPermit Mechanical 2010-6-21 o New Construction {] /0 7/7 Residential Mechanical Authorization To Begin Work 69600-BMC-10-00142 Approval Code: 074275 6/21/2010 12:36 pm E-mailedTo:brandy@associatedheating.com City Of Springfield 225 Fifth SI. Springfield, OR 97477 Phone: 541-726-3753 Email: permitcenter@ci.springfield.or.us ,'.f;<-., ~ ..'" .., ,- lKl Addition/alteration/replacement. ',,'F .7""" ~. ...... _.....' ~..'",.." " ...........,,,.....""... ....... -",-..... .... '.n"'" 'CAl'E~ORY;9F,C9NSTRUCTION' - ':.:' j' ;':_, ',' Description ~jnimum-Fees First Appliance Fee Mecha'riicaL~e"rmit'Fee5 ~ Subtotal State surcharge (12% of permit total Technology fee (5% of permit total) $7900 IZl f 1 or 2 family dwelling D Multi-family D Commercial D Accessory ~~.., ,_','..~~..'.." JOBsiTE.INFORMATION ANDt:OCA T1m~>': . .>':,',1 Job Address: 1101 DARLENE AVE $7900 $9.48 City/State/ZIP: SPRINGFIELD. OR 97477 $395 Suite/bldg./apt.no.: TOTAL PERMIT FEE $92.43 Project Name: ",-".~" 'J,,,', Cross Street/directions to job site: .;,,-;;t: .'<- ".',,'. , '.. Tax map/parcel no.: 1703272204400 " ~jl?iTECO_NT ACT J Name: Ted Lvles Phone: Fax: \. CONTRA'CTOW ,Lj, 'j' " Email: .'1 ,-rh., CCB lie. no.: 106275 Business Name: ASSOCIATED HEATING & AIR CONDITIONING INC Contact Address: PO BOX 412 CityfState/ZIP: EUGENE, OR 97440 '; ,nt';.i:'" ,"" '-. .....~.-..-.. ' 1, u~ Phone: 5416832590 Fax: 5416070287 r.',,\';" '.,: Email: Metro lie. no.: City lie. no.: CJ:ntrzo I'D GiJHo r OO--r11 n(Y\ '~~:.M' . ~ .,'. ~ :".'.' ~ I\, ",'in '.\..~ \Y' ro'.? ~\O \9; V 'tF..~ .~ \P Upon review and approval by your local jurisdiction, your permit will be e-mailed or faxed within one business day, with instructions on how 10 schedule your Inspection. NOTE: This Authorization To Begin Work expires within 180 days if II permit is nol 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. Inspections Phone: 541,726-3769 This Authorization To Begin Work must be posted at the job site until replaced by a Permit <. "" " J!'W;'" ,:' "'~:,'+n'T' CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00797 ISSUED: 06/21/2010 APPLIED: 06/21/2010 EXPIRES: 12/21/2010 VALUE: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1101 DARLENE AVE ASSESSOR'S PARCEL NO.: 1703272204400 ....~~, : "" "y~wingfield TYPE OF WORK: Heating System . . PROJECT DESCRIPTION: ., TYPE OF USE: Install AIC - Wire air,-conditioner & outdoor receptacle. 'I:, New Residential Owner: LYLES ROBIN ELAINE & TED ALAN Address: 1101 DARLENE AVE SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type Electrical Mechanical Contractor License OREGON ELECTRIC SERVICE 181997 ASSOCIATED HEATING'& AIR CONDITIO 106275 BUILDING INFORMATION 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 Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water Type: Rauge Type:. 'Eli'ergy"Pitth: ' S~-rinkied Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: nfa I DEVELOPMENT INFORMATION I REQUIRED PARKING Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverag~: Total: Handicapped: Compact: '.. I PUBLIC IM~ROVEMENTS I Street Improvements: I i~-;,:,,;..t ' Storm Sewer Ava~ab]e: . rBi or !3W r8r\li":-"""YQ~I,t.O . Special lostruCf\onENTION, 0 ~d bV \1-" ~"i"\-~';' uullty . follow rules actop \hose I ules a,.) S8! forth Notes: NotificatIOn g~~:~~i 0 through 0,1>.8 952'OO~ - , in OAR 952- 'n co ies ot the rules Y 0090. YOU may obtai Nofe: the telephOne calling the center. ( Utility Notification number6~~;:~i~~~~g~.332-2344)..:, , , .' " I::t,f' ,Iaf:".', Sidewalk Type: NOnCE:Downspouts/DXrains:. IF ~HE WORK THIS PERMIT SRALL!: t-'IKt OT AUTHOP.IZED UNDER THIS PERMIT IS N COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. :.njl'; ,;.,'{r .........."......, ,it.tT , -........ ., Pa2e I of 3 I Valuation Description ~ $ Per Sq'.ft Square Footage or multiP,He~,:::'~'.\~.f,i.:. or Bid Amount Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line .. .~.i.-;';' . .: " Descriotion Tvpe of Construction . ~ I I,: , '1" ':"::;,Total Vdlue of Project p., ~ 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 Amount Paid $7.32 $9.48 $3.05. $3.95 $79.00 $~5.00 . $6;'00. Total Amount Paid $163.80 I Plan Reviews ~ .,' 1',1 jo-,~ l\ I i., . Date Paid , 6/21110 .6/21/10 .;, 6/21/1 0 , 6/21/10 6/21/10 6/21/10 6/21110 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00797 ISSUED: 06/21/2010 APPLIED: 06/21/2010 EXPIRES: 12/21/2010 VALUE: Value Date Calculated " i Receipt Number 3201000000000000320 3201000000000000321 3201000000000000320 3201000000000000321 3201000000000000321 3201000000000000320 3201000000000000320 To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00 a.m. will be, made the same working day, in$p,ections'requested after 7:00 a.m. will be made the following kd I", WM ~ .~ L..Jleonire1Jnsnections i Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. ,1',.,..,-. '1 "'Jl,.,: .' _:.i~'''~'';~P'''' '2" f3 ",',:' ',r,. :-, ae:e 0 '(~i,n ~i'l,I-i: -::,: j <. ns Pj("" " zj-r~'~ ' ... ~ . .:1+l~:" :';:"'~ii.~1i'\I'" ~::!!!:l !: ~ ~L:. ~. li (,;.},";\'. ," 't'i"t'i; '. .~ I, . ,. CITY OF SPRINGFIELD Status Issued Building/Combination Permit PERMIT NO: COM2010-00797 ISSUED: 06/21/2010 APPLIED: 06/21/2010 EXPIRES: 12/21/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line By signature, 1 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.auy and all work performed shall be done in accordance with the Ordinances of ihe 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 Commnnity 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 propedime, 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 ~; ,t ' Date f'~' .~~ "i{' .';1' ~ ': L ; . I 1,\..;".1 r),-:;.,...,1" .."~,~~~;. ........\..:.i" " .~.~{~J . > ,. ':. ,~ " ,.(' Paee 3 of 3 225 Fifth Street . Springfield, Oregon 97477 541-7,26-3.75,9 Phone Wit~.iifi. J ~ j . .. ,.... d- ..~. ,"'..,.,.......,'....... -. City of Springfield Official Receipt Development Services Department Publie Works Department RECEIPT #: 3201000000000000321 Date: 06/2112010 12:57:54PM Job/Journal Number COM20 I 0-00797 COM2010-00797 COM20 1 0-00797 Payments: Type of Payment ONLINE CHGS cReceintl Description I sl Appliance + 12% State Surcharge + 5% Technology Fee Paid By ONLINE PERMIT CHGS y,;!.: .: '. n..... .',. Amount Due 79.00 9.48 3.95 $92.43 Item Total: Check Number Authorization Received By Batch Number Number How Received njm : ~;~ ' :, ....0( .:, ..-,( >, \J ~.' Page 1 of 1 Amount Paid ONLINE associated Online htg Payment Total: $92.43 $92.43 " 6/21/2010