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Home My WebLink AboutPermit Mechanical 2010-6-21 {jIO.7Q3 City Of Springfield 225 Fifth Sl Springfield, OR 97477 Phone: 541-726-3753 Ernail: permitcenter@ci.springfleld.or.us Residential Mechanical Authorization To Begin Work 69600-BMC-10-00141 Approval Code: 053515 6/21/2010 10:58 am $79.00 Job Address: 1620 YOLANDA AVE City/StatelZlP: SPRINGFIELD, OR 97477 Subtotal State surcharge (12% of permit total Technology fee (5% of permit total) TOTAL PERMIT FEE $96.00 $11.52 SuitelbldgJaplno.: Project Name: $4.80 $112.32 Cross Street/directions to job site: Tax map/parcel no.: 1703243400120 C)O -~~ ~L LY{-2JIID Name: Walt l/vtIitson Phone: Fax: Email: CCB lie. no.: 106275 Business Name: ASSOCIATED HEATING &AIR CONDITIONING INC Contact: Address: PO BOX 412 City/StatelZIP: EUGENE, OR 97440 Phone, 5416B325~~Oi ~ ..;;.:"..,....: Email: ?>\( \5 N01 ED fO?> .-.-'-"-'....< .~~. ..... Metro lie. no.: An-ENnON: Oregon law requires you 10 follow rules adopted by the Oregon UtIlity NotificatIon Center. Those rules are set forlh In OAR 952-001-0010 through OAR 952-llO1. 0090. You may obtain copIes of the rules br , calling the canter. (Note: the telsphone number for the Oregon Utility Notification Center 18 1-800-332-2344). - ,on n . Upon review and app~~~t{b~ \your\..'o I urtsdlctlon, your pennlt will be e-maffed or faxed WIthin one business day,'wIttIlnstructlons on how to schedule your Inspection. NOTE: This Authorization To Begin Work expires within 1Bn days If a pennlt Is not obtained. The local building deparbnent may detennlne that an Authorization To Begin Work Is null and void If It does not meet applh;;i1ble 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 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00793 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 SITE ADDRESS: 1620 YOLANDA AVE ASSESSOR'S PARCEL NO.: 1703243400120 Springfield TYPE OF WORK: Heating System TYPE OF USE: Residential PROJECT DESCRIPTION: Replace gas furnace and add AlC Owner: Address: WHITSON W ALTER L & JUDY M 1620 YOLANDA AVE SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION ~ Contractor Type Mechanical . Contractor License ASSOCIA TED HEATING & AIR CONDITIO 106275 BUILDING INFORMATION I Expiration Date 0813112010 Phone 541-683-2590 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Sturies: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occupant Load: nla REQUIRED PARKING Frontyard Setback: . ,.,'.',' ".."."""", Overlay Dist: Total: . c" , '.~'<, ,-," _r.. "~"; l. Side I SetItaMICE' . '.' .ti~{t Trees Rqd: ATTENTlON: 0rGg0n laJNooIi~te Side 2 SetIl:M<! RMIT S\-Il\ll EXPIRE IF THE v)>wt Drive Rqd: i'oIlow fUlGO adopted by(Ibl1lilrEgon UtIlity Rearyard s.!i/'!iici:.~ ZED UNDER THIS PERMIT IS.~ otCoverage: L\lotlficatlonCenter. YhoserulesaresetfortliJ Solar Setb~H~~1 IS ABANDONED FOR:y" 11I OAR 952.oo1.oofOthrough OAR 952.0010 ANY 180 DAY PERIOD. I PUBLIC IMPROVEMENTS iIl8IlIng the center. (Note: the telephone II1umber for the Oregon Utility NolilicatJOi\l Street Improvements: S66~)\P800-332-2344). I DEVELOPMENT INFORMATION ~ .-,-.... ".... ". Storm Sewer Available: Special Instruction: DownspoutslDrains: Notes: I Valuation Description I Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pal!e 1 of2 Status Issued CITY OF SPRINGFIELD Building/Com bination Permit PERMIT NO: COM2010-00793 ISSUED: 06/21/2010 APPLIED: 06/21/2010 EXPIRES: 12/21/2010 VALUE: 225 Fiftb Street, Springfield, OR 541-726-3753 Pbone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project ~ Fee Description + 12% State Surcbarge + 5% Tecbnology Fee 1st Appliance Furnace - up to 100,000 btu Amount Paid Date Paid Receipt Number $11.52 6/21110 1201000000000000734 $4.80 6/21110 1201000000000000734 $79.00 6121110 1201000000000000734 $17.00 6/21110 1201000000000000734 Total Amount Paid $112.32 I Plan Reviews ~ 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. l...PenlliredJnsnec~ Rougb Mecbanical: Prior to Cover Final Mecbanical: Wben all mecbanical work is complete. By signature, I state and agree, tbat I bave carefully examined tbe completed application and do bereby ccrtify tbat all information bereon is true and correct, and I furtber certify tbat any and all work performed sball be done in accordance witb tbe Ordinances of tbe City of Springfield and tbe Laws oftbe 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. I'furtber certify tbat only contractors and employees who are in compliance witb ORS 701.005 will be used on tbis project. I further agree to ensure tbat all required inspections are requested at the proper time, tbat eacb address is readable from tbe street, tbat tbe 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 Date Pa!!e 2 of2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone .', City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #; 1201000000000000734 Date: 06/21/2010 II :34:54AM Job/Journal Number COM20 1 0-00793 COM20 I 0-00793 COM20 1 0-00793 COM20 I 0-00793 Description I st Appliance Furnace - up to 100,000 btu + 12% State Surcharge + 5% Technology Fee .f~~.~'" , ,;-r..'~'.~~ , j h:~ Item Total: Amount Due 79.00 17.00 11.52 4.80 $1l2.32 . .~ f'" -,~ ":'~ t.:-....' -i;:}~'~~::';~~: . 1',11' Payments: Type of Payment ONLINE CHGS Paid By ONLINE PERMIT CHGS Check Number Authorization Received By Batch Number Number How Received Amount Paid 'KR ONLINEASSOCIA T Online ED HEATING &AIR Payment Total: $11232 $1 12.32 ;,. .ii .~;~. " ",J 3"~ rl~~' , /~"~,',~ > ,~;: .; ~ .,,: .}~ :~. ""f~r'" ,', <I' f'", ~ ~ ~. ~ I .;'.,: ."t !._<.:., . 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