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HomeMy WebLinkAboutPermit Mechanical 2010-7-2 .h Ol(). 33/ Residential Mechanical Authorization To Begin Work 69600-BMC-10-00164 Approval Code: 070865 7/2/2010 9:45 am E-mailedTo:brandy@associatedheatin9.com ~::W:'x;\r~.~;:';;ii .~~t'+;~~..' ';'~'F'EEiscHEDULE.~. ',,,, City Of Springfield 225 Fifth St Springfield, OR 97477 Phone; 541-726-3753 Email: permitcenter@ci.springfield.or.us ,.'1 " '.<, '.'" -S;,,\' ;;;]J." Description Hea,~in9iC~qQlirlg Appliarl_c.e5':',~J?~ Heal Pump Mir1imum4F:e~s IRJ Addition/alteration/replacement f;' T/o. ~:":;j .,"*':;.;:': ::C~E.QQRY;.oF"COJllST~UCTION-: ~P_.:," [Z] 1 or 2 family dwelling 0 Multi-family 0 Commercial 0 Accessory '" ."', '\:.;Y150S:SIJ:E:INf,ORMA rlON ANo'i!ocAfiorFi';;'::if14cr''is Job Address: 658 S 57TH ST Mectlatlicai,P,ermitFees ." ......... ..... .. City/State/ZIP: SPRINGFIELD. OR 97478 Subtotal Slate surcharge (12% of permit total Technology fee (5% of permit total) $96.00 $11,52 Suite/bldgJapt.no.: 67 Project Name: Cross Street/directions to job site: TOTAL PERMIT FEE $4,80 $112.32 Tax map/parcel no.: 1702330001201 Replace H/P and NH ,'" ,~' .'. '1:", . I; I 'v.'.c;::"SITEi.cONJ: ACT,', ::4 Name: Leta Hallock Phone: 541-746-4174 Fax: Email: cce lie. no.: 106275~ Business Name: ASSOCIATED HEATING & AIR CONDITIONING INC Contact: Address: PO BOX 412 Upon review and approval by your local jurisdiction, your permit will' bel~-mall~d or within one business day, with instructions on how to schedule your inspection. ;'! ~:~ .~:' ... ,- . faxed "'~~ ~ coJ)\.:" v;;Y: ~.\.o.\Q ~~QQ/ ~ City/StatefZIP: EUGENE, OR 97440 Phone: 541-683~2590 Fax: 541-607-0287 Email: Metro lie. no.: City lie. no.: :~2.'.. 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. Cnrn7JJIO - ,--).-1 0 OOC'8' I nr0 Inspections Phone: 541.726.3769 This Authorization To Begin Work must be posted at the job site until replaced by a Permit $;\~,,", "~,""~','!l!,;IIl, '.' "',_",',"',.,','" ~L' ! '~~~~ ~ "11""'"," . t~" '; 'h" ..: ..-..,."....."".. .... .....--~._~..-,. ... ,.......' '" , 1;', .' '0'" ,'I, "';:~"~'~..I:' 'r:~~' ':';-,1 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00881 ISSUED: 07/02/2010 APPLIED: 07/02/2010 EXPIRES: 01/02/2011 VALUE: Status Issued' 225 Fifth Street, Springfield, OR , 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line, SITE ADDRESS: 658 S 57TH ST SPACE 67 ASSESSOR'S PARCEL NO.: 1802040000200 Springfield TYPE OF WORK: Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: Replace heat pump and air handler Owner: JOE AND LEE LIMITED Address: PO BOX 717 SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type Mechanical Contractor ,;~'l '., ~: , License ASSOCIATED HEATING'<~i'AIR"C(jNDlTIO 106275 BUILDiNCiNFORMA TION I Expiration Date 08/31'/2010 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 Buildinl( Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: / nla 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 Coverage: Total: Handicapped: Compact: Street Improvements: I PUBLIC IMPROVEMENTS ~ 'i';X '(i'~:'_6" ,':t'-"" ., , ,,- Sidewalk Type: Storm Sewer Available: ...",..., SpeciaIInstruct~ENTlciN: Oregon law requir~~~~ t~ follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth o throu hOAR 952-001- 0090. You may obtain copie -......-, PERIOD calling the center, (Note: t MltlftM~ Descri tiorf' Y 180 DAY . number for the Oregon Utili T Center "S 1-800-332-~)Sq Ft Square Footage vue lJrC-ons rucfion . . . or mullIpher' or Bid Amount Downspoutsffiraills: NOTICE: THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT f'm'" c: I I OR Notes: Description Value Date Calculated 'i jd 'I- 1 ,_,r ~ ~ I ~ - Pa2e I of 2 -.,,;'1 " " , ~ "., i Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726"3769 Inspection Line ~i.~"~~ 'c" "It' .~ f;j~ .f:':t.r.'7;:'i~. .' :"(' ,:" ,.,' Total Valne of Project Fees Paid _ Fee Description + 12% State Surcharge + 5% Technology Fee 1st Appliance Heat Pump Amount Paid $11.52 .. $4.80 $79.00 . $17.00 .' Total Amount Paid $112.32 I Plan Reviews ~ " i1~ ,:'~ , . ,', ~ .' Date Paid 7/2/10 7/2/10 7/2110 7/2110 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM20IO-0088I ISSUED: 07/02/2010 APPLIED: 07/02/2010 EXPIRES: 01/02/2011 VALUE: Receipt Number 3201000000000000371 3201000000000000371 3201000000000000371 3201000000000000371 To Request an inspection call the 24 hour retorilini lit 726~3769. All inspections requested before 7:00 a.m. will be made the same working day, in~~~ctioh~requested after 7:00 a.m. will be made the following work day. .~'.. '" Reauired InsDections ~ Rough Mechanical: Prior to Cover Final Mechanical: When all mecbanical work is complete. By signature, I state and agree, that I have carefully examined the completed application and do bereby certify that all information bereon is true and correct, and I further certify that any and all work performed sball be done in accordaoce with tbe Ordinances of the City of Springfield and theLa":s of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any strutiurewitbout permission of the Community Services Division, Building Safety. I further certify tbat only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I furtber agree to ensure tbat all required inspections are requested at tbe proper time, that each address is readable from tbe . street, tbat the permit card is located at tbe front of tbe property, and the approved set of plans will remain on tbe site at all times during construction. "1- Owner or Contractors Signature ,. , ~;;".' -;~.' .,;.,., , , ' ;:,~eh i n;;~_::> -.j'~' t :, , ~,."." '.. .""" 'I'Hi'. i Pa2e 2 of 2 ,,". Date 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: ;, ....,.~ 1" 3201000000000000371 Date: 07/02/2010 10:25:45AM Job/Journal Number COM20 I 0-0088 I COM2010-0088 I COM2010-00881 COM20 I 0-00881 Description I st Appliance Heat Pump + 12% State Surcharge + 5% Technology Fee Payments: Type of Payment. Paid By Amount Due 79.00 17.00 11.52 4.80 $112.32 Item Total: Check ~umber Authorization Received By Batch Number . Number How Received Amount Paid ONLINE CHGS $112.32 cReceintl ONLINE PERMIT CHGS NJM : -,'j' ,:~.< .lo!!I/{' ,,-,,"-'.~ ' '" ' ONLlNEASSOCIAT Online ED Payment Total: $112.32 !. r., '_.,-' --., p' . ,~:( r, . I I,:/,j\!, '''; , ...- .;.;:.',,,,,, ""....( .... Jt!:. Page 1 of I 7/2/2010