HomeMy WebLinkAboutPermit Mechanical 2010-7-2
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Residential Mechanical Authorization To Begin Work
69600-BMC-10-00164
Approval Code: 070865 7/2/2010 9:45 am
E-mailedTo:brandy@associatedheatin9.com
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City Of Springfield
225 Fifth St
Springfield, OR 97477
Phone; 541-726-3753
Email: permitcenter@ci.springfield.or.us
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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
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Job Address: 658 S 57TH ST
Mectlatlicai,P,ermitFees ."
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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
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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. ;'! ~:~ .~:' ...
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faxed
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City/StatefZIP: EUGENE, OR 97440
Phone: 541-683~2590
Fax: 541-607-0287
Email:
Metro lie. no.:
City lie. no.:
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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
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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 ~
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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
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Pa2e I of 2
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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 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 ~
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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.
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Owner or Contractors Signature
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Date
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
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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
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ONLlNEASSOCIAT Online
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Payment Total:
$112.32
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