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Home My WebLink AboutPermit Mechanical 2010-7-2 City Of Springfield 225 Fifth 51 Springfield, OR 97477 Phone: 541-726-3753 Email: permilcenler@ci,springfreld.oLus C/O. 8 g4-- -Residential Mechanical Authorization To Begin Work 69600-BMC-10-00166 Approval Code: 020635 7/2/2010 3:10 pm E-malledTo:brandy@associatedheatlng.com '.-' .:.Y ';".?: ~ ,',Ij 0 New Construction IRI Addilion/alterati on/replacement [t}',j: ~:\\:;:-?~,' ~:'CATEGORY OF'C'ONSTROCTiON '.', .:::.,: .:; , . _......=0~.H,' Y'" .....~. ...... ,.,......... . _ .. .... .... ., IRI 1 0' 2 family dwelling 0 Multi-family 0 Commercial, D';f.\ci::es~6ry:.. - I:;;l!:,:. j;~?;;;?JOBrsltE:iNFORMAtION'ANDLOCATION'!;;;;.'. ':,,,' '."'c .. ....-. Job Address: 1063 65TH ST ... CityfState/ZIP: SPRINGFIELD. OR 97478 Suite/bldg.lapt.no.: Project Name: Cross Street/directions tojob site: Tax maplparcel no.: 1702341200422 :::-n',. "~l",{l,: .. ' .",.^' - ~- .- .~--"-'''-''',.. ri"',;L'"1i~,.-"""..!,:",'t~'~_'i ;:",".:t DESCRIPTION,OFi,WORK,t~\i1:. ~?;"..",''ff",;'' ~"'i4 .. _ ~ . .." _,.'. ."....,., ,',c.'... 0..,_,,'~ '_ .;;..'" _~',c.._'~' ."!:t:. _, Replace HIP system ~ f:" '1"; U.' ;" " ,c;,,,.,-,;,,' :{::1.SITEII;Qt-JTf!,9:ri;l,;..i:.i.. :i-~bCY~;;'" -/;-\,':~; . <'OJ ,-;&> Name: AI Lucero Phone: 541-988-1132 Fax: Email: .. ''4.''.',; ':1,"::.$ : ",I..",' , ',: eeB lie. no.: 106275 :y;:~; ....;:.; .. " Business Name: ASSOCIATED HEATING &AIR CONDITIONING INC .._~ Contact: Address: PO BOX 412 CitylState/ZIP: EUGENE, OR 97440 Phone: 541-683.2590 Fax; 54 i .607 ,0287 Email: Metro lie. no.: City lie. no.: '. . Upon review and approval by your local jurisdiction, your pennit; ~iIIba a-mailed or faxed 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. CorYV20 10 "l-Co - I 0 r 00 01S'~ hY"\ i::b~, :_\:;,~;-;: \i,2~.~~. ,~'.~lL': \".' Description He~ting/C()9Iing{~~pliances Heal Pump Minirrujm)F_~es First Appliance Fee ~echa~ical,PermiO:E}es, Subtotal Stale surcharge (12% of permit lotal Technology fee (5% of permit total) $9600 $11.52 $4.80 $112.32 TOTAL PERMIT FEE 'r _ "Cb~ W tt;~'~ ~ fl <<.lD ~~~ ~ 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: COM2010-00884 ISSUED: 07/06/2010 APPLIED: 07/06/2010 EXPIRES: 01/06/2011 VALUE: 225 Fifth Street, Springtield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1063 65TH ST ASSESSOR'S PARCEL NO.: 1702341200422 Springfield TYPE OF WORK: Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: Replace HiP system Owner: LUCERO ALFRED JR & MAXINE C ". Address: 1063 N 65TH ST SPRINGFIELD OR 97478 I CONTRACTOR INFORMATION I Contractor Type Mechanical Contractor License ASSOCIATED HEATING & AIR CONDITIO 106275 BUILDING INFORMATION I Expiration Date 08/31f20 I 0 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 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 I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: "'Overlay Disl:" . ", #..Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS ~ ATTENTiON: Oregon law requ'ires yvu W . K Street I'11!1reie!'im!%doPted by the Oregon Utility NOTICE. SidewLe'&,flRE IF THE WOR Storm sJW~j'~Ai{iiiilable'~ter. Those rules are set forth THIS PERM\T~;ffi'/"H~alli~M\T IS NOT Special iln~IMfi~ri:001-001 0 through OAR 952-001- IUTHORIZED ANDONED FOR OOGO., You may obtain caples of the rules by . 'I1~AMENCED OR IS AB Notes: calling the center. (Note..the telephone . 'Y 180 DAY PERIOD. number lor the Oregon Utility Notification,. .,,,. . _-'- . 0(\ . . I Valuation Description ~ Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee.l of2 ,':\ -r~ ";'~\ ".:" ,'1,.: ",,",H . ;1.. --, ;'y:,:';' T'~'~: ew. ,. CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00884 ISSUED: 07/0612010 APPLIED: 07/06/2010 EXPIRES: 01/06/2011 VALUE: ';~ :\l. " Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line -",':rotal Valu~ of Project "< ~I L'Fees Paid , Fee Description + 12% State Surcharge + 5% Technology Fee 1 st Appliance Heat Pump Amount Paid Date Paid Receipt Number $11.52 $4.80 $79.00 $17.00"f" .,.,.-';",~."-"- 7/6/10 7/6/10 . 7/6/10 ..,71.6/10 3201000000000000376 3201000000000000376 3201000000000000376 3201000000000000376 ,t. Total Amount Paid $112.32,-", I Plan Reviews ~ To Request an inspection call the 24 hour recording at 726-3769. All inspectioI]s 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. ,- Reouired InsDections I Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. By signature, I state and agree, that 1 have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances 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 struci;;;:'e\vithoui;permission of the Commllnity Services Divisioll, Buildillg Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 wilJ' be used on this project. I further agree to ensure that all required inspecti~ris;:-are ..e'quested at the proper time, that each address is readable from the street, that the permit card is located at the frollt of'the property, alld the approved set of plans will remain on the site at all times during construction. ' Owner or Contractors Signature Date .,; 'j '~ .): ,. " ' I;" Paee 2 01'2 225 Fifth Street Springfield, Oregon 97477 541':726':3759 Phone ~~ City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 320100000000Q900376 8:03:24AM Date: 07/06/2010 Job/Journal Number COM20 I 0-00884 COM20] 0-00884 COM20] 0-00884 COM20 I 0-00884 Payments: Type of Payment ONLINE CHGS cReccintl Description 1st Appliance Heat Pump + ]2% State Surcharge + 5% Technology Fee Paid By ONLINE PERM]T CHGS "';('.:~i. .. '''-. 'j(' ',- i Amount Due 79.00 17.00 11.52 4.80 $112.32 ','<:z'':'. f.!f't-:! ,.,.,>;, Item Total: Check Number Authorization Received By Batch Number . Number How Received Amount Paid NJM ONLlNEASSOCIA T Online ED $112.32 Payment Total: $112.32 ,'I.t,} '" "j,i\ . , ..(,.""',.,....., ,.,,,.... ,""" ...,~. . '::',i(;,'i ,-', ";;J_, f,~!, t <..,. "'< " ,. "',! ...."........:..." "',, -....! ." .- ;:::: Page I of I 7/6/2010