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HomeMy WebLinkAboutPermit Mechanical 2010-7-2 lXJ 1 or 2 family dwelling D Multi-family D Commercial (JI(). ggS Residential Mechanical Authorization To Begin Work 69600-BMC-10-00167 Approval Code: 033375 7/2/2010 4:07 pm E-mailedTo:brandy@associatedheating.com ","fE:,~ si;A:i:DUCEj.;' "" ,- $79.00 ~. $96.00 $11,52 $4,80 $112,32 City Of Springfield 225 Fifth St Springfield. OR 97477 Phone: 541-726-3753 Email: permitcenter@ci.springfield.or.us D New Construction D Accessory Description 8~~~tihgLC.C?,QI!ng,~PRI!~l)ce~%';>'~',.~~,.~,:;;", ';, Heat Pump Job Address: 962 6TH ST First Appliance Fee M9c6anicaIPt)rr:r1it:Feas.'~. ~ Subtotal State surcharge (12% of permit total Technology fee (5% of permit total) TOTAL PERMIT FEE I. . .~. ,c '. :JOEr5rri:TNFoRMA TION AND LOCATION"';"'~:~ CityfStatefZIP: SPRINGFIELD,.OR 97477 Suitefbldg.fapt.no;: Project Name: Cross Street/directions to job site: Tax mapfparcel no.: 1703352100800 replace A1H and install HIP ': SITE"CO'NTAC'-T' ' .WW' '.,;. :f:t'i;: ;",'.' :', ,,' ">. --"-,,,,::'sfi;{71">';'''.l'~ ...,., Name: Beckv Roonev .:....,.,.! Phone: 541-325-6827 Fax: ,.; Email: a~. ....~~."'> ; '0" :'''''',;'Ji-'CON'TRACJQR; ,:;: CCB 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 within one business day, with instructions on how to schedule your inspection. be e-malled or faxed .~ ~"< ~ 1)...,\.,0 ~J '~ l.-~(\ :-..D ~~ ~ CityfState/ZIP: EUGENE, OR 97440 Phone: 541-683-2590 Fax: 541-607-0287 Email: Metro lie. no.: City lie. no.: 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. Co/YIW/O "" 7-(; ~/() ()Oc:f65 /? /Y\ " ' '\: '., Inspec,ti(),~s Phon:.: .541- 7.26-3769 This Authorization To Begin Work must be posted ,a!the job site until replaced by a Permit .r"' CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM201O-00885 ISSUED: 07/06/2010 APPLIED: 07/06/2010 EXPIRES: 01/06/2011 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 962 6TH ST ASSESSOR'S PARCEL NO,: 1703352100800 >,~,)iiringQeld' TYPE OF WORK: Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: Replace AIH and install HIP Owner: ROONEY BECKY Address: 962 6TH ST SPRINGFIELD OR 97477 I CONTRACTOR INFORMA nON , Contractor Type Mechanical Contractor License ASSOCIATED HEATI.NG:& AIR CONDITIO 106275 BUII,DING INFoRMA nON 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: , !',nhgy Path,' . :;Sprinkied'Sliildirig: . .~ f Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMENT INFORMATION ~ Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: .,.off,...' REQUIRED I>ARKING Total: Handicapped: Compact: Street Improvements: Storm Sewer Available: Special Instruction: I PUBLIC IMPROVEMF;,~TION: o;egon law requires you to , , ,follow rulesSia~lttR ll}/pf:e Oregon Utility , \". . ",,- Notification Center. Those rules are set forth " in OAR 952.~YlWJU>!l1f~glillJ1\R 952.001- 0090. You may obtain copies of the rules by calling the center, (Note: the telephone number for the Oregon Utility Notification, Center is 1.800.332.2344), NOTICE: Notes: THIS PERMIT SHALL EXPIRE IF THE WORK , ~~ ,r: ~lnT f-\UlnUhLC PI L.. I"..... COMMENCED OR IS ABANOONEPf~li.ation Description I IINY 180 Of,y PERIOD.." . . . . $ Per. S<{Ft\< '~\~;~i,d', ;Squ~re Footage DescnptlOn Type of ConstructIOn 1'1"'1' 'I ""I,., 'B'd A ormu l'P'Ier!'l,~-";':,,' or\ I mount . ;'..' ,'" ."-,,..,,...... . ,.~,..........~ Value Date Calculated .',- ~{l~T """'l" Paee lof2 ~ 'f ~, Status Issued .i.. 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 'it I.., "t.; Total Value of Project ,Fees Paid-l , Fee Description + 12% State Surcharge + 5% Technology Fee 1st Appliance Heat Pump \'."':i',. Amount Paid')' . ';Jf~Wii $11.52..:').. $4,801;''.' $79.00"" $17,00 ~ .,,,,.: , , Date Paid '-'i' Total Amount Paid $112.32 Plan Reviews ~ ,.. 7/6/10 7/6/10 7/6/10 7/6/10 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM201O-00885 ISSUED: 07/06/2010 APPLIED: 07/06/2010 EXPIRES: 01/06/2011 VALUE: Receipt Number 3201000000000000377 3201000000000000377 3201000000000000377 3201000000000000377 To Request an inspection call the 24 hou~..recl!rdingat 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".,.Reauired Insoections ~ Rongh Mechanical: Prior to Cover Final Mechanical: When all mechanical workdis.complete. ~ l j;' 'l" ..: .~~;, !' I '.,'1;/;'1'; '<. By signature, I state and agree, that I have carefuIlYi'iWamin~inhe completed application and do herehy 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 strncture without permission of the Community Services Division, Building Safety. I fnrther 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 proper time, 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. Owner or Contractors Signatnre , I"'" ~~i. ':i :: I' ...... ' Paee 2 of2 \~"J',~" ': ,;11. H;.:'..d' .1 <"" ,. ''';,~1''f.r.-'''.:~~' .~, Date 225 Fifth Street Spri~gt:ieJd,.Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 3201000000000000377 Date: 07/06/20]0 8:09:34AM Job/Journal Number COM2010-00885 COM20 I 0-00885 COM20 I 0-00885 COM2010-00885 Payments: Type of Payment ONLINE CHGS cReceintl Description 1st Appliance Heat Pump + 12% State Surcharge + 5% Technology Fee Paid By ONLINE PERMIT CHGS ',/ '. Amount Due 79.00 17.00 11.52 4.80 $112.32 '~"." . '. ~. . 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 " , ,...'1'.'. . l. ~~ ~, .~. 'I~ . "'\- " .,' Page I of 1 7/6/2010