HomeMy WebLinkAboutPermit Mechanical 2010-7-12
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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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Residential Mechanical Authorization To Begin Work
69600-BMC-10-00180
Approval Code: 06019S 7/12/2010 12:38 pm
E-mailedTo:brandy@associatedheating.com
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,ty
1KJ Addition/alterationlreplacement
D New Construction
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D Multi-family D Commercial
D Accessory
JOe SITEiNFORMATION"ANfn:bcATION . .
Job Address: 5941 G ST
City/State/ZIP: SPRINGFIELD, OR 97478
Suite/bldg.lapt.no.:
Project Name:
Cross Street/directions to job site:
Tax mapfparcel no.:
1702342200422
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Install HIP system
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Fax:
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CCB Iic. no.: 106275
Business Name: ASSOCIATED HEATING & AIR CONDITIONING'INC':~'~'::" .
Contact:
Address: PO BOX 412
City/State/ZIP: EUGENE, OR 97440
Phone: 541-683-2590
,Fax: 541-607-0287
Email:
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Metro Iic. no.:
City Iic. no.:
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Upon review and approval by your 10e;al jurisdiction, your permit will be e-mailed or faxed
within one business day, with instrue;lions on how to schedule your inspection.
NOTE: This Authorization To Begin Work expires within 180 days if a permit is not obtained.
The local build.ing 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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Description
Heatin.~f:'<?()Jing',AppII~'~~esAL'
Heat Pump
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First Appliance Fee
M~4!tanic:~1 ,pe'rri!I(:F~Qs'_ '" "
Subtotal
State surcharge {12% of permit
total
Technology fee (5% of permit total)
TOTAL PERMIT FEE
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$96,00
$11.52
$4.80
$112.32
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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: COM2010-00920
ISSUED: 07/12/2010
APPLIED: 07/12/2010
EXPIRES: 01/12/2011
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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SITE ADDRESS: 5941 G ST
ASSESSOR'S PARCEL NO.: 1702342200422
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Install HIP system
Owner: URE BARBARA H
Address: 5941 G ST
SPRINGFIELD OR 97478
Contractor Type
Mechanical
I CONTRACTOR INFORMATION I
Contractor License
ASSOCIATED HEATING & AIR CONDITIO 106275
BUILDING INFORMATION ~
Expiration Date
08/3112010
Phone
54 I -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 Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION..
REQUIRED PARKING
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
O-'erlay Dist: "
# Street TreesRqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS.
Street Improvements:
Sidewalk Type:
Storm Sewer Available: Downspo~tslDrains:
Special Instruction: uires you 10 .;, NOTICE:
ATTENTION. orego; ~a~hr:6regon Ulllily'"' ... THIS PERMIT SHALL EXPIRE IF THE WORK
Notes: foliow rulas adopteThJse rules are sel forlh 'I, :':"".'AlJTHORIZED UNDER THIS PERMIT IS NOT
Notification Cent~~., ^ ~I--..^"nh 952-001f.o:1..'~~' ..f ~l""'U/lIIr""I{,,\'" 0 M, nnt-..II:
in OAti tJo""uu ;;t~i~ copies of the . . : ~ ~~;'1'~-ri' -
0090.. You may Oter (Note: Ihe lele l\Calnation De~cri tioJ] ,y PERIOD.
calling the c~n Or~gon Utility Nolll
D . rnumber ffr I ~d \loo.-~ii;~344). $ Per Sq Ft Square Footage
escnp Ion Go)\pgr 0 or multiplier or Bid Amount
Value
Date Calculated
Pa!!e 1 of2
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM20IO-00nO
ISSUED: 07/12/2010
APPLIED: 07112/2010
EXPIRES: 01/12/2011
VALUE:
J.......
Status
Iss u ed
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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..liTotal Value of Project
I . Fees Paidj
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Heat Pump
Amount Paid
Date Paid
Receipt Number
$11.52
$4.80
$79.00
$17.00
7/12/10
7/12/10
7/12/10
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. 7112/10
3201000000000000419
3201000000000000419
3201000000000000419
3201000000000000419
Total Amount Paid
$112.32"" .
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PJan 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, insll.e.ctions requested after 7:00 a.m. will be made the following
work day. ..._. ...... .. .
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Remiii:ed Ii1"'Dect~
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Rougb Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
By signature, I state and agree, that I 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 structure without permission of the Community Services Division, Building Safety.
I further 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, tbat the permit card is located at the fro'ri"6nh'epro'pei'ty~ and the approved set of plans will remain on the site at all
times during construction. '1 r
Owner or Contractors Signature
Date
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225 Fifth Street
Springfield, Oregon 97477
541-726-3759'Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
3201000000000000419
Date: 07/12/2010
1:IO:30PM
Job/Journal Number
COM2010-00920
COM2010-00920
COM2010-00920
COM20 I 0-00920
Payments:
Type of Payment
ONLINE CHGS
cReccintl
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
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Item Total:
Check Number Authorization
. Received By Batch Number Number How Received
Amount Paid
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ONLINE ASOCIATE Online
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$112.32
Payment Total:
$112.32
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7112/2010