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HomeMy WebLinkAboutPermit Mechanical 2010-7-27 ~S:~~i'<\;i=IELD ":qf+ ,,'i:~ :,.' 4. ~. . -. OREGON City Of Springfield 225 Fifth 5t Springfield. OR 97477 Phone: 541-726-3753 Email: permitcenter@ci.springfield.or.u5 C]/O./<<JI Residential Mechanical Authorization To Begin Work 69600-BMC-10-00200 Approval Code: 027235 7/27/2010 1:21 pm E-mailedTo:brandy@associatedheating.com e./f" . .", "~. "..' IX] Addition/alteration/~eplacemenl [R] 1 or 2 family dwelling o Mufti-family 0 Commercial EJ AccessorY";; Descriptlon H~atiflg/Co'oling:App'-ianc:'~s~ .~ Heat Pump MinimujIf;F~~s Total '}i'- s'y ,JOB:SltE,INFORMATION 'AN"tri:OCA 'rfON'" }'.:;':. Job Address: 205 S 54TH ST Suite/bldg.lapt.no.: 18 Me#hanjcttl~p;errbit 'Fees Subtotal State surcharge {12% of permit lotal Technology fee (5% of permit total) TOTAL PERMIT FEE $96.00 $11,52 City/State/ZIP: SPRINGFIELD, OR 97478 Project Name: $4.80 $112.32 Cross Street/directions to job site: Tax map/parcel no.: 1702330001200 t'...., ~,': Replace HIP system .,:; -:,~I~ Name: Carole Sell Phone: 541-746-6608 Fax: ,~',<.lp ,.~.,;1. ,"::;1; . Email: .' ,'!;~.:.,~". ,~ ' CCB lie. no.: 106275 Phone: 541-683-2590 Fax: 541-607-0287 .~ .~~ ~ l_(\~ 91 "0'-.; '\(y' <ti ~o ~O'~ {\~4RY ~V\ Business Name: ASSOCIATED HEATING & AIR CONDITIONING INC Contact: Address: PO BOX 412 City/StatefZIP: EUGENE, OR 97440 Ema!l: ."r' Metro lie. no.: City lie. no.: Upon review and approval by. your local jurisdiction, your pennit will be e-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 meel applicable land use laws and local ordinances. "\,n:;:: "':1, ";.:'~" ~ Inspections Phone: 541-726-3769 This Authorization To Begin Work must be posted at the job site until replaced by a Permit Con20/0 - d/OQ/ '7/d ;3//0 ///)'-/ ',fe;' ',. CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-01001 ISSUED: 07/28/2010 APPLIED: 07/28/2010 EXPIRES: 01/28/2011 VALUE: .i,iY'7~ '(:-1'1,1,;" Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 205 S 54TH ST SPACE 18 ASSESSOR'S PARCEL NO.: 1702330001200 Springfield TYPE OF WORK: Mechanical Only TYPE OF USE: New Residential PROJECT DESCRIPTION: Replace hip system 1",'.,., . 1, Owner: CHALET VILLAGE MHC LLC Address: 450 NEWPORT CENTER DR STE 595 NEWPORT BEACH CA 92660 I CONTRACTOR INFORMATION . Contractor Type Mechanical Contractor ."",. ',... License ASSOCIATED REA TING;.!<,AI!UC'ONDITIO 106275 Bu'iLDiNG'INF()RMA TION I Expiration Date 08/31/2010 Phone 541-683-2590 # of Units: Primary Occupancy Group: Secondary Occnpancy Gronp: 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 ~ 11:-.., REQUIRED PARKING Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: .' ""Overlay Dist: Total: # Street Trees Rqd: Handicapped: Paved Drive RJl.?'rENTION: Oregon law rGquir~Jl~P~~t; : % of Lot CovYlin!\'W rules adopted by the Or8(.]On Utility Notification Center. Those rules EIre set forth Street Improvements: Storm Sewer Available: Special Instruction: v, '-' "" ....~'~i" ~"" " I ....v.... uV , PUBLIC IMPROV~!j:.Nrcl'_ ay obtain copies at the ruies by "". ." '" ," ca mg I e C8'?tllr. (~\(i" th,e lelGphone n.:<'u,',n4I;Tlber for the rlr'Wgaon lX~fy Notiiication '"",co'" .., Center JroiviispoiitslO1iiiin'~: .. ':.i~\-' , Notes: NOTICE: TI-l ~ P R~ HALL EXPIRE IF THE WO~~ AUTHORIZED UNDER THIS I;-:'.~.~ _,.~"'" . r:OMlvlENCED OR IS f!.'- .,I.'~ MaluatlOn Descrt Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated '.,. "". .,.t ., Pa2e I of 2 "I",. .... .,',4 ., ,1' i'";,.';:,,.:. 'i:~,~,J~ , ~-/r.j ,..'", CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-01001 ISSUED: 07/28/2010 APPLIED: 07/28/2010 EXPIRES: 01128/2011 VALUE: Status Iss u ed 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line ".," Total Value of Project Fees Pai<U Fee Description + 12% State Surcharge + 5% Technology Fee 1st Appliance Heat Pump Amount Paid , ,~.r Da,te Paid , 7/28/10 , 7/28/10 7/28/10 7/28/10 Receipt Number ,$'11.52 ' $4.80 ,. 'I{ $79.00, " " $17.00 : 3201000000000000476 3201000000000000476 3201000000000000476 3201000000000000476 Total Amount Paid $112.32 I Plan Reviews ~ . 1i::',1 To Request an inspection call the 24 hour J;~.c:iirdil1i{'a(726-3769. All inspections requested before 7:00 a.m. will be made the same working day, i~~'~;ctions' requested after 7:00 a.m. will be made the following work day. 'M'"'' ' ReQuired InsDections ~ Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. 1" By signature, 1 state and agree, that I have carefully examined the comp,leted application and do hereby certify that all information hereon is true and correct, and I further certify that ,any arid all work performed shall be done in accordance with the Ordinances of the City of Springlield and the;taws 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, 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. "',.,,';1 Owner or Contractors Signature ........."''-''. ,,;,~~ ...--..,.... , {.~i/~)l ..~~;.y/. 'H:Hjpi : ,i{~q' I 'i:',,"'; : ~l ~ Date Paee 2 of2 225 Fifth.Street , Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: ,.,'" ':~" . 3201000000000000476 ,. . Date: 07/28/2010 7:55:39AM . Job/Journal Number COM2010-0100l COM2010-0100l COM2010-0100l COM2010-01001 Payments: Type of Payment ONLINE CHGS cReceiotl Description 1 st Appliance Heat Pump + 12% State Surcharge + 5% Technology Fee Paid By ONLINE PERMIT CHGS Item Total: Check Number Authorization Received By Batch Number . Number How Received Amount Due 79.00 17.00 11.52 4.80 $112.32 Amount Paid NJM ONLlNEASSOClAT Online ED HTG $112.32 Payment Total: $112.32 '.~'7.:~' ....." ~ '''\~. ;l~ " !.I,VI",lf ('~ViA,\ql'lj "1,' ,\..,. ,,,,:.,,(., -, ".~"-,...,. ~ .,,,.-..,,., '\J:OVL "'h~t},;_il.!'~ '., " , . Page I of I ",., , 7/28/2010