HomeMy WebLinkAboutPermit Mechanical 2010-7-27
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City Of Springfield
225 Fifth 5t
Springfield. OR 97477
Phone: 541-726-3753
Email: permitcenter@ci.springfield.or.u5
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Residential Mechanical Authorization To Begin Work
69600-BMC-10-00200
Approval Code: 027235 7/27/2010 1:21 pm
E-mailedTo:brandy@associatedheating.com
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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
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,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
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Replace HIP system
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Name: Carole Sell
Phone: 541-746-6608
Fax:
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Email:
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CCB lie. no.: 106275
Phone: 541-683-2590
Fax: 541-607-0287
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Business Name: ASSOCIATED HEATING & AIR CONDITIONING INC
Contact:
Address: PO BOX 412
City/StatefZIP: EUGENE, OR 97440
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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.
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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: COM2010-01001
ISSUED: 07/28/2010
APPLIED: 07/28/2010
EXPIRES: 01/28/2011
VALUE:
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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
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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:
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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'~:
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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
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Pa2e I of 2
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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
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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
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$79.00, " "
$17.00 :
3201000000000000476
3201000000000000476
3201000000000000476
3201000000000000476
Total Amount Paid
$112.32
I Plan Reviews ~
.
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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.
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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.
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Owner or Contractors Signature
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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 #:
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3201000000000000476
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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
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7/28/2010