HomeMy WebLinkAboutPermit Mechanical 2010-8-19
CITY OF SPRINGFIELD
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541.726.3769
Fax: 541-726-3676
www.ci.springfield.or.us
Building I Residential Permit
PERMIT NO: 811.-SRR2010-00093
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IVR Nu.r,ber: 811"146434264
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permjtcenter@ci.springfield.or.us
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PROJECT STATUS: Issued
ISSUED: 8/19/10
APPLIED: 8/19/10
EXPIRES: 2/14/2011
VALUE: $0.00
SITE ADDRESS: 291 T
ASSESOR'S PARCEL NO:
Springfield
1703262400109
SCOPE: Heating System
WORK INVOLVED: New
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Replace Heat Pump & Air Handler
OWNER:
ADDRESS:
OCONNOR RM
PO BOX 70363
EUGENE OR 97401
Phone Number:
CONTRACTOR INFORMATION ~
Contractor Type
Contractor Name
ASSOCIATED HEATING & AIR CONDITIONING INC
ASSOCIATED HEATING & AIR CONDITIONING INC
Lie Type
CCB
CCB
Lie No
106275
106275
Lie Exp
08/31/2012
08/31/2010
Phone
541-683-2590
541-683-2590
# of Units:
o
BUILDING INFORMATION
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# of SW~i~~;.'r;; ~i ': U
I Heigh!,QfjStr\j~i.u'[~:~
Type of'Heat:
Water Type:
Ra~ge Type:
Hazmat:
~
# of Bedrooms:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage:
Sq Ft Carport:
Sq Ft Other:
Occupancy Load:
Sprinkled Building: "
Fire Alarms:
Electric~I'Specia"lty C!'c1e .Edition:
Springfield Fire Code Edition:
Mechanical Specialty Code Edition:
Municipal I Development Code:
Plumbing Specialty Code Edition:
Residential Specialty Code Edition:
Structural Specialty Code Edition:
Energy Path:
Site Information
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Engineered Fill:
Fill Volume:
Flood Hazard Area:
Land Hazard Area:
Retaining Wall:
Soils Report Required:
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Springfield Building Permit
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Page 1 of 3
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CITY OF'SPRINdFIELD
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225 Fifth St
Springfield,OR 97477
Phone: 541-726.3753
Inspection Phone: 541-726-3769
Fax: 541.726-3676
www.ci.springfield.or.us
Buildin'frrResid~ritial Permit
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PERMIT NO: 811-SPR2010-00093
permltcenter@ci.springfield.or.us
IVR Number: 811146434264
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EXPIRES: 2/14/2011
VALUE: $0.00
PROJECT STATUS: Issued
ISSUED: 8/19/10
APPLIED: 8/19/10
SITE ADDRESS: 291 T
ASSES OR'S PARCEL NO:
Springfield
1703262400109
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SCOPE: Heating System .
"l;!(,' WORK INVOLVED: New
TYPE OF STRUCTURE: Residential
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PROJECT DESCRIPTION:
Replace Heat Pump & Air Handler
DEVELOPMENT INFORMATION ~
REQUIRED PARKING
Frontyard Setback:
Interior Setback:
Sideyard Setback:
Rearyard Setback:
Solar Setback:
Overlay Dist:
# Street Trees Reqd:
Paved Drive Reqd: .
% ofLotGove~age: I,f.,;": '!'!
Highest point on,structUrE! to ;, ';:"
north prOP11rjV~t,~! '. ".: ,i"
Total:
Handicapped:
Compact:
PUBLIC IMPROVEMENTS ~
Street Improvements:
Storm Sewer:
Storm Sewer Available:
Speciallnstructon:
Subdivision Accepted:
Notes:
Sidewalk Type:
: Downspout/Drains:
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Valuation Description ~
DescriDtion
Tvoe of Construction
Unit Amount Unit Tvoe
Unit Cost
Value
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Descriotion
Air Handling Unit up to 10,000 cfm
First Appliance Fee
Stat: of Oregon Surcharge (12% of applicable fees)
Technology fee (5% of permit total)
Total Amount Paid
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i}r7, '~;1;7A'mount Paid "',. ,.
,~, $17.00
$79.00
$11.52
$4.60
$112,32
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Date Paid
08/19/2010
08/19/2010
08/1 9/201 0
08/19/2010
Receiot #
299269
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299269
299269
299269
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Springfield Building Permit
8/19/2010 1:05:46PM
Page 2 of 3
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CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2010-00093
IVR Num!Jer:,811"146.434264
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
S,"~INGFIEL~ '
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permitcenter@ci.springfield.or.us
PROJECT STATUS: Issued
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ISSWEl't. 8/19/10 ,,'
APPLIED: 8/19/10
EXPIRES: 2/14/2011
VALUE: $0.00
SITE ADDRESS: 291 T
ASSESOR'S PARCEL NO:
Springfield
1703262400109
SCOPE: Heating System
WORK INVOLVED: New
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION: Replace Heat Pump & Air H~n.dler
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Department Received Due Date Complete': Result
Application Acceptance 08/19/2010 08/19/2010 08/19/2010" Over the Counter
Initial Review 08/19/2010 08/19/2010 08/19/2010 Over the Counter
Plannin9 Review 08/19/2010 08/19/2010 08/19/2010 Not Required
Public Works Review 08/19/2010 08/19/2010 08/19/2010 Not Required
Structural Review 08/19/2010 08/19/2010 08/19/2010 Not Required
Permit Issuance 08/19/2010 08/19/2010 08/19/2010 Issued
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Reviewer
Nancy Machado
Nancy Machado
Nancy Machado
Nancy Machado
Nancy Machado
Nancy Machado
Comments
Over the counter permit
Over the counter permit
Over the counter permit
Over the counter permit
INSPECTIONS REQUIRED ,
Inspections
2300 Rough Mechanical
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2999 Final Mechanical ,~~if;~~ .t. . ~+~ 'i;-:~,~"
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By signature, I state and agree, that I have carefully exaniined'the completed application and do hereby certify that all
information hereon is true and correct, and I further certify lii~t any and all work performed shall be done in accordance with the
Ordinances of the City of Springfield and the Laws of the State or 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 Contractor Signature
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Date
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Springfield Building Permit
:j;8/,19f201 0:;;'1 :05:46PM
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Page 3 of 3
08/19/2010 11:43 FAX 541 607 0287
I4J 000110001
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~ CitY Job Number (), /' (t( L-- CJZ.../ J 0 .-- L..^-:' ' ' '
o LOCATION OF PROPOSED WORK: r:2q / T Slr.af- .
. ,0 ASSESORS MAP;
~ ~WNER: .1!c;aNU. & rbnAt17'
',~~ ADDRESS: 0~p. _
rl11 CITY:, Nfp/715;PtP'A
,: ,~J~ESCRIYfIONOfWORK:~~h&(! IIlp r .4-/1-1-
~T .~ j NEW:' , REMODEL::' ADDlTON:, DEMOLISH:
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", . Q' COmRACTOR;S NAME"
GENERAL:
ADDRESS '
TAX LOT:
PHONE:
E]H-(~~4-1 &/ ()
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STATE:
.~'
ZIP: '77177
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OTHER: X VALUE:,
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CONST,
CONTRACTOR #
EXPIRES
PHONE
. PLUMBING: , ,
::~::~L:L: =~ ;5
lp03-2500
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Exhaust Hood,
",MECHANlCALPERMlT
ITEM
FEE
v~n~ Fan.... No~':. . _ .
Wood Stove/Insert/fireplace Unit
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'Mechanicai Permit Subtotal '
"Minimum of $45,00
State Surcharge 8% '
Admini~trative fee 10%
Issuance Fee .
Technology fee %5
TOTAL MECHANICAL
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,PLUMBING PERMIT
ITEM
FEE
Fixtures
Residential Bath(s) , No.
. Sanitary Sewer' IT.
Water', ' fT,
,Storm Sewer. IT.
Plumbing Permit Subtotal
"'*Minimum of $45.00
State S'urcharge 8% '
Administrative fee 10% ,
Technology fee %5, ,
'TOTAL PLUMBING, .
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CITY OF SPRlNGFIELD
225 Fifth 5t
Springfleld,OR 97477
541-726-3753
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TRANSACTION HECEIPT
www.cLspringfield.or.us
permitcenler@ci,springfield.or.us
RECEIPT NO: 2010000091 RECORD NO: 81 I-SPR20 I 0-00093 DATE: 08/19/2010
fOESCRIP;TIO/'i;;i"" ".l:.;;~J;iI-IIEJ;!lf.":":'~ l:';-I'~iIlr-;";__J'lf;- ->LP" _ AG.G.oJJIiiJi..c.QQE\' or' -?-5;-~J'ltQJ.I.IiiI])_UE:/" h ,J
Air Handling UniI up to 10,000 cfm 224'00000-425604 $17.00
First Appliance Fee 224-00000-425604 $79.00
State of Oregon Surcharge (12% of applicable fees) . ';821-00000-215004 $11.52
I echnology fee (5% of permit total) '. " .' 1'00-00000-4256'05 $4.80
TOTAL DUE: $112.32
L 'PAYMENTi"YRE';"''''lPAYQR' _.' ..ef>,s!-iIERNMAcH"o'O{"11'tI<::0I'v1IV1E.NIS-."c,-/ \ ;;." . - '-. .1" ,."-':-;-AMQ_U_NIl't<ID';l~,-,,-,:!
Credit Card ASSOCIATED HEATING & AIR $112.32
CONDITIONING iNC
071575
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