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Home My WebLink AboutPermit Mechanical 2010-8-19 '" .:~ -. i ..-t: ,., www.cLspringfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00085 IVR Number: 811182897681 225 Fifth St Springfield, OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@ci.springfield.or.us PROJECT STATUS: Issued ISSUED: 8/19/10 - ' APPLIED: 8/18/10 EXPIRES: 2/14/2011 VALUE: $0.00 SITE ADDRESS: 1560 T ASSESOR'S PARCEL NO: Springfield 1703252400509 SCOPE: WORK INVOLVED: TYPE OF STRUCTURE: PROJECT DESCRIPTION: Replace gas furnace and air conditioner OWNER: ADDRESS: MONTGOMERY ROSIE JOAN 1560 T ST SPRINGFIELD OR 97477 Phone Number: - '.-...\ " CONTRACTOR INFORMATION ~ Contractor Type Contractor Name ,_. J-' ASSOCIATEO HEATING & AIR CONDITIONING INC ASSOCIATED HEATING & AIR CONDITIONING INC Lie Type CCB CCB Lie No Lie Exp 106275 " 08/31/2012 106275 08/31/2010 Phone 541-683-2590 541-683-2590 BUilDING INFORMATION ~ # of Units: o # of Stories: I Height of Structure: Type of'Heat: , WaterW?~::,", , H: " Range"Type: ' .. . Hazmat: , lot Size: Sq Ft 1stFloor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: Occupancy load: # of Bedrooms: Sprinkled Building: Fire Alarms: Electrical Specialty Code Edition: Springfield Fire Code Edition: Mechanical Specialty Code Edition: Municipa,~/ D~.,:,~.!opme~t Code: Plumbi!1g.:SpE1.cialty,~Code. Edition: Residential SpeCialty Code Edition: Structu'rarSpeC'i~flY "Code Edition: Energy Path: Site Information I 'oOS yOU to , \"V' (~l1\q, U"\\t" o e90n n ~OCl ...\ , i\1TE.NI10N: d~p\8j bV 1\le ~~e~re set \o(th \oIIOW ru\esc~ntel, Those rUh"O{.R 952-00i- Notl\lcatlon 1 _001 0 th(OU~ 0\ the (ules bV in Oi\R 952-00 obtain COp'"s telephOne 0090, '{ou maV nte(. (Note'. the Noti\icatiOn calling tr~ ~~e oregon ~~~~i344). number 'er is 1 _800- Cen' Engineered Fill: Fill Volume: Flood Hazard Area: land Hazard Area: Retaining Wall: n' Soils Report Required:OTlCE: THIS PERMIT SHALL EXPiRE IFTHE WORK \UTHORIZED UNDER THIS PERMJ'tis NOT' ~j!\;JMENCED OR is ABAN:)a:IQ[trFOR ' . ,_. "., ; Rn !' \'f PER'''~.: Springfield Building Permit 8/19/2010 1:36:59PM Page 1 of 3 www.ci.springfield.or.us CITY OF SPRINGFIELD Building (H~~';1~~,~;ti,~LPermit 1'0"",:;\<1 : ~':'~'~-1i,'-, I ,,' . PERMIT NO:~;H~S~~~.0'1 0-00085 IVR Nufiiber: 811182897681 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 Sr~ING FIEL~ k' "L Itti ,~y;,;;;'S OREGON permitcenter@ci,springfield.or.us PROJECT STATUS: Issued ISSUED: 8/19/10 APPLIED: 8/18/10 EXPIRES: 2/14/2011 VALUE: $0.00 SITE ADDRESS: 1560 T ASSESOR'S PARCEL NO: Springfield 1703252400509 SCOPE: WORK INVOLVED: TYPE OF STRUCTURE: PROJECT DESCRIPTION: ," '. f Replace gas furnace and ai,'conditioner DEVELOPMENT INFORMA TION ~ REQUIRED PARKING Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Overlay Dist: # Street Trees Reqd: Paved Drive Reqd: % of Lot Coverage: Highest point on structure to north property 1i"R~<:'" lb...-,..... -:-: .!~fm,;_,.,:'.}~,!G:!.\g,~~_~~ I.~,;: I I Plt~.~J~ilri1P,R(>.'~~MENTS Total: Handicapped: Compact: ~ ';'>(:.' Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: Downspout/Drains: " " ;", .., ,:' , .\,1":;( 1..\ '; 'J:':'-f .. --.~_._-.- " -"-~-''''''. .,..- "",- ,,'. ,...'''' ,-'.... ,valuation Description I Descriotion Tvoe of Construction Unit Amount Unit Tvee Unit Cost Value r:;- ,~..--, +..,'p' -~Yi_"~~;,i'FEEs~PAiD --:"~-~-:~"f,.'i. :~~: t d -'~V~"~I ~~lt ~~,'~:,' _'~_'"-,~~~~~-~~~_f' j~-~~ Description .. ;Y~~~.~h~ ~ai~_ .~. -' Date Paid Receiot # First Appliance Fee .,'lit", ~f;.'-:C$i!lbo ',,,, ':, 08/19/2010 299271 Technology fee (5% of permit total) ;';l~lb,.,:::!I,~,<$395'- -"--08/19/2010 299271 'i<~M:'f'" " ~~"h...' State of Oregon Surcharge (12% of applicable fees) .." ". $9.48 08/19/2010 299271 Total Amount Paid $92.43 j ~ t<, ".~':"~,~;:c (fL";.-, .<<' 'i:''''~'';;~'i'': t'i' +~ .'" "T',~ "'"'S'"'h';:: -.IC,,?Phin'ReVfew',~.:~ ",;;:'; t'"i~, Due Date Complete Result 08/18/2010 08/18/2010 Over the Counter 08/19/2010 08/19/2010 Over the Counter 08/19/2010 08/19/2010 Not Required 08/19/2010 08/19/2010 Not Required' '. , . 08/19/2010 08/19/2010 Not Required 08/19/2010 08/19/2010, Issued . ..t..:'''' J )j;;, I .,-, .f; ",leI":;' h: 1 Department Application Acceptance Initial Review Planning Review Public Works Review Structural Review Permit Issuance Received 08/19/2010 08/19/2010 08/19/2010 08/19/2010 08/19/2010 08/19/2010 Reviewer Nancy Machado Nancy Machado Nancy Machado Nancy Machado Nancy Machado Nancy Machado Comments Over the counter permit Over the counter permit Over the counter permit Over the counter permit Springfield Building Permit " ;..:::'~~'8/19/2010 :'1:36:59PM r:' :~:...:..:. '.,~ ' \' ,-,' Page 2 013 . I ,.., ~I S~RIN. G. F..IE.L ~. .~-.' ",~ .~, +j~ ;;#..1' . '. -OREGON .. . -,,~. t 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 CITY,:0E1;$PRINGFIELD :\, WNW. ci. springfield. or. us Building I Residential Permit PERMIT NO: 811-SPR2010-00085 IVR Number: 8111828976S1 permitcenter@ci.springfield.or.us PROJECT STATUS: Issued " ' ISSUED,;:81191~.o",() '! . EXPIRES: 211412.011 ~"'h\'";"~ "~~,;:~.''-i-:'~~~'~'' / . ~ APPLlI;D'i,S/lsh.o', . ,".. VALUE: $.0..0.0 I.: .:.~_t..< . ,;,.:~~ i, ,.' SITE'ADDRESS: 1560 T ASSESOR'S PARCEL NO: ~~~'i?;{\; .~ ~'lm\T." . SCOPE: WORK INVOLVED: TYPE OF STRUCTURE: Springfield 1703252400509 PROJECT DESCRIPTION: Replace gas furnace and air conditioner INSPECTIONS REQUIRED ~ Inspections 2300 Rough Mechanical , 2999 Final Mechanical . , '." .... ~, ,~,"";tJ.'.~>;. ", .. if By signature, I state and agree, that I have carefully exarrlined.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 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. Owner or Contractor Signature \ ,I~~~J "."\~k}.~.~~: {;, ,H', '/,lBtHh . \,~jdf '. ',.:;::Li.',,"i iii"l't,>,,!<,;, :l:if-'i..jo';' Date .;/,:iJ;;':,.q .,' \~~;\l~~~r;;;" \ ,.~~~+ .. :~:;it+~lf .~.: Springfield Building Permit 8/19/2010 1:36:59PM Page 3 of 3 08/18/2010 11:11 FAX 541 607 0287 ~ 000110001 'l""r_,a!i'l~';:"";,"':~' ~.1.",~.=~r:',r,.- '''','f _,I,.,", '. ;,~.. ._''';~''. ";,'':\:'' ~):' .:.,€ITYOKSRRIN GEl E'L'D ~~OREGON"~~~":-"~l'~;i; , '..:"":";'z~"g.~.ili,~..;.:.., . 'd)~~/\b..",,:-."";r" ....>.."".l(.:'."-~;.ft.~~"f ,.'~ :.f'.'<'- :.", ,- ,'". -""","",' /5"60T ,-f~~I!':I- ..~ CitY Job Number 0: LOCATION OF PROPOSED WORK: ~\, ASSESORS MAP: V" "~ OWNER: ','rtlJ . . " Y.' - ~ESCRIPTION OF WORK: . R.tfJ/alJtf}M Iurl1Ct lj r C(~. I"ctd.ih o-l1e.r ~ NEW: _ REMODEL: ADDlTON:. DEMOUSH:OTHER: $-' VALUE: '.~. -'-'0' .' .... . ' CONTRACTOR'S NAME" GENERAL: TAX LOT: ^!JUfJ7a~ fJ (7 1?Ur-J- . 'DD~", ~.. . 9TY: -~ '., .' . ";1'/ ".f .' STATE: PHONE: . 5"'11- 1'1/- 6Z&, V I ('~> ZIP: -97'/n. . . ADDRESS . CONST. . CONTRACTOR # ,',. EXPIRES PHONE FLUIviBING: . MECHANICAL: B.':8f)cJo.k~ ~O ~ 412, fj1Lf!:10 ELEcfRICAL: . ."C,C.# 5S--.l~ /1/7'1 J'/IJ() .IFII :~W~l~ : (P6~plSCjo . -..' MECHANlOOPERMIT PLUMBING PERMI'l: 'ITEM'. FEE ITEM FEE Furnace" , :Exhaust Hood. . v~n~ Fan.-. .~o;'. . . . , Wood Stove/Insert/Fireplace Unit' Fixtures Residential'Bath(s) No. ", Sanitary Sewer. Fr. Water - - IT. Storm Sewer, IT. ," . o "~. . "M'~" ". " Wi] · . . Q.!' '!alIlllJ"~l1J!(j\~ if ". .~ : ..iii\.{., II .. .. ",' .......... .J, . 'Mechanicai Permit Subtotal . "Minimum o{$4S.00 St.te Surch.rge8% '. Administrative Fee 10%' Iss~ance Fee . Technology Fee %S TOTAL MECHANICAL Plumbing Permit Subtotal "Minimum of $48.00 State Surcharge 8% . Administrative Fee 10% Technology ree %5. . - . , . , - . TOTAL PLUMBING PlMmb~i1JJg '" · . y' [.. reiD' ..' . '.' _l rli~l ~-~ ~'1h1AI,"'~l~l~i~' . _,~' . ".Ii."2), "" ~~~,'W~. Shared Dri...e(T:")lB\I!lding Ponn.qlPennit W?rksheetOS-06.doe,.. . .' TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 Fifth 51 Springfield, OR 97477 541.726-3753 www.ci.springfield.or.us permitcenter@ci.springfield.or.us F ~PAYMEN'tT:l':"E it~ Check 022155 RECEIPT NO: 2010000093 RECORD NO: 811-SPRZOJO'00085 DATE: 08/19/2010 IDESCRIR'tION, ,~~;;7t;;r l;E5~~~V;c-;5,Z;~sTij;~€;;';'f;;~~G_C_O,Ulif,,-QO[!E" '-:f{f7i;Ti;'_~';II/IQ@:tD.uE' - . - ;L::..~j First Appliance Fee 0.' '224-00000-425604 $79.00 Iechnolo~y fee (5% of perm;) total) 100-00000-42560~___.______$3~ State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 $9.48 TOTAL DUE: $92.43 -, -,':AMOUNT PAIO'.-' ""'''''''- $92.43 PAYOR,;~::CAsj,lIEii,tNMAc:H',iQ-'2':\ ;C9.II/IM~Nis' 'f'-'", ::. ASSOCIATED HEATING & AIR CONDITIONING INC " .~:~~:'~~ :f'Fl{'- .,.}~r;.' .~:.~t.~',!jt;;: ,,'';1! . . .,.'1.' ,', ::t,';;, . ~~;Yj.;' ;e .~.. -:~i .:'; \:" 'r- , .~r':~" ., :'~,;i::(. .:::". ... . " ; ~ ..," . " " ..,..". '\. ~") {,,~. -\. t -~i!~\' :;~i?~~ '},.;, }-i'.