HomeMy WebLinkAboutPermit Mechanical 2009-3-9
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Status
Issued'
CITY OF SPRINl.J<IELD
Building/Combination Permit
PERMIT NO: COM2009-00312
ISSUED: 03/09/2009
APPLIED: 03/09/2009
EXPIRES: 09/09/2009
VALUE:
225 Fifth Street, Springfield; OR
541-726-3753 Phone
541-726-3676 Fax
54 ]-726-3769 Inspection Line
SITE ADDRESS: ] ]55 CENTENNIAL BLVD
ASSESSOR'S PARCEL NO.: 1703264412]00
Springfield TYPE OF WORK: HeatingSystem
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Mini-split install
Owner: FRANKLIN LESLIE E & FA YE V
Address: 1155 CENTENNIAL BLVD
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Contractor
EUGENE HEATING & COOLING
License
149452
Expiration Date
10/22/2009
Phone
541-726-7654
BUILDING INFORMATION.
# of Units:
Primary Occnpancy Grnup:
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:
nla
I DEVELOPMENT INFORMATION I
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lnt Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
ATTESIli'eWaIICTYjie:' law reT,;r'oo. ".-" '~
follow rules adopted by the' 0, ~. . .
Storm Sewer Available: Notific(;R~~il~I1Wt~~tDl~~'~'~s-.: ruleS 1..r ~.
Special Instruction: in OAR 952-001,0010 thrOUGh Of.l. 9,c..1. 1-
NOTICE: 0090. You may obtain copies Ollhu rUle.; c /
THIS PE calling the center. (Note: the teltephone
. RMIT SHAI I I=YDIDc: Ir- T' J~ t\'- _ number for the Oreaon Utilitv Notification
fW] nUKILtD UNDER THI:!: PFf?,Mi~~] .\lM .. I Center is 1-800<j:J~'~;;44).
COMMENCED OR IS ABA~_Yal'iilltIO~ OOfcrlotlOn
AllY 1[JO Of,y PERIOD -~..~'"' run
Type of Construction' $ Per Sq Ft
or multiplier
Street Improvements:
Notes:
Description
Square Footage'
or Bid Amount
Value
Date Calculated
Paee I of2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-003I2
ISSUED: 03/09/2009
APPLIED: 03/09/2009
EXPIRES: 09/09/2009
VALUE:
225 Fifth Street, Springfield, OR
54 ]-726-3753 Phone
54]-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees PaW
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Air Handling Unit Up to ] 0,000
Heat Pump
Amonnt Paid
Date Paid
Receipt Number
$13.56
$5.65
$79.00
$17.00
$]7.00
3/9/09
3/9/09
3/9/09
3/9/09
3/9/09
3200900000000000150
3200900000000000]50
3200900000000000150
3200900000000000150
3200900000000000]50
Total Amount Paid
$132.21
I Plan Reviews I
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, inspections requested after 7:00 a.m. will be made the following
work day.
I ReOt~ired lnsnections I
Rough 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 Springtield 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 alll'cquired 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 Contractors Signature
Date
Pa2e 2 01'2
City of Springfield
Mechanical Authorization To Begin Work
E-mailedTo:wvosburg@automaticheatco.com
Receipt # EC547879
3/9/20097:24:41 AM
~
Check on status of permit
By Phone: (54])726-3753 or Email: permitcenter@ci.springficld.or.ns
'~~j'*{~E!=S~Ct"!,EOl!.L~.~ '
I Qty. I
'I
Totul I
I
1
I
I
I
I
I
I
$17.001
$]7.001
.:'~',.I
1
I
I
I
I
1
I
I
I
.... "'-1
~', , ....
"1",
10 New construction
j Description
Ln~l!t0i1coojillg app'lianc~. <<..
I Furnace- up 10 100,000 IHU ...
1 Furnace. above 100,000 BTU
[Electric Furnace
I Duel alterations lInd additions
I Gas heater unitsl in-wall, in-
r.hlel. susnended, clef
I Vent, Oue, liner for above
I Air Conditioner
I Heat Pump'
I Air Handler
\qt~i8u~~l>ur~j_~~,u,ppljii!1ces:.,
Water heater
(X] Addition/alteration/replacement
Ea.
r
CATEGORY ifF CONSTRUCT]Oi'l'
^ ...", ,_ ,..... ,._~_" J . +.,. -,
I [K] I or 2 family dwelling 0 Multi-family 0 Accessol)' Building
I~>' , ''', .::::'~OEl~iJE.]N!"o.RMAfIO~'~NRlbcATI()tL
IJobno.: !Jobllddrcss: 1155 CENTENNIAL BLVD
ICity/Statc/ZIIJ: SPRINGFIELD, OR 97477-3253
I Suite/bldg.lapt.no.:
I Project name:
Cross street/directions to job site:
$17.00
$17.00
I Subdivision:
ITll'. lll11p/p!lH'l'Ino.:
I'. "
ILot no.:
Gas fireplace/insert/stove
Gas log! log lighter
Gas clothes dryer
GasslOve/rangc
1703264412100
".,:'f::.~'OE~C)l1~T]ON ,OF 'v.:ORj( ';
."'1
.~
minisplitinslall
'.'i~!'rfcb~rA<<T~;.',;:, "
Pool or spa heater, kiln
Wood/pdlet stove/insert
Wood fireplace
Chimncyllinerlllue/vent wla I
I uDallancc
I 1:~~vi~nn(~~tale~~rUSI AN_l[venli1a~i.l!n\ l ~
I I Rang' hood
.,:1 ! Clothes dryer exhaust
Single-ducl exhaust (bathrooms,
I toilet compartments, utility
I rooms)
Atticlcrawlspace fans
IIJ:u~J llip!,11g-;:--
I I uplO tirst 4 outkts(eriter Qty=l}
[ I each additional outlet
I I'.:>," ~;:'''';'>''MECHANicAi: P'ERM]T
ll"'~'-."""'--'-~':- "-~-. - ~,~...,. '- Sub~otnl
I I City OfSpringficld First Appliance fee
j State Suri;harge(l2% of permit fee)
I City Of Springfield fees *
I TOTAL PERMIT FEE
* City Of Springfield fees; 5% Technology Fec
.--0"1
....,-..
---:,.,
[Name: mschilling
I Phon" I Fax:
1~~llIil:. ,: .
:;.r_,.~ ~"~_:': . :~1;~.L' -\~'., ~~9NT~9J9r(:~fi~~;-~"~~"': ~
[CCB lit". no.: 149452
I Business Name: EUGENE HEATING & COOLING COMPANY
leonlnet: Midllwl Schilling
IAddn.ss: 1650 NE LOMBARD ST
I City/StntefLW: PORTLAND, OR 972 J 1
I Phone: {54] )7267654 I Fax: (541 )7267657
I Email: wvosburg@automaticheatco.com
..1 Metro lie. no.: I City lie. no.:
Upon review and approval by your local jurisdiction, your
permit will be e~malled 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
meet applicable land use laws and local ordinances.
C~m2-cnF; -c:o:1J~
'3 -q, - C)~ f'--) fV\.
This Authorization To Begin Work must be posted at the job site until replaced by a Permit.
".,
$34.00
$79.00
$13.56 I
$5.65 I
$132.2] I
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-00312
COM2009-00312
COM2009-00312
COM2009-00312
COM2009-00312
Payments:
Type of Payment
ONLINE CHGS
cRcccinl1
RECEIPT #:
r~:Q~;~
-.:...
City of Springfield Official Receipt
Development Services Department
Public Works Department
3200900000000000150
Date: 03/09/2009
Description
1st Appliance
Air Handling Unit Up to 10,000
Heat Pump
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
NJM
ONLINE Eugene I.ltg Online
Payment Total:
Page I 01' I
7:40:07AM
Amount Due
79.00
17.00
17.00
5.65
13.56
$132.21
Amount Paid
$132.21
$]32.21
3/9/2009