HomeMy WebLinkAboutPermit Mechanical 2009-3-5
City of Springfield
Mechanical Anthorization To Begin Work
E-mailedTo:..priorityoneheating@comcast.net
Receipt # EC547784
3/5/20093:\3:09 PM
a.:
\9
/\
Check on status of permit
By Phone, (541)726-3753 or Email: permitcenter@ci;springfield.or.us
tlA.
I D New cons'truction
o Addition/alteration/replacement
IOes'cription
I F~macc- up to ] 00,000 BTU
10 I or 2 family dwelling 0 Multi-family 0 Accessory Building j Furnace - above 100,000 BTU
Iii:'.'!' "...."it .z.....; 'r-rf-,J;-'" ~".._....~..r<' ',_"_'."0",..,'.',," "., .,...~. '.-.-- _...~, :?-,_~~,"_~_T""''^'~''';'d''V' '~";\1t.l/'''-ij'i'*fiii01 I Electric Furnace
"fi,Llj~',hi-\...;;,,~:''"K~'~OB'SITE1INFORMATION,'AND .L;:OCATION~I~ij,"\~,#,~""iN...i:c~!i';,';:9*
:~~y;;,,:t,/::#~:.::::::~: :d7:::2~;:;5'~;;~:;~;;;E""".' ,- "-.-:.: ~~itth:~:i~;:~~~/a~~i:~:t:~ns
I Suitc/bldg.lapt.no,: SPC B]O I I Vent, Ol.le, liner for above
I Project name: I I Air Conditioner
I Heat Purnp
I Air Handler
Cross s(~et/direetions tojob site:
$17.00
$17001
/
I Subdivision:
ITa~ map/pared no.: 1703344313302
I Lot no.:
I
I
I
I
I
I
I
I Wood fireplace I
I Chil~ney/linerlf1ue/vent "V/O . I
I applml1ce ..
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Env ron"l. . ti ~ ,",.'''''''''',-,.,.''''-,'''_......~....,.,...... .... ,-,,'--
I 'r~' ._.n.l1l/ll)~el\"1'l~..-I!J~1'I/,'!I',18w'fegulre~tvOlJ .to' "
1 Range h04<!JlIo.W rules ado.bted by ti1e oreQo.l' Utility I
I C1othos ~iiifi1iOlio.n Cent~r. Tho.se rules are set forth 1
I S;ogl,.dll'l ~,m.blt~"U)l u mrol gn UAK ~b:<-UU1-1
~~~~~,'tOO~:~'YO'Uhlliay 0.; )tai~.co.p es o.It~elr~les by
IA. / IVUfll/"I"-llllv ....Vlll~-\14vl....lLO;;'-~G-IG.IJIIVllv -I
lIrc craw space t..,ans f. L.. I I T I" . ,
1. ." ..., ,r.:or::_sr.:.s:..t.s C)rogOn~Ut1.,ll};;~ct: ::=.tl:n'.1
~ Fuel;pjpingl/f.fif:iJ;)1FkF;:::;y.4;ffII.-'''V!q~;'';;U-:'1' ',;;on'~"nl3:r'?'<~\%:J&!. i:%o.r-4lr.-,-y
1.,;;t:~~:~o:t,::;:~:;~~;:~;I~lt~- ~.r' "-.' .",- ^. '~I^_ii:1;~';" I
I each addItional outlet. J
. ~??~ . ~0iJi,"ECHANlcAePERMiT~FEEs~)j;;l,@i~\if~t'
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I . Sub-Iotftl I $17.00 I
I City OfSpringllcld FirstAppliance fee $79.00 I
I Srate Surcharge (12% of permit fee). $11.52 I
I City Of Springfield fees * I $4.80 I
1 TOTAL PERMIT FEE $112321
* City Of Springfield fees: 5% Technol9gy Fee
~ -3'~~\D'1
!.Waterheater
I Gas fireplacelinsert/stove
I Gas log! log lighter
I Gas clothes dryer
I Gas slove/range
I Pool or spa heater, kiln
I Wood/pellet stove/insert
I{eplact' ht'tn pump
I Name: Marge Barber
Illhone: (541)741-6261
lEma",
I Fax:
ICCB Ik. no.' 151i~~tS PERMIT SHALL EXPIRE IFTHE WUHK.
1 B",;n", Nam" At!liJ'!~ORlillf.j]II\j.N9E2ATW8,jj>,lililMIT IS NU I
ICon,a'l M",k ~I(I)MMENCED OR IS ABANDONED FOR.
IAddros" 4325 cfl.XI\I1Vllfflll ;J).Mif'iIER!€}J1).
I City/State/ZIP: EUGENE, OR 97402
I Phone: (541)6891004 IFax: (5:41)6074417
I Email: priorityoneheating@comcast.nd
I Metro lie. no.: I City lie. no.:
Upon review and approval by your local jurisdiction, your
permit will be e-mailed or faxed within one business day,
with instructions on how to schedule your inspection.
t~- t 109
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 mill and void if it does not
meet'applicable land use laws and local ordinances.
This Authorizatio.n To Begin Work must be posted at the job site until replaced by a Permit.
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00169
ISSUED: 02/05/2009
APPLIED: 02/04/2009
EXPIRES: 03/05/2009
VALUE: $ 10,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
SITE ADDRESS: 1625 HENDERSON AVE SPACE B1 Eugene
ASSESSOR'S PARCEL NO.: 1703344313302
TYPE OF WORK: Manufactured Home in Park
TYPE OF USE: New
PROJECT DESCRIPTION: Manufactured dwelling placement space blO (Moved from Eugene)
Residential
Owner: JERALDINELECKRONE
Address: 1625 HENDERSON AVE SPACE BIO
EUGENE OR 97403
I. CONTRACTOR INFORMATION'
Contractor Type
Electrical
Mechanical
Manuf Home Inst
Plumbing
Contractor License
OREGON ELECTRIC SERVICE 181997
PRIORITY ONE HEATING & AC INC 154686
JERRY PAUL OTT 69455
READY ROOTER DRAIN CLEANING &R S~92524
BUILDING INFORMATION I
Expiration Date
05/0912010
03/11/2009
09/26/2010
02125/2011
Phone
541-343-1681
541-689-1004
541-935-2696
541-744-7991
VB
# of Stories:
Height of Strncture
Type of Heat:
Water Type: .
Range Type:
Energy Path:
. Sprinkled Building:
Lot Size:
Sq Ft 1 st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
R-3
n!a
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
f~3Ti~~;
THIS PERMIT S IPUBLIC IMPROVEMENTS I
HALL EXPlrk J~ I tit viUhl\
Street Improv'i4!tVHORIZED UNDER THIS PERMIT IS NOT
Storm Sewer A!;b\MMfNCED OR IS ABANDONED FOR
Special Instru~l(: 180 DAY PERIOD. .
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
,Compact:
ATTENTION: Oregon law requires you to
L::'~.. ._:__ -~-l""t",::":~} ::-.':" -:'.-:;::-, '-'~:~:~~.
Notification Center. Those rules are set forth
iQ:@~RJi~2r001.-001 0 through OAR 952-001-
Ou9U~rou ff1~~'obtain copies of the rules by
llli\\!ialldli6/filIaiil~: (Note: the telephone
number forthe Oregon Utility Notification
Center is 1-800-332-2344).
Notes:
Pa2e 1 of 3
_ G;I'lRI.~Ql'lI8!,"'".
I .
I
CITY OF SPRINGFIELD
Status
Issued
Building/Combination Permit
PERMIT NO: COM2009-00I69
ISSUED: 02/05/2009
APPLIED: 02/04/2009
EXPIRES: 03/05/2009
VALUE: $ 10,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Description I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date'Calculated
Total Value of Project
I. F~e~Paicll
Fee Description Amount Paid Date Paid Receipt.Number
,
+ 12% State Surcharge $47.64 2/4/09 2200900000000000132
+ 5% Technology Fee $19.85 .2/4/09 2200900000000000132
Manuf Home State Issuance $30.00 2/4/09 2200900000000000132
Manufactured Home Placement $397.00 . 2/4/09 2200900000000000132
+ 12% Stat~ Surcharge $10.44 2/20/09 3200900000000000105
+ 5% Technology Fee $4.35 2/20/09 3200900000000000105
Add, Alter, Extend Ore Ea Add $6.00 2/20/09 3200900000000000105
Perm Serv/Fdr 200 amps or less $81.00 2/20/09 3200900000000000105
+ 12% State Surcharge $11.52 3/6/09 2200900000000000233
+ 5% Technology Fee $4.80 3/6/09 2200900000000000233
1st Appliance $79.00 3/6/09 2200900000000000233
Heat Pump $17.00 3/6/09 2200900000000000233
Total Amount Paid $708.60
I Plan Reviews ,
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 Renllireilln"jectinns I
I 1f" " " "
Manuf Home Set Up: When installation of all piers or stands is complete.
Final Manuf Home Set Up: After all reqnired inspections are requested and approved and. porches, skirting,
decks, venting, street address numbers, trees, driveway, etc. have been installed.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Rough Mechanical: Prior to Cuver
Final Mechanical: When all mechanical work is complete.
Pa~e 2 of3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00169
ISSUED: 02/05/2009
APPLIED: 02/04/2009
EXPIRES: 03/0512009
V A~UE: $ 10,000.00
By signature, I state and agree, that [ have carefull)' examined the completed application and do hereby certify that all
information hereon is true and correct, and [ further certify that any aud all work pertormed 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 withont permission of the Community Services Division, Building Safety.
[ further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
[ 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 Contractors' Signature
Pa2e 3 00
Date
225 Fifth Street'
Springfield, Oregon 97477
541-126-3759 Phone
Job/Journal Number
COM2009-00 169
COM2009-00 169
COM2009-00 169
COM2009-00] 69
Payments:
Type of Payment
ONLlNECHGS
cReceintl
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #: . 2200900000000000233
Description
] 5t Appliance
Heat Pump
+ 5% Technology Fee
+ ] 2% State Surcharge
Paid By
ONLINE PERMIT CHGS
Date: 03/06/2009
8:57:41AM
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
79.00
]7.00
4.80
I L52
$112.32
Amount Paid
KR
ONLINE Priority One Online
Heating
Payment Total:
$112.32
$112.32
.
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Page] of I
3/6/2009