HomeMy WebLinkAboutPermit Mechanical 2009-3-4
City of Springfield
Mechanical Anthorization To Begin Work
E-mailedTo:wvosburg@automaticheatco.com
Receipt # EC547691
3/412009 11 :46:32 AM
. 'J.Ju'"
Cq.
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
I D New construction
[K] Addition/alteration/replacement
~ I or 2 family dwelling
D Multi-family
D Accessory Buildin~
IJob no.: IJOb address: 3793 DOUGLAS DR
I Cit)'/State/ZlP: SPRINGFIELD, OR 97478.6589
I SuiteJbJdg.lapt.no.:
Iprojcct naml':
Cross street/directions to job site:
\ Subdivision:
ITax map/parcel no.: 1802061204314
I lot no.:
mini split install
I
I
IEm,,;I, NUll!;!:: I
1!':~~ir~t;WUHI~;'~I::.~lVln~1:itlAliIiT~t,:t~jlt~I;!;lI:~l'!tl~J:~~~~1
ICCBlk. no.: !\494:i210RIZED UNDER THIS PERMIII~ NUl I
I Bn,;.,,, Nanfe,Oii~GEFi&J{i'l!iJilIlGR !S:J<BtIUI\:NJjJ,ONW FOR I
I ConI"", M;,Mi's,~;li1fik DAY PERIOD. I
!Address: 1650 NE LOMBARD $T I
I City/Stllfc/ZI P: PORTLAND, OR 97211 I
I Phune: (541 )7267654 I F:lx: (541 )7267657 ' I
I Email: wvosburg@autoriiaticheatco:com I
'Mefro lie. no.: I City lie. no.: I
I Nllmc: m schilling
!Phone:
IF""
Upon review and approval by your local jurisdiction, your
permit will be e-mailed or faxed within ona business day,
with instructions on how to schedule your inspection.
NOTE: This Authorization To Begin Work expires within 180
days if a permit is not obtained.
The local building department may determine that an
Authorization To Begin Work is null and void if it does not
meet applicable land use laws and local ordinances.
I Description J Qfy. Ea..1 Tofnl
1;:i:!f~:Y~~~~~l}lig~~~'dl~]};~i~i'~1~;~~~~ Y-?~$~~~~~:,i ".:;:;il
I Furnace- up to ioo,oOO BTU
I Furnace - above 100,000 BTU
I Electric Furnace
I Duel alterations and additions
I Gas heater units/in-wall, in-
duct susoended. elcl
I Vent, llue, liner ror above
I Air Conditioner
I Heat Pump
1'lan,~l1er
I
I
I
I
I
I
$34001
$17.00
2.
.1
$17.0C i
,
$17.0C i
I Water heater
I Gas IIreplaceJinsertlstove
I Gas log! log lighter
I Gas clothes dryer
I Gas stove/range
I Pool or spa heater, kiln
I Wood/p_ellet stove/insert
i Wood fireplace
I Chiinney/linerllluc/vcnt wlo
I "ong' hoo, I I
I CI h ;\-;-;-~t;TIJ.J. an;,\,jUII j,lVV [tI"Ulres VOU 10
ot es dJ):.~r~~.haust ,J~_-J, -.
I smgINI,;Fmi;r;f"rn,~'~~~:fnjt~:,,:I, ~ C'"\,ju, U,;;j,y
Lo,let col1lpoH/'\lln11,1r.lo"yenfe . Those 1 ules are ,et forth
moms) in OAR Qii?nn1_n !l1-O^D ~:~ oo.t-
II AI~e~"01!~I'I:.1V~,}l18:Y ~_ t~i;1S~~I~~'?!'t'~s~:!f~ h)',
'fuoLp.;p;~fta mrl4tuercEmter/ (Note':t'" .A!"J .-'h'"'~_,;.i
.~W '" .~,_,~._~~_~}tl,,_~~",,_.___, _ .' ue e eOuone S> "ll;
I UplO fi"tl,1\1,I1OO(ll'"t-\J(>~ ly~gon_ Utllit~ NotifiFation
I ,aeh ,dd",""al ootllt'emer IS f l:JUU ;j;jr~:;44 J. I
I~~y.'.~ ~'~-;;:(3\2~ME-c.~W~ijrp"'LTpE'RMil/fE-E~~-F~~1ti~1.
.___ ~;:l-__,.=""'._"",,,,_,,__,,_,",,,,_____,~_,, _""."=~:.:.t,..-;_.---,,,_-,':~~t~,,,,_, _,;j'fjj,
I Subloml $51.00
I City Of Springfield FirstAppliance ree $79.00
I State Surcharge (12% of permit fee) $15.60 I
I City OrSpringtield rees" $6.50 I
1 TOTAL PERMIT FEE 1 $152.101
,. City or Springfield feeS: 5% Technology Fee
Cq-~DO
/G{l. 3jtilD9
This Authorization To Begin Work must be posted at the job site until replaced by a Permit
l
Status
Issued
CITY Vf< ~rRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00300
ISSUED: 03/04/2009
APPLIED: 03/04/2009
EXPIRES: 09/04/2009
V ALlJE:
225 Fifth Street, Springtield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-376.9 Inspection Line
SITE ADDRESS: 3793 DOUGLAS DR
ASSESSOR'S PARCEL NO.: 1802061204314
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Mini split installation
Owner:
Add ress:
OCONNOR MICHAEL A & DEBBIE A.
3793 DOUGLAS DR
SPRINGFIELD OR 97478
I CONTRACTORJNFORMATION I
Contractor Type
Mechanical
Contractor
EUGENE HEATING & COOLING
License
149452
Expiration Date
10/22/2009 .
Phone
541-726-7654
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
n/i Occupant Load:
J\,TTt:I\ITlf""lM' nrt:lnr"lr 1::1\/1{ n~nllims vou to
NOTICE' I DEVELOPMENT INFORMATIOl'llO'JW rules adopted by the Oregon Utility
. . r~u"fication Center'RE'QtflR~D<;"'APRoKl~Gth
THIS PERMIT SHALL EXPIRE IF THE WORK in OAR 952-001-0010 tlirougn OAK 8::>~:Ou1-
F~'ontyard Set~'lJ~HORIZED UNDER THIS PERMI9~I'fNy\~iSt: 0090. You may obt:rO~.~I::Pie.~Of,the rules by
S~de I Setbac~OMMENCED OR IS ABANDONED~- rF.eer~rees Rqd:. calling the centeIHa,ndl~~.p,ped:elephone
SIde 2 Setbackll . ~ Dnve Rqd: number for the OiG2mpact:lty Notification
Rearyard SetlJa~kY; 180 DAY PERIOD. % of Lot Coverage: Center is 1-800-332-2344).
Solar Setbacks: .
# of Stories:
Height of Structure.
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
I PUBLIC IMPROVEME~TS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspouts/Drains:
Notes:
I Valuation Descriotion I
Description
Type of Construction
.$ Per Sq Fl
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pa2e 1 on
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Air Handling UnitUp to 10,000
Heat Pump
Total Amonnt Paid
Amount Paid
$15.60
$6.50
$79.00
$17.00
$34.00
$152.10
Total Value of Project
Fees PaillJ
~;, III
'. Plan Reviews I
Date Paid
3/4/09
3/4/09
3/4/09
3/4/09
3/4/09
CITY OF SPRINtJl'u,LD
Building/Combination Permit
PERMIT NO: .COM2009-00300
iSSUED: 03/04/2009
APPLIED: 03/04/2009
EXPIRES: 09/04/2009
VALUE:
Receipt Numher
2200900000000000222
2200900000000000222
2200900000000000222
2200900000000000222
2200900000000000222
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.
Re~lJired Insnections 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 Springfield.and the Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any structnre 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 fnrther 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
Paee 2 00
Date
225 Fifth Street
Springfield, Oregon 97477
54I-'(i6-3759 Phone
Job/Journal Number
COM2009-00300
COM2009-00300
COM2009-00300
COM2009-00300
COM2009-00300
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
S;jo.~.~.nojlj.. . ".
~.
rra\. .. { .:
City of Springfield Official Receipt
Development Services.Department
Public Works Department
2200900000000000222
Date: 03/04/2009
2:12:13PM
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
79.00
17.00
34.00
6.50
15.60
$152.10-
Description
I st Appliance
Air Handling Unit Up to 10,000
Heat Pump
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
,
Amount Paid
KR
Eugene Online
Heating
Payment Total:
$152.10
ONLINE
$152.10
Page I of I
3/4/2009