HomeMy WebLinkAboutPermit Mechanical 2009-4-15
Receipt # EC550154 \j0
4/15120091 :22:45 PM 01,/1)
G
. City of Springfield
Mechanical Authorization To Begin Work
E-mail~dTo:wvosburg@automaticheat~o.com
Check on status of permit
By Phone: (541)726-3753 or [mail: permitcenter@ci.springfield.or.us
r 0 New construction
rKJ AdditionJalteration!replm;ement
I Furnace- up to 100,000 IHU
I Furnace - above 100,000 BTl)
I Electric Furnace
I DUCI alterations and <ldditions
I Gas heater unitsl in-wall, in-
duct. suspended, clel
I Vent. nut:. lil1t::T for above
Air Conditioner
[KJ, 1 or 2 family dwelling
o Accessory Building
DMulti-family
~-":}~lJ'~BT~!~~fNKgB~_~tfQ..~-i,~,~EI~~At!.9~t.;~~;~~~ii~I
IJobno,: IJobaddress: 2618 MANOR DR I
ICity/State/ZIP: SPRINGFIELD,OR 97477-1312 I
I Suitc/bldg.lllpt.no.: I
I
Project nallle:
Cross street/directions to job site:
Heat Pump
AirI-landler
$1
ISubdivision:
ITax map/parcel no.:
!Lot no,:
l1e'te<4II/o\._ I
n 1 -'VI
I Gas nrel?ldceJ1Q~JtI~!?y{O^,: f"'l
I I Ju(,.,r. -'WIt! -:,t:g
Gas lowrJ~g, hg:ti.t~fi.-.., S Cldrl> On I;:,,~
I Gas c!9~~r~d~~r98;''l~'entR~ 1~f! bv fA ~ e9lJirAr-
I G<lS sto~lr:o/!glYOU ~-:vl~OOl n':JOSe r, ',.ure,On-,.. ',~Lt to
II'0oll\l'l"o~'hf,"~rt,l;iln''''Y Obi a . ''/trOlJOI'''' are ^ 'VI/lily
l,;fF,.J::. . \.:.^c 0--' r"I. '-"l-#.t
I woO(J/Pcllets~lGtiStft<l!er. 'A,:U.P1es 1;~t-( 95:. '!!crth
I Wood ~replac~&nter ;... ~reg)n ~/I~.: thE f lie tUff; 1 I..
I Chimney/linerltlue/vent \0o'-tlQ )~3 ....il/lfy V, fHr::PhoA ...,y
a~p'liance . '3.2~,,-':J..,__ OfJf{n_.:le
I~' -",",C""". "-',';;;' ~.,--., -,' ," " ": :,,"'-'f"",,"" "'"","",,:ic-,_""'-'A-' '~''',j;, -,V""f<j.')7:f'-'> '.....(fO!) ,", "";"c;r;" "
1Environmentill exhaustANO,veri.tilation~;',f~~I!'L ...'{A:.~~.h_ .,~fa:"'l':'V', '
"" .''"'"" =",,''', ",:-"",-,_ _",~"",',,",,"""/"''' ~." '''''~'''' ""__,~"-';-;' '" ,,,,,,t.,i'.\..-, "'.,' "'" y.s ,"~', ~
I Range hood I
I Clothes dryer exhaust \
Single-duct exhaust (bathrooms; I
toilet compartments, utility ,
rooms)
Atticlcrawlspacefans I
170323330]700
mini splil
I
I
IEomB, 1'/.1;'11/",.. 1
1?;;;0..','.:2~1JL,~1i~~W~9ItONTD;"..l-n,;,i'i'j~~,,:;.;;,y~*~$l~"1
H;""",,>,0l!=' ....~ ~,...". ..m .",--""~.~:'.-'f'."-'_zID'L/,~~~'~-\,>iil!';;l~+,~~,,,,~, 1#"~.~Ey>jif'3M ",,5'fifV
I CCO Hr, 00,' 149452 ,!-(h~IjO-,>:'~/i1;,. ~ I
10u,ln", Nam" EUGENE IIEATIN(),&rpQ012'lfl9~.}NW41 , "',I
/; 't,... J, . '(
ICno'urt: Mirhoel Schilling , 6'0!) to 2.IVOt1 [:'-17>., I
IAdd"''' 1650NELOMOARDST "IY-,>^ /)'/,<;> . 1'H/~ 'l?f:'I.^ 1
ICl'y/S'ute/ZIP: PORTLAND, OR 97211 '-"'/09 "I6'4.4b. PJ::.";' iH'4-
IPhooe: (541)7267654 IFu" (541)7267057 '0",:'1"1/1' ~ 11/0
I E:mail: wvosburg@auIOm<llichealCQ,COm t..V ;:-/')~:! Ilt,), ~ Subtotal I $34,00 I
.. 'f
I Metro lie. 110.: I City lie. no.: -/1 I City Of Springfield first Applillm:efee $79.00 I
I State Surcharge (12% of permit fee) $]3,56 I
I City Of Springth:ldtees *1 $5,65 I
I TOTALPERl\-lIT FEE $132.21 I
'C;:P:~~~Tec~ L{ IlslCA
I Phone:
A'N.:
I upto first 4 outlets(enlerQty""l)
I each ad~ilional outJet
Upon review and approval by your local jurisdiction, your
permit will be e-mailed or faxed within one business day,
w}th 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 Jaws and local ordinances.
This Authorization To Begin Work must be posted at the job site until replaced by a Permit.
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$17,001
$17,001
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CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2009-00505
ISSUED: 04/16/2009
APPLIED: 04/15/2009
EXPIRES: 10/1612009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2618 MANOR DR
ASSESSOR'S PARCEL NO.: 1703233301700
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Residenlial
PROJECT DESCRIPTION: Mini Splil heat pnmp and air handler
Owner: CLARK STEPHEN M & MARY L
Address: 2618 MANOR DR
SPRINGFIELD OR 97477 .
I CONTRACTORINFORMATION ,
Contractor Type
Mechanical
Contractor
EUGENE HEATING & COOLING
License
149452
Expiration Date
10/2212009
Phone
541-726-7654
BUILDING INFORMATION'
# of Units:
Primary Occupancy Gronp:
Secondary Occupancy Gronp:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories: Lot Size:
Height of Structure Sq 'Fllsl Floor:
Type of Heat: Sq Ft 2nd Floor:
Water Type: Sq Ft Basement:
Range Type: A7' Sq Ft Garage/Carport
Energy Palh: fo/~ 7'~IV7'IO Sq Ft Other:
Sprinkled Building:lVotitjow rlll'i!'s IV: Orpccupant Load:
;'" _ C;:m. 8rl_ 90n l-
I DEVELOPMENT INFOR;M~<TI~"I~e/)te;"~~ by-ih;equ/res ~ .
Vq/li/) "lJ mq,,'-00'0 1" oSe r&,iQ1&Wf>"B'6RKING
nUmb 9 1f,e j' ob,q, "rou 'es qt Utilii
Overlay Dist: e, (, ce/)t I/) Co ,gliWtal.e Set {, y
Or tf, er. (tv. ~/es "i'j,q,,~ O"f,
# Street Trees Rqd: Ce/)t e Ore Ote: 1 R"'l\lli~~PRl'e7.
Paved Drive Rqd: er IS 1_aton Utilitf(JlI:flJJ!/cn:'s by
% of Lot Coverage: 0-33<_:/ IVoltli nO/)e
344), Cqtio/)
Nor"
tHIS C(:
/lUr. P[RMI
"A HO~h_ t SIJ..
/l1V~VfII1[lVc!:~ (;lVi;(,~Jf-IMPROVEMENTS'
Street Improvements: 180 D/ly paR IS .48' 17)S p[p 11f[ /11,0
tRIO '/IIVD '1lv1lt 'R/(
Storm Sewer Available: 'D. ON[D IS NOr
SpeciaLlnstruction: ,FOR
Front yard Setback:
Side 1 Setback:
Side ~ Setback:
Rearyard Setback:
Solar Setbacks:
Sidewalk Type:
Downspouts/Drains:
Notes:
I y al~ation Descri9tion ,
DescriPtion
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amounl
Value
Date Calculated
Pa2e I of 2
Status
Issued
225 Fiflh Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fee Description
+ 12% State Snrcharge
+ 5% Technology Fee
1st Appliance
Air Handling Unit UP to 10,000
Heat Pnmp
Total Amonnt Paid
Total Valne of Project
I "' F~es Paid I
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00505
ISSUED: 04/16/2009
APPLIED: 04/1 5/2009
EXPIRES: 10/16/2009
VALUE:
Amonnt Paid Date Paid, Receipt Nnmber
$13,56 4/16/09 3200900000000000250
$5,65 4/16/09 3200900000000000250
$79,00 4/16/09 3200900000000000250
$17.00 4/16/09 3200900000000000250
$17.00 4/16/09 3200900000000000250
$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.
Re'1uired Insoections 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] 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 structure witbout 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 Ihis 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.
On'ner or Contractors Signature
Page 2 01'2
Date
2i5 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-00505
COM2009-00505
COM2009-00505
COM2009-00505
COM2009-00505
I)ayments:
Type of Payment
ONLINE CHGS
cRcccintl
RECEIPT #:
3200900000000000250
Description
Heat Pump
Air Handling Unit Up to 10,000
I st Appliance
+ 5% Technology Fee
+ 12% State Surcharge
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 04/16/2009
Item Total:
Lheck Number Authorization
Received By Batch Number Number How Received
Paid By
ONLINE PERMIT CHGS
KR
Page I of I
ONLINE Eugene Online
Heating and
Cooling
Payment Total:
8:48:J9AM
Amount Due
17,00
17,00
79,00
5,65
13,56
$132.21
Amount Paid
$132.21
$132.2 J
4116/2009 '