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Home My WebLink AboutPermit Mechanical 2009-4-23 Mechanical Authorization To Begin Work E-mailedTo:wvosburg@automaticheatco.com Receipt # EC550470 4/23/20092:47:53 PM s~t\ W (; City of Springfield Check on status of permit By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us I [K] I or2 family dwelling D Multi-family o Accessory Building Description I Qty. r Ea. I Total ;'II~~i~~~~~~itiig ?'PR!I~"I~~1;~:2~'1:'~~':~~:::;':- ~,~;~:::.~.. I Furnace~ up to 100,000 BTU I Furnace - above 100,000 BTU I Electril.: Furnace Duct "Iterations and additions Gasheaterunits/in-wall,in- duct. susoended. clcl I Vent, Ouc, liner for above I Air Conditioner I Heat Pump Air Handler $17.00 1 I 117.001 I I 1 1 1 o New construction [K] Addition/Ollterationlreplacement IJob no.: I.Job address: 725 28TH ST I City/State/ZIP: SPRINGFIELD, OR 974'77-4433 ISuite/bldgJ:lpt.no.: SPC]6 I Project name: Cross stn'cl/dircctions to job site: Water heater I Gas fireplace/insert/stove I Gas log! log lighter IGas clothes dryer I Gas stove/range I Pool or spa heater, kiln I Wood/pellet s!o~e/insert Wood I1repl~~~ 11::J\j I !UN: (:regon la V reouirr-:::: \/f"'lIf t~ I Chimneymrleiiihili'Ve\{tIWlG aa lpted by the Oreg)Jri Utili! I a~Rllam:e NotlfIG~:tln!1 r;on'~nr, 11:>--.. p. I , , y -, .~. ~'. '.'-""" .,. .... - '. .., . - ." .... '--'.~'~o-a' "'~elIO~ 'EnVirQ'lliTtftir.(!,.~aust~.P.Jn.\\ent.. i1,Uio,"'h',-'/.:.:v",-Fh',,:r:;;,.: ~. :"'C""'10.':'" j;.';'."" '<'c;' 4'_d9"""""",'~'_"",<" ,c_,"",",,-,,tJU,'j -:1'11-1'[,1:1,1 I ~H""_ ,'.r , An,,"',........""....;;.' i I Range hoJrlU!:JU. You.may c'btain r.nlli~~ ;f.t~l.......~!~~~Vt' Clothe> dryeM9l!ilMlthe cener, (Not I: the IF'I, ,~h;:o Singlduc1,,!tJJ;,tM\lIau..woDiSe Jregon lltility Not ilcatio. I 101let compartments, uUli!:ilter i:, 1-800-3 32-234 ) m rooms) ,4 I Alliclcrawlspace fans I Subdivision: ILot no.: Tax map/pureel no,: ]702310001800 eleclricfurnuce I. ...... '.'~.--'''z:.; .~I/:l.TlrE:,~ .._~,--<.<~- <= <.ii!<~'SC '-';1;1;.""" "~'I ;-':;-...; ~:;;;"_j;'~,f$,:,l*,,, "T~-::r::f:'~I' r.w,~.;.,:",.,\J;l",{SITE'CONTACT.>"io>.-" tr "*,T'!%t'''f;+-xt+'*-1'J}~'~~'' ""1:;l<\c'~l ~;~ . <'d~__rt.. d~.~'r~m,1ITSHA[n" . ...,-" ~"~,-,,"< d~= IN",,,,, Iswitzer ^l'TH"nl~~ ,~_ _ At'Itit It- I HI: WORK 1 IPhOlJe ~.~ ',;"~'/;.,';.3 Ur~i)f"l,,'MJ;:' t'ttiMII IS NOT I IE",ail' - -~.,,\Lr.v'LO ?~ '" fltlAI~UUNtO FOR 1 I CCO lie. no.: 149452 I Busim'ss Nllme: EUGENE HEAT]NG & COOLING COMPANY I Contact: Michael Schilling IAddress: ]650 NE LOMBARD 5T I City/State/ZIP: PORTLAND, OR 97211 I Phone: (541 )7267654 I [mail: Wvo~bllrg@aulomalicheatco.com I Metro lie, no.: I Fax: (541 )7267657 I upto flrsl4 out]ets(enter Qly=l) .each additional uutlet ICity lie. no.: I Subtotal I City OfSpringficld First Appliance fee I State Surcharge (12% of perm it fee) I City Of Springfield fees. l TOTAL PERJ\IIT FEE * City or Springfield fees: 5% Techno]ogy Fee $17.00 $79.00 $11.52 $480 $112.32 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. CCl-Slil ~ 41Z3ICA 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. This Authorization To Begin Work must be posted at the job site until replaced by a Permit Status Iss u ed CITY OF SPRINCFIELD Building/Combination Permit PERMIT NO: COM2009-00547 ISSUED: 04/23/2009 APPLIED: 04/23/2009 EXPIRES: 10/23/2009 V AL.lJE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 725 28TH ST SPACE 16 ASSESSOR'S PARCEL NO.: 1702310001800 Springfield TYPE OF WORK: Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: Electric Fnrnace Owner: Address: LA Y MARLIN S 87499 CEDAR FLAT RD SPRINGFIELD OR 97478 I CONTRACTOR INFORMA nON ,I Contractor Type Mechanical Contractor EUGENE HEATING & COOLING License 149452 Expiration Date 10/22/2009 Phone 541-726-7654 BUILDING INFORMA nON 1 # of Units: Primary Occnpancy Gronp: Secondary Occnpancy 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: n/a I DEVELOPMENT INFORMATION I REQUIRED PARKING Total: ATTENTION' 0 Han1icapped:. f II . regSR.Iil.'ftreqwres you to N of~W rules adopleCn'fthe Oregon Utility . o~~catlon Center. Those rules are set forth ~nnM R ~52-001-0010 throuqh OAR 95;>.111)1_ . _n., \~U ,,,ay UU,alll copies otthe ruies by calling the center. (Note: the teleph 'Mim,~1.~OfiaF; Oregon Utility Notific~~en en "r IS 1-800.332-2344) Downspouts/Drains: . Notes: I Valuati~n Descriotion I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee t 01'2 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769.\nspection Line Fee Description + 12% State Surcharge + 5% Technology Fee 1 st Appliance Furnace - Unit Heater Amo~nt Paid $11.52 $4.80 $79.00 $17.00 Total Amount Paid $112.32 Total Value of Project Fees ~~i~, I I Plan Reviews I Date Paid 4/23109 4/23/09 4/23/09 4/23/09 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO; COM2009-00547 ISSUED: 04/23/2009 APPLIED: 04/23/2009 EXPIRES: 10/23/2009 VALUE: Receipt Number 2200900000000000429 2200900000000000429 2200900000000000429 2200900000000000429 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 Reouired Insnections , 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 1 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 descdhed herein, and that NO occur ANCY will he 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. 1 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 plaus will remain on the site at all times during construction. Owner or Contractors Signature Paee 2 of 2 Date 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-00547 COM2009-00547 COM2009-00547 COM2009-00547 Payments: Type of Payment ONLINE GIGS cRcccinLI RECEIPT #: Description 15t Appliance Furnace - Unit Heater + 5% Technology Fee + 12% State Surcharge Paid By ONLINE PERMIT CHGS 2200900000000000429 City of Springfield Official Receipt Development Services Department Public Works Department Date: 04/23/2009 Item Total: Check Number Authorization Received By Batch Number Number How Received KR Page 1 of 1 ONLINE Eugene Online Heating and Cooling Payment Total: 3:02:05PM Amount Due 79.00 17.00 4.80 11.52 $112.32 Amount Paid $112.32 $112.32 4/23/2009