HomeMy WebLinkAboutPermit Mechanical 2009-5-1
Status
Issued
CITY OF SPRI~\JJ<1J<,LD
Building/Combination Permit
PERMIT NO: C0M2009-00603
ISSUED: 05/01li009
APPLIED: 05/0112009
EXPIRES: 11/0112009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Pbone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1436 YOLANDA AVE
ASSESSOR'S PARCEL NO.: 1703243302600
Springfield TYPE OF WORK: Mechanical Only
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Mini-split
Owner:
Address:
PAYNE STEVEN L & JEAN S
1436 YOLANDA ST
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 I
# of Units:
Primary Occnpancy Group:
Secondary Oecupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Typc of Heat:
'Water Type:
Range Type:
Energy Patb:
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
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
I~~~~~IMPR~VEMENTSI
Street ImprovementS:
Storm Sewer A vaiJable:
Special Instruction:
Sidewalk Type: '
Downspoutsfflrains:
Notes:
I Valuation Descrintion'l
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pal1:e I of2
Status
Issued
, 225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fee Descriotion
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Air Handling Unit Up to 10,000
Heat Pump
Amount Paid
$13.56 '
$5.65
$79.00
$17.00
$17.00
, Total Amount Paid
$132.21
Total Valne of Project
FeesP..W
I Plan Reviews .,
Date Paid
5/1/09
, 5/1/09
5/1/09
5/1/09
5/1/09
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: C0M2009-00603
ISSUED: 05/0112009
APPLIED: 05/0112009
EXPIRES: 11/0112009
VALUE:
Receipt Number
3200900000000000299
3200900000000000299
3200900000000000299
3200900000000000299
3200900000000000299
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 Rp()lIire1 In<.nprti?~
Rougb Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete. '
By signatnre, 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 tbe wo~k described herein, and
that NO OCCUPANCY will be made of any strnctnre without permission of the Commnnity 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 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, arid the approved set of plans will remain on the site at all
times during construction.
Owner or Contractors Signature
Paee 2 of2
Date
Mechanical Authorization To Begiu Work
E-mailedTo:wvosburg@automaticheatco.com
Receipt # EC550999
5/1/200912:21:04 PM
City of Springfield
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
f 0 New construction
o Addition/alteration/replacement
I [K] I or 2 family dwelling
o Multi.family
D Accessory Building
I Furnace- up to 100,000 BTU
I Furnace - above 100,000 BTU
I Electric Furnace
Duct alterations and additions
GaS heater unitsl ii1~wall, in-
dueL sllsocnded. ctC/
I Vent, nuc, liner for above
I Air Conditioner
I Heal Pump
I Air Handler
I
I
I
I
I
I
I
$1700 I
$17001
IJob no.: IJob address: 1436 YOLANDA AVE
ICily/State/ZIP: SPRINGFIELD, OR 97477-1636
I Suih.'/bldg.lllpt.no.:
I Project name:
Cross _~trect/directiOlls to job site:
$17,00
$17,00
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.
I
I
I
I
I
I
II
II
I
I TOTAL PERJ\lIT FEE I
* City Of Springfield fees: 5% Technology Fee
!W<.llerheater
I Gas fireplace/insert/slove
I Gas log! log lighter
I Gas elothesdryer
I Gas slOve/range
I Pool or.spa heater, kiln
I Wood/pellet stove/insert
Wood fireplace
Chimney/linerltlue/vent w/o
~~Dliancc
~~.n~-jiiQm~~t~.~~'~Ff7SBg:f€(tila,~~a~~.~~tt~,:5;j~~;.~~t(~5~~~~J~
I Range hood
Clothes dryer exhaust
Single-duct exhaust (bathrOoms,
toilet compartments, utility
rooms)
! Attic/crawlspace fans
I Subdivision:
I TlU map/parcel no.: 1703243302600
I Lot no.:
mini splil
IName: [switzer
Iphone:
!Emllil:
IF",
I CCB lie. no.: 149452
I Business Name: EUGENE HEAl'lNG & COOLING COMPANY
I ContaCt: Michael Schilling
IAddress: 1659 NE LOMBARD ST
I City/State/ZIP: PORTLAND, OR 972 I I
I Pho"" (541 )7267654 'Fa" (541 )7267657
I Email: \vvosburg@automaticheatco.com
I Metro lie. 110.: I City lie. 110.:
I upto first 4 outlets(enter Qty=l)
I each additional outlet
Subtolal
City orSoringficld FirstAooliance
Stale Sun:harge (12% of permil
City Of SpringJield fees
$34.00
$7900 I
$13,56 I
$5,65 I
$13221 I
NOTE: This Authorization To Begin Work expires within 180
days if a permit is not obtained.
Ctrn207Jt -00003
5-01--- 09 /I/Vj
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.
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-00603
COM2009-00603
COM2009-00603
COM2009-00603
COM2009-00603
Payments:
Type of Payment
ONLINE CHGS
cReceiol1
Item Total:
Check Number Authorization
Received By Batch Number Number. How Received
RECEIPT #:
3200900000000000299
Description
15t Appliance
Heat Pump
Air Handling Unit Up to 10,000
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
NJM
Page I of I
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 05/0112009
2: 11 :02PM
Amount Due
79,00
17,00
17,00
5,65
13,56
$132,21
Amount Paid
ONLINE EUGENE In Person
HEATING
Payment Total:
$132,21
$132.21
5/1 /2009