HomeMy WebLinkAboutPermit Mechanical 2009-5-18
City of Springfield
Mechanical Authorization To Begin Work
E-mailedTo:wvosburg@automaticheatco.com
Receipt # EC55186]
5/]8/200910:37:03 AM
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. Check on status of permit
By Phone: (541)726-3753 or Email: permiicenter@ci.springfield:or.us
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10 New construction 0 Addition/alteration/replacement
, 1J,~::~,<;,,'6\~t9N~GORY=gF.'cb~-~iRUqjI.ON1r>F,t f1
lKJ I or 2 family dwelling D Multi-family D Accessory Building
c l1'ftrffi~ '. Ilol no,:
;lll~;);lrCcl no.: 1802061409700
'.~~:'~ " ~'~ F~~\:~DE~E-Rfp:J:IQ~ qj=b~6R~ ~_
2 zone mini split
L';'f~"r ;''A'=iJ~tJj;- ~- ~'.~~Ef~~~Eb,-Ul.:~'~ht: : "
I Description I Qf)'. Ea.
I ~le~ii_~g(cO?linlt~~pli~~c~'~~'
I Furnacc- up 10 100,000 BTU
I Furnace ~ above 100,000 BTU
.,." . I Electric Furnace
......~
I Ductalteratiol1s and additions
I Gas heater units! in-wall, in~
duct. suspended. etcf
I Vent, flue, liner for above
I Air Conditioner
I Heat Pump
I Air Handler
I :Ot~~i1~'elbuDJi.iigapP!i~ncci:: "'; .
1 Water heater
I Gas ilreplace/inser;tlstovc
I Gas log/log lighter
I Gas clothes dryer
I Gas stove/range
I Pool or spa heater, kiln
I Wood/pellet stove/insert
I Wood fireplace
I Chi~ney/lint:rJflue/venl w/o I I
I appllllnce
! I E~.~',L~n_merii~m~ttfoo&:n~o~' ,~W 'rAn'IOj-~~~ '\In'. '~;;I
I I Rung, hood follow rules a'jopted b / the 6relao~ I Jtili! {
. "~;'"'I I Clothes dryel'lQ!a!!ii'atlon Ce nter. The se rules ~re set 101 :h
, ,,=, I Si~gle-d"Cl <itMu!;t'(bllUitlliJlrls',U -UUl U In 'ough O~R 952-00~-
I :~~~,~ompal!l~_@, ~~I~ mal obtain.cppies 01 tIle rules ~y
II Auic/crawls a~\r~"'l:1 ':'1"'- ....\fIIlCI. (1'll'{Jl~. lilt:: lll~lefJnonel
p ~'"'.. -t..... .l-J..l_ r"\..___J I ...,.~ ~. ..t. ..
II';. ..." .... .-_.,-,-,...._. ..~.~;::,;-,..,_........,,'7~'!,.., ',~'..HlIlva,U,U"r
'l'u~lr)lplllg.,....~~- "-"--",,'-~.'_ '."'-""''', Of'"." ....
II uPt;'~;s~4~:t~e~s(:~~:;~;=~;P11C::: 1":.AAfll:'?'J:/)~~AAI). ~,- I
II each additional outlet 1
I - h.leCHANiC:AlPERMIUEES ' ,i:;<; "..:':'1
I '-- ~, S:btolol I $$~791-,.00-00 II
City Of Springfield First Appliance ree
Stale Surcharge (12% ofpcrmit fee) $]5.601
City Of Springfield fees"l . $6.50 1
I TOTAL PERMIT FEE I $15210 I
.. City Of Springfield fees: 5% Technology Fee
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$17,001
$34,001
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";::,~: ~~~9E(~ITE 1/o!~6~!"IAIION t-lI[)L6cA;n~N.; ,~-. '._" '
jJob no.: IJob address: 3958 PINYON ST
ICity/Stater!.,P: SPR]NGFIELD, OR 97478-6520
Suite/bldg.lapt.no.:
I Project nllme:
Cross strtct/direclions 10 job site:
I
2
$17,OC
$17.00
I SIT~'9'()~:rA.9ti.{:;'~~~'-~~~i~1 ._ ~/~'~c:''':
I Name: Randy al"!s1.~~I~insky
IPhonee (541)74r.2;2~~ /l"E: IF.."
IEm~;J, : ~~" I-'tKMIT SHAll ~YDIDr- ,_ _' .
I" .,:2"'. ... :;j.tr"tI,!I;!}ZEDUrm~~#,:;~I~,~.I:!.C:~VVUKK;_ .:,
ICCR lie, no, i~9f5'zIV~,tNC~D OR I,C; l\[lP,:~D ~J~v"r Ii) NUT
I 8nsiness Namp'I'EudlNll JftA,f~A'PI.ING co~ji.p rUM
IContact: Michael Schilling
jAddress: 1650 NE LOMBARD ST
I City/Stllte/ZIP: PORTLAND. OR 972 I I
I Phone: (541 )7267654 I Fax: (541)7267657
I F:mail: .\vVOSburg@lllllomuticheatco.com
Metro he. 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.
(Gt~ ~<65 i(~ 511~\ CA
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.
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CITY OF SPRINGl'lJ<.LU
Building/Combination Permit
Status
Issued
PERMIT NO: COM2009-00685
ISSUED: 05/18/2009
APPLIED: 05/18/2009
EXPIRES: 11/18/2009
VALUE:
225 Fiftb Street, Springfield, OR
541-726-3753 Phone
54]-726-3676 Fax
54]-726-3769 Inspection Line
SITE ADDRESS: 3958 PINYON ST
ASSESSOR'S PARCEL NO.: 180206]409700
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
PROJECT DESCRIPTION: ,2 zone mini split - heat pump and air handle..
Residential
Owner: KLEMINSKY JANETH K
Address: 3958 PINYON ST
SPR]NGF]ELD OR 97478
I CONTRACTOR INFORMATION 1
Contractor Type
Mechanical
Contractor
EUGENE HEATING & COOLING
License
149452
Expiration Date
10/22/2009
Phone
541-726-7654
BU]LDING INFORMATION I
# of Units:
Primary Occupancy Group:
Seconda,ry Occupancy 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 ]st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION 1
REQUIRED PARKING
Front yard Setback: Overlay Dist: 'c Total:
Side I Setback: # Street Trees Rqd: Handicapped:
Side~e~~'l!<.: .. ' Paved Drive Rqd: Compact:
Rea~ j:J;!!ack: % of Lot Coverage' .
S OOMIT SHAll EXP/ ATTENTION: Oregon law reqUIres you to
ola IITJ.InOI'7Cn " n ,"_HE IF THE WORK follow rules adopted by the Oregon Utility
.. ~rLEF: fl"J rcnlVIII I' !~:-~l ''''''''''''illUnL.emer, tnoserulesaresettortn
COMMENCED OR IS ABANDONED FOt1lJ'H IC IMPROVEM!IT/'f~1%2_001_001O through OAR 952-001-
StrAWmVl-Q~'trGERIOD. 0090, You ITSla~I'fYile:ies of the rules by
calling the center. (Note: the telephone
number forIl!\\!''0P9~~\DJ~ip.fNotification
Center is 1-800-332-2344).
Storm Sewer Available:
Special Instruction:
Notes:
I Valuation Descriotion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee I of2
,
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00685
ISSUED: 05/18/2009
APPLIED: 05/18/2009
EXPIRES: 11118/2009
VALUE:
225 Fifth Street; Springfield, OR
541-726-3753 Phone
541- 726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees Paid I
Fee Description
+ 12%,State Surcharge
+ 5% Technology Fee
1st Appliance '
Air Handling Unit Up to 10;000
Heat Pump
Amount Paid
Date Paid
Receipt Number
$15.60
$6.50
$79.00
$34.00
$17.00
5/18/09
5/]8/09
5/18/09
5/18/09
5/18/09
]200900000000000463
]200900000000000463
1200900000000000463
1200900000000000463
1200900000000000463
Total Amount Paid
$152.10
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.
,I Refluired T n~?~~tion;s I
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
By signature, I state and agree, tbat I bavecarefully examined lhe completed application and do hereby certify that all
information hereon is true and correct, and I further certify that any and all work p~rformed shall be done in accordance with
the Ordinances of the City of SpringJield and the Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety.
I further certify that only contractors and employeeswbo 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 tbe 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
Date
Paee 2 of2
225 Fifth Street
SpririgfieId, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-00685
COM2009-00685
COM2009-00685
COM2009-00685
COM2009-00685
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
City of Springfield Official Receipt
Development Services Department
Public Works Department
1200900000000000463
Date: 05/18/2009
Description
J st Appliance
Air Handling Unit Up to 10;000
Heat Pump
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
Item Total: .
Check Number Authorization
Received By Batch Number Number How Received
KR
ONLINE eugene Online
heating &
cooling
Payment Total:,
Page 1 of 1
10:46:02AM
Amount Due
79,00
34,00
17,00
6,50
15,60
$152.10
Amount Paid
$152,10
$152.10
51! 8/2009