HomeMy WebLinkAboutPermit Mechanical 2009-5-26
\
City of Springfield
I;
Mechanical Anthorization To Begin Work
E-mailedTo:wvosburg@automaticheatco.com
Receipt # EC552281
5/26/20099:49:53 AM
(ltl'
fA. I
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Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.ns
I [K] ] or 2 family dwelling
, 0 Multi-family
o Accessory Building
I Furnace- up to 100,000 BTU
I Furnace- above lOO,OOO'BTU
I Electric Furnace
I Duct alterations and additions
I Gas heaterunits/in-i.vall, ill-
duct. suspended. ctel
I Venl, nue, liner for above
I Air Conditioner,
I Heat Pump
I Air Handler
10 New construction .
~\~~:,
lliJ Addition/alterationHeplacement
, ""1
,-,;'::1-#
.,......-
I Job no.: I Job address: 1016 DIXIE DR
I City/State/ZIP: SPRINGFIELD, OR 97478.9505
I Suik/bldg./apt.no.:
] Project Ilame:
Cross street/directions to job sill.':
I
II
21
$17,00
$17001
$17.00
$34.00
NOTICE:
THIS PERMIT SHALL EXPIRF IF TJ:l"'_ wnov
:~~~.I\ !i!]H OR IZEJ)'CJT~iJ~RCJWlt~iPR'R~tr'"iQ':"~bT'
JNam" Md,CDMMENCED OR ItiBANnO~IED "'DR
Il'hO"" (541)7AiIW1l180'DAY PFRIOnIF"" 746,0441 . .
!Emllil:
I-~'
I ceo lie. no.: 149452
I BusincssName: EUGENE HEATING & COOLING CQMPANY
I Cuntact: Michael Schilling
IAddress: 1650 NE LOMBARD $T
I City/State/ZIP: PORTLAND, OR 97211
I Phone: {54! }7267654 I Fax: (541 )7267657
jtll1ail: wvosburg@uutomatichculco,com
1J\1ctro lir. no.: I City lie. no.:
I Wlllerheater
I Gas fircplacc/insertlslove
I Gas log! log lighter
I Gas clothes dryer
I Gas stove/range
I Pool or spa heater, kiln I
I Woodlp,j\Jt !tl;;l/l,h~fJ1N: Ore! Ion law r lquires vbu to
I Wood t{}I~lIIc'l!' rUles aaopl Ja by the oregOn~tilitY
I ChlmUii!~h:~iim~Nen~lfOllt::l. Illose rllJes are s t forth
ao~"aIDe?AR 9,52-201-00' nthr~"~ lJJ^~ ~:_ ~G4:=-;
I; ~ny~.t)~U~PJ~,~b"~.~'8.\lJ)~~e.tf},~,tt93bies;'ot::{ji"p. 7rllt)~~"'h!;' .~,;y<
I Range h&,OllIng tne center (Note: tre teleDr oni> I
I clolhe~aW,I"[ftih.!!\?r me ur, 'gon Utililfy Noli/Ie llion I
I Si~lgk-dlicl exhau~{VilH:titloMi;, I OUU-JJ~42;j44), I
100letcompartments, utlllty
rooms)
I Attic/crawlspace fans I
!SUbdi"ision:
ITax map/p:mcl no.: llW205240noo
ILot no.:
mini split inszaJJat;oll
I upto fir~1 4 outlets(enter Qty=l)
I each additional outlet
Upon review and approval by your loc'al jurisdiction, your
permit will be e-mailed or faxed within one business day,
with instructions on how to schedule your inspection.
I SubtotJI
I City OfSprmgfield FirstAppliance fee
j State Surcharge (12% of permit fee)
I City Of Springfield fees"
I TOTAL PERMIT FEE
* City Of Springfield fees: 5% Technology Fee
k:K-' 5l2jj\Dq
$51.00
$7900
$15.60
$6,50
$152.10 I
NOTE: This Authorization To Begin Work expires within 180
days if a permit is not obtained.
The focal 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.
CQ-l2>d-
This Authorization To Begin Work must be posted at the job site until replaced by a Permit.
."
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00732
ISSUED: OS/26/2009
APPLIED: OS/26/2009
EXPIRES: 11126/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1016 DIXIE DR
ASSESSOR'S PARCEL NO.: 1802052407200
Springfield TYPE OF WORK: Heating System
TYPE OF USE:
Residential
PROJECT DESCRIPTION: Mini split heating system installation
Owner:
Address:
SWAGERTY CHAS L & IV A I
1016 DIXIE DR
SPRINGFIELD OR 97478
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 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 I st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
nla
NOTICE:
Front yard Sell;>~{kPERMIT SHALL EXPIRE IF TH@Wdfl*Dist:
S~.de I Setbas4UTHORIZED UNDER THIS PERMIT.1~tKI1'\IrTrees Rqd:
SIde 2 Setba't-iJMMENCED OR IS ABANDONED f.~elt'dl'lve Rqd:
Rearyard Set~r~~k:'80 DAY PERIOD %'Ot Lot Coverage:
Solar Setbacks: .
I DEVELOPMENT INFORMATION .1
I PUBLIC IMPR?V.EMENTS I
REQUIRED PARKING
ATTENTION: Oregon law requires you to
follow rules adopted iJV'W,~ Oregon Utility
Notification Center. Th/1.J\!'f!Jfi!!!!!.~g:set forth
in OAR 952-001-001 0 t1~eW1li!'tt:AR 952-001-
0090. You may obtain copies of the rules by
calling the center. (Note: the telephone
.-. ...__L - - -'-~... 11". ...... '..'1"'.,.. - ,." ,"
..-...-... .-. ...- _._~_.. -.....] ..............".......
Center is 1-800-332-2344).
Street Improvements:
Storm Sewer A vaiJable:
Special Instruction:
Sidewalk Type:
Downspouts/Drains:
Notes:
I Valuation Descriotion I
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Page I of 2 .
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 Unit Up to 10,000
Heat Pump
Amount Paid
$15.60
$6.50
$79.00
$34.00
$17.00
Total Amount Paid
$152.10
Total Value of Project
Fees P,\irl I
I Plan Reviews ,I
Date Paid
CITY OF SPRINGFIELD
,Building/Combination Permit
PERMIT NO: COM2009-00732
ISSUED: OS/26/2009
APPLIED: OS/26/2009
EXPIRES: 11/26/2009
VALUE:
5/26/09
5/26/09
5/26109
5/26/09
5/2 6/09
Receipt Number
1200900000000000536
1200900000000000536
1200900000000000536
1200900000000000536
1200900000000000536
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.
Re9IJir~~ ,In,~ll~cti,o?s I
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
By signature, 1 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 shali 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 without permission of the Community Services Division, Bnilding 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, and the approved set of plans will remain on the site at all
times during construction.
,
. Owner or Contractors Signature
Page 2 of 2
Date
225 Fifth Street
Springfield, Oregon 97477
54P726-3759 Phone
City of Springfield Official Receipt
Development Services Department
P,ublic Works Department
RECEIPT #:
1200900000000000536
Date: OS/26/2009
10:33:06AM
Paid By
Item Total:
Check Number. Authorization
Received By Batch Number Number' How Received
Amount Due
79.00
34.00
17.00
6.50
15.60
$152.10
Job/Journal Number
COM2009-00732
COM2009-00732
COM2009-00732
COM2009-00732
COM2009-007'32
Description
1 st Appliance
Air Handling Unit Up to 10,000
Heat Pump
+ 5% Technology Fee
+ 12% State Surcharge
Payments:
Type of Payment
Amount Paid
ONLINE CHGS ONLINE PERMIT CHGS
KR
ONLINE EUGENE Online
HEATING
&
COOLING
Payment Total:
$152.10
$152.10
cReceintl
Page I of I
5/26/2009