HomeMy WebLinkAboutPermit Mechanical 2009-5-29
City of Springfield
Mechanical Authorization To Begin Work
E;.mailed To: wvosburg@automaticheatco.com
Receipt # EC5526311 '\ ~~
f)./
5/291200912:54:08 PM GU1
,
'.
Check on status of permit
By Phone: (541)726"3753 or Email: permilcenler@ci.springfield.or.us
o New conSlruction
lliJ Addition/alteration/replacement
I Description
QI"
CO,~~:TKu9"f191!-(~.:tii:'~ ;
I ~ I or 2 family dwelling D Multi-fmnily 0 Accessory Building
~~~~~;~: .~~~~i~)~~j~q'~1sJ'tWi(f~J:P]~ATjg~"~N1!r~^t?:S~'r(q~~~~{tJ~:'
Job no.: IJob address: 5821 G ST
I City/State/ZIP: SPRINGFIELD, OR 97478-6896
I Suite/bldg.lllPt.no.:
I Project lI11me:
Cross street/directions to job site:
I Furnace. up to 100,000 BTU I
I Fumace - above 100,000 BTU I
I Electric Furnace I
I Duct alterat(ons and additions I
Gas heater units! in-wall, in- I
duct. suspended, ete! .
Vent, flue, liner for above I
I Air Conditioner I
I Heal Pump $17.00 $17.001
I Ai, Handle< 2 $17,00 $34,001
l~qW~~~r,~~.~E~~~gJPP}.~H-~~:f,'~:,;:r~:i;""~\;f:~l?~\'~b'f~'*'~:_ ';'if~~ I
IWaterheater I
I Gasfireplace/insertlslove I
I Gas log! log light" I
I Gas clolhesdryer I
I'Gas stove/range j
I Pool or spa heater, kiln I
I Wood/pellet stove/insert I
I Wood firep]nce I
I Chimney/]iner/f1ue/vent w/o I
k' ~.~I
I
I
I
I
ISubdivision:
I Tax map/parcel no.: 17023422004]3
ILot no.:
2 zone mini split
I:
I Name: tummy myers
I Phonl': (541) 746-0979
Email:
':lf~'..~ ;"i:~-71,t~~-~~
I Fax:
I CCB lie. no.: 149452
I Business Name: EUGENE HEATING & COOLING COMPANY
I Contact: Michael Schilling
IAddress: ]650 NE LOMBARD ST
I City/Stale/ZIP: PORTLAND, OR 972] I
I Phone: (541 )7267654 I Fa" (541 )7267657
I Email: \wosburg@automalicheatco.com
I Mt'tro lie. no.: I City lie. no.:
I Range hood
I Clothes dryer exhaust
Single.duct exhaust (bathrooms,
lOiletcompartments, utility
rooms)
Attic/craw]spacefans
upto first 4,outlets(enter Qty=l)
I each additional outlet
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
1
1
I
I TOTAL PERMIT FEE
* City Of Springfield fees: 5% Technology Fee
Subtotal
City Of Springfield First Appliance fee
State Surcharge (12% of penn it fee)
City Of Springfield rees *
$51.00 I
$79,001
$15,601
$6,50 I
$152.10 I
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.
Qorn L(5U i '75 Cf
{\rn S -del ~O~
This Authorization To Begin Work must be posted at the job site until replaced by a Permit
CITY OF SPRINGFIELD
Status
Issued
Building/Combination Permit
PERMIT NO: COM2009-00754
ISSUED: OS/29/2009
APPLIED: OS/29/2009
EXPIRES: 11/29/2009
VALUE:
225 Fifth Slreel, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 5821 G ST
ASSESSOR'S PARCEL NO.: 1702342200413
Springfield TYPE OF WORK: Healing Syslem
TYPE OF USE: New
Residenlial
PROJECT DESCRIPTION: Two zone mini:splil
Owner: MYERS STEVEN L & TAMMY D
Address: 5821 G ST
SPRINGFIELD OR 97478
Phone Number: 541-746-0979
1 CONTRACTOR INFORMATION'
Contractor Type
Mechanical
Contractor
EUGENE HEATING & COOLING
, License
149452
Expiration Date
10/2212009
Phone
541-726-7654
BUILDING INFORMATION I
# of Unils:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Conslrnclion Type
Secondary Conslruclion Type:
# of Bedrooms:
# of Slories: Lol Size:
Heighl of Slrnclure Sq Fllst Floor:
Type of Heat: Sq Ft 2nd Floor:
Waler Type: Sq Fl Basemenl:
r"' Range Type: R~q Fl Garage/Carport
: : (rn -'E~ergy palh: I EXPIRE IF T\-\E WO q Ft Other:
"\-\\S Ps\lMlklcitB\hlding:IS PERMIIiJS NO Occupant Load:
, . ...... ,{\nI7'CT\ \ I\\IUtli I, I _ "1":;'"" r"nO
...... ._ n" ,,,,,,.. ""J....... . -
1 DEVE~0PMEN;r\INFORMAilbN I
P,\",! i 30 DAY t"t:.nIVU'
Overlay Disl:
# Slreet Trees Rqd:
Paved Drive Rqd:
% of Lol Coverage:
REQUIRED PARKING
Fronlyard Selback:
Side I Selback:
Side 2 Selback:
Rearyard Setback:
Solar Setbacks:
Tolal:
Handicapped:
Compacl:
I PUBLIC IMPROVEMENTS'
StreelImprovemenls:
St S A 'I bIATTENTION: Oregor. le,w r-oc",',,% you to
orm ewer val a .:'1 I ',. b ,(' U 'I't
S 'II I f TO, ow ru es adOp.eO y lne ,-,10901', d I Y
pec.. ns ruc IOn: Notification Center. Those rules are set forth
in OAR 952-001-0010 thrcugh OAR 952-001-
0090, You may obtain copies of the ruies by
1"\",11;1"'I1"t tho f"'ontor (t\I~to' tho. ta.lpnhnnA
number for the or8g(111 uumy I\lUlIlIt.;dllUII I
Center is 1-80 )_Valuation Descriotion
, ,
Sidewalk Type:
DownspoutslDrains:
Noles:
Description
Tvpe of Construction
$ Per Sq Fl
or mnltiplier
Square Foolage
or Bid Amonnl
Value
Dale Calculaled
Page I of 2
, _$F,!IiIIl:'l~!ll,"", !l!1
,
,
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00754
ISSUED: OS/29/2009
APPLIED: OS/29/2009
EXPIRES: 11/29/2009
VALUE:
225 Fifth Slreel, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 1 nspeclion Line
Tolal Value of Projecl
Fees Paid I
Fee Description
+ 12% Stale Surcharge
+ 5% Technology Fee
ISl Appliance
Air Handling Unil Up 10 10,000
Air Handling Unit Up 10 10,000
Heat Pump
Amounl Paid
Date Paid
Receipt Number
$15.60
$6.50
$79.00
$17.00
$17.00
$17.00
5/29109
5129109
5129/09
5/29/09
5/29/09
5/29109
3200900000000000404,
3200900000000000404
3200900000000000404
3200900000000000404
3200900000000000404
3200900000000000404
,Tolal 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.
Reouiredlnsnections I
Rough Mechanical: Prior 10 Cover
Final Mechanical: When all mechanical work is complete.
By signalure, I slale and agree, lhall have carefully examined lhe completed applicalion and do hereby cerlify lhalall
information hereon is true and correctl and I further certify that any and all work performed shall be done in accordance with
the Ordinances of lhe Cily of Springlield and lhe Laws of lhe Slale of Oregon perlaining 10 lhe work described hcrein, and
thaI NO OCCUPANCY will be made of any slrnclure withonl permission of lhe Communily Services Division, Bnilding Safely.
I fnrlher certify lhal only conlraClors and employees who are in compliance wilh ORS 701.005 will be used on thi'project.
Ifnrlher agree 10 ensure thaI all required inspeclions are requesled at lhe proper lime, lhat each address is readable from lhe
slreel, lhat the permil card is localed allhe front of lhe properly, and the approved sel of plans will remain on lhe sile al all
times during construction.
Owner arContractors Signature
Dale
Pa2e 2 of 2
225 Fifth'~treet
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-00754
COM2009-00754
COM2009-00754
COM2009-00754
COM2009-00754
COM2009-00754
Paymenls:
Type of Paymenl
ONLINE CHGS
cReceintl
RECEIPT #:
3200900000000000404
Description
Heat Pump
Air Handling Unit Up to 10,000
Air Handling Unil Up 10 10,000
I st Applianc~
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: OS/29/2009
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
NJM
Page I of I
ONLINE ,EUGENE Online
HEAT
Paymenl Talal:
1:4S:S4PM
Amount Due
17,00
17,00
17,00
79,00
6,50
15,60
$IS2,IU
Amount Paid
$152,10
$152,10
5129/2009