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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