HomeMy WebLinkAboutPermit Mechanical 2009-7-7
City of Springfield
Mechanical Authorization To Begin Work
E,.mailed"To: wvosburg@automaticheatco.com
Check on status of permit
By Phone: 541-726-3753 or Email: permitcenter@ci.springfie1d.or.us
I ,0 New COIlStruCtiOIl ~ Addition/alteration/replacement
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Job Address: 2915 WAYSlDELOQP
I City/State/ZIP: SPRINGFIELD, OR 97477
I Suite/bldg.lapt.no.:
I Project Name: Cindy Moon
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mini split installation
Name: Wannetle Vosburg
Phone: 541-726-7654
Fax: 541-726-7657
Email: wvosburg@alJtomaticheatco.com
CeBlie.no.: 149452
Business Name: EUGENE HEATING & COOLING COMPANY
Contact:
Address: 1650 NE LOMBARD ST
City/State/ZIP: PORTLAND, OR 97211
Phone: 54 I -726-7654
Fax: 541-726-7657
Email:
LMetrolie.no.:
City lie. no.:
Upon review and approval by your local jurisdiction, your permit will be
e-malled or faxed within one business day, with instructions'on how to
schedule your inspection.
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
/DescriPtion
Pump
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II
69600-BMC-09-00014
I:
m/2009 11,00 am
11
Approval Code: 054999
,
61~~
(j~/
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,I) Qty.
'first Appliance Fee J L J I
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IStatesurchargC(12%ofPennit $1l.521'
total)
1 Technology fee (5% of penn it $4.&0 I'
total)
1 TOTAL PERMIT FEE $112.321
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This Authorization To Begin Work must be posted at the job site until replaced by a Permi~,
CITY OF SPRINGFIELD
Building/Combination Permit
II .
"
PERMIT NO: COM2009-00994
ISSUED: 0~/01l2009
APPLIED: 0:]/07/2009
EXPIRES: 01/0112010
VALUE: ::
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2915 Wayside Lp
ASSESSOR'S PARCEL NO,: 1703224103000
Springfield TYPE OF WORK: Mechanical Only
ii
TYPE OF USE: NeW::
i'
PROJECT DESCRIPTION: Mini_split installation
Owner: MOON CINDA LEE
Address: 2915 WAYSIDE LOOP
SPRINGFIELD OR 97477
I ,CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Contractor
EUGENE HEATING & COOLING
License
149452
~UlLDING INFORMATION'
# of Units:
Primary Occupancy 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: n/a
I DEVELOPMENT INFORMATION I
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Set hack:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
. % of Lot Coverage:
I PUBLIC IMPROVEMENTS I
Residential
"
it
. !I
ExpiratiOn Date
I
10/22/2009
Phone
541-726-7654
I.
"
I,
II
"
Lot Siz.~:
Sq Ft I'st Floor:
"
Sq Ft 2,rd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
,.
Occupant Load:
,
il
ii REQUIRED PARKING
I,
': Total:
~: Handicapped:
!' Compact:
"
("
Storm ~r&lailable: E WOR\<.
Speciall~Wuctiorv'IT SHf\ll EXPIRE IF TH IS NOT
THIS PI:K VI ER THIS PERMIT
Notes: f\UTHORIZEO UONf\O\S fl,Bfl,NOONEDFOR .
r.nMMENCEO __,~n
[,NY 1811 UI\1 I-Ll'.~-'
Sidewalk Type:
Downspoutsillralns:
ATTENTION: Oregon law requires you to
follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth
in OAR 952-001-0010 through OAR 952-001-
nnnn v,..", ............ ....1-........;... ...........:....:.... ...../...1.-.... ~..I__ 1.....
, ; ,cal'ng the center, (Note: :the telephone'
ValuatIOn DescflntlOn, ber for the OreC'on Utility Notification
\:J H
. Center is 1-800-332-2344).
$ Per Sq Ft Square Footage II .
It' I' B:d A t Value' Date Calculated
or mu Ip lef or I moun Ii
1.
Street Improvements:
Description
Type of Construction
Pa2e t of 2
- ~,fl~~rr~~,~:~:f,~~:,~~:~~,~I,~;~,
; 'I
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
Heat Pump
Amount Paid
$11.52
$4.80
$79.00
$17.00
Total Amount Paid
$112.32
Total Value of Project
Fees Paid I
I Plan Reviews I
Date Paid
7/7/09
7/7/09
7/7/09
7/7/09
CITY OF SPRINGFIELD
Ii
Building/Combination Permit
PERMIT NO: dOM2009-00994
ISSUED: 07/01/2009
APPLIED: 07/07/2009
EXPIRES: 01/01/2010
VALUE:, Ii
I
Receipt Number
II
320~900000000000513
3200900000000000513
.,
3200900000000000513
3200900000000000513
To Request an inspection call the 24 ,hour recording at 726-3769. All inspections requested before 7:00
;1
a.m. will be made the same working day, inspections requested after 7:00 a.m. willi/be made the following
work day. i
il
I, ~.er~ired 1.ns,r.e~tio~s I
Rougb Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
I .
By signature, 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 shali!be done in accordance with
the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the w~rk described herein, and
that NO OCCUPANCY will be made of any structure without permission ofthe Community ServiCes Division, Building Safety.
I further certify' that only coutractors 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 ofthe property, and the approved set of plans wifJ remain on the site at all
times during construction.
Owner or Contractors Signature
Paee 2 01'2
Date
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-00994
COM2009-00994
COM2009-00994
COM2009-00994
Payments:
Typ~ of Payment
ONLINE CHGS
, cReceintl
RECEIPT #:
Description
1 st Appliance
Heat Pump
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
City of Spripgfield Official Receipt
Development Services Department
Public Works Department
it
3200900000000000513
Date: 07/07/2009
Item Total:
Check Number Authorization
Recei~ed By Batch Number Number How;Received
njm
ONLINE
Eugene Online
Heating
Paym~nt Total:
Page I of I
7:52:16AM
Amount Due
79.00
17.00
4.80
11.52
$112.32
Amount Paid
$112.32
$112.32
7/8/2009