HomeMy WebLinkAboutPermit Mechanical 2009-7-13
.,City of Springfield
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69600-BMC-09-00026
Mechanical Authorization To Begin Work
E-mailedTo:wvosburg@automalicheatco.com
7/13/2009 2:58 pm
Approval Code: 099346
Check on status of pennit
By Phone: 541.726-3753 or Email:permitcenler@ci.springfield.or.us
10 NcwConstruction
o AdditionJaltc'rationJreplacemenl
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DACCeS~oryBUilding
I Job Address: 660 S 40TH ST
I City/State/ZIP: SPRINGFIELD, 01{ 97478
I Suite/bldg.lapt.no.:
I ProjeaName:
1 Cm"S,,,,,,";,,";o","job,;'"
I Tumnrlp.",]oo. ~f}D1~A.~ 0\\D~
1~~i;;?J~r1*:~~~:'~;"i5ESCRj"P,tIONfoFiIWORK~~~~:~;~~'~~~I
mini spJit installll1ioll
Nllme:rnarlycebemal
Phone: 54]-746-1300
Fllx:
Emai1:
I CCB];,.oo.,T#'~ PERMIT SHAll FXPIRF IF Tf:lF WORK
.1 B",;n"'N.4\UW$tOOj'l'~0'<UN[}Ml'1'19m'1"'f'RMIT IS NOT
I Cont.", COMMENCED OR IS ABANDONFn FOR
I Add",,, 165Allt'JL,*~lJRl]1tY PER I 0 D
I City/State/ZIP: PORTLAND, OR 972]]
I Phone: 541-726-7654 Fall:: 541-726;7657
I 'Email"'
I Metro lie. no.:
Cily lie. no.:
Upon review and approval by your Jocaljurisdiction,'your permit will be
a-mailed 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
pennit 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
e;1
I I Description
I Heat Pump
S17.001
t...,':900)
"'.-."1
~'~~~'~~,~~ "
$11.521
$4.80
First Appliance Fee I
~,~~(.:HA~TQA~PER~jI'jit~~_~~"~ K ":~jbcw
I Subtotal
IStatc surcharge (12% of penn it
total)
ITeChn010gYfee(5%OfPermil
loull)
ITOTAL PERMIT FEE
SI/2.J2
tCL-lDD\ - lLt- 1I131oq
ATTENTION: Oregon law requires youtD
follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth
in OAR 952-001-0010 through OAR 952-001-
0090, You may obtain copies of the rules by
calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center is 1-800-332-2J44).
This Authorization To Begin Work must be posted al the job site until replaced by a Permit
Status
Iss u ed
CITY OF SPRINGFIELD
Building/Combination Penpit
PERMIT NO: COM2009-01021
ISSUED: 07/13/2009
APPLIED: 07/13/2009
EXPIRES: 01/13/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Iuspection Line
SITE ADDRESS: 660 S 40TH ST
ASSESSOR'S PARCEL NO.: 1702314401658
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Insatllation of mini split heating system
Owner:
Address:
TALMADGE RECCA A
660 S 40TH ST
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 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:
Lot Size:
Sq Ft 1st.Floor:
Sq Ft ind Floor:
Sq Ft Basemeut:
Sq Ft Garage/Carport
Sq Ft Other:
. Occupant Load:
n/a
I DEVELOPMENT INFORMATION I
NOTICf: . .
Frontyan .~etbac~ Overlay Dlst:
Side 1 Set ?~~IU)t MIT SHALL EXPIRE IF THE W!mKeet Trees Rqd:
Side 2 Set la!d-iORIZED UNDER THIS PERMIT IS ~d Drive Rqd:
Rearyanq~t6~j,&2iCED OR IS ABANDONED FOR% of Lot Coverage:
Solar SetAacl<s1BO DAY PERIOD.
, REQUIRED PARKING
Street Improvements:
Storm Sewer A vailahle:
Special Instruction:
ATTENTION: Oregon 1&J;?\'1!i1Uires vou to
follow rules adopted bjf!?,\'.d[ci!PJ'S,~:Utility
Notification Center. Tho&'WJJI!!,ct::e set forth
in OAR 952-001-0010 through OAR 952-001-
0090. You may obtain copies of the ruies by
""....11:........ ...l,._ ___._~ H.I_,__ ...1.._ ,_,. ,
'-' ,------ q- ._'-r-"~"""
I PUBLIC lMPROVEMENTSllumber for the Oregon Utility Notification
, Center iR 1-800-332-2344):
Sidewalk Type: .
Downspouts/Drains:
Notes:
I Valuation Descrintion I
Description
Type of Construction'
l
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pa2e 1 of2
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3.769 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
Fe~~ P9itl I
Plan Reviews ~
Date Paid
7/13/09
7/13/09
7/13/09
7/13/09
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009~1~1
ISSUED: 07/13/2009
APPLIED: 07/13/2009
EXPIRES: 01/13/2010
VALUE:
Receipt Numher
1200900000000000802
1200900000000000802
1200900000000000802
1200900000000000802
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.
~efl,~ire~ In~II~~d/o!,sJ
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is comp.lete.
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 shall 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, Building 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 readahle 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
Pa2C 2 of 2
Date
225 Fifth Street
Springfield, Oregon 97477
541--.726-3759 Phone
Job/Journal Number
COM2009-0 1 021
. COM2009-01021
COM2009-01021
COM2009-0 I 02 I
Payments:
Type of Payment
ONLINE CHGS
cReceintJ
RECEIPT #:
Description
I st Appliance
Heat Pump
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
1200900000000000802
City of Springfield Official Receipt
. Development Service8 Department
Public Works Department
Date: 07/13/2009
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
KR
Page I of I
ONLINE EUGENE Online
HEATING
&
COOLING
Payment Total:
3:04:53PM
Amount Due
79.00
17.00
4.80
11.52
$IJ2,32
Amount Paid
$112.32
$112.32
7113/2009