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Home My WebLink AboutPermit Mechanical 2009-7-13 City of Springfield , "P~""NQP ]..IILD' '_;I~'".,.."""", ~.:.. r&:.._~,.~. , '. , '.. ", -,- I . . . . .'.11'. .. ."". ., '-" ". '" ,,,,,,,,"i'~-==-,,,-' --,';1' --..:: Mechanical Authorization To Begin Work E-mailedTo:w\.osburg@automllticheatco.com 69600-BMC-09-00025 7/13/2009 2:53 pm Approval Code: 052397 Check on status of Ilcrmit B}' Phone: 541-726:3753 or Email: permitcenter@ci.springfield.or.us '.,':"'0~,;j.::""':-"J':-~~- ..' TYPE~6F'WORK ~'fJI::.~:;~~',~~:;~~~~~ I I I 10] ", rwn;lydw,'Hng o MnIH-"m;]y 0 Comm",;.] OA"'''''YBn;ld;n, 1 1_;::~;:JOB'SITEjNFoRMAri6N'AND"i.:ocATlciN~~' ~ ..,,,,:; d I Job Address: 3994 S F ST I I City/Staft/ZIP: SPRINGFIELD, OR 97478 I I SuiteJbldg.lallt.no.: I I ProjertNllme: I 1 C'"" S.."ud;",.o", to job ,;Ce: I I Tu.plp.",] no , 1'7fJ1:??\44 f)\l('~ I :""'?"~~-":::~oEsdRi'~TIONi6F-,WORK~;'':?='>:C, ,;.~~';;..:!~_ ~:;_ ~~:.~~C 10 I. ., New Construction o Addition/alteration/replacement , ,,- /;;;: . .-~~~<~- 'CATEGORy.oFicoNSTRUCTloN :'';'9';'":::.' """- .--_""t. minisp]itinstallation SITE'CONTACT,;,:';;c - :t',~_~_ ,~ '.t"^'," .-.1 I I I I I I I I I I I 1 Name: RcccaTalmadge I Phone: 541-9]4-8196 Fal.: I, Em~i1: ~os~~~u~~&!arilL~atco.com. '_~._ ,,,__~_. __._ " "__"'"~_ eo' '~..'..,~. , Ie ~'ivI"?,:,,'l:Jrll~ 'RER MItL'!; ~~Fll\'Cme IF- T,,~,jiO:1 ;t~_.'f.,;,)'~ I cm,.oo., 1:l4.liIHORIZED IJl\[n~R nm:;':"':Htl~'rJJ;\ I B",;","N",.~@I\'l1M{iI~@[IIfP€l'f1'q!"1Nllmtffli'lcn F"n ICon,"": ANY 180 DAY PERlon '-- C.] 1 Address: 1650 NE LOMBARD ST 1 Cif)'/Slule/ZIP: PORTLAND, OR 972]] II>hone: 54]-726-7654 Fax: 54]-726-7657 I Emllil: I Metrolic.no.: Cil)'lic,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 penn it 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 I:::?,?,,';' Descripliun .' :_FEErSC:HEDULE~"'~: .. Q'Y. I '.'1 TOllll~ En. J $'l~ ooj 'I $79.001 '.- '.{r $96.00 I $]1.521 suol $112.321: Illeatiriglcooli~glilPpliance5 ., '...~. IHeatPump Il\1fnimihn ,I;'ee;j:;,_;.~ I First Appliance Fee 1 IMECHANICAL PE~'\-t1T FEES~:-- ISubtota] State surcharge (]2% of penn it total) Technology ree (5% orpennit total) I TOTAL PERMIT FEE 'I -'-j' ~, , $17.001 .. .y....~ " ".='-"'" (Cl- \OLO ~ ltl31DCJ ATTENTION: Oregon law requires youto 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 Notlftcatlon Center is 1-800-332-2344). This Authorization To Begin Work must be posted at the job site until replaced by a Permit _S;<'!RtNq!i!Iil!"2: . \' Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01020 ISSUED: 07/13/2009 APPLIED: 07/13/2009 EXPIRES: 01/13/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 54 I - 726-3676 Fax 541-726"3769 Inspection Line SITE ADDRESS: 3994 S F ST ASSESSOR'S PARCEL NO.: 1702314401658 Springfield TYPE OF WORK: Heating System TYPE OF USE: New PROJECT DESCRIPTION: Installation of mini split heating system in residence Residential 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 1...BUlLDING 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 1 st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a ~DEVELOPMENT INFORMATION I REQUIRED PARKING Front yard Set!!atlk<ICE' Overlay Dist: Side 1 Setback'~u I PERMIT SHALL EXPIRE IF nl;bS'tliJfR1&-ees Rqd: Side 2 SetbackTHIS. THIS PERMIIj,,;~4JQijive Rqd: Rearyard SethUk1HORIZED UNDER o01'O'IlLot Coverage: Solar Sethack~OMMENCED OR IS ABANOONE A:rf ~ 83 ~,.'.'.' nJ:D1nn Total: . ATTENTION: Oregon Ijr~ rJ\~lre~youto follow rules adopted b?:; In/!'~I~~v'l Utility Notification Center. Tho,l!i~~'Sare set forth in OAR 952-001-0010 through OAR 952-001- 0090, You may obtain copies of the r~iesbY callmg tne cemel. t'\lUlIJ. l.II'" ~"""'":t-:""""..'''' I PUBLIC IMPROVEMENTS Inumber for the Oregon Utility Notification Sid€)wlillfrriypt,800-332-2344 ). Street Improvements: Storm Sewer Availahle: Special Instruction: Downspouts/Drains: Notes: I Valuation D~scriDtion I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee 1 of 2 ~RI.NGf5UiEj;.D" , -jIlf ,."".".,,,.',, ,',.""".f'~~,- 1; Status Issued 225 Fifth Street, Springtield, 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 $]]2.32 Total Value of Project Fees Paid' Plan Reviews I Date Paid 7/13/09 7/13/09 7/13/09 7/13/09 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01020 ISSUED: 07/13/2009 APPLIED: 07/13/2009 EXPIRES: 01/13/2010 VALUE: Receipt Number ( 1200900000000000801 1200900000000000801 1200900000000000801 1200900000000000801 To Request an inspection call the 24hour 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, Re'1uired T nsuections , Rough Mechanical: Prior to Cover Final Mechanical: When all mechauical work is complete. By signature, I state and agree, thaI 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 he 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 Ihat NO OCCUPANCV 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 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 Paee 2 of2 Date 225:Fifth Street Spr(ngfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-0 1 020 COM2009"0 1 020 COM2009-0 1 020 COM2009-0 1 020 Payments: Type of Payment ONLINE CHGS cReceintl RECEIPT #: Description 1 st Appliance Heat Pump + 5% Technology Fee + 12% State Surcharge Paid By ONLINE PERMIT CHGS 1200900000000000801 City of Springfield Official Receipt Development Services Department Public Works Department Date: 07/13/2009 Item Total: Check Number Authorjzati~n Received By Batch Number Number How Received KR Page 1 of I ONLINE. EUGENE Online HEA TING & COOLING Payment Total: 2:58:30PM Amount Due 79.00 17.00 4.80 J 1.52 $]) 2.32 Amount Paid $112.32 $]) 2.32 711312009