HomeMy WebLinkAboutPermit Mechanical 2009-7-22
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City of Springfield
Mechanical Authorization To Begin Work
E-mailedTo:wvosburg@automatichcatco.com
'I
I:
69600-BMC-09-00037
II
7/22/2009 I :43 pm
App~~oval Code: 054650
Check on status of permit
By Phone: 541~726-3753 or Email: permitcenter@ci.springfield.or.us
I D NewConstruction
o AdditiuwallerBllon/replacemelll
10 I" 2 romily dwell;". D M",,;-r,m;ly
Dcommercial
DAccessorYBUilding
I Job Address: 1708 CARRIAGEPL
I City/State/ZIP: SPRINGFIELD, OR 97477
I Suitelbldg.lllpl.n~.:
I Project Nllme:
1 C"" S,,,,,/iI;,,,,;o", to job ,;1<,
I. Tllxmllp/pllfcel no.:
mini split installation
'-
Name: Gal)' Priebe
Phone: 54].741-9888
I Email:
Fax;
I CCB lie. no.: 149452
I .1J<' 1....'" 11\ "'I' r 1~0""'''''''''''' ,...."/ requires you to
Business Name: EUGEt1.r;.';i~ATIl'!_G_~ COOLl,NG~OM.P~NY'.. _
I .~"....... . ............ ...........vt-'.c..u uy II Ie VJC8VI t VlllllY
Contact: I\Ir'\fifit"oti.......... ,....t"\.....~n.. Th,...",,,,, _. .1__ _ .._ _ _~ .L_~'
I Address: ]650NE LO~~@.P.?T952-001-0n1n t.hr~~J~-h-r;~R-a~~;_~'"'~~'~
I CHy/S""/Z", rORTOOfrOoR'~721 may obtain copies of the rules bv
I 'bo""'41-726,7654 calling me cer""r.54(!7;,c'6i7the telephone
I Email: IIUIIIUt:I~~~~l~ ~.e,:'~ e~~~l ....u...{~n.Y,...I~?tlTJcatlon
I Metro lie. no.: -.......-. 'Cir:li~;;o':': ........... ..........-r"'TJ.
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.
Description
II
_{'':;FEE,SCHEDU~E;;r-.~,-- ,
III Q~.
Ell.
HeaJPump
CI-_-
$]7,001,
I
h ~ ~:~ :,~.~ ,
$96.001,
$]].521,
$4.801
$112.321:
~ 11ool~
II
,I
III
IJ
$17,001
- ',",l; ~"::...!
I
I
I
I
1
I
PirSI App]iance Pee III I
~lE(;R~i:l,f~Kq~~!ffx~J!~'~~1z~'~;-c;~"'
Ii
II
II
$,-..
Subtotal
Stalesurehllfgt:(]2%ofpemlit
total)
Technology lee(5%ofpt:nnit
total)
TOTAL PERMIT FEE
C9- 116<1
'OOlH3d AIiO DB ~ ANIi
HOd 03NOONIi81i SI HO 03JN311\H'\IOJ
ION SIIlll\JH3d SIHI H30Nn 03ZIHOHlnli
>lHOM 3HI dl 3HldX3 llliHS llli\JH3d SIHl
:3::JIlON
.#
~~,ft'
'\::. '
\~~ .00....
\Y!v~ $/
/'\. ~~
I~.j'
NOTE: This Authori:zation To Begin Work ex;pires 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
This Authorization To Begin Work must be posted at the-job site until replaced by a Permit:'
Status
Issued
CITYi OF SPRINGFIELD
Ii
'I
Building/Combination Permit
j[ .
".
PERMIT NO: C,OM2009-01059
ISSUED: 07/22/2009
APPLIED: 07/22/2009
EXPIRES: 01/22/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
SITE ADDRESS: 1708 CARRIAGE PL
ASSESSOR'S PARCELNO.: 1703252110500
.,
Springfield TYPE OF WORK: Heating System
TYPE OF USE:
PROJECT DESCRIPTION: Installation of mini split heating system in residence
Residential
Owner: PRIEBE GARY M
Address: 1708 CARRIAGE PL
SPRINGFIELD OR 97477
I CONTRAC!OR INFORMATION'
Contractor Type
Mechanical
Contractor
EUGENE HEATING & COOLING
License
149452
Expiration Date
10/2212009
Phone
541-726-7654
BUILDING INF~RMATlON I
# of Units: ' # of Stories:
Primary Occupancy Group: Height of Strncture
Secondary Occupancy Group: Type of Heat:
Primary Construction Type Water Type:
Secondary Construction Type: Range Type:
# of Bedrooms: Energy Path:
. NTION. Oregon law requires y'SP.t.mkled Building:
ATTE . , " . ~.__M I ",ltl)(
f II rUles aUUfJ'~U VJ ...- - - .
o t~i~ation Center. Those ruli;:DElVJi!IWPM'ENT INFORMATION I
~oOAR 952-001-001 O~~~ui~~ ;;;~h'e~(ule~-bY
Frontyard S<Oback.:You may obtai Nofe. the telepP..l\e~lay Dist:
Side 1 Sethack:callmg the cen~r. (on Utility Notifi/l,StI;~t Trees Rqd:
Side 2 Sethack!IUmber for threiS ;~~00-332-2344). Paved Drive Rqd:
Rearyard Sethack: Cente % of Lot Coverage:
Solar Setbacks:
n/a
Lot Size:
II
Sq Ft I st Floor:
lr
Sq Ft 2nd Floor:
"~
Sq Ft Basement:
Sq Ft Garage/Carport
"
Sq Ft Other:
Occupant Load:
II
l'
I
REQUIRED PARKING
I PUBLIC IMPROVEMENTS I
Total:
, HiJilff1'.Cajlped'ifO 08 ~ AN\t
l:IOol 03NOON\<BliDlljl@ 03JN3Ii'JL"JOJ
ION SIIlli'Jl:I3d SIHIl:J30Nn 03Zll:IOHIn\t
)jt:JOM 3HI oll 3l:11CJX3 ll\tHS IllNt:J3d SJHJ
:3:JIlON
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
II
Downspouts/Drai,ns:
I!
Notes:
I Valuation DescriDtion I
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amonnt
Ii
Valne!:
Date Calculated
Paee 1 of 2
_~!lm~~I!:I~)
:~" ' , '
:/ :l~
CITYiI OF SPRINGFIELD
Building/CClmbination Permit
"
.
Status
Iss u ed
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PERMIT NO: COM2009-010S9
ISSUED: 07/22/2009
APPLIED: 07/22/2009
EXPIRES: I 01/22/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
Total Value of Project
Fees ~ai.d U
$11.52
$4.80
$79.00
$17.00
7/22/09
7/22/09
7/22/09
7/22/09
Recei~t Number
1200900000000000824
1200900000000000824
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1200900000000000824
1200900000000000824
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Fee Description
+ 12% StateSurcharge
+ 5% Technology Fee
1 st Appliance
Heat Pump
Amount Paid
Date Paid
Total Amount Paid
$1l2.32
I Plan Reviews I
To Request an inspection call the 24 hour recording at 726-3769. All inspections r~quested 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. '
I Reollired Tnsne,ctions I
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
By signature, 1 state and agree, that 1 have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and 1 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
thai NO OCCUPANCY will be made of any structure without permission of the Community Servic,es Division, Building Safety.
1 further certify that only contractors and employees who are in compliance with ORS 701.005 willi, be used on this project.
1 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
Date
1:,
,
Page 2 ofl
225 Fifth Street
. . .
Springfield, Oregon 97477
541-726-3759,Phone !
RECEIPT #:
.Job/Journal Number
COM2009-0 I 059
COM2009-01059
COM2009-0 I 059
COM2009,01059
Payments:
Type of Payment
ONLINE CHGS
cReceintl
Description
1st Appliance
Heat Pump
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
iiiel
1200900000000000824
Received By
KR
Page] of I
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City of Sprihgfield Official Receipt
Developmel.t Services Department
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Public Works Department
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Date: 07/2212009
JL
Check Number
Batch Number
Item Total:
Authorization
Number
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How ~eceived
ONLINE EUGENE Online
HEATING
&
COOLING
Ii
Payme.~t Total:
1 :59:47PM
Amount Due
79.00
17.00
4.80
11,52
$112.32
Amount Paid
$112.32
$112.32
7/22/2009