HomeMy WebLinkAboutPermit Mechanical 2009-7-22
c,
€ity of Springfield
&P-FlINGp,laQ
~F ""'., ~ .-,,_,_
Mechanical Authorization To Begin Work
E-mailcdTo:wvosburg@automatiche~tco.com
69600-BMC-09-00038
II
7122/2009 2:02 pm
J~
Appro,'al Code: 0980 I 0
Check on status ?f permit
By Phone: 54] ~726.3753 :or Email: permitc~ntt:r@ci.springfield.or.us
I D New Construction 0
Addition/alteration/replacement,
10 I ",2 f.n;ly dwell;", D M"it;-fmn;ly
Dcornmercial
DACCeSSOryBlJilding
I Job Address: 2312 15TH ST
CiI)'1StlllcfZIP: SPRINGFIELD, OR 97477
SuiteJbldg.lllllt.no.:
Project Name:
I Cm" S""Ud;",.om to job ,;too
I Tax map/pllrcel no.: ~'1.
C> \bCV
2 zone mini split
I NanlC: Jan Neufeld
I Pbon'f~4!1<lf.l.f''I7' F,,,
1I,,~::;\~J~p~61::r_~~l~M~';;'l;,,;;:;r.:'~5- "I,J;jl::"W.,tRK' '~""''''C'n ..""e>',_
>,""Jlidl+lZJnDI.7"'r'I~'\~"""";"R'~HT~\,;r R,<;,.~::;~y,_,;ti.' ..~:;,~~~,j;;~f@
1 CCB"''"''I!~;:.'~~:=~ -:..'~u.~ . ~ 1<, t"'l::KIVII I IS NOT
I B"';nA'1,1\~!'<!'KGR'f.,~F:.'p\!,q'& &Iil{jIlIUWIJ.i;;LJ.. FOR
I - - _t.\ r~, .,DE;,
Contact:
I Address: [650 NE LOMBARD ST
I Cit)'/Stllte!ZIP: PORTLAND, OR 97211
J'hone: 541-726-7654 Fax: 541-726-7657
t:mail:
Metrolic,no.:
Cily lie. no.:
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.
" ,<., FEE'SCHE'OULE" .t," - .1
\:LT T""~"
::~:r~::;:!
..~~.. ,I
S79.001,
:;; .~>~']'];.o;~1
$13.561
$5.651
II I ,132.211
CC{ - tCJ-nO ~ L I ~dl
11
" I
I Heill Pump I ,I 111
IAirhandJingllnil .
1!\1.i~i!!!~_"LFees~O-:';;~~3ffillS;:LSK'!;'t\lT .~ '! ,~c
I First Appliance Fee I j~ l
~iECII'A"NIc~~j~j;),i:MU\f~ES/'[,':'~r/'2:~ ~~_.,'f"'<;'y ~
S u bIotal 1~
Sla(~ surcharge (12% of pen nil
total)
Technology fee (5% of permit
total)
TOTAL PERMIT FEE
Ii
. II
ATTENTION: Oregon law requires you to
follow rules adopt~d by the Oregon Utility
Notification Center. i: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 1-800-332-2344).
I
/
~:( rf\
~~ \O~
~.cf\
~.~~~
~
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
This Authorization To Begin Work m~st be posted at the jOb site until replaced by a permit:!
225.Fifth Street
Springfield, Oregon 97477
541 :.726-3759 Phone
Job/Journal Number
COM2009-0 1 060
COM2009-0 I 060
COM2009-0 1 060
COM2009-0 1 060
COM2009-0 I 060
Payments:,
Type of Payment
ONLINE CHGS
cReccintl
RECEIPT #:
2200900000000000835
Description
151 Appliance
Air Handling Unit Up to 10,000
Heat Pump
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
Ii
City of Sprihgfield Official Receipt
Developme~t Services Department
"
Public Works Department
II
,
,Date: 07/22/2009
"
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
KR'
Page I of I
, ,
ONLINE EUGENE Online
HEATING I,
&
COOLING
Paymept Total:
2:33:37PM
Amount Due
79.00
17.00
17.00
5.65
13.56
$132.21
Amount Paid
$132.21
$132.21
7/22/2009
Status
Iss u ed
elT\:: OF SPRINGFIELD
B 'ld' Ie II b' t' P .
Ul 109 om lOa IOn ermlt
II
PERMIT NO: COM2009-01060
ISSUED: 07/22/2009
APPLIED: 0:m2/2009
EXPIRES: 01122/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line.
SITE ADDRESS: 2312 15TH ST
ASSESSOR'S PARCEL NO.: 1703252201000
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
PROJECT DESCRIPTION: 2 zone mini split heating system in residence
Residential
Owner: NEUFELD JEANNETTE A
Address: 2312 N 15TH
SPRINGFIELD OR 97477
I CONTRACTOR INFO~MATION I
Contractor Type
Mechanical
Contractor
EUGENE HEATING & COOLING
License
149452
Expirati~n Date
IL
10/22/2009
I'
Phone
541-726-7654
I. BUILDING INFORM~TION'
# 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 2hd Floor:
Sq Ft B'asement:
, Sq Ft qarage/Carport
Sq Ft qther:
Occupant Load:
Ii
nla
I DEVELOPMENT INFORMATION' .
, . ' , REOUlRED PARKING
. ATTENTION: Oregon lal'freqUlres YUtrrn
Fronlyard Setback: Overlay Dist: follow rules adopted, lf9fal~ Oregon Utility
Side 1 Setback: # Street Trees Rqd:' Notification Center. ~rHandidappeil:setforth
Side 2 Setba~k: E" Pi1.vI~j{e Rqd: in OAR 952-001-0010,tIDimlliictlAR 952-001-
Rearyard Setb~~r:TIC . . S\-IJI,ll EXPIRE IF 1\?.Fo 6yoverage: 0090. You may obtain copies of the rules by
Solar Sethacks:T\-IIS PERM\1 ER 1\-11S PERMIT IS calling the center. ;lNote: the tele~hone
_ __. ~.....nI7Cf"\ \ INO _. \......... P"'o .__ .__..._~ .c:...... H......... ("'\..o,.,,.,,n Iltilihl f\jntlflcatlon
" '"'CuO~'ME.NCEO OR IS 1\\:\I-\\WuilUc' IMPROVEMENTS I ..-..- - Center is 1-800-332-2344).
^v PERIOD. . ,
Street ImproveD}(Ii~:180 0/"\1 , Sidewalk Type:
Storm Sewer Available:
Special Instruction:
Downspouts/Drains:
Notes:
I Valuation DescriDtion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee 1 of 2
Status
Issued
CITY OF SPRINGFIELD
:r
"
Building/Combination Permit
Ii
"
PERMIT NO: COM2009-01060
ISSUED: ' 0~/22/2009
APPLIED: O:?/22/2009
EXPIRES: 0'1/22/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line'
Total Value of Project
Fees Paid I
$13.56
$5.65
$79.00
$17.00
$17.00
7/22/09
7/22/09
7/22/09
7/22/09
7/22/09
Receipt Number
ji
2200900000000000835
2200900000000000835
2200900000000000835
2200900000000000835
"
2200900000000000835
1(
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Air Handling Unit Up to 10,000
Heat Pump'
Amount Paid
Date Paid
Total Amount Paid
$132.21
Plan Reviews ~
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!lbe made the following
work day. '
I Renuired Insnections 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 Ordinanc'es of the City of Springfield and the Laws of the State of Oregon pertaining to the w6'rk describcd herein, and
that NO OCCUPANCY will be made of any structure without permission of the Community ServitesDivision, Building Safety.
1 further certify that only contractors and employees who arc in compliance with ORS 701.005 willi be used on this project.
1 further agree to ensure that all required inspections arc 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 wiii remain on the site at all
times during'construction. ,I .
Owner or Contractors Signatnre
Date
Paee 2 of 2