HomeMy WebLinkAboutPermit Mechanical 2009-8-4
Mechanical Authorization To Begin Work'
E-mailedTo:w\-.osburg@automaticheatco.com
City of Springfield
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Check on status of permit
69600-BMC-09.000S8
8/412009 3:19 pm
Approval Code: 030561
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By .)hone: 541-726-3753 or Email: permitccntcr@ci.springfield.or.us
I D New Construction 0 Addilionlahcrationlreplllcemenl
L'f;'CATEGORy'OF'CONSTRUCTI()N"" '~;;", :..t~n
10 ] or 2 family dwelling o Multi.family 0 Commercial o Accessory Building
I&:. -~~,'~j'~of3":SITE'INF.ORMATf()NANDiOCATION'~;;:fi: %. A_T..
I Job Address: 1707 1ST
I City/Stllfc/Zn>: SPRINGFIELD, OR 97477
I Suittlblde.lapt.no.:
I Project Nllme: Brooks
I C"" S,,,,ud;,,";o.'" j.b ,h"
I Taxmapfpllfcelno.:
1'~2'?~~L"'Yti=",!~-.~'i.~tfESCRI'PTIO'N'OF:WOR.0t~r'_~:;"tt;}"-',h.
mini split install
1#;." ,_.-';,S'ITE.COr'lTACr-"", ,_ ,"
I N,md= B,"~"'OTIGt: - ,- - ~'''JC''W
Pbo.d41-74114dilS PERMII :;HI\LF.,\:^t"~n~ If ,.l,:.[.~' ;--~..
I Em,;I, AUTHORIZtU UNUtti I n,,)!~~,r('~~Jr~L T
I. - ',~"HGOMM ENGtUc.lcotlffifle"oRUU "J,;) .' ':-')~:'"
CCBI;" on,' 14l4.NY 180 DAY PtKliJU.
Business Name: EUGENE HEATING & COOLING COMPANY
Contact:
I Address: ]650 NE LOMBARD ST
City/State/ZIP: PORTLAND, OR 97211
I Phone: 541-726-7654
I Email:
I Metro lie. no.:
Fax: 54]-726-7657
City 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.
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
loescriPtion
Illcati~gjcoolinta'"ppliimce~
IHeatPump
IMioimuml"ees;z ""-';"'^""f::"J-
(First Appliance Fee
IJ\lECIIANicAL~PERMl"t FEES j;W
., '" ,,-- --- ' ,~,
ISubtota]
IStllte surcharge (]2% of pen oil
IUlal)
j E,_
I
'~ 'I
1
I
I
I
I I Technology fee (5% ofpennit
I total)
I TOTAL P~:RMIT FEE
I cq - \ \d.~
I
'-.1
-:.' i ..i.FEE,SCHEDULEC
I Qly, I
',,," ;'..
Ea,
Tolal
:; $17.00'/
',o ~~-'I
$79:001
$96.00
$]1.52
:':'......$.);,.
I
""+"'>~
II
$17,00 (
V2."
-\~"
$4,80
$112,32
\& 8\5\09
ATTENTION: Oregon law requires you to
foUow rules adopted by the Oregon Utility
!'Jotlflcatlon Center. Those rules are set forth
m OAR 952-001-0010 through OAR 952-001-
0090., You may obtain copies of the rules by
caUmg the center. (Note: the telephone
number for the Oregon Utility Notification
Center IS 1-800-332-2344).
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This Authorization To Begin Work must be posted at the job site until replaced by a Permit
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01128
ISSUED: 08/05/2009
APPLIED: 08/04/2009
EXPIRES: 02/05/2010
VALUE:
225 Fifth Street, Springfield, OR
54]-726-3753 Phone
54]-726-3676 Fax
54]-726-3769 lrispection Line
SITE ADDRESS: 1707 I ST
ASSESSOR'S PARCEL NO.: 1703362]05300
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
'PROJECT DESCRIPTION: Mini split heatin system installation in residence
Residential
Owner: BROOKS PAMELA J
Address: 1707] ST
SPRINGFIELD OR 97477
Phone Number: 54]-74]-8600
I CONTRACTOR INFORMATION.
Contractor Type
Mechanical
Contractor
EUGENE HEATING & COOLING
License
]49452
Expiratiou Date
] 0/22/2009
Phone
54]-726-7654
BUILDING INFO~MA TION I
# ofDnits:
Primary Occupancy Group:
Secondary Occilpancy 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 ist Floor:
Sq Ft 2pd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occnpant Load:
n/a
. I DEVELOPMENT ]NFORMATION .
,~,OT'CE: HALL EXPIRE IF THE WORK
Front yard Setb~[kpERMIT S NDER THIS PERMITQ2-eNWDist:
Side] SetbackUTHORIZED U, ONED p~eet Trees Rqd:
Side 2 Setbac\<;:QMMENCED OR IS ABAND Paved Drive Rqd:
Rearyard Setback:180 DAY PERIOD. % of Lot Coverage:
Mill I
Solar Setbacks:
. REQUIRED PARKING
ATTENTION: Orego~ !-Po!:fl,quires youto
f II ru'les adopted,tH" 'hG,()rAn"d'! Ul1l1ty
o ow ,. anUlcappe. t f th
Notification Center. Th~on'i\\\lc<t:"re se or
in OAR 952-001-001 0 throug'fi uAR 952-001-
0090. You may obtain copies of the rules by
MII;n~ IrA rAnter. (Note: the telephone
I PUBLIC IMPROVEMENTS I number for the Oregon UtllllY IWllIl"""U"
Center is 1-800-332-2344).
Sidewalk Type:
Street Improvements:
Storm Sewer Available:
Speciallnstrnction:
Downspouts/Drains:
I
Notes:
I Valuation Descriotion I
Description
Type of Construction
, ,
$ Per Sq Ft
or multiplier
Sqnare Footage
or Bid Amonnt
Value
Date Calculated
Paee ] of 2
L,1l1' VI' ~ndNGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01128
ISSUED: 08/05/2009
APPLIED: 08/0412009
EXPIRES: 02/0512010
VALUE:
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-367,6 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees Paid I
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Heat Pump
Amount Paid
Date Paid
Receipt Numher
$11.52
$4.80
$79.00
$17.00
8/5/09
8/5/09
8/5/09
8/5/09
1200900000000000881
1200900000000000881
1200900000000000881
1200900000000000881
Total Amount Paid
$112.32
I, Plan Reviews I
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.
I Reouired 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 herehy certify that all
information hereon is true and correct, and 1 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
that NO OCCUPANCY will be made of any structure withoul'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 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 will remain on the site at all
times during construction. .
Owner or Contractors Signature
Date
Page 2 of2
225 Fifth Street
Sp'ringfield, Oregon 97477
54i-726-3759 Phone
Job/Journal Number
COM2009-01128
COM2009-0 1128
COM2009-0 1128
COM2009-01128
Payments:
Type of Payment
ONLINE CHGS
cReceint I
RECEIPT #:
Description
I st Appliance
Heat Pump
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
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City of Springfield Official Receipt
Development Services Department
Public Works Department
1200900000000000881
Date: 08/05/2009
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
KR ONLINE EUGENE Online
HEATING
&
COOLING
Payment Total:
Page 1 of 1
8:01:50AM
Amount Due
79,00
17,00
4,80
11.52
..)11~.jl
Amount Paid
$112.32
$112.32
8/5/2009