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HomeMy WebLinkAboutPermit Mechanical 2009-8-4 Mechanical Authorization To Begin Work' E-mailedTo:w\-.osburg@automaticheatco.com City of Springfield li:;\i1 ~:.~".j Check on status of permit 69600-BMC-09.000S8 8/412009 3:19 pm Approval Code: 030561 11:--' jJYj+ ',,;:..,~,,; _!i;j3!'i!;':;j;.lf. >~' ;,!.--:%;r,YPE~6F:w6RKr." .:~,; :;.-~ 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). .~ ~~.0' , ^"v ~V ~.()C\ ~.~ ~~ 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 :n:~~:~ ~, 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