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Home My WebLink AboutPermit Mechanical 2009-8-5 City of Springfield iIr f~~~7;.~i.-;~'.;'-c ;l ", -);.' ._.,"'.::tt"='''-~',5' ~_.~.f' '~k,."c",,: 69600-BMC-09-00060 Mechanical Authorization To Begin Work E>mailed To; wvosburg@automatichcatco.com 8/5/2009 8:06 llln Appro\'ol Code: 033014 Check on status of permit 1;-_ .,=-;:eO .~_~ _,":'~:'~"'?;;'.__ >J-:::t.;:TYPE.OF'WORKt>"'~:- ." ~ . ^' By Phone: 541.726-3753 or Email: pcrmitcenter@cLspringficld.or.us I "' .", ,~, TO'''; ~"I -'/ - $17.~;1 $17,001 ~;.~ -.. . $79.~;j, Sll;~;~:1 $13.56 .# #<~ofJ'--.. ~f!{J \~1'0 I D NcwConstruction o Addition/alteration/replacement I,,',' , fto<'~. Y,,;; CATEGORY OF'CONSTRUCTION -'::-.-=. o ] or 2 family dwelling D Multi-family D Commercial DACCCSSOryBUildillB .~~~ ",-c; 6'-JOB'SiiE INFORMATION ANO'LOCATION ",.. I Job AlIdress: 1023 DIXIE DR I City/Stat~ZIP: SPRINGFIELD, OR 97478 I Suite/bldg.lapt.no.: I Project Name: Anderson I C"'" S""ud;",ho""o job ,;." I Tax map/parte! no.: 1~~~;.di'1h:~:~'h:~DESCRIP_TION:6F.iwo'hRK">f<;f;E. 1)' -<:r"" . "-c ~ 2 zone mini split I--c':::...>..~~." ilSITECONTACT, .....i'" I Name: Dolores Anderson I Phone: 541.746-8788 I Emai!: l<'llX: .(J...1.........,_..,........._"l"\n_1 C:>I 101110f"\ ,. L~.,ijf;)lP'1ril;'l';CO-NfRAc:TORAj~ai::~;'ll. .1()i'-'fi4(1IJJnlL~ ' 1 CCB ,I<, "0,' 149452 aUOudalal aUI :aION) 'Jaluao aUI BUllIsO I Businm Nllme: EUGENElHEAtjN<i&'~Q6LI~dG6MPl\~Y1qO ^aw nOA '0600 I Conta~l: - ~UU-~_~_b _t1.y~_ 4~t ~U::H U ~uu- ~UU-.~~.~._t!y~_~: I ...+................. ........ ........1'... ............'1.1. ~~t~~'-' --:t........:t:t....,'1 AddNSS: 1650NE LOMlf1ft-Rfi.T,tnRo Ir"\ 0'" ^,., nOlr!nnn C'Olnl AAnlln' I City/Slate/ZIP: PORTLAci~:,q6J~7t.UJltlbaj MEI 'uo5aJr1 :r-.lnll f\1':J I 1'rI I Phone: 541-726.7654 I<'ax: 541-726-7657 I":mail' I Metrolic.no,: City lie. no.: Upon review and approval by your local jurisdiction, your permit will be e-mailod or faxed within one business day, with instructions on how to schedule your inspection. NOTE: This Authorization To Begin Work expires "":ithln 180 days If a permit is not obtained. The local building department may determine that an Authorization To Begin Work is nuli and void if It does not meet applicable land use laws and local ordinances ~' ~ , ,,-". .:~EEESCHEDUlE',", I Q,y, I 'I IVe~criptiun IUcatingfcoolinguppli;iiicc5 . I Hell! Pump IAirhlUldJingllnil 1~1inimu~f:c'eii' I First App]iance Fee lJ\lJ.:CHANICAl PER~1TTn:f;S ISllbtotal I Slate surcharge (12% ofpennil lolal) I Techno]ogy fee (5% ofpemllt total) . I TO; AI. PERMIT FEE SIl2,zd, ,. '" :1 $17.001 $]7.00 =l.. '.J~"'- -'__"r $5.65 I "'.'1' '<", CPF\~ \de ~Icol~ 'I I I 1 .:1 1 I I I I 1 I 1 NOTICE: THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. ~~~ <(;\d~~ ~~ This Authorization To Begin Work must be posted at the job site until replaced by a Permit CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01131 ISSUED: 08/05/2009 APPLIED: 08/05/2009 EXPIRES: 02/05/2010 VALUE: Status Issued 225 Fifth Street, Springfield, OR ,541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1023 DIXIE DR ASSESSOR'S PARCEL NO.: 1802052408000 Springfield TYPE OF WORK: Heating System TYPE OF USE: New PROJECT DESCRIPTION: 2 zone mini split heating system in residence Residential Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: NOTICE: I PUBLIC IMPROVEivi~NTS'IMIT SHALL EXPIRE IF THE WORK ..~ . "V, "ZED U:~IDE~ Tf!J~ PERMIT IS NOT COMMENCED LJ~eis kS-ANDONED FOR ANY 180 DAY remUrP.utslDrai?s: , Owner: ANDERSON DOLORES L Address: 1023 DIXIE DR SPRINGFIELD OR 97478 I CONTRACTOR INFORMATION I Contractor Type Mechanical License 149452 Contractor EUGENE HEATING & COOLING I BUILDING INFORMATION I . (lili8C:-C:88-008- ~ 5! Jaluao # of Units: UO!IB:J!I!ION Al!I!ln uoBa.lO a41 JOI .IaqUkoJ Stories: Primary Occu'paiic'yl,Gi'oiIp::ajON) 'Jajua:J a41 BU!llHeight of Structure Secondar/0c'CU'pancy,Grofip:0:J U!BjqO ABW no" 'O):p.!' of Heat: Primary cclns'ti'uciioiitf'yp~nOJ41 0 ~OO- ~OO-C:961:l\1\y,:U~r Type: Seconda~0\\~fr'l.f'tionCTyi>e,,041 'Jajuao UO!lB:J!.R:iilge Type: # of Bedroo^rt/~!n uoBa.lO a41 Aq paldopB SalnJ MCFiiiergy Path: 01 noil 5aJ!nba.l MBI uoBaJO :NOl1N31Sjll-inkled Building: n/a I DEVELOPMENT INFORMATION I Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: I Valuation Descrintion I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Paee I of 2 Phone Number: 541-746-8788 Expiration Date 10/22/2009 Phone 541-726-7654 Lot Size: Sq Ftl st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: ' REQUIRED PARKING ,Total: Handicapped: Compact: Value Date Calculated Status Issued CITY OF ~rKINGFIELD Building/Combination Permit PERMIT NO: COM2009-01I31 ISSUED: 08/05/2009 APPLIED: 08/05/2009 EXPIRES: 02/0512010 . VALUE: 225 Fifth Street; Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees Pairl I Fee Description + 12% State Surcharge + 5% Technology Fee 1st Appliance Air Handling Unit Up to 10,000 Heat Pump Amount Paid Date Paid Receipt Number $13.56 $5.65 $79.00 $17.00 $17.00 8/5/09 8/5/09 8/5/09 8/5/09 8/5/09 1200900000000000882 1200900000000000882 1200900000000000882 1200900000000000882 1200900000000000882 Total Amount Paid $132.21 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 Re{)lIirerllnsnection~ Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. By signature, I state and agree, that 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 shalfbe 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 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 Date Paee 2 of 2 225 Fifth ,Street Springfield, Oregon 97477 541-726-3759 P~one Job/Journal Number COM2009-0 113 I COM2009-0 113 I COM2009-01131 COM2009-0 1131 COM2009-0113] Payments: Type of Payment ONLINE CHGS cRcceiot I RECEIPT #: ~ ^","---'- --' ,----',-- ..' , 1200900000000000882 Description I st Appliance Air Handling Unit Up to 10.000 Heat Pump + 5% Technology Fee + ]2% State Surcharge Paid By ONLINE PERM]T CHGS City of Springfield Official Receipt Development Services Department Public Works Department Date: 08/05/2009, Item Total: <":heck Number Authorization Received By Batch Number Number How Received KR Page I of I ONLINE EUGENE Online HEATING & COOLING Payment Total: 8:26:06AM Amount Due 79,00 17,00 17,00 5,65 13,56 $132.21 Amount Paid $132,21 $132.21 8/5/2009