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HomeMy WebLinkAboutPermit Mechanical 2009-8-6 City of Springfield Mechanical Anthorization To Begin Work E~mailed To: wvosburg@automaticheatco.com Check on status of permit By Phone: '541-726-3753 or I!:mail: permitcenter@ci.springfield.or.us 10 NeViConstruction o ,Addition/alteration/replacement 010r2familYdWelling o Multi-ramily D,commercial DAcceSSOJ)"Buildin~ Job Address: 1439 VERA DR City/Slate/ZIP: SPRINGFIELD, OR 97477 Suitclbldg.lapt.no,: Proj~~1 Name: Kephan Cross Street/directions to job site: Tax mllp/parcel no.: I Description II (eatingf(o~ling'8'pplia!lcesr IHeal Pump lAir handling unit I Firsl Appliance Fee I Subtotal !SlalC surcharge (12% of pen nil tOllll) ITCChnO]OgYfCC(S%OfPCfmit total) I TOTAL PERMIT FEE 3 zone mini split Name: Gwen Kephan Phone: 541-74'7-5922 Fax: Email: CCHlie.no,: 149452 Business Name: EUGENE HEATING & COOLING COMPANY Conta~t: Address: 1650 NE LOMBARD ST Cil)'/Slate/ZIP; PORTLAND, OR 97211 Phone: 54]-726-7654 }<'ax:541-726-7657 I!:mail; I MetTolic,no,: 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 exp!re,s 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 ~oes not meet applicable land use laws and local ordinances I ] '-"] ':\;.' ~ l\~~'V'cf\ '0 'SJ' ~ , ' 69600-BMC-09-00062 8/6;2009 6:58 am ApPfoval Code: 093336 t1 /'/1 ~1 -;. ., I ~. 1'79.00\ $]30,001 $15,60 $6,50 SI52,I01 ~6"- 9i~ ~~ 6J;n?OUp - '0//39 /l/Y/ ?/if/O 9 This Authorization To Begin Work must be posted at the job site until replaced by a Permit _S;R~',!'!"~~~"?~ . t ,. -:1) , Status Iss u ed CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01139 ISSUED: 08/06/2009 APPLIED: 08/06/2009 EXPIRES: 02/06/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726,3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: , 1439 VERA DR ASSESSOR'S PARCEL NO,: 1703243201001 Springfield TYPE OF WORK: Mechanical Only PROJECT DESCRIPTION: Three zone mini-split TYPE OF USE: New1 Residential Owner: KEPHART GWENDOLYN MARIE Address: 1439 VERA DR SPRINGFIELD OR 97477 Phone Number: 541-747-5922 I CONTRACTOR INFORMATION I , Contractor Type Mecbanical Contractor EUGENE HEATING & COOLING License 149452 Expiration Date 10/22/2009 Phone 541-726-7654 BUILDING INFORMATION I # 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 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: 1, Occup~nt Load: n/a I DEVELOPMENT INFORMATION I Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: 1 REQUIRED PARKING 'Total: Handicapped: Compact; , Street Improvements: r..n.....ti~ . Storm ISe.w.erL~.!~I1a ble: SpeciaPM,tr;uE1\?v?ir SHAL AUTHOR/ L EXPIRE IF THE WORK NotesCOMMEN ZED UNDER THIS PERMIT IS NOr ,..., '. CEO OR IS ABANnmu:n en" ..,,, 'UlI UfIY t-'tHIOD, I PUBLIC IMPROVEMENTS I , -''''hi' f.1maon law requires you to ATTENSiilewa11i Type: y the Oreoon Utility 10llow rules adoPldU, ~..~ -,<Jles a~e setlorth Notlflcat~~~_n~poutslDrams, OAR 9C?001- , AR 952.001-0010 through ,0_ ' 10 0 obtain copies of the rules by 0090" You may (I~ote: the telephone callmg the chentoer, gon Utility Notification number for t e re__...:,r\,.,n 1)1)11/1\ .verut::l 10:> I v....._.,__ I Valuation DescriDtion I Description TVDe of Construction $ Per Sq Ft or mnltiplier Square Footage or Bid Amonnt Value! Date Calculated " Paee I 01'2 . Status Iss u ed 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fee'..~aid 1 Fee Description + 12% State Surcharge + 5% Technology Fee 1st Appliance Air Handling Unit Up to 10,000 Heat Pump Amount Paid Date Paid $15,60 $6,50 $79.00 $34,00 $17,00 8/6/09 8/6/09 8/6/09 8/6/09 8/6/09 Total Amount Paid $152,10 I Plan Reviews .1 CITY OF SrKll~GFIELD Building/Combination Permit PERMIT NO: COM2009-01139 ISSUED: 08/06/2009 APPLIED: 08/06/2009 EXPIRES: 02/06/2010 VALUE: Receipt Number 2200900000000000884 2200900000000000884 2200900000000000884 2200900000000000884 2200900000000000884 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. willibe made the following work day. ,I Reollired Tn,nection., I. 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 h~reby certify that all information hereon is true and correct, arid 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 that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety, 1 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 aadress is readable fmm 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. I Owner or Contractors Signature Pa2e 2 of 2 Date 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-01139 COM2009-01139 COM2009-01139 COM2009-0 1139 COM2009-01139 Payments: Type of Payment ONLINE CHGS cReceintl RECEIPT #: 2200900000000000884 Description ,1st Appliance Air Handling Unit Up to 10,000 Heat Pump + 5% Technology Fee + 12% State Surcharge City of Springfield Official Receipt Developme!1t Services Department Public Works Department Date: 08/06/2009 Item Total: Check Number Authorization, Received By Batch Number Number How Received Paid By ONLINE PERMIT CHGS njm Page I of I ONLINE eugene htg Online Payment Total: 8:49:I2AM Amount Due 79,00 34,00 17,00 6,50 15,60 $152,10 Amount Paid $152,10 $152,10 8/6/2009