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
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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"-
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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