Loading...
HomeMy WebLinkAboutPermit Mechanical 2009-8-5 '. City of Springfield Mechanical Anthorization To Begin Work E-mailcdTo:wvosburg@automaticheatco.com 69600-BMC-09-00061 8/5/2009 3:43 pm Approval Code: 048918 Check on status uf permit By Phone: 541-726~3753 or ij:mail: permitcentcr@ci.springfield.or.us Qor, E., I D New Co~struction o Addition/alteration/replacement IDescriPtion 10 ] m 2 fwnily dwd];o, D Molt;,f",,;]y D Comm'~;" I Heat Pump DACCeSSOryB~i]djng $17_001 ,"1 I First Appliance Fee J' J I $79.001, 1~!~~_f!~IC~:\:~: p'E~~lli>F:~~~iJ:~':":~l~:;'-~ l~::z;f:;;t:_,:~iC:;':;.<1 I Subtotal $96.00 IStatesurChargC(12%OfPemlit. $11.52 tOlal) ITeChnOIOgy fee (5% of penn it tolal) I TOTAL PERMIT FEE $4,80 I Job Aildress: 727 GRANITE PL CityfState!ZIP: SPRINGFIELD, OR 97477 Suilefbldg./apt.oo.: Project Name: King SI12,321 Cross Street/directions to job site: C9 - \\38 .1L\2.. 81 V 109 1;::'P::=;,',J2!l~~ (L . .~l:~''''.4''//''':;' ~,,- dm:::r:~'C~;:~:7' ~j~)1DESCt:<IB:rI()NIOF,>WORKL~"~w.<::2'i%>,~~~~~'-:'~1 2 zone mini split I Name:ShonnaKing IPhone: I Email: ,-tnTIt"r'. ij~:~:~~~~;~!:~~~i~~F~'\~~^~~I~E~'~~it~~t~~~~! I VUIVIIVIl..I'\IVL..V JII IV I U I.C"'I. 1.:'. _. I Co."," "'1' 1'1^ ~ ^'( ~'r:ID" I Address: ]650 Nff3MB R:'IYSt'n I L.. I ..... I I Cit)'/StlltefZIP: PORTLAND, OR, 97211 I I j ..&-1sd;; ~~'V Fax; Phllne: 54].726-7654 Fax: 541-726-7657 ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center, Those rules are set forth in OAR 952,001-0010 through OAR 952-001- 0090. You may ob,tain copies of the rules by calling the center. (Note: the telephone number for the Oregon Utility Notification Center is 1-800'332-2344). Emai!: Metro lie. 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. ~~~ c..'~~ v~s NOTE: This Authorization To Begin Work expires w~hin 180 days if a permit is not obtalned_ , 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 This Authorization To Begin Work must be posted at the job site until replaced by a Permit, CITY: OF SPRINGFIELD Status Iss u ed I Building/C~mbination Permit PERMIT NO: C'OM2009-01138 ISSUED: 08/06/2009 APPLIED: 08/05/2009 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: 727 GRANITE PL ASSESSOR'S PARCEL NO,: 1703341213300 Springfield TYPE OF WORK: Hea~ing System TYPE OF USE: New PROJECT DESCRIPTION: Installation of a 2 zone mini split heating system in residence Residential Owner: KING DAVID W & SHONNA LYNN Address: 727 GRANITE PL SPRINGFIELD OR 97477 , I CONTRACTOR INFORMATION. Contractor Type Mechanical 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 I~t Floor: Sq Ft 2n,d Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occupa'nt Load: nla I DEVELOPMENT INFORMATION I ' ,_~_..:, S "()" NOTICE' ATTENTION: Oregon REQUlREIl PARiaNG . d ted bv Hie Oregon UlIIIlY F~ontyar<t~l?\'!'mMIT SHALL EXPIRE IF THE VlI!);~lQay Dist: follow rUI~SC~n~~r, Th[9!a,lille;; ~~e set forth SIde 1 Set~rf~.'JORIZED UNDER THIS PERMIT IsWfeet Trees Rqd: ~otlflcatl~2:_001,001Ot'ff.~}!,'II~apped952-001- Side 2 Settiacl{:' ONED FOd'aved Drive Rqd: In OAR 9 obtain Gompact: the rules by Rearyardf8QM:~~:NCED OR IS ABAND '1./0 of Lot Coverage: 0090" You may nter (N~te:the telephone Solar Setb'l.\Ws:180 DAY PERIOD. callmg ttef~e Or~gon Utility Notification number or ., .........--.. ...,~r) f)<:lAd\ I PUBLIC IMPROVEMENTS. \Jl::llll;;lll... Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk ,Type: DownspoutslDrains: Notes: I V aluation Descr~p,tion I D~scription Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value, Date Calculaied Paee 1 of 2 ~~~.~~-~-~!rI.~~:~t.:\,;;q1!i~\C::;'" 7' ,',' . Status Issued CITY OF SPRINGFIELD Building/C~mbination Permit , PERMIT NO: COM2009-01138 ISSUED: 08/06/2009 APPLIED: 08/05/2009 EXPIRES: 02/06/2010 VALUE: . 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees Paid I Fee Descriptiou + 12% State.Surcharge + 5% Technology Fee 1st Appliauce Heat Pump Amount Paid Date Paid Receipt Number $11.52 $4,80 $79,00 $17,00 8/6/09 8/6/09 8/6/09 8/6/09 1200900000000000885 1200900000000000885 i200900000000000885 1200900000000000885 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. Rellllired Insnections 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 hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be ~one in accordance with the Ordinances ofthe City of Springfield and the Laws of the State of Oregon pertaining to the wo'rk 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 a4dress is readable from the street, that the permit card is located althe 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 of 2 . 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009"01138 COM2009"01138 COM2009"01138 COM2009-01138 Payments: Type of Payment City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 1200900000000000885 Date: 08/06/2009 Description I st Appliance Heat Pump + 5% Technology Fee + 12% State Surcharge ONLINE CHGS ONLINE PERMIT CHGS Paid By cReceint 1 Received By KR Page 1 of 1 Item Total: Check Number Authorization Batch Number Number How Received ., ONLINE EUGENE Online HEATING & COOLING . Payme~t Total: ~l 8:07:09AM Amount Due 79,00 17,00 4,80 11.52. $112,32 Amount Paid $112,32 $112,32 8/6/2009