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