HomeMy WebLinkAboutPermit Mechanical 2009-8-7
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City of Springfield
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Mechanical Authorization To Begin Work
E~mailed To: wvosburg@automatichcatco.com
69600-BMC-09-00063
8/7/2009 10:07 am
Approval Code: 060295
Check on status of permit
By Phone: 541-726-3753 or Email: pennitccnter@ci:springfield.or.us
I 0 New Construction 0 Addition/alteration/replacement
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$17.001,
$79.o~~1
Appliance Fee
$17.00
I Heat Pump
City/State/ZIP: SPR1NGFJELD, OR 97477
ISublotal
I State surcharge (12% of penn it
total)
I TeclinologY lee (5% of pennil
total)
I TOTAL PERMIT FEE
$96.00
$11.52
Job Atldress: 1792 ] ST
Suite/bldg,/apt.no.:
$4,80
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Project Name: Lind
$112.321,
CrossStreetltllrections tojobsite:
single zone lllini split
Name: Anna Lind
Phone: 541,747-8628
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CCBlic, no,: 149452
Business Name: EUOENE HEATING & CODLlNG COMPANY
City/State/ZIP: PORTLAND. OR 97211
Phone: 54]-726-7654
Fax: 541-726-7657
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Contact:
Address: ]650 NE LOMBARD ST
Emuil:
Metro lie, no,:
Citylic, no,:
Upon review and approval by your local jurisdiction, your permit will be
a-mailed or faxed within one business day, with instructions on how to
schedule your inspection.
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NOTE: This Authorization To Begin Work expires within 180 days if a
pennit is not obtained,
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 Auth~rjzation To Begin Work must be posted at the job site until replaced by a Permit!;
,
Status
Iss u ed
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01151
ISSUED: 08/07/2009
APPLIED: 08/07/2009
EXPIRES: 02/07/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1792 I ST
ASSESSOR'S PARCEL NO,: 1703362102200
Springfield TYPE OF WORK:
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Single zone mini-split
. Owner:
Address:
LIND ANNA M
1792 I ST
SPRINGFIELD OR 97477
Phone Nnmber: 541-747-8628
, I CONTRACTOR INfORMATION I
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 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements: Sidewalk Type: .
Storm Sewer Availa~~' ATTENDownspau~tDr'ains:equires you to
. --lIUYT r. f II
SpecIal InstructIOn: l:. 0 ,OW r~les adopted by the Oregon Utility
THIS PERMIT SHALL EXPIRE IF THE WORK Notification Center, Those rules are set forth
AUTHORIZED UNDER THIS PERMIT IS NOT in OAR 952-001-0010 through OAR 952-001-
('n~n~ni:~lri:f'I nD '" ^D^"f'ln~lI:n enD 0090: You may obtain copies of the rules by
- --.-- ~." "U"ltl~ lIre lIC;;IJll;::;I. \1'4Ult:. lllt::;! U~lepnOne
I Valuation Descriotion rtJmber for the, Oregon Utility Notification
, . I Center IS 1-800-332-2344),
$ Per Sq Ft Square Footage
or multiplier or Bid Amount
Notes:
ANY 180 DAY PERIOD,
Description
Type of Construction
Value:
Date Calculated
Pa2e 1 on
-~Il~~!'1Ie:.~! .
i~",' I
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2009-01l51
ISSUED: 08/07/2009
APPLIED: 08/07/2009
EXPIRES: 02/07/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees P~irl I
Fee Description
+ 12 % State Surcharge
+ 5% Technology Fee
1st Appliance
Heat Pump
Amount Paid
Date Paid
Receipt Number
$11.52
$4.80
$79,00
$17,00
8/7/09
8/7/09
8/7/09 '
8/7/09
1200900000000000888
1200900000000000888
1200900000000000888
1200900000000000888
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.
ReO\lired Insnectinns I
1111.111111111
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 aud all work performed shall he done in accordance with
,
the Ordinances ofthe 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 fnrther 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
ti".1es during construction.
Owner or Contractors Signature
Date
Page 2 of 2
225 Fifth Street
Springfield, Oregon 97477
541-726c3759 Phone
Job/Journal Number
COM2009-0 I ] 5]
COM2009-0] ]5]
COM2009-0] ]5]
COM2009-01 ]51
RECEIPT #:
Description
] 5t Appliance
Heat Pump
+ 5% Technology Fee
+ 12% State Surcharge
Payments:
Type of Payment ' Paid By
ONLINE CHGS
,
cReceintl
ONLINE PERM]T CHGS
City of Springfield Official Receipt
Development Services Department
Public Works Department
1200900000000000888
Date: 08/07/2009
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
nJm
ONLINE eugene htg Online
Payment Total: '
Page] of I
1O:26:43AM '
Amount Due
79,00
]7,00
4,80
,11.52
$112,32
Amount Paid
$112.32
$112,32
8/7/2009