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Home My WebLink AboutPermit Mechanical 2009-8-12 69600-BMC-09-00069 Mechanical Authorization To Begio Work E-mailedTo:lindsey@marshidlsinc.com Check on status of permit By Phone: 541-726-3753 or Email: permitcenter@cLspringfield.or.us . Ie o NewConstTUction o Addilionlalteration/replacl;:m~nl . . CA fEGORY:OF,CONSTRlJCtION~~C~ "'-... "'", o I or 2 family dwelling 0 Multi.f~mi1y 0 Commt;:Tcial - o AccessQI)' Building Job Address: 6721 B ST City/State/ZIP: SPRINGFIELD, OR 97478 SuiteJbJdg./apf.no.: ProjectName:wincbrenner I em' S""Vdim.,", to j,b ,it" 68,. ;t I Tn'p/p""I"" )n(l~~~A-\ r'A~) W<</:5~1A,~:ili;;'::~~~6ES~RIP:rlON'OF,~WCrRK~i,i.;;,.~~~t;:~:tZ;i '?1"'~~;~':')s inslallheatpumpandairhandler I Name; BRYCE W1NEBRENNER Phone: 541-746-1092 Fllx: I Email: I CCBkn".Ti,WQ SHALL EXPIRE I~ I Ht VVUKI\ I Bu'i","N'!~Ui;1~(<[~~iJ~!tlcUNDER THIS PERIVIII I~ NU I I Cu""", COMMENCED OR IS Al)ANUUNtU rUK I Add"", 41{qR~y,;jI[{suAY PERIOD, I City/State/ZIP: SPRINGFIELD, OR 974785620 I Phone: 541-747-7445 Fax:'541-741-0821 I Emltil: I Metro lie. 110.: City lie. no.: 8/12{.2009 9:45 am App_ro\lal Code: 015210 I Description I, Ilfil{~~g;fQ~~~g'apP~}ll~~~h\''':'~\? ~t ~ P1C<lll'urnp I j, II $17,001 lI\fiDiulum':Fe):C: - FE,",} ~ I Firsl Applillnce Fee I I. Iht.(:fl..\~tGAL:p~l!~nj~~~ES'''''.'.cc'i~< :",*'-; I Subtotal ISt<ltesurChllrgC(12%OfPennit total) ITeChnOIOgYfee(5%OfPermit total) !TOTAL PERMIT FEE $17.001 :1 579.001 ".":1 $96.00 $]1.52 54.801 SHl.3Z/' C9-ll55 :~ Blld.-jD9 ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001- 0090, You may obtain copies of the rules by calling the center., (Note: the telephone number for the Oregon Utility Notification Center is 1-800-332-2344), ~~. ~ 1,.6" 'fvf\; Upon review and approval by your local Jurisdiction, your permit will be e.mailed or faxed within one busine$s day, with instructions on how to schedule your,lnspection. NOTE: This Authorization To Begin Work expires 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 does not meet applicable land use laws and local ordinances ~1' ~~.. \}A This Authorization To BeghWork must be posted at the job site until replaced by a Permit, I---- Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01155 ISSUED: 08/10/2009 APPLIED: 08/1012009 EXPIRES: 0:2/12/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 6721 B ST ASSESSOR'S PARCEL NO.: 1702344104300: Springfield TYPE OF WORK: Heat,ing System TYPE OF USE: New, PROJECT DESCRIPTION: Electrical & Mechanical for HV AC equipment Residential Owner: Address: 6721 LLC 1040 TYINN ST STE 5 EUGENE OR 97402 'I CONTRACT.OR INFORMATION I Contractor Type Electrical Contractor RITE ELECTRIC License 178518 ,I, BUILDING INFORMATION I Expiration Date 09/24/2009 Phone 541-895-4466 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Constrnction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft 1 st Floor: Sq Ft ind Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft'Other: Occupant Load: jl n/a 1 DEVELOPMENT INFORMATION I NOTICE: ., TUE WOKl\ REQUIRED PARKlNG _ 'niT SHALL EXPIRE IF n . ATTENTION: oregon IctW ri:fYUlrso yuu:,v F1r6h~RfdQsetba\'tDER THIS PERMIT IS NOT Overlay Dist: follow rules adopte(fOt~"he Oregon UtlhtYh SidHIi's1tHJ[~ i'l S ABANDONED FOR , # StreetTrees Rqd: Notification Center. 'Han'dica!iped,e s"etfo~~_ SLd~!~ise1backD OR \ " Paved Drive Rqd: in OAR 952-001-001 fCo-mpact: OAR 9::>2~~ b R,;~jWar!JG'<3(jack':ER\OD, '% of Lot Coverage: 0090, You may obtain copies of the rul Y Solar Setbacks: . calling the center, (Note: the telephone ..'. __ ,__ .hn n~onrm I Itililv Nol1lrcatlon 1 PUBLIC IMPROVEMENTS I "~",. - Center is 1-800-332-2344). Street Improvements: Storm Sewer Available: Special Instruction: , Sidewalk Type: Downspouts/Drains: Notes: " I Valuation DescriDtion I .. .' Description Type of Construction $ Per Sq Ft or multiplier Sqnare Footage or Bid Amount Value Date Calculated Page 1 of 2 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-011SS ISSUED: 08/10/2009 APPLIED: 08/1012009 EXPIRES: 02/1212010 VALUE: 225 Fifth Street, Springfield, OR .541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Tot~1 Value of Project Fees Paid I Fee,Description + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 12% StateSurcharge + 5% Technology Fee 1st Appliance Heat Pump Amount Paid Date Paid Receipt Number $7.32 $3005 $55.00 $6.00 $11.52 $4.80 $79.00 $17.00 8/10/09 8/10/09 8/10/09 8/10/09 8/12/09 8/12/09 8/12/09 8/12/09 3200900000000000572 320Q900000000000572 3200900000000000572 3200900000000000572 1200900000000000911 1200900000000000911 1200900000000000911 1200900000000000911 Total Amount Paid $183.69 I Plan Reviews I To Request an inspection call the 24 hour recording at 726-3769. All inspections r~quested 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. I Reouired InslIections I 111111.1 Rongh Electric: Prior to Cover Final Electric: When all electrical work is complete. 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 hereliy certify that all information hereon is true and correct, and I 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 w';rk described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I furthcr 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 inspectioos are requested at thc proper time, that each ~ddress 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 times during construction. 1.' Owner or Contractors Signature Date Pa2e 2 of2 225 Fifth Street Springfield, Oregon 97477 54(-726-3759 Phone ' Job/Journal Number COM2009-01155 COM2009-01155 COM2009-0 1155 COM2009-0] ]55 Payments: Type of Payment ONLINE CHGS cReceintl RECEIPT #: Description 1st Appliance Heat Pump + 5% Technology Fee + 12% State Surcharge Paid By ONLINE PERMIT CHGS ......""'!.~!II. ~.~~_..ELO.. .iii. " ,....;... ,F "-.- .... . -". '. '-, ,I !A 1'TI ; ....... ' ,j - " ; "'.C_",,"h,,_ 'c' _,; .,....i" .. ."," City of Springfield Official Receipt Development Services Department Public Works Department 1200900000000000911 Date: 08/12/2009 Item Total: Check Number Authorization Received By Batch Number Number How Received KR ONLINE MARSHAL Online LSINC Payment Total: J Page I of I 10:36:IOAM Amount Due 79,00 17,00 4,80 11.52 $112.32 Amount Paid $] 1232 $112.32 8112/2009