HomeMy WebLinkAboutPermit Mechanical 2009-8-21
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Status
Iss u ed
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01226
ISSUED: 08/2112009 '
APPLIED: 08/20/2009
EXPIRES: 02/2112010
VALUE:
225 Fifth Street, Springfield, OR
541-726"3753 Phone
~4 1 -726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 167 V ST
ASSESSOR'S PARCEL NO,: 1703262204015
Springfield TYPE OF WORK: Mechanical Only
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Mini-split
Owner: JOHNSON-SANDS VERNA MAE TE
Address: 167 V ST
SPRINGFIELD OR 97477
Owner: VERNA MAE JOHNSON-SANDS TR
Address: 167 V ST
SPRINGFIELD OR 97477
Phone Number: 541-988-1171
I 'CONTRACTOR INFORMA TION 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 1'1 I sl 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:
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Street Improvements:
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Storm Sewer Available'CE
Special InstructiJ~!-l11 :
I HIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD, \S$\{.cf')
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Notes:
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Uli: OF SPRINGFIELD
Building/Combination Permit
Status ,Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
PERMIT NO: COM2009-01226
ISSUED: 08/21/2009
APPLIED: 08/20/2009
EXPIRES: 02/21/2010
VALUE:
I Valuation Description I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
Fees Paid I
11..ii
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
8120109
8120109
8120109
8120109
1200900000000000958
1200900000000000958
1200900000000000958
1200900000000000958
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.
I, Re9uired Insnectionsj
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 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;
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 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
times during construction.
Owner or Contractors Signature
Date
Page 2 of2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-01226
COM2009-0I226
COM2009-0 1226
COM2009-0 1226
Payments:
Type of !,ayment
ONLINE CHGS
cReceintl
RECEIPT #:
Description
1st Appliance
Heat Pump
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
City of Springfield Official Receipt,
Development Services Department
Public Works Department
1200900000000000958
Date: 08/20/2009
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
NJM ONLINE EUGENE In Person
HTG
Payment Total:
Page I of I
3:03:12PM
Amount Due
79,00
17,00
4,80
11,52
.:).J"",.,)1
Amount Paid'
$112,32
$112,32
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8/20/2009