HomeMy WebLinkAboutPermit Mechanical 2009-8-20
.City of Springfield
\~"~flm:J),
f,:"-:--'
Mechanical Anthorization To Begin Work
E-mailedTo:wvosburg@automaticheatco.com
Check on status of permit
By Phone: 541-726-3753 or Email: perrnilcenter@ci.springfield.or.us
10 New Construction
o Addition/alteration/replacement
I Description
I i leaHftg.rC?~4~i'liPPlillnce~.
IHentPump
Air handling unit
\0 ',,2f=i1ydw,II"g
'c:~."~<t'~~1
OA,,,,;o'l'B'ild'" ,I
o MUlti-family 0 Commercial
First AppJiilnceFee
I Job Address: 1512 YOLANDA AVE
I City'Stllt~fZIP: SPRINGFIELD, OR 97477
I SuifelbldgJapt.no.:
I Project Name: Bass/Richter
1 C'"" 5,,,,,ld',,,.,., to j,b ,it"
I TlIxmap/parceloo.:
Subtotal
State surcharge (12% of pennit
tota])
Technolo!:''Yfee(5%ofpermit
total)
TOTAL PERMIT FEE
69600-BMC-09-00087
8/20/2009 1 :30 pm
ApPTo,'atCode: 054193
QIy,
I '79001
~T;:;;i:f~iJ:.-,~.;-.~f~'1
$130,001
5]5.601
56.501
$152.101,
C}1-\O~ \<:XL
~ ( (}O( 011
3 zone mini split install
I Name: Judy Richter
I Phone: 541-747-]438
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 "001 0 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),
Em.'" NOTI
CCBlic.no.: ]4945AIITWnOI7!:n IIt\lnCD TUIC' DCOfllllT IC' I\If"\T
I Business Name: E~f~W/n~,:T!~p~ i;~OPk!ilCf~o~~jJffi ~ n ~I.~.~ .!:n -0. - -
I c,,,",,, 8~IV 1 Rn n~v DI'Rlnn
I Address: ]650 NE LOMBARD $T
I City/Stille/ZIP: PORTLAND, OR 972]]
I Phone: 54]-726-7654 Fax: 541-726c7657
f Emllil:
I 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.
~
'" ,,~~ "v.oC/'.
\Y \\)!\,
NOTE: This Authorization To Begin Work expires within 180 days if a
pef1!lit is not obtained.
The local building deparbnent may determine that an Authorization To
Begin Work is null and void if it does not meet applicable land use laws
and local ordinances
~d\
If:Jfi>. \ ~
~cf<
\j-
This'Authorization To Begin Work must be posted at the job site until replaced by a Permit"
_ '1BI'!~!lI~C!II!l~~t~~'l,,"~I""
':~f, '".'" ":;:,,,":,'~"";nf".
Status
Iss u ed
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01221
ISSUED: 08/20/2009
APPLIED: 08/20/2009
EXPIRES: 02/20/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
SITE ADDRESS: 1512 YOLANDA AVE
ASSESSOR'S PARCEL NO:: 1703243303200
Springfield TYPE OF WORK: Heating'System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: 3 zone mini split installation in residence
Owner: RICHTER JUDY M
Address: 1512 YOLANDA AVE
SPRINGFIELD OR 97477
Phone Number: 541-747-1438
I CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Contractor
EUGENE HEATING & COOLING
License
149452
Expiration Date
10122/2009
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 GaragelCarport
Sq Ft Other:
Occupant Load:
nla
NU II\';~' , .
. ,I DiYP"tMlMENT lNFORMATION'['~TION: Oregon law requires you to
THIS PERMIT SHALL EXPIRE Ir "'~ H'_! ,I, ' follow rules adopted W:!:l,IJI.MgtP.A'!~:K'I!'IG
F'rontyar~l)~HOR!ZED UNDER THIS PERMIT IS ~ge~lay Dist: Nolification Center, T~f6ta[!jles are set forth
S'd I S ~f)V~l~CED OR IS ABANDONED FOR' St t T R d in OAR 952-001-001 0 tHh'()ud'lh OARd952-001-
lee ac..: ''II ree rees q: , an Icappe: I b
Side 2 Seili~~k:180 DAY PERIOD, Paved Drive R d: 0090" ,You may obtamc~Rle~c'(! me ru es y
, 0 q, callmg the center, (l~uleP lll~ telephone
Rearyard Setback, Yo of Lot Coverage. number for the Oregon Utility Notification
Solar Setbacks: Center is 1-800-332-2344),
I PUBLIC IMPROVE~ENTS I ' ,
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type: ,
Downspouts/Drain~: .
Notes:
I Valuation Descriotion I
Description
Type nf Cnnstruction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value-
Date Ollculated
Paee I 01'2
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
'541-726-37691nspection Line
Total Value of Project
Fees Paid'
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Air Handling Unit Up to 10,000
Heat Pump
Amount Paid
$15,60
$6,50
$79.00
$34,00
$17,00
Total Amount Paid
$152,10
I Plan Reviews I
Date Paid
8/20/09
8/20/09
8/20/09
8/20/09
8/20/09
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01221
ISSUED: 08/20/2009
APPLIED: 08/20/2009
EXPIRES: 02/20/2010
VALUE:
Receipt Number
1200900000000000957
1200900000000000957
1200900000000000957
1200900000000000957
1200900000000000957
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 Reouired TnsnectionsJ
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete,
By signature, 1 state and agree, that 1 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 ofthe Community Services Division, Building Safety,
1 further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
1 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 Signatnre
Paee 2 of2
Date
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
\.
City of Springfield Official Receipt
Development Services Department:
Public Works Department
Job/Journal Number
COM2009-01221
COM2009-0122I
COM2009-01221
COM2009,01221
COM2009-01221
Payments:
Type of Payment
ONLINE CHGS
cReceint I
RECEIPT #:
Date: 08/20/2009
1200900000000000957
Description
1st Appliance
Air Handling Unit Up to 10,000
Heat Pump
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
Item Total: '
t.:heck Number Authorization
Received By Batch Number Number How Received
KR ONLINE EUGENE Online
HEATING
&
COOLING
Payment Total:
Page 1 of 1
1:40:12PM
Amount Due
79,00
34,00
]7,00
6.50'
15,60'
$152,10
Amount Paid
$152,10
$152,10
8/20/2009