HomeMy WebLinkAboutPermit Mechanical 2009-8-20
,.
City of Springfield
Mechanical Authorization To Begin Work
E-mailedTo:wvosburg@aulomalichcatco.com
69600-BMC-09-00088
8/20/2009 1:51 pm
Approval Code: 065053
Check on status of permit
By Phone: 541-726-3753 or Email: permitcenter@ci.springfidd.or.us
Appliance Fee
'1ll,ool
$13.561
$5.651
s132.211.
I D NewConstruction
o Addition/alteration/replacement
10 1o<2f=ilydw,lIio. DM,hi-f=iIY D ~o~"'i'l
DAccessorYBllilditig
)HeatPunip
lAir ha:ndling unit
I Job Address: 670 WOODCREST DR
I City/State/ZIP: SPRINGFIELD, OR 97477.
I Suite/bldg.lapt.no.:
I ProjectName:leyson
I cm"""""di"',"'"' to j,b ,it"
I Subtotal
Istate surcharge (12% of pen nil
total)
,I Technology fee (5% of pen nil
total)
ITOTAL PERMIT FEE
I T.m,I"",I.., \l)O~\~, ()~4\ro
l;fT~-~ft0:~4ffut:;;:#h;'~DEsc-Rfp..T{oNtoF!wo'"R'"K~I:m~ff~;~_-~'€~0ft^St~
2 zone mini split
Cq - \ 66d l6G B\ dO 1 D9
I Name:heberty]eyson
Phone: 54]-726-5]30 Fax:
Em.i" NnTIf'J:.
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),
I CCB lie. no.: 149452 .~.0:~~~~2T~~ ~~!~~n T-!:€: rtJ1~.~!T !g ~!~T
'I Business Name: EUG~~,,~~!!~~tt~~L~~C~]:I\~~.~![,'2~~:r: Fr~
Contact: AI\IV iOn nAV rJCDlnn
I Address: ]650NELOMBARnS';": :.:.... . -. .r'::",
I City/State/ZIP: PORTLAND, OR. 97211
I Phone: 541-726-7654 Fax: 54]-726-7657
Email:
J\.1etrolic. no.:
City lie. no.:
Upon review and approval by your local juriSdiction, your permit will be
e-mailed orfaxed within one business day, with instructions on how to
schedule your inspection.
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
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NOTE: This Authorization To Begin Work expires within 180 days if a
pennit is not obtained.
This Authorization To Begin Work must be posted at the job site until replaced by a Permit
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01222
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
541-726-3769 Inspection Line
SITE ADDRESS: 670 WOOD CREST DR
ASSESSOR'S PARCEL NO,: 1703341302400
Springfield TY.PE OF WORK: Heating System'
TYPE OF USE: New
PROJECT DESCRIPTION: 2 zone mini split heating system in residence
Residential
Owner: LEYSON HERBERT E & NANCY M
Address: 670 WOOD CREST DR
SPRINGFIELD OR 97477
Phone N nmher: 541-726-5130
I CONTRACTOR INFORMA T10N .
Contractor Type
Mechanical
Contractor
EUGENE HEATING & COOLING
License
149452
Expiration Date
10/22/2009
Phone
541-726-7654
BUILDING INFORMATION'
,# of Units:
Primary Occnpancy Gronp:
Secondary Occnpancy Gronp:
Primary Construction Type
Secondary Constrnction Type:
# of Bedrooms:
# of Stories:
Height of Strnctnre
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Bnilding:
Lot Size:
Sq Ft I st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
REQUIRED PARKING
Front yard Sethack: Overlay Dist: Total:
Side I Setback: #Street Trees Rqd: ATTENTION' Oregon M~."~JI:.'tP.P~.I':fOU to
Side 2 Setbac!<::OTICE: . Paved Drive Rqd: follow rules adopted t.<yompaSfbgon Utility
Rearyard Set\'r,~!s: PERMIT SHALL EXPIRE IF TH:O/oV'dCeJl Coverage: Notification Center. Those rules are set forth
Solar Setbac~lJTHORIZED UNDER THIS PER~IT_~S_ NOT in OAR 952-001-0010 through ~A.R 95~:~0~:
COIVIIVlcl\Jt.;tU UK Iv J-\Df'\I\lU\""~ 'J U~'J 'JU\:lU. YUU lllay UUlo.I11 vv!-=',.............. .,.- .-.---,
AY PERIOD ' I PUBLIC IMPROVEMENTS I calling the center, (Note:,the tele~hone
St t I ANY 1t8,0 D, nurrS'-'-d' ''1'I'"bT- nr~gon Utility Notification
ree mprovemen s. ' ] ewa ype, 00332.2344)
Center " ,-8 - - ,
Storm Sewer Available: Downspouts/Drains:
Special Instruction:
I DEVELOPMENT INFORMATION I
Notes:
I Valuation Description ~
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage .
or Bid Amount
Value
Date Calculated
Paee I of2
Status
Issued
CITY OF SPRINGnJ!,LD
Building/Combination Permit
PERMIT NO: COM2009-01222
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
541-726-3769 Inspection Line
, Total Value of Project
Fees Paid I
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Air Handling Unit Up to 10,000
Heat Pump
Amount Paid
Date Paid
Receipt N nmber
$13,56
$5,65
$79,00
$17,00
$17,00
8/20/09
8/20/09
8/20/09
8/20/09
8/20/09
2200900000000000942
2200900000000000942
2200900000000000942
2200900000000000942
2200900000000000942
Total Amount Paid
$132,21
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,in, will be made the following
work day.
I Re[jIJired In"l~,~t,j?nS I
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanicai work is complete.
Rongh 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,
1 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 Signatnre
Date
Page 20f2
225 Fifth Street
Springfield, Oregon 97477
541c726-3759 Phone
City of Springfield Official Receipt
Development ServiCes Department
Public Works Department
,
RECEIPT #:
2200900000000000942
Date: 08/20/2009
1:52:37PM
Paid By
Item Total:
Lheck Number Authorization
Received By Batch Number Number How Received
Amount Due
79,00
17,00
]7,00
5,65
13,56
$132,21
Job/Journal Number
COM2009-0]222
COM2009-0] 222
COM2009-0 1222
COM2009-0 1222
COM2009-0 1222
Description
15t Appliance
Air Handling Unit Up to 10,000
Heat Pump
+ 5% Technology Fee
+ 12% State Surcharge
Payments:
Type of Payment
Amount Paid
'ONLINE CHGS ONLINE PERMIT CHGS
KR
ONLINE EUGENE Online
HEA TING
&
COOLING
Payment Total:
$]32,21
$132,21
cReceintl
Page I of I
8/20/2009