HomeMy WebLinkAboutPermit Mechanical 2009-8-20
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'City of Springfield
Mechanical Authorization To Begin Work
E~mailed To: wvosburg@automaticheatco.com
69600-BMC-09-00086
8/20/2009 1 :04 pm
Approval Code: 074394
Check on status of permit
By Phone: 541-726-3753 or Email: permitcenter@ci.springfield.or.us
I D NewConstruction
o Addition/alteration/replacement
Description
HeatJ;>ump
"10 I ,,2 [=;Iy dwlll;"
First Appliance Fee I I J $79.001,
I\f(cil~ICAJ::.~E~rtd~:E~~.s.::~7:"!#t-'Z~~~i?~i-r.&b.~~~4f~:'1
I Job Address: 593 71ST ST Subtotal $96.00 I
I State sUfcharge (12% of permit $lt.521
City/StlltelZIP:SPRINGFJELD, OR 97478 total)
I SuiteJbldg./apt.no.: Technology fee (5% of penn it $4.80 I
I m~ll
ProjeclName:Ortal
TOTAL PERMIT fEE S1I2.321
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11:';:::~::;.l'l{!l,,~1",. 8~~"'~3!F,;+::C',*''''ffi"~'''11
:~~-s,,*~~"7:~,,57...Li:'::'~;& <i9EDESCRIP..TION',Or=FWORK~F~~!:';?$;,ti.~'j';,L:}='h.~~'1l:';;:
DMulti-family
Dcommercial
DACCeSSOry Building
heat pump
I Name: Lorraine Ortal
I Phone: 54]-746-2]02
I Email:
Fall:
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CCB lie. no.. 1494S2I . ~"-jt1"- ,r- Tile \J\If'lDll
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I ,AUTHUKILtU UI~ur:n T, ,Iv,' ~,..'''' ,- " "
Contact. , _ . _. ~,,,,,,"""lr-n fnD
I DD~~"Ol'''''~_'' Vii 1;:1 t\DMI\lIJVIU.."::: ~..
Address: !6=\!J J:i~L0MBARD ST.J _ _ _
I CUy/S""/ZmNORikIAtIDl,biH"",. n I U u.
I Phone: 54]-726-7654 Fax: 541-72607657
I Emllil:
I Metro lie. no~: City lie. no.:
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).
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.
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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
This Authorization To Begin Work must be posted al the job site until replaced by a Permit'
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CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2009-0I2I9
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: '593 7lST ST
ASSESSOR'S PARCEL NO,: 1702352404300
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Install heat pnmp in residence
Owner: ORTAL H LORRAINE & JOSE
Address: 52494 MCKENZIE HWY
BLUE RIVER OR 97413
Phone Number: 541-746-2102
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 Gronp:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat: .
Water Type:
Rauge Type:
Energy Path:
Sprinkled Building:
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
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
ATTENTION: Oregon1jQ.tal:equires you to
follow rules adopted I:Ijlndica-ppewd:n Utility
Notification Center, TtCompa'ct: are set forth
in OAR 952-001-0010 through OAR 952-001-
0090, You may obtain copies of the rules by
__11:__ ,U...~ ,..........+........ fl\I......+~. th~ tolcnhnno.
Frontyard Setback: Overlay Dist:
Side I Setback:NOTlCE: # Street Trees Rqd:
Side 2 Setback:THIS PERMIT SHALL EXPIRE IF TpliY~&'ro?i";e Rqd:
Rearyard Setb~~MHORIZED UNDER THIS PERMW <!GIj'QlJiroverage:
Solar Setbacks:COMMENCED OR IS ABANDONED FOR '
ANY ll:SU UAY I-'tKIUU,
I PUBLIC IMPROVEMENTS I number for the Oreg'on Utility Notification
Center is 1-800-332-2344),
Sidewalk Type:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Downspouts/Drains:
Notes:
I Valuation Descriotion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calcnlated
Page I of2
Status
-Issued
225 Fifth Street, Springfield, OR
541-726.3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1 st Appliance
Heat Pump
Amount Paid
$11.52
$4,80
$79,00
$17,00
Total Amount Paid
$112,32
Total Value of Project
Fees Paid I
I Plan Reviews I
Date Paid
8/20/09
8/20/09
8/20/09
8/20/09
CITY OF SPRINGFIELD
~uilding/Combination Permit
PERMIT NO: COM2009-01219
ISSUED: 08/20/2009
APPLIED: 08/20/2009
EXPIRES: 02/20/2010
VALUE: '
Receipt Number
1200900000000000956
1200900000000000956
1200900000000000956
1200.900000000000956
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,
Rrolli~ed I..~.~?~~tion,~ I
Rough Mechanical: Prior to Cover
Fiual Mechanical: When all mechauical work is complete,
By signature, I state and agree, that I have carefully examined tbe completed applicatiou aud do bereby certify that all
information hereou is true and correct, aud 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 wo:rk described herein, aud
that.NO OCCUPANCY will be made of any structure without.permission of the Commuuity Services Divisiou, Buildiug Safety,
I further certify that only contractors aud employees who are ill compliallcewith ORS 701.005 will be used 011 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 frollt of the property, alld the approved set of plalls will remaill 011 the site at all
times during construction.
OWller or COlltractors Sigllature
, Paee 2 of 2
Date
(~
225, Fifth Street
Sp~ingfield, Oregon 97477
54i'-726-3759 Phone
Job/Journal Number
COM2009-0 1219
COM2009-01219
COM2009-0 1219
COM2009-01219
Payments:
Type of Payment
ONLINE CHGS
r
cReceiot 1
RECEIPT #:
Description
1st Appliance
Heat Pump
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
1200900000000000956
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 08/20/2009
1:27:46PM
Amo~nt Due
79,00
17,00
, 4,80
11.52
$112,32
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
KR
Page I of I
Amount Paid
ONLINE EUGENE, Online
HEATING
&
COOLING
Paym~nt Total:
$112,32
$112,32
8/20/2009