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HomeMy WebLinkAboutPermit Mechanical 2009-8-20 ... '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 $4.80 I I m~ll ProjeclName:Ortal TOTAL PERMIT fEE S1I2.321 I Cm"S"""d;,,,",,"';'"';" I 01_ \'CYt ~ ~'~\dD\O'1 11:';:::~::;.l'l{!l,,~1",. 8~~"'~3!F,;+::C',*''''ffi"~'''11 :~~-s,,*~~"7:~,,57...Li:'::'~;& <i9EDESCRIP..TION',Or=FWORK~F~~!:';?$;,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: I ""., 'l,;t' CCB lie. no.. 1494S2I . ~"-jt1"- ,r- Tile \J\If'lDll T'IIC r"\T:"[)~IILl SH.tL! _ r-_,,--Clnl. t. II...... ~..-. B.,',,,, N,'l": E"GENClHE~T1N""d'O",02NG~,U~P:l.'1Yn "'T '" W'\T 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. ~ 0-- 9.W~6' ~~ \C)~ ~ ~,'it (f\ ~<'6\'p.. vt' 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' (It,- _~~I)'!lI~I~!:gi ~,. ,_ .,' f; , ,\ ,''', ;,,' '" 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