HomeMy WebLinkAboutPermit Mechanical 2009-8-31
City of Springfield
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Mechanical Antho'rization To Begin Work
E-mailedTo:wvosburg@automaticheatco.com
Check on status of permit
By Phone: 541-726~3753 or Email: permitcenter@ci.springfield.or.us
I 0 New Con~truction
o Addilionlalte~alionlrcp]ace01ent
10 I ,,2 f=ily dw,lling 0 M,lti.f&nily
o Commercial
o Accessory Building
IHeatPump
69600-BMC-09-00101
8/3112009 5:55 pm
Approval Code: 006082
I DeHription
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I First Appliance Fee L
l\i.~Gli~I~~J?~gMIJTFE:fS-~~,,~, J .
fSubtotal
IStilte surchargc(12% of penn it
total)
I Technology fee (5% of permit
total)
I TOTAL PERMIT FEE
I Job Address; 952 R'ST
I City/State/ZIP: SPRINGFIELD, OR 97477
I Suite/bldg.lllpt.no.:
I Project Name: Brown
I C""S,,,,tldi,,,tiOn>lojob,it,,
I T"".pfpm<lno: \f) POU.o \~ D~----:>
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Heat pump
Name: Terri Brown
Phone: 54]-742-1543
Fax:
Email:
I CCB li~. no.: 149452
Business Name: EUGENE HEATING & COOLING COMPANY
I Conta~t:
Addres~: ]650 NE LOMBARD ST
City/State/ZIP: PORTLAND, OR 972]]
Phone: 541-726-7654
Fax: 541-726-7657
Email:
I Metro li~.no.:
City lie. no.:
Upon review and approval by your local jurisdiction, your permit will be
a-mailed or faxed within one business day, with instructions on how to
schedule your inspection.
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 n~11 and void if it does not meet applicable land use laws and local
ordinances
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~~
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This Authorization To Begin Work must be posted at Ihejob site until replaced by a Permit
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$17,001
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$79.001
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$%,00
$11.52
$4.80
SII2.32
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-0]289
ISSUED: 09/0112009
APPLIED: 09/0112009
EXPIRES: 03/01120]0
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 952 R ST
ASSESSOR'S PARCEL NO.: 1703261305800
Springfield TYPE OF WORK: Heat.jng System
TYPE OF USE: New.
Residential
PROJECT DESCRIPTION: Heat Pump
Owner: ' TRUST DATED JUNE 9, 1995
Address: 952 R ST
SPRINGFIELD OR 97477
Phone Numher: 541-742-1543
1 CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Contractor
EUGENE HEATING & COOLING
License
149452
Expiration Date
10/22/2009
Phone
54 I -726-7654
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
o/a
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Frontyard'Setback:
Side 1 Setback:
Side 2 Sethack:
Rearyard Set hack:
Solar Sethacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
, Compact:
'1 PUBLIC IMPROVEMENTS.I
Street Improvements:
Sidewalk Type:
ATTENTIOD~wnspouts/Drains:
fall N, Oregon law requires you to
Noti~~a~~~~ adopted by the Oregon Utility
Notes: IVnrrCIO. in OAR 952_0~1~~r, Those rules are set forth
_.:-: " L;. OOQn Vn.. ~_" _ ,0,1 0 through OAR 952-001_
,,,'V rtKIVl/T SHALL th '-'''-''' VVI-"CO UllIl" rUles by
,1/ "r EXPIRE' I """I01g e center (Note'th t I
.' :"HORIZED UNDER TH F TW\\aluation Descriotionn er for the Or~gon uiilit e Ne ephone
(:' ,'l'tlENCED OR IS ABA'S PERMIT IS NOT . Center is 1_800_332-I34~)tlflcatlon
',' 'll ;80 D' Nnn~'ED F$ Per Sq Ft Square Footage '
DeSCriptIOn J.\Type:ofIJConstructJon UK' I' I' B'd A' Value Date Calculated
, . L../1I U, or mu tip ler or I mount
Storm Sewer Available:
Special Instruction:
Paee 1 of 2
Status
Issued
CITY: OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01289
ISSUED: 09/0112009
APPLIED: 09/0112009
EXPIRES: 03/01/2010
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
Heat Pump
Amount Paid
Date Paid
$11.52
$4.80
$79.00
$17.00
9/1/09
9/1/09
9/1/09
9/1/09
Receipt Number
3200900000000000620
3200900000000000620
3200900000000000620
3200900000000000620
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 Reollired Insnedions I
Rougb Mechanical: Prior to Cover
Final Mecbanical: 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 a~dress is readable from the \
street, that the permit card is located at the fronrof the property, and the approved set of plans will remain on the site at all
times during construction.
Owner or Contractors Signatnre
Date
Pa2e 2 of2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-01289 '
COM2009-01289
COM2009-01289
COM2009-01289
Payments:
Type of Payment
ONLINE CHGS
cRcceintl
RECEIPT #:
Description
Heat Pump
1st Appliance
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
City of Springfield Official Receipt
Development Services Department
Public Works Department
3200900000000000620
Date: 09/0112009
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
NJM
ONLINE EUGENE Online
Payment Total:
Page 1 of 1
8:44:14AM
Amount Due
17,00
79,00
4,80
11.52
$112.32
Amount Paid
$112.32
$112,32
9/112009