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HomeMy WebLinkAboutPermit Mechanical 2009-8-31 City of Springfield "'~!'!,!~P\'lELDj r, - - 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 \~~ ~/\( 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~----:> ~~?~~t~~~~~~~-DEsc~lP:i(Qr:i1c:)ft"WQ8ISg~~~~Zf;'~~'1::~~j!:*~I 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 ~~~ .F"'<,,_,c-'., ~~ ~~ This Authorization To Begin Work must be posted at Ihejob site until replaced by a Permit (b1/1201J7 tJ -oj ~ 09 Q/.).61 /J/h , I .,',1 $17,001 1 $79.001 '=7".1' >'."''4.'" $%,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