HomeMy WebLinkAboutPermit Mechanical 2009-8-31
City of Springfield
Mechanical Authorization To Begin Work
E-mailedTo:wyosburg@aulomaticheatco.com
Check on status of permit
~ ,;_",-~-'::-T;YPE:OF:WORK3"'_':Z~::., 7:-,,-:~>"-
;..~ -< ~,'- !"
By Phone: 541-726-3753 or Email: pcrmilcentcr@ci.springticld.or.us
:?,":;~~,,- - -'-<~~-1 FEE'SCHEDULE
Total
I D New Construction 0 Addition/alteration/replacement
1 : . . ~ , . '~CA TEGORy,M'cONSTRUCTIOk" ";;:~,
10] m2f=ilydwoll;o, DM,lti.r=;IY D C,~",i,' DAm'~'O'B'ildiog
k~t'};,;;.;... "JOB:s'ifEWJ~oRMATloN'AND:[OCA TIOk"Ji1: "., ""'0'.
j Job Address: 1620 LA WNRJDGE AVE
I City/State/ZIP: SPRINGFIELD, OR 97477
I Suite1bldg.lapt.no.:
I Project Name: Paudois
1 C"" 5"""d;,,,.,", to j,b ,il"
I T.. m.p/p.",' 00.' \ f) D':> a ':)~ ~ 0 \ CCIVU
'q""":~~:~";DES~RfP.Tlct~~OF:-'WORKj,-'~::j ~~;~;~
l zone mini split
I,'
I Name: SallyPlIudois
I Phone: 54].747.6239
I.~;':J' '",
I CCOlic.no.: 149452
I Business Name: EUGENE HEATING & COOLING COMPANY
1 Contact:
I Address: ]650NELOMBARDST
I City/Stale/ZIP: PORTLAND, OR 972] 1
I- Phone: 541.726.7654
I Email:
1 Metrolic,no.:
~ .~t:!~;(.~Y-= I
:__~~-<:~-,:1
<SITE C:ONTAC:r.,;::"
':=""-- -:-=-~.....
Fax:
"".;cONTRActOR::'":"" .'
'"':~-''''--~' -
Fax: 54]-726-7657
, City lie. no.:
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,
NOTE: This Authorization To Begin Work expires within 180 days if a permit Is
not obtained,
The local building department may detennlne that an Authorization To Begin
Work is null and void if It does not meet applicable land use laws and local
ordinances
69600-BMC-09-00102
8/31/2009 6:13 pm
Appro\'al Code; 049061
n. X'J,~
c/\ .
Description 'Qty.
~~it-~" ~~
E.. I
'.~.-.
I
lIcatin~g'lcl[uUngapijli~nccs-- ,
Heat Pump
Air handling unit
~~i~!~u!l1-Fees~
First Applian~e Fee
-r:-'<;.
;~ -..'7
I\IEcllANICAL pI<:RK1it 1;.EES.""....
Subtotal
Slale surcharge (12% of pennit
total)
Technolo~}' fee (5% of penn it
lotal)
TOTAL PER,'\IIT FEE
I
I
I
;,,1
I
I
:1
"_~.Jt'~--
I
$17.001
$]7.00
SI7.0;1
S34.001
'1
$79,001
--;I~o.oo'j
$15.601
$6.501
S152.lol
.~
~ttJ~.rf\
'1",::- .
-.-. ~,=
-'i~
~.
CJ... /urJ^. ~
~Crf<.
~
This Authorization To Begin Work must be posted at the job site until replaced by a Permit
Can20tJf -()/:Jg-v
17m 9/01/09
SI!R1NGPI6a;o. . .
-""rt."".,;":"",.,.,.,,.,J'-"""'''''''''"''':;,;>Fl(..;,;
, ;:. j""
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01284
ISSUED: 09/0112009
APPLIED: 09/0112009
EXPIRES: 03/0112010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1620 LA WNRIDGE AVE
ASSESSOR'S PARCEL NO.: 1703252201800
Springlield TYPE OF WORK: Mechanical Only
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Three zone mini-split
Owner: PAUDOIS MICHAEL A & SALLY J
Address: 1620 LA WNRIDGE AVE'
SPRINGFIELD OR 97477
Phone Number: 541-747-6239
I CONTRACTOR INFORMATION 1
Contractor Type
Mechanical
Contractor
EUGENE HEATING & COOLING
License
149452
Expiration Date
10/2212009
Phone
541-726-7654
BUILDING INFORMATION 1
# 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 B~sement:
Sq Ft Garage/Carport
Sq Ft Other:
,
Occupant Load:
n/a
. I DEVELOPMENT INFORMATION I.
REQUIRED PARKING
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
.# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements: ATTESJ~~3i,\lk5Yee.:n law requires youto
I ..,~_ orl~,,'~cJ \;)v the Oregon Utility
Storm Sewer '\n~jlrN"E' foJlOWDownspoutsiDrams: rules are set forth
Special Instruction: . Notification Center. I nu," hOAR 952-001-
Ililb PERMIT SHALL . OAR 952-001-0010 throug b
' . .,. EXPIRE IF THE WORK ~090 You may obtain copies of the rules y
Notes: AU fhORIZED UNDER THIS PERMIT IS NOT '. h center (Note: the te1ephone
COMMEN(;m nR IQ ^D^""",,_~ ___ calling t._e ,__ "'~M" Iltilitv Notification
ANY 180 DAY PERIOD '._I~"_~ ..':' ., I "u'''~''c~nter is 1_8QO-332-2344).
ValuatIOn DescrlDtlOn .
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee I on
_~~~I~~, ,I'f!!'~:':!!!
~l" .,,'" .. " ,.
"ll ".'
..
Status
Iss u ed
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01284
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 Valne of Project
.F~~~ P~i~J
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
ist Appliance
Air Handling Unit Up to 10,000
Heat Pump
Amount Paid
Date Paid
Receipt Number
$] 5.60
$6.50
. $79.00
$34.00
$17;00
9/1/09
9/1/09
9/1/09
9/1/09
9/1/09
3200900000000000616
3200900000000000616
3200900000000000616
3200900000000000616
3200900000000000616
Total Amount Paid
$152.10
I Plan Reviews ,
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 Rcouircrl T","cctio", I
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
By signature, 1 state and agree, that 1 have carefully examined the completed application and do hereby certify that all
information hereon is true and' correct, and T 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 wiltbe 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, tbat 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 Signature
Date
Paee 2 of 2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Developme!lt Services Department
Public Works Department
,
Job/Journal Number
COM2009-0 1284
COM2009-01284
COM2009-01284
COM2009-01284
COM2009-0 1284
Payments:
Type of Payment
ONLINE CHGS
cReceil1tl
RECEIPT #:
3200900000000000616
Date: 09/0112009
Description
Heat Pump
Air Handling Unit Up to 10,000
'1st Appliance
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
NJM
ONLINE EUGENE In Person
Payment Total:
\
Page 1 of 1
8:13:14AM
Amount Due
17.00
34.00
79,00
6,50
15.60
$152.10
Amount Paid
$152,10
$152.1,0
-,
9/1/2009