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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