HomeMy WebLinkAboutPermit Mechanical 2009-8-31
City of Springfield
Mechanical Authorization To Begin Work
E-mailed To: wyosburg@automatichcatcoocom
69600-BMC-09-00104
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Check on status'of permit
By Phone: 541-726-3753 or Email: permitcenter@ci.springfield.or.us
I 0 New Construction 0 Additionlalterationlreplaccment
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10 I or2 family dwelling 0 Multi-family 0 Commercial o Accessory Building
I Job Address: 3530 GAME FARM RD
L City/Stllte/ZIP: SPRINGFIELD, OR 97477
fSuitclbldg.laptono.: 40
I Project Nllme: Weldon
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heat pump
Name: LindllWeldon
Phone: 541-653-9647
Fax:
Emili!:
I CCB Ilc. no.: 149452
8usiness Name: EUGENE HEATING & COOLING COMPANY
Contact:
Address: 1650 NE LOMBARD ST
City/State/ZIP: PORTLAND, OR 97211
Phone; 541-726-7654
Fax: 541-726-7657
Email:
Mefrolic, no.:
Citylic.noo:
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 Inspectio~o
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
8/3112009 6:23 pm
~\pproval Code: 044117
Description
Heat Pump
I
First Appliance Fee l
~)'~g'!!~f:il<;:~t' ~ER~1ITn;ES3 :;~"~r': y~ >
Subtolnl Of
Smiesurc11arge(12%ofpemlil
total)
Technology fee (5% of permit
total)
TOTAL PER,....lIT FEE
\..,
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~~d'
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This Authorization To Begin Work must be posted at the,job site until replaced by a Permit
Cbm;? O/J ~ - Of;!.;IS
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Total
$]7.001
-", '~'''.~:,,~ir'.:?~1
, "i79'(;~1
$96,0~j
$11.521
$4.801
$112.321
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Status
Iss u ed
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541,726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRIN(J1<lELD
Building/Combination Permit
PERMIT NO: COM2009-01285
ISSUED: 09/01/2009
APPLIED: 09/01/2009
EXPIRES: 03/01/2010
VALUE:
SITE ADDRESS: 3530 GAME FARM RD SPACE 40
ASSESSOR'S PARCEL NO.: 1703154003100
Springfield TYPE OF WORK: Mechanical Only
TYPE OF USE: Move
Residential
PROJECT DESCRIPTION: Heat Pump
Owuer: WELDEN DENNIS E & LINDA FAYE
Address: 3530 GAME FARM RD SPACE 040
SPRINGFIELD OR 97477
Phoue Numher: 541-653-9647
I CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Contractor
EUGENE HEATING & COOLING
BUILDING INFORMATION'
# of Units:
Primary Occupancy Group:
Secondary Occupaucy Group:
Primary Constructiou Type .
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Rauge Type:
Energy.Path:
Sprinkled Building:
License
149452
Expiration Date
..
10/22/2009
Phone
541- 726-7654
u/a
LotSiz~:
Sq Ft 1st Floor:
Sq FUnd Floor:
. Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Qlher:
Occupant Load:
I DEVELOPMENT INFORMATION I
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
I PUBLIC IMPROVEMENTS I
Street Improvements:
NnT',,,,=
Storm Sewer .i\:vailable::
Special InstrJJti'J'n::'ERMIT SHAL . .
AUTHORIZED L EXPIRE IF THE
Notes: COMMENCED UNDER THIS PERMIT ItORK
AMv i Or; ~... OR IS ABJJ.l\ln()w-~ __ NOT
- ~ '-'nJ ,..-th'IUO, __LJ . "....
I Valuation Descriotion I
Description
$ Per Sq Ft
or mnltiplier
Square Footage
. or Bid'Amount
Date Calculated
Tvpe of Construction
Paee 1 of 2
REQUIRED PARKING
Total:
Handicapped:
. Compatt:
Sidewalk Type: .
ATTENTION' O'On:"ln1a .
fall Downspouts/Drains: w reqwres you to
NOff" ;~I~~ dUOp!eO by the Oregon Utility
in O'~~~I~; Center. Those rules are set forth
009 -001-0010 through OAR 952-001-
0.. You may obtam copies of the rules b
callma thR ~pntprlJ\!,..,~..... H" _ L _" y
number for the Oregon Utility' N;;;fi~;;t'i~n
Center IS 1-800-332.2344).
-....
....
Value
_~11:1I1J:il~1jIfj;~.:9~' ~,'" .
"j... ^
~JI
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
Total Valne of Project
Fees Paid I
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1 st Appliance
Heat Pump
Amount Paid
Date Paid
$11.52
$4.80
$79.00
$17,00
9/1109
9/1109
9/1109
9/1109
Total Amount Paid
$112.32
Plan Reviews I
CITY VI' ~rRINGFIELD
Building/CQmbination Permit
PERMIT NO: C~OM2009-01285
ISSUED: 09/0112009
APPLIED: 09/0112009
EXPIRES: 03/0112010
VALUE:
Receipt Number
3200900000000000617
3200900000000000617
3200900000000000617
. 3200900000000000~17
"
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. wi/ribe made the following
work day.
I Re/lllired Insnections I
, v .
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 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 wiU be 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, that 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
Paee 2 of 2
Date
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-01285
COM2009-0 1285
COM2009-0 1285
COM2009-0 1285
Payments: .
Type of Payment
ONLINE CHGS
cReceint I
RECEIPT #:
Description
+ 5% Technology Fee
+ 12% State Surcharge
I st Appliance
Heat Pump
Paid By
ONLINE PERMIT CHGS
City of Springfield Official Receipt
Development Services Department
Public Works Department
3200900000000000617
Date: 091Q1I2009
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
njm
ONLINE eugene htg Online
Payment Total:
Page I of I
8:21:29AM
Amount Due
4.80
11.52
79.00
17.00
$112.32
Amount Paid
$112.32
$112.32
9/1 /2009