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Home My WebLink AboutPermit Mechanical 2009-9-8 .~. it.Y. of Springfield ~RAJN.G . ~. '"'i'Cc~ ,-, ~. 69600-BMC-09-00117 Mechanical Authorization To Begin Work E-mailedTo:wvosburg@automaticheatco.com 9/8/2009 10:55 am Approval Code; 01 O} 13 Check on status of permit > By Phone: 541-726-3753 or Email: permitcenter@ci.springfield.or.us D New Construction. o Addition/alteration/replacement o J Of 2 family dwelling D Mufti-family D Commercial DACCeSSOryBUilding I Job Address: 1295 B5T I City/State/ZIP: SPRINGFIELD, OR 97477 I Suitelbldg./llpt,no,: I ,Project Name: moulton~ I,C,""S"""di"'ti'"""i"b'''<: I Tn.p/p""loo,: \'103 \5(00 mini split Nllme:Jisamoulton I Phone: 541-726-7286 Fax: I Em.;I: NnTlrJ:. Ifr~~~R~~r~~'~~~~!~~:r!r7~~1\~~;i~f~~1 I CCBlic. no.:J49A1.~T! l"'Inl7l'""fI" J1~I"",r-r Till,... n.r-n~ ~.I:r If' rJf)T I I BusinessName:EUGENEHi)I.TL..)N ~t'JotlhGcdMPAYn' LI IlYIII IV I~V' I f'rTnIlIV" ,.,. ' _ nn 1('1 ^ C" ^ ,..nn,...", fn" I C"""" ~;';;'1'~-~'~;V ~Er.i;';'-' "._J..~J J.. I I Address: 1650 NE'LOMBAR5 ST r ,j .,J. I I City/Stille/ZIP: PORTLA'RD, OR 97211 I I Phone: 54]-726~7654 Fllx: 541-726-7657 I I Em.;" I I Metro lie, no,: City lie, no,: 1 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, 'First ApplilUlce Fee I I I I I L Subtolal State surcharge (12% of permit lOIn]) Technology fee (5% of penn it Total) TOTAL PERMIT HE $96,00 $11.521 SUOI $112.321 CC1- \3'63 K~ q16101 ATTENTION: Oregon law requires you tG follow rul,es adopted by the Oregon Utiiity Notification Center, Those rules are set fort/;J in OAR 952,001-00101hrough OAR 952-001- 0090. You may oblain copies of the rules by calling the center, (Note: the telephone number for the Oregon Utility Notification Center is 1,800-332c2344). . \))~ ~ .~}OC\ ~cJ<Q- 0--"" ~tY' {J!V . 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 This Authorization To Begin Work must be posted at the job site until replaced by a Permit .6P.~INGP.I~,i -, "'_-";:",,,,,"~,,,,,,~l''''_''''',>,,,''':r -.r ';.., CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01323 ISSUED: 09/08/2009 APPLIED: 09/08/2009 EXPIRES: 03/08/2010 VALUE: Status ' Issued , 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line SITE ADDRESS: 1295 B ST ASSESSOR'S PARCEL NO,: 1703351418000 Springfield TYPE OF WORK: Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: Mini split heating system in residence Owner: MOULTON LISA BRIANNE Address: 1295 B ST SPRINGFIELD OR 97477 Phone Nnmber: 541-726-7286 I CONTRACTOR INFORMATION' Contractor Type Mechanical Contractor EUGENE HEATING & COOLING License 149452 Expiration Date 10/22/2009 Phone 541-726-7654 BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Constrnction 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: SqFt 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMENT INFORMATION I . REQUIRED PARKING NOTICE: FrontyardSetb~~~,:3 PERMIT SHALL EXPIRE IF T0.feHayllKst: Side 1 Setback: AUTHORIZED UNDER THIS PERI\ifi'~\lJ'~\(ffees Rqd: Side 2 Setback:(:nMMENCED OR IS ABANDONE~~)[J~ Drive Rqd: Rearyard Setback: ERIOD Y. or'Lot Coverage: Solar Setbacks:ANY 180 DAY P , I PU~LIC IMPROVEMENTS I Total: Handicapped: ATTENTION: OregccJill....€t';\uires you to follow rules adopted by fhe Oregon Utility Notification Center, .Those rules are set forth . l~ "'^Q a~?_nn1_n01 0 throuQh OAR 952-001- 0090, You may obtain copies or me rUl~' uy calling the center. (Note:the telephone ncl\\':iSlYial!.<rliype:Jregon Utility Notification Centerjs t ,800-332,2344). Downspouts/Drams: Street Improvements: Storm Sewer Available: Special Instruction: Notes: I Va,tuation Descriotion I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Aniount Value, Date Calculated ... Paee I of2 -.~I!~!"C~!JII!iI'~' , :' 1, <; "-_ ," '""i'<' 't " ,'. j ,~ /~-, CITY OF SPRINGFIELD Building/Comb,ination Permit PERMIT NO: COM2009-01323 ISSUED: 09/08/2009 APPLIED: 09/08/2009 EXPIRES: 03/08/2010 VALUE: Status Issued 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 9/8109 9/8/09 9/8/09 9/8/09 Receipt Numher 2200900000000001015 2200900000000001015 2200900000000001015 2200900000000001015 Total Amount Paid $112,32 I Plan Reviews , To Request an inspection call the 24 hour recording at 726~3769. AU 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 R.eo~ired lns,,~~tio~s I Rough Mechanical: Prior to Cover Final Mechanical: 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 he done in accordance with '. the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work descrihed herein, and that NO OCCUPANCY will he 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 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 Date Paee 2 01'2, 225'Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-01323 COM2009-01323 COM2009-01323 COM2009_01323 Payments: Type of Payment ONLINE CHGS cRcceiotl RECEIPT #: Description : 1 st Appliance , Heat Pump + 5% Technology Fee + 12% State Surcharge Paid By ONLINE PERMIT CHGS 2200900000000001015 City of Springfield Official Receipt Development Services Department: Public Works Department Date: 09/08/2009 Item Total: Check Number Authorization Rec~ived By Batch Number Number How Received KR Page 1 of I ONLINE EUGENE Online HEATING & COOLING Payment Total: II :29:23AM Amount Due 79,00 17,00. 4,80 11.52 $112,32 Amount Paid' $112,32 $112,32 9/8/2009