HomeMy WebLinkAboutPermit Mechanical 2009-9-21
j:ity of Springfield
Mechanical Authorization To Begin Work
E-mailedTo:wvosburg@automaticheatco.com
9/21/2009 7:20 11m
Approval Code: 037379
Check on status of permit
By Phone: 541-726-3753 or Email: permitccntcr@ci.springfield.or.us
69600-BMC-09-00129
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D New Construction 0 AdditionlalterntionlreplaccmcnI
/;. ;;;;l:"::.::"":::~:CATEGORy;.6F.:CONSTRU'CTI6-N'd~':~~::'~~ ~r:~ : ~-::~M
10 I or 2 family dwelling D Multi-family . D Commercial DACCeSSOf)' Building
, ':..i';$\i2.i,;/JOB'SltE;INi'ORMATION"'ANDLOCATjON~,-"';'~;;""
I Job Addrns: 510 10TH ST.
I City/Slate/ZIP: SPRINGFIELD, OR 97477
I SuilcJblde.lapt.no.:
I Project Name: Gonnan
I C,"" 5",,"d;,<<';on. 10 job .it"
I Taxmap/pllrcelno.:
2 zone mini split
11rj",;'..~.;,;~.
I Name: Mny Gonnan
I Phone: 54]-741-7860 Fa,,:
I Email:
1:~'~~':'!"r'fW\JT:te~'~~3CO.NfAA~T~~!(jt:!THE~WVr'.':':"";":''''.;~i,
I CCBu"no'{t2W DFR~\T ti~,f\,L:': ~,'i\~ D~p.MIT IS NUl
I B.,;nm N'''W\'l'ffi'r/f\l!l'1!\!ldJl"b\r;:.IN~~1'iIt'lf(NEO FOR
I Con',," '"mnMENCEU Uti I,':, "..,
I Add,,,,, l650rRM)'1q~rlj1\'I t'tl\lvE.
I City/Stnte/ZIP: PORTLAND, OR 972] 1
I Phone: 541-726-7654 Fill: 541-726-7657
I Email:
I Metrolic.no.: Citylic.i1o.:
Upon review and approval by your local jurisdiction, your permit will be
e-malled or faxed within one business day, with Instructions on how to
schedule your inspection.
Ea. Total
Description
Ileilti~iI(o<iUi1fipIl4an.ce5" <
Heal Pump
Air handling unit
.,-'/:-:
$17,001
$17,001
Firsl Appliance Fee l
S1ECIf~NIGAL_::ptR~t1TYEE~ .--,'S':; .
Subtotal
State surcharge (]2% of penn it
(otal)
TechnolOb'Y fee (5% ofpennil
total)
TOTAl. PERMIT FEE
S79.001,
, 'I
'S;13,;;
Sll56
- -!. ~':-" .
+:t/
$5.65
$132.21
Cl1 - 1355 '?Q..
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:oel' 115
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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 tt does not meet applicable land use laws and local
ordinances
~'b.cf\
<\.. ~Qr
~A.
\J:
This Authorization To Begin Work must be posted a1 the job site until replaced by a Permit
(
Status
Iss u ed
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01388
ISSUED: 09/21/2009
APPLIED: 09/21/2009
EXPIRES: 03/21/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: '510 10TH ST
ASSESSOR'S PARCEL NO.: 1703351307500
Springfield TYPE OF WORK: Heatin~ System
TYPE OF USE: New
PROJECT DESCRIPTION: 2 zone mini split heating system in residence
Residential
Owner: MAY E GORMAN REVOCABLE LIVING TRUST
Address: 510 10TH ST '
SPRINGFIELD OR 97477
Phone Number: 541-741-7860
I CONTRACTOR INFORMATION'
Contractor Type
Mechanical
Contractor
EUGENE HEATING & COOLING
License
149452
Expiration Date
10/2212009
Phone
541-726-7654
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:
Sp(lnkled Building:
,~\~ -~ '
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
nla
ID1i:VE1re'PMENT INFORMATION'
~~ "9;-.~\" y,'0" RE~L[!.RED PARKING
..!~" -xS <-\'l _ ~o ,,~~ '
Frontyard Setback: , ~,.. ,'0 ,,~'v Overlay Dist: o:ll\(eTotaI:,I\\ .'"
'" -<'0' <,>v ' (e a0" .,,1'"
Side 1 Setback: -x-."r-" 9;-.' ~'v # Street Trees Rqd: I' \1).'" Ole ,!a'!,dicapp,ed:
Side 2 Setback: ~. ~ S ~'VS -<{S>~ Paved Drive Rqd: ~. O(e'0o 0 'O~ \'(\eIlWS 'C~mpa"t' 'O~
Rearyard Setback::\\lV ~'V:-~ ~'V \) <::J'V:- \'0 f0'V' % of Lot Coverage"Vl'\O 'e.oo?\e ,'(\ose I 9,'(\ 0";; (IlWs e
Solar Setbacks:~~ \\'0 -X ,,~~ x.-'V ()~<:f!. r>:\~':N tu\eS cel'\e~\\)\'(\(O~les 0\ ~e\e?'(\o~lol'
.-('0 ,,,).\J ..'('1 ~\ ~ ~,,\\ _H(){\ ~....J) ...... r,O\"' ",'ne ..'.11"\(',-0:
"r-\) ~~~\~ 'V'(' I PUBLIC IMPROVENlEN:i~'I;':,'t-;e.~ o~~~: ~0\0'S;I\~ ;~~).
\J i:\ \ ' .. (all ~ eel' ,."",0,01' ?,'2:?:
Street Improvements: "r-'f., \)\)9\)~\\1'9\'(\Sid"\\Wall,,TiY'pe?i
e'O' et \91 t'IS
Storm Sewer Available: 1'1lII''O <ft6WiispoutslDrains:
Special Instruction:
Notes:
I V alu~tion Descriotion I
Description '
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Page 1 of 2
Status
Issued'
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01388
ISSUED: 09/21/2009
APPLIED: 09/21/2009
EXPIRES: 03/21/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fee~ Paid I
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Air Handling Unit Up to 10,000
Heat Pump
Amount Paid
Date Paid
Receipt Number
$13.56
$5.65
$79.00
$17.00
$17.00
9121109
9121109
9/21109
9121109
9121109
2200900000000001069
2200900000000001069
2200900000000001069
2200900000000001069
2200900000000001069
Total Amount Paid
$132.21
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.
R~ollired I"snecti?n~ ,
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 hCf"eby 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.
1 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
Page 20f2
225 Fifth Street
Springficld, Oregon 97477
541-726-3759 Phone
"
Job/Journal Number
COM2009-0 1388
COM2009-0 1388
COM2009-0 1388
COM2009-0 1388
COM2009-01388
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
City of Springfield Official Reccipt
Development Services Department
Public Works Department
2200900000000001069
Date: 09/21/2009
Description
I st Appliance :
Air Handling Unit Up to 10,000
Heat Pump
+ 5% Technology Fee
,,+ 12% State Surcharge
Paid By ,
ONLINE PERMIT CHGS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
KR ONLINE EUGENE Online
HEATING
AND
COOLING
Payment Total:
Page 1 of 1
9:01:58AM
Amount Due
7900
17,00,
17.00
5,65
13,56
$132.2]
Amount Paid
$132,21
$132.21
912112009