HomeMy WebLinkAboutPermit Mechanical 2009-9-26
City uf Springfield
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Mechanical Authurizatiun To Begin Wurk,
E-mailedTo:wvosburg@automlO!ticheatco.com
Check on status of permit
By Phone: 541~726-3753 or Email: permitc~nter@ci.springfield.or.us
o New Conslruction
I Description
o Addition/alteration/replacement
o 1 or 2 family dwelling 0 Multi-family
o COffimercilll o Accessory Building
J I $79.001
_ ~ ',-;Jlr~~;:i:;f,,:'i >
Job Address: 759 S 71 ST ST
I.,
I Subtotal
I IStatc surcharge (12% of penn it
I Iota\)
I I Technology fee (5%o[permil
total)
II TUTAL PERMIT FEE
I
CityfStatelZIP: SPRINGFIELD, OR 97478
Suite/bldg./apt.nu.:
Project Name: nogelmeier
Ie,"" Sf,,,"d;,,,",.' to j,b ,it"
I Tu majl/pllrcel no.:
...J
4 zone mini split
carolnogelmeier
PhOne: 541-726-2058
F/.I~:
Email:
CCOlic.no.: 149452
Business Name: EUGENE HEATING & COOLING COMPANY
Contacl:
Addn~ss: 1650 NE LOMBARD ST
City/State/ZIP: PORTLANQ, OR 97211
Phune: 541-726-7654
Fax: 541.726-7657
Emllil:
I Metro lie. no.:
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.
.~~. 'AJ6'-
&%>~ .
NOTE: This Authorization To Begin Work expires within 180 days if a permit is
not obtained.
The local building department may determine that a~ Authorization To Begin
Work is null and void if it does not meet appli~able land use Jaws and local
ordinances '
This Authorization To Begin Work must be posted at th~ job site until replaced by a Permit
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69600-BMC-09-00 134
9/26/2009 7:51 am
ApprO\!ul Code; 081370
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$147.00
$17.64
$7.35
$171.991,
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2009-01436
ISSUED: 09/28/2009
APPLIED: 09/28/2009
EXPIRES: 03/28/2010
VALUE:
225 Fifth Street, .Springfield, OR
541-726-3753 Phune
541-726_3676 Fax
541-726-3769 Inspectiun Line
SITE ADDRESS: 759 S 71ST ST
ASSESSOR'S PARCEL NO.: 1802022105000
Springlield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Fuur zune m~ni-split
.Owuer: NOGELMEIER RONALD G
Address: 759 S 71ST
SPRINGFIELD OR 97478
Phune Numbcr: 541-726-2058
I CONTRACTOR IN~ORMATION I
Contractor Type
Mechanical
Contractor
EUGENE HEATING & COOLING
License
149452
Expiration Date
10/22/2009
Phone
541-726-7654
I, BUILDING INFORMA nON I
# uf Units:
Primary Occupancy Gruup:
Secuudary Occupancy Gruup:
Primary Cunstructiuu Type
Secundary Cunstructiun Type:
# uf Bedruums:
# uf Sturies:
Height uf Structure
Type uf Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lut Size:
Sq Ft 1st Fluur:
Sq Ft 2nd Fluur:
Sq Ft Basement:
Sq Ft GaragelCarpurt
Sq Ft Other:
Occupant Luad:
ula
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Fruntyard Setback:.
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Sular Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% uf Lut Cuverage:
.Tutal:
Handicapped:
Cumpact:
I ~UBLIC IMPROVEMENTS I
Sidewalk Typ.e: '
ATTEN1IUN: ureQ0,1 law requires you to
foilow nDuwnspqtitslDr.ains: Oregon Utility
Notification Center. Those rules are set forth
in OAR 952.001.0010 through OAn 952-001-
Nutes: NOTICE: 0090. You may obtain copies of the rules by
_ _ ___..._ _... .. _,,~,~_ ,_ T"r ",nnll calling the center. (Note:the tel~phone
llll\') r L-lllV.1l I VI IrlL_L.. 1-'" I"""''' .,.- -. - - ~UITHJtH IUI lilt' VI~':::lUII'UU"lY '..'.HIlI""....."......'
AUTHORIZED UNDER THIS PERMIIf \r'ltl~~Iion Descriotion I. Center is 1-800.332-2344).
COMMENCED OR IS ABANDONf:u , v", ,"
D . t".ldV 180 cT' AV 8[fr;.!nnt t' $ Per Sq Ft Sqnare Fuutage Value
escnp IOn . vpe 0. .:.uns ruc IOn I' \. B'd A t
or mll tip lef or I moun
Street Impruvements:
Sturm Sewer Available:
Special Instructiun:
Date Calculated
Page 1 uf 2
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phune,
541-726-3676 Fax
541-726-37691uspectiun Line
Tutal Value ufP~uject
I. .Fees Paid .1
Fee Descriptiun
+ 12% State Surcharge
+ 5% Technulugy Fee
1st Appliance
Air Handling Unit Up to. 10,000
Heat Pump
Amuunt Paid
$17.64
$7.35
$79.00
$51.00
$17.00
Tutal Amuunt Paid
$171.99
I Plan Reviews ,
Date Paid
9/28/09
9/28/09
9/28/09
9/28/09
'9/28/09
CITY OF SPRINGFIELD'
Building/Combination Permit
"
PERMIT NO: COM2009-01436
ISSUED: 09/28/2009
APPLIED: 09/28/2009
EXPIRES: 03/28/2010
VALUE:
Receipt Number,
3209900000000000673
3200900000000000673
3200900000000000673
3200900000000000673
3200900000000000673
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 reque~ted after 7:00 a.m. will be made the following
work day.
,Re,9,uired T,!~oection~ I .
Ruugh Mechanical: Priur to. Cuver
Final Mechanical: When all mechauical wurk is cumplete.
By signature, 1 state and agree, that I have carefully examined the cumpleted applicatiun and do. hereby certify that all
iufurmatiuu hereun is true aud currect, and I further certify that any and allwurk perfurmed shall be dune iu accurdance with
the Ordinances uf the City uf Springfield aud the Laws uf the State uf Oregun pertaining to. the wurk described herein, and
that NO OC.CUPANCY will be made uf any structure withuut permissiun ufthe Cummunity Services Divisiun, Building Safety.
I further certify that unly cuntracturs and empluyees who. are in cumpliance with ORS 701.005 will be used uu this pruject.
I further agree to. ensure that all required inspectiuns are requested at the pruper time, that each address is readable frum the
street, that the permit card is lucated at the frunt uf the pruperty, aud the appruved set uf plans will remain un the site at all
times during' construction. '
Owner or Contractors Signature
Page 2 uf 2
Date
.225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-01436
C0M2009-0 1436
COM2009-01436
COM2009-01436
COM2009-0 1436
Payments:
Type of Payment
ONLINE CHGS
cReceiotl
RECEIPT #:
~..O.'~~~O".I,.~,....,. "''''''''
-
','.--,-"": ......"
City of Springfield Official Receipt
Development Services Department
Public Works Department
3200900000000000673
Date: 09/28/2009
7:52:03AM
. Description
Air Handling Unit Up to. 10,000
+ 5% Technolugy Fee
+ 12% State Surcharge
15t Appliance
Heat Pump
Paid By
ONLINE PERMIT CHGS
Amount Due
51.00
7,35
17,64
79,00
17,00
$171.99
Item Total:
l.:heck Number Authorization
Received By Batch Number Number How,Received
NJM
Page 1 of 1
Amount Paid
ONLINE EUGENE Online
HTG
Payment Tutal:
$171.99
$171.99
9/28/2009