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HomeMy WebLinkAboutPermit Mechanical 2009-10-3 69600-BMC-09-00 142 J.\; ~ ) (;q City of Springfield >_ , ...~ , .,'. . '};;' Mechanical Authorization To Begin Work E-mailedTo:wvosburg@automaticheat~o.com 10/3/2009 10:55 am Approval Code: 082270 Check on status of permit "'.): IJY Phone: 541-726-3753 or Email: permitcenter@ci.springfield.or.us 10 NewConstruction 0. ~dditionlalterationlreplacemeJlt IJmnf,~i!i!!~,1tMil!~C....-tEGORY[O!;.1CONsTRDcTioNli07i:3[:~~,,,-t~~'~ 10] "2fwnilYdW~Ii,g !, OM,It'",,,,,: 0 Com'''''' OA"'''''1'"''''''' :' I~~.. ~ ~r ~-jo~BrsrrEfNF.ORMATlo'N"iANi5!IlOCATi5Ntr'~-t~~,~;.rZ,;""tt~1 . I Job Address: 777 OLD ORCHARD LN' I. I City/State/ZIP: SPRINGF.IELD, OR 97477 I I Suile/bldg.lapt.no.: I I ProjectName:L.Miller ", I I C,,,,S,,,,tld;'''OM''Ojob,'',, ,,' ,,., I I T",".p/Pm"""'.\"_r?il'0~~ Q\,-\r;>:> II!iilllllill~tilfilj;i'\1%!liiijI[E1l'gRii!:Ii(irojfOF,.jwbRk;,~'ll'~7:,l\ir~",*i'!lrr~~ 2 zone mini split Name: Lohring Miller Phone: 54]-915-5459, Fllx: Emllil: I CCBlic. no.: 149452 I BUSiness Nume: EUGENE HEATING & COOLING COMPANY feOnlllCI' I Address: 3675 FRANKLIN BLVD City/Sill Ie/ZIP: EUGENE, O!t 97403 Phone: 54]-726-7654 Fax: 54]-726-7657 Emllil: " Melrolic.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. . t, -.. 2.::!L NOTE: This Authorization To Begin Work expires within 180 days if a pennit is not obtained. i' The local building department may determine that an Authori:zation To Begin ;. Work Is null and void if It does not meet applicable land use laws and local ordinances ... . ;~^tF,EErS-CrlERULE_1 ~,"~tR::fi,?~';i~ IvescriPtion I Qty. 1(!;"li~wt~o~-~i'II;pi)liai1'ce~;;?'~_^"':.;~~tlt.: IHcatPulTlp lAir hand]ing unit J'f $17.001 $17.001 0"1 I First ApplilUlce Fee 1 1 I $79.001 l~j~G_if.(N!~IEI'~J~~lJ!{~~.;sr.:i~:~:2Ji:.tt~;:7. '~;'%:_~it~""ft# ir-I' ISubtota] $]]3.001 I State surcharge (12% ofperrnil $13.561 tolal) ITechnOIOgy fee (5% of penn it $5.651 tOlal) I TOTAL PERMIT FEE $132.211 .~ ~~ po... ~ \o.rvf); 'SJV .d^- 10,\9 ~ \.~ ~ ~'2-6Dq - 0 \ L-I0 '( \'D-os-o0 nm This ~ut~o.rization To Begin Work must be posted, at the job site until replaced by a Permit , " ", -" Status Issued ,"", CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01468 ISSUED: 10/0512009 APPLIED: 10/05/2009 EXPIRES: 04/0512010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 I~spec,ti~,~~in~ ' ; SITE ADDRES~; :; 777 OLD ORCHARD LN ,: ASSESSOR'S PARCEL NO.: 1703234307900 Springfield TYPE OF WORK: Electrical Work Only "':. ,;'1.". TYPE OF USE: New Residential ;'" ,Z PROJECT DESCRIPTION: Two zone mini-split Owner: MILLER LOHRlNG'S: , Address: 7nOLDORCHARD L'N', SPRINGFIELD OR '97477 ,: i .t,.' ~ .,~,j .~ '.' r. .,1 .~. ,I ,C?NTRACTOR INFORMATION' .j" Contractor Type Mechanical " Contraetor EUGENE HEATING & COOLING License 149452 Expiration Date 10/22/2009 Phone 541-726-7654 ;.1. ., " BUILDING INFORMA T1?N I , # of Units: i' ',' Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: nla Lot Size: ' Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft ,Garage/Carport ' Sq Ft Other: Occupant Load: " ", !: .... :'J .'1 . t '~ ,: ~ l I DEVELOPMENT INFORMATION' " Frontyard Setb~.ck: :. Side I Setback:' , Side 2 Setback: Rearyard Setback: Solar Setbacks: " Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING " Total: Handicapped: , Compact: , 'T1VUf1q,E: !: , 1 PUBLIC IMPROVEMENTS I , HI$ PERAAIT' ' Street Improvements:O' ., SHALL EXPIRE nl.ll i'1 RIZED IF THE " Storm Sewer Af.aila~I~.'.;;\tCEO UNDER THIS PERMIT WORK Special Instructio.'1: ',r '-, ~ ~, OR IS ABANDONE'" r IS NO T , " '!'\} ?En1,'0D 0 rOp . 0;..' I Notes: . . Description, I.; l'~ !",\ ;' :. l-\' "i i ,:'~' 'I' ~ " I " , ' , Type of Construction Si ",' I ':~ I ~ Sidewalk Type: :, t ATTENTION: Oregon I<iN reqUires you, .a 101l0w rulesQ.!!.',W~p,!ut!lDrai"s:'90n Ut,lIty Notilication Center. Those ruleE, are s_et 10rt~ in OAR 952-001-001 0 thro~gh Q,^,R 902-~01 0090. You may obtain copies 01 the ruleo by r~lIinn the center. (Note: the telE)pho~.e_ I - I for the uregull VllllLY I ~'-'"....~_..- I IIUI.IJG, 3322344) V a,luation D~scriDtion Center IS 1-800- - . $ Per Sq Ft or multiplier Square Footage or Bid Amount . Value Date Calculated Paee 1 of2 ;: , CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01468 ISSUED: 10/0512009 APPLIED: 10/0512009 EXPIRES: 04/0512010 VALUE: Status Issued " , ",,_: <. . ..,..-" 225 Fifth Stree{Springfield;'OR~rC{:" "." .. ..' - .~ "J . 541-726-3753 Pbone:', , , ' ,,541-726-3676 F~x': ' , .' .. c', ,: '541-726-37691nspection.Line ",'" ....~,. ". r "';. ~:. .:; Total Value of Project Fees P~id I ; ,',' L.Fee DescriptJon~;{; ,~.)~ ;.> . ,I" .,J'."-"''''^I'.' ......; "+ 12% State Slih:hiirgec'-, + 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 10/5/09 10/5/09 10/5/09 ,10/5/09 1015109 3200900000000000691 3200900000000000691 3200900000000000691 3200900000000000691 3200900000000000691 . '-1--"; .1~,.. i~ ~}! 0' 1. ~!. >-i'-:r', . . ,"- Total A;mouiii Paid " ., $132.21 'l' .;~; ~ '~ "0 ~. ,i~ ,,'n:l 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 th!! same working day, inspections requested after 7:00 a.m. will be made the following work day. :,! ' , ' , ' , ~.J~.r><--.,: ..~., 1 R~ouirp;d Insn~dio,~~~ Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. By signature, I ~tate'aiI~!agree, th~tI have carefully examined the co'mpleted application and do hereby certify that all information hereon is true and correct, and 1 further certify that any and all work performed shall be done in accordance with the Ordinances Of the City of Springfield aud 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. 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.) - , ~l I l. h ' .\ .. if 0' I' " " Owner or Contracto'rs Signature 'l~ dl 1"..t1 ,..!,', . ,: Date .:' '. < , Paee 2 of2 ! ; , , ,; ,~~ . " " , . ".'.;,:~, . , , ',;i:"'j,:'.:'i:" 225 Fifth Street} "',; '; , - SpringfieId,O~~g~n'97,477 s4i~726-3759 PhoIii "< ., '; . ...,~ ,':. ~ City of Springfield Official Receipt Development Serviees Department , Public Works Department RECEIPT #:' 3200900000000000691 Date: 10/05/2009 Job/Jour,nal Number ',,' . qe_~cription;.. '"S::'j;: .;,' :": . COM2009-0 1468, ;;,'; ,."Heat Pump ''',: .:? " .. .".", ' .".. ;..' ",,:""'., ., ,. '~. COM2009-01468';-' ;'iAif Handling Unit Up to 10,000 C0M2009-01468,:';:', ': ,1st Appliance (. . .-",<.-:/..'." .'.' '" , COM2009-01468 ;;f:';;:'?;,;+:5~ Tech,\\,logy Fee COM2009-01468 ': '+'f2%Staie,$ui;charge Payments: Type of Payment Paid By ONLINE CHGS:',ONLINIlPERMITC;HGS .~,''.} ~?~~';r '. ,. \ , . -'~.t: :.:~:~:~t\:.;~,:;;;,/i.{:<).,~~:~;:. . .;. ,:~ . " " .. or ,.r' . "/ , , , ' .;' . ':1 'I ~ " " ~ :L ') :1:, . . :,~ . ~i ..., ~:".' : " .. ~ ~t " ,; " .. 1'.... ,~ ., cReceintl , 1 Item Total: Check Number Authorization Received By Batch Number Number How Received NJM ONLINE EUGENE Online HTG PaymenfTotal: " Page 1 of 1 8:34:15AM Amount Due 17,00 17,00 79,00 5,65 13.56 $132.21 Amount Paid' $132,21 $132.21 10/5/2009