HomeMy WebLinkAboutPermit Mechanical 2009-10-3
69600-BMC-09-00 142
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City of Springfield >_ ,
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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
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. 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
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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:
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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, -..
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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
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$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 $132.211
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This ~ut~o.rization To Begin Work must be posted, at the job site until replaced by a Permit
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Status
Issued
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01468
ISSUED: 10/0512009
APPLIED: 10/05/2009
EXPIRES: 04/0512010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 I~spec,ti~,~~in~ '
; SITE ADDRES~; :; 777 OLD ORCHARD LN
,: ASSESSOR'S PARCEL NO.: 1703234307900
Springfield TYPE OF WORK: Electrical Work Only
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TYPE OF USE: New
Residential
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PROJECT DESCRIPTION: Two zone mini-split
Owner: MILLER LOHRlNG'S: ,
Address: 7nOLDORCHARD L'N',
SPRINGFIELD OR '97477
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,I ,C?NTRACTOR INFORMATION'
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Contractor Type
Mechanical
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Contraetor
EUGENE HEATING & COOLING
License
149452
Expiration Date
10/22/2009
Phone
541-726-7654
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BUILDING INFORMA T1?N I
,
# of Units: i' ','
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building: nla
Lot Size: '
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft ,Garage/Carport '
Sq Ft Other:
Occupant Load:
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I DEVELOPMENT INFORMATION'
" Frontyard Setb~.ck: :.
Side I Setback:' ,
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
"
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
" Total:
Handicapped: ,
Compact:
,
'T1VUf1q,E: !: , 1 PUBLIC IMPROVEMENTS I
, HI$ 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
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Notes: . .
Description,
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, Type of Construction
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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
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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{:"
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. 541-726-3753 Pbone:', , , '
,,541-726-3676 F~x': '
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,: '541-726-37691nspection.Line
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Total Value of Project
Fees P~id I
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L.Fee DescriptJon~;{; ,~.)~ ;.> .
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"+ 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
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Total A;mouiii Paid
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$132.21
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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. :,! '
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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
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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.) -
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" Owner or Contracto'rs Signature
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Date
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, Paee 2 of2
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225 Fifth Street} "',; '; , -
SpringfieId,O~~g~n'97,477
s4i~726-3759 PhoIii "<
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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 ''',: .:? "
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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
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Item Total:
Check Number Authorization
Received By Batch Number Number How Received
NJM
ONLINE EUGENE Online
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PaymenfTotal:
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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