HomeMy WebLinkAboutPermit Mechanical 2009-10-10
City of Springfi~lf: ;~l',;':'::fi:;;;~!r,:J[t: '~:.
Mechanical Authorization To Begin Work
E-mailcdTo:wvosburg@llUtomaticheatco.com
Check on status of permit
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or Email: permitcenter@ci.springfield.or.us
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;l;llF-~~~oB1S'iTE'INF,ORMATIoN'iAr:rD'iI6cATiOF.r;;I:lM:;~1l11t~~~-;1
I Job Address: 236 GREENV'~LE DR' I
I City/State/ZIP: SPRlNGF1ELD., OR 97477 .' I
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I ProjectName:. I
I Cross Streetfdirl.'ctionls' t~'j'ob- sit~':'::'"" ,-." I
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11",,~_'-=I"==DESCRIIl'T'-IO'~N'"O"2:W"'O"-RK''''''i''f..~;'1\i(ijEf.~-~FI
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heat pump
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I Name:mollybrady ::
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Phone: 541-726-7654:,
Fa:\;: 541-726-7657
[mail: wvosburg@au~.~!p-alicheatco.com
CCBlic.po.: 149452
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Business Name: EUGENE HEATING & COOLING COMPANY
Contact:
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I Addreu: 3675 FRANtq.IN B.LVDI~
I City/State/ZIP: EUGENE; O.!i:97403 ,
I Phone: 541~726-7654l'
.ll;Email: 'i:~: -~: I; ,i' J.
I Melrolic.po.:
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Fa:\;: 541-726-7657
'Citylic. no.:
Upon review and approval by your local jurisdiction, your permIt will be
a-mailed or faxed within ona business day, with instructio!,s on how to
schedule your ins~~~.7n;;: '~"'1;':" L~l~;~~~~jh'.t;:.~,::
NOTE: This Authorizatiori",To Begin Work expires withii1180 days if a permit is
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II,The local building ~,~pa~ent ,may determine that an Authorlzation To Begin
[; Work is null and .vo~.I~.it~~oes;.'.lot 'T.l:e:et apP,licable land use laws and local
'ordinances' " ,J' . ~~ 'i';.,~l.~.7;!f~;~~
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I Description
!HeatPump
Appliance Fee
ISublolal
ISi~le surcharge (12% of per mil
tolal)
ITCChllOIOliYfl:e(5%OfPerlllil
lolal)
TOTAL PERMIT FEE
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69600- BM C-09,00 148
10/1012009 10:05 am
Approval Code: 087788
S17.001
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$79,001
$96.00
$11,521
$4.801
$112.32
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This Authorization To Begin Work must be posted al the job site until replaced by a Permit
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CITY OF SPKll'<tJI'IELD
Building/Combination Permit
PERMIT NO: COM2009-01497
ISSUED: '10/12/2009
APPLIED: . 10/12/2009
EXPIRES: 04/12/2010
VALUE:
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Status
Issued
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225 Fifth Street;Sl'riligfield,'OIi';i'iS;;0:11
, 541-726-3753 PIiW~;l:,:f::1!';.::ir''''i:'~if:;;-
541-726-3676 F.l<'/'f{:J.. . ....
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!:.541-726-37~91nspeciio~Line
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SITE ADDRESS:. ',236 GREEN-VALE DR
ASSESSOR'S PARCEL NO.: 1703233309100
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_' PROJECT DESCRII'TION:','Heat:'l'ump'
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SPRINGFIETYPE OF WORK: Heating System
TYPE OF USE: New
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;1 Owner: HAROLD, HINMAN TRUST
:i:Address:; i'k236:~RE~~V ALE DR:..' .
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. . " SPRINGFIELD"OR:97477
I CONTRACTOR,INFORMATION I
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Contractor Type:.r;\~Contra~~or .
Mechanical '~r't!'.~}"l.t;'EUGENE'HEATING & COOLING
License
149452
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BUILDIN~,INFORMATION I
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# of Units: . "f'"\,1' ;l.~IJI~': ";'\'~"~' ."
Primary Occnpancy Group: '.
Secondary Occupancy Gronp:
Primary Constrnction Type . <)
Secondary Construction, Type: ':."i'; :"' - .O'
. #'of Bedrooms.,:ii;)'~~'-;;~"~~~,,,, 'l~ti,,~I!~~~g;'. ~.,:
~ . .1~': ~ ,~~.1l~~~" ,- :\(" '~i:-
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Bnilding: II/a
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, DEVELOPMENT INFORMATION I
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Frontyard Setback: .
Side 1 Setback:
Side 2 Setback:, ~.l:.:~.
~earyard Setb~~~;l_ ~i1~ji~~.:. . :~~ ~~f4~E11 : ~
Solar Setbacks:~;~' ~"';i:'~~ '\~ ~'i"O<'~:
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Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
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Residential
Expiration Date
10/22/2009
Phone
541-726-7654
Lot Size:
Sq Ft Ist Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
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Street Improvements: .;' . . ",,-,J ~, k Sidewalk Type:
." .;; ATTP,-rION: Oreann l8,w requires you to
Storm Sewer Available: "Downsp.outslDnllns: Ut"'t
follow rUles atlop,eu uy 'He Oregon II Y
Spedallnstruction: . '.) Notification Center. Those rules are set forth
NOTICE:, ',,~:;;~ HE WORK in OAR 952.001-001? through OAR 952.001-
l'!otes: ,c: 't~ci~M1T~SH'{l.1--\l'EXPIRE IF T NOT 0090, You may obtain caples of the rules by
Tl~.IS ,/>i ' , . ,..~'~'" -rUle: PFRMIT IS M";M .ho ~Mt"r INnle: the telephone
A~\ 11l~.K'LCU u<w -~ABANUIJ\~CU ~~.;; .. 11Umber lor the Oregon Utility Notillcallon
,t. 'C~l~~I~E.\~,CEO OR Iv Valuation DeSCrIptIOn Center is 1-800,332-2344).
:'Ai~\I""I!~'tMH\:{~P'.Ej}\~D. . , . .
, , . , '. $ Per Sq Ft Square Footage
DeSCrIptIOn Type of ConstructIon I' I' B'd A Value Date Calcnlated
or mu tIp ler or I mount
I PUBLIC IM~~OVEMENTS I
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CITY OF SPRINucl'lJi.LD
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Building/Combination Permit
Status .1 ~,s.~~:~~~~;;~~Wf~/"~~:~1~\i::~;~~~~':
,,225 Fifth Street;Sprln'gfield, OR:
:,5.41-726-3753PIi'o'o'eJ'G::, - '..,~ ,
, 5'41-726-3676 'F~il C'~~~'~}~:J1f"~ :~~:'~F)~'~~,C:~;t'
541-726-3769 Inspection Line ,;,.. ''.1
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PERMIT NO: COM2009-01497
ISSUED: 10/12/2009
APPLIED: 10/12/2009
EXPIRES: 04/12/2010
VALUE:
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Total Value of Project
':F~r)'::f~:~~~r .\~,.
!:~~~ Des~':!:~~~[~i;~:~~;ff:';~~~~~;,:(~, '._~mount Paid
+ 12% State Surcharge '. .:'; ;.. $11.52 .
+ 5% Technology Fee $4.80
1st Appliance . . ' ,t <, $79.00
Heat Pump "'.~liJ-'l,i.",i. ~." __,~;!~,'. $17.00
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Total Amount Paid .
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Fees Paid I
Date Paid
Receipt Number
10/12/09
10112/09
10/12109
10/12/09
3200900000000000703
3200900000000000703
3200900000000000703
3200900000000000703
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$112,32
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Plan Reviews I
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To Request a.~ ,i,n.sp,e,!:til!1! ~l!Il}he 24 hour recording at 726-3769. All inspections requested before 7:00
a.m. will be rij:a!leth~ same working day, inspections requested after 7:00 a.m. will be made the following
. work day. ...:-n '.' ' . .
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By signature, I stat(~nd'agree, that'l have carefully examined the completed application and do hereby certify that all
information hereon is (i'ue and correct. and I further certify that any and all work performed shall be done in accordance with
J t~e Ordinances:~f th~ 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.
I further agree to ensure that all req'uired 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. '~.f' .. 0
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~; Qwner or Cont~,~_ctors Signature
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225 FIfth Street.:: ", .. ,_ '. ":')",.',:";5;;;:/"
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Springfield, Orego~'9.!7477:"'! ,',\: .
541-726-3759 Phoiie ':'1 '
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Job/Journal Number:: Description
COM2009-01497 ,1st Appliance ';:;'" ,'.:-
COM2009-0 1497 .;.: :ti-!e~t puinp.}~,::m~;; ,,':".
COM2009-0 1497 ; ;'Y;>"!'f'5% TecIilidlogy 'Fee
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COM2009-01497' ".e,." )1+;'12% State Surcharge
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Payments:' .
Type of Payment
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ONLINE CHGS . ONLINE PERMIT CHGS
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3200900000000000703
Received By
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Check Number
Batch Number
City of Springfield Official Receipt
Development Services Department
Public Works Department
Datc: 10/12/2009
8:56:14AM
Item Total:
Authorization
Number How Received
Amount Due
79.00
17.00
4.80
11.52
$112.32
Amount Paid
ONLINE eugene htg Online
Payment Total:
$112.32
$112.32
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10/12/2009