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Home My WebLink AboutPermit Mechanical 2009-10-19 I Subtotal IStale surcharge (12% of permit total) . ITechnOIOgy fee (5% ofpermil lotal) I !TOTAL PERMIT FEE . ! tCj-/53D ~ lollCJID9 ,} City of Springfield Mechanical Authorization To Begin Work E-mailedTo:wvosburg@automaticheatco.com Check on status of permit By Phone: 541-726-3753 orEmail: pennitcenter@ci.springfield.or.us D New Construction o Addiiionlalterationlreplacement' I Description "'mp o 1 or 2 family dwelling D Multi-fwnily D Commercial DAcceSSOfY Building I Firsl Appliance Fee Job Address: 543 HAYDEN -BRIDGE WAY City/Stale/ZIP: SPRINGFIELD, OR 97477 Suite/bldgJapt.no.: Project Name: Long Cross Street/directions to job site: I Tn'p/p"")n.,, Jln~,;)J9.~J CCCl\) I 1~~~ii1E5~~l'lg~{~~'iT6N,OF,A\iV'(rRK1!,+1c;;M'liZ;K-Iy1""",,~<i~1 heal pump I Name: molly brady I Phone: 54]-726-7654 Fa,,: 541-726-7657 11;;=~rr'''':'.'.:X''----''''''''''UI'''RKfg;. ."''''',,",.' li;V:~ . " . TP1fS'4"{6~:J!l,,!,"~U;A>I!~R89m~=~~"~.U _ ',,' ; -,~""~ I CCB);',n."It~j.~HrRl2e IJNr~p...."!'LJ'~ DJ:R~dIT IS NflT I ""'n,,, N.m'~~B"rilflS'ml\ttlnNfn "OR . I C.n',," .^!:IY HQ fl"ii PE~Uon I Address: 3675 FRANKLlNBLVD I City/Statc!ZIP: EUGENE, OR 97403 I Phone: 541.726-7654 69600-BMC,09,OO 157 10/19/2009 (,33 pm Approval Code: 042248 QIy, I E., TOlal ATTENTION: Oregon law requires you,t,O follow rules adopted by the Oregon Ulihty Notification Center. Those rules are set forth In OAR 952-001-0010 through OAR 952-001- 0090. You may obtain copies of the rules by calling the center. (Nl'lte: .t,he tel~~ho~e number for the Oregon Ulihty Notification Center Is 1-800-332-2344). Fa,,: 541-726-7657 :e.,.,.... I Email: I Metrolk.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. ~~ ~~~ 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 it does not meet applicable land use laws and local ordinances _v' 8' Wl\~ 'P"V ~ ~~ S' This Authorization To Begin Work must be posted at the job site until replaced by a,Permit I ! ., I CITY OF SPRINGFIELD , I I. Building/Combination Permit ~ :; , -, J Status , Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541,726-3676 Fax 541-726-3769 Inspection Lin~ PERMIT NO: COM2009-01S30 ISSUED: 10/19/2009 ' APPLIED: 10/19/2009 EXPIRES: 04/19/2010 VALUE: SITE ADDRESS: 543 HAYDEN BRIDGE WAY ASSESSOR'S PARCEL NO.: 1703262100901 Springfield TYPE; OF WORK: Heating System I TYPE; OF USE: New Residential PROJECT DESCRIPTION: Heat pump in residence Owner: LONG JAMES WILLIAM & T L Address: 543 HAYDEN BRIDGE WAY SPRINGFIELD OR 97477 . 1 I CONTRACTOR INFORMATION 1 Contractor Type Mechanical Contractor EUGENE HEATING & COOLING License 149452 # of Units: Primary Occnpancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: BUILDING tNFORMA T10N Ii 1 I I # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: , In/a I DEVELOPMENT INFORMATION 1 Expiration Date 10/22/2011 Phone 541-726-7654 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Frontyard Sethack: Overlay Dist: Total: Side 1 Setback: # Street Trees Rqd: ATrENTION: OregonIMw\i6~ you to Side 2 Setback: NOTICE: Paved Drive Rqd: follow rules adopted ~9'lmi'oregon Utility Rearyard Setba~~lIS PERMIT SHAll EXPIRE IF 'fPII?CWefFfl('verage: Notification Center. Those rules are set forth Solar Setbacks:AUTHORIZED UNDER THIS PERMIT IS NOT In_~~R ?52-001-001~thro~gh O~R 95~-O~1- liUIVIIVlt:Nl;ED OR IS ABA~fNi B_~.. \t_ .....J .il_....,",._ _I L '.--.-, St t I ANYt 180 DAY PERIOD; PROVEMENTS I, n~~2!1~~J~ntQ~~~~~~;i~i~: ~~~h~~t~~n ree mprovemen s: . i"SIU'c'elIteHK'f-800-332-2344). Storm Sewer Available: ,.,,;.... '..'" i Downspouts/D~ains: SpecialInstruction: ."'c'" , , .1 , Notes: I Valuation Descriotion I Description . Tvpe of Construction $ PerSq Ft or multiplier. I I 'I , Square Footage or Bid AmouI!t , , Paee I of2 Value Date Calculated CITY OF SPRINGFIELD Building/Combination Permit Status Issued , l!ERMIT NO: COM2009-01530 ISSUED: 10/19/2009 APPLIED: 10/19/2009 EXPIRES: 04/19/2010 VALUE: I 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project 1 Fees Paid I Fee Description + 12% State Surcharge + 5% Technology Fee 1st Appliance Heat Pump Amount Paid Date Paid Receipt Number $11.52 $4.80 $79,00 $17,00 10/19/09 10/19/09 10/19/09 10119/09 1200900000000001161 1200900000000001161 1200900000000001161 1200900000000001161 Total Amount Paid $112.32 I Plan Reviews I 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 aftJr 7:00 a.m. will be made the following work day. I Reouired Insneetinns ~ 111111 1 r .. 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 ap~IiCation and do herehy 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 and the Laws of the State of Oregon ~ertaining to the work described herein, and that NO OCCUPANCY will he made of any structure without permission of thelCommunity Services Division, Building Safety, I further certify that only coutractors 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 propJr time, that each address is readable from the street, that the permit card is located at the front of the property, and the appro'ved set of plans will remain on the site at all times during construction. Owner or Contractors Signature I Date Paee 2 of2 2-25 Fifth Street Springfield, Oregon 97477 ~41-726-3759 Phone Job/Journal Number COM2009-01530 COM2009-0 1530 COM2009-0 1530 COM2009-01530 Payments: . Type of Payment ONLINE CHGS cReceintl RECEIPT #: :tit~ iii: City of Springfield Official Receipt Development Services Department Public Works Department 1200900000000001161 Date: 10/19/2009 Description 1st Appliance Heat Pump + 12% Stale Surcharge + 5% Technology Fee . Paid By ONLINE PERMIT CHGS Received By KR Page 1 of I Item Total: <';heck Number Authorization Batch Number Number How Received ONLINE EUGENE Online HEATING AND COOLING Payment Total: 1:37:53PM Amount Due 79,00 )7,00 11.52 4,80 $112,32 Amount Paid $112,32 $112,32 1011 9/2009