HomeMy WebLinkAboutPermit Mechanical 2009-10-20
Mechanical Authorization To Begin Work
E-mailedTo:wvosburg@automaticheatco.com
Check on status of permit
By Phone: 541-726-3753 or Email: permitcenter@ci.springfield.or.us
I 0 New Construction
[] Addition/alteration/replacement
I Description
) HC8t Pump
[] 1 or 2 family dwelling 0 Multi.fainily 0 Co~ercia] DAccessory Building
I First Appliance Fee
I Job Address: 680 T ST
I <:ity/StateJZIP: SPRINGFIELD, OR 97477
I SuiteJbJdg./apt.no.:
I ProjectName:Carenter
Ie,"" 5""Vd;",60., 10 job ,;1"
I Subtotal
State surcharge (] 2% of penn it
total)
Technology fee (5% 6fpermit
total)
I TOTAL PERMIT Fn:
69600-BMC-09-00159
10/20/2009 11.01 am
Approval Code: 088282
Total
. $79.001.
$96.00
$11..52
S4.80'
$]12.321,
tq- \~3l- ~
I Turn'p/p"""'o,, .\'.IO~'1.\.ok~ .f)4,~ V2_
1.''jiT~'~1i~,~iifDES:C].iP;tfQN!Qff;W:ORK~'~":,,,:ii;'~-';i,~~~\
mini split
I Nllme:mollybrady
I Phone: 541-726-7654
I Email: wvosbUfg@automaticheatco.com
Fax: 541-726-7657
~
I CCBlic.DO.:149452
I Business Name: EUGENE HEATING & COOLING COMPANY
I Contact:
I Address: 3675 FRAN~2.N BL VO ~
I c;ly/S"l<iz,~,\MdIi!',~' ~~403 t' l' E"DtR1= IF THE wun~
I Pho."'41.7ip{r\;~ t'tnlVl1! "lIt. !.l't~t''l!tJllltMIT IS NU I
I E";.;k AU I HUKIL_CU uJm~ ^llai'100NED FOR
1M'''. lk. ,",'CUIVIIVltl~"H'; ell I 09ir ,i" '0,'
ANY 1 tlU Ui'\1 rEf.1 It).
Upon review and approval by your local jurisdiction; your permit will be
e-mailed or faxed wfthln one business day" w~h ,instructlons on how to
schedule your inspection. ~,. '-., .. . - , ," -"-, .
\ 0 \ 1D\ cA
ATTENTION: Oregon law requires you to
follow rules adopted by the Oregon Utility
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. (Note: the telephone
number for the,Oregon Utility Notification
Center is 1-800-332-2344).
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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
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This Authorization To Begin Work must be posted at the job site until replaced by,a Permit
Status Issued
225 Fifth Stree(Springfield,OR,
541-726-3753 Phone
541-726-3676 Fax' I
541-726-3769 Inspection Line
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2009-01537
ISSUED: 10/20/2009
APPLIED: 1'0/20/2009
EXPIRES: 04/20/2010
VALUE: '
~
SITE ADDRESS: . 680 T ST
ASSESSOR'S PARCEL NO.: 1703262404312
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Mini'split heating system in residence
Owner: CAPLES PAMELA SUE
Address: 680 T ST ,
SPRINGFIELD OR 97477
r
10CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Contractor
EUGENE HEATING & COOLING
License
149452
Expiration Date
10/22/2011
Phone
541-726-7654
BUILDING INFORMATION I
#of Units:
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:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Frontyard Se!back: Overlay Dist: Total:
Side 1 Setback: ' , # Street Trees Rqd: Handicapped:
Side 2 Setback: NOTICE: ~v~~O~qd: ATTENTION: Oreg6rd8ltlIfR€Wlres you to
Rearyard Setbac\'tHIS PERMIT SHALL EXPIRE It~ 'ilfU;~erage: follow rules adopted by the Oregon Utility
Solar Setbacks: ; UTHORIZED UNDER THIS PERMIT I:; Notification Center. Those rules are set forth
~ . _ _ ~:-Ul[!:' rnR 1ft nAQ O~!).nn1.nn1n thrnllnh OAR 952.0q1.
COMMENGl:U Uti I;) tlu'/PUiltic IMPROVEMENTS .0090. You may obtain copies of the rules by
ANY 180 DAY PERla-D. , . .-caI!i.ng the center. (Note: the telephone
Street Improvemenls: ' , nunlisl!M~IY16'egon Utility Notification
Storm Sewer Available: " .,-<,', ,d,,"',;t,. . Do~fP\\Il{Jm1~P.-332.2344).
Special Instruction:
Notes:
I Valuation Descriotion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid t\mount
Value
Date Calculated
Page I of2
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2009-0]537
ISSUED: ]0/20/2009
APPLIED: ]0/20/2009
EXPIRES: 04/20/2010
VALUE:
225 Fifth Street, Springfield, OR ,
541-726-3753 Phone'"
541-726-3676 Fax
541-726-37691nspectiou Line
Total V ~Iue of Project
I Fees ~aid J
Fee Description,
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Heat Pump
Amount Paid Date Paid Receipt Number
$11.52 10120/09 1200900000000001164
$4.80 10120/09 1200900000000001164
$79.00 10/20/09 ,1200900000000001164
$17.00 10/20/09 1200900000000001164
Total Amount Paid
$112.32
I Plan Reviews ,
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 after 7:00 a.m. will be made the following
work day.
I R,~nlJired lusnection~
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 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 aC,cordance with
the Ordinauces ofthe City of Springfield and the Laws of the State of Oregon'pertaining to the work dcscribed 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.
Owner or Contractors Signature
Date
Page 2 01'2
225 Fifth Street ' , '
"
Springfield,Oregon974,n"
541-726-3759 Phone>;")'
Job/JournalNumher
COM2009-01537
COM2009-01537
COM2009-0 153 7
'COM2009-01537 ,,'
Payments:
Type of Payment
ONLINE CHGS
cReceintl
.,', .,",
. . ~ ."-; ~
:";/":;', :i
':' <;,RECEIPT, #:
.. .. .~,
. D~scriptio.n
, i st Appliance
Heat Pump ',,;,' ,
,+:5% TecIwology Fee
.. "'.. .)-0 ..'.......,...
:\1:2"(0 Staie~ui-charge
",i;:
;~aid'By" ,
ONLINE PERMITCHGS
120090000000000]]64
Received By
KR
Check Number
Batch Number
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 10/20/2009
Item Total:
Authorization
Number How;Received
ONLINE EUGENE Online
HEATING
Payment Total:
Page 1 of 1
12:58:14PM
Amount Due
79,00
17,00
4,80
11.52
$112.32
Amount Paid
$112,32
$112.32
10/20/2009