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Home My WebLink AboutPermit Mechanical 2009-10-27 Residential Mechanical Authorization To Begin Work 69600-BMC-09-00168 Approval Code: 061992 10/27/2009 8:47 am E-mailedTo:wvosburg@automaticheatco.com i!l_~J~~EFc5fBg[jJ.l,~~~~~~~il Description Qty. Total I t' t.. SPRINGFIELD .0'....', ; "", Il'fl" c. . 'II'"'"'-;~;,c", --, ~.. .2.l'Jj~[i;1, . Ii .. '1>t~:;20-REM)t.{' City Of Springfield 225 Fifth St . Springfield,OR,97477 . Phone: 54,1~726-3?53 . :~.E~aiJ: 'permitcen.t~r@Ci.springfield.or.us I..~",,,",_",,.o,o~,;,,", =oE'OF WORK",0B'EA-iIIE"",,",--""""'~, 1m?M~,r\i-;;~46~.'f.Jl>~.t..~il~I""'\." :.A.. ,0' .;._'~~t~J1h"1'i~k""l!f~ti!&~ffii~ D New Constructiorf IX] Addition/alteration/replacement """~~",:1!!!I'll'lcAfEGOR i" ~coNsirR(ICIfoNI~'<#~__";",,~ M'&:~~~,{-_. _ ,,~,.:I,;,., __'.. _._,jY~lI;;..'_~.,.,_."--,-_.~__,~~"."",,,.1i1I~'~~~lm'Hmil 001 or 2 family dwelling- 0 Multi-family 0 Commercial D Accessory First Appliance Fee $79,00 I II!1l'J-mB'i'JoB1SiTEjINl;tjRrMTjON'ANDli!(:r&:TI6N~q I Job Address: 400 S 43RD ST I CityfStatefZlP: SPRINGFI!=~D::'OF/ 9747-8 i I Suite/bldg.laplno.: " 'I Project Name: s. mj]]~r I Cmss S"oo.d;,octions to job slto: ' I Tax map/parcel no.: 1702323403000 J mini split monv bradv Phone: 541.726-7654 Fax: 541-726.7657 Email: wvosburg@automaticheatco.com I CCB lie. no.: 149452 I Business Name: EUGENE HEATING & COOLING COMPANY I Contact, NnIlCF' I Add,o.., 3f1~~'fllE~I'fOSHALL EXPIRE IF THE!i~~~ I C;ty/state/ilMiftWSrbt\lJiiD"WlIDER THI:i I'ttllVIH Ii) I~U' I ' '''''"/ltl'''tU un I.) Ro"i,f.W;:E fOr. Phone: 5417267654 '1vFax:"!i417267657 ~"I -l "'f' I') 11'( nr-.,I,,,O I 'I r r vv un I L".lli\J . Email: J Metro IIc. no.: City lie. no.: Upon review and approval by your local Jurisdiction, your pennlt will be e-malled or faxed within one bush'less day, with Instructions on how to sch~ule your Inspection. NOTE: This Authorization To Begin Work expires within 180 days If a pennlt Is not obtaIned. The local building department may detennlne that an AuthorizatIon To BegIn Work Is null an-d void If It does not meet applicable land use laws and local ordinances. , ~~~" ~~~~~~~. I Subtotal I State surcharge (12% of permit totall I TeChnology fee (5% of permit lotal) I TOTAL PERMIT FEE CCl - \5LPB \C-\L $79,00 I $9.48 I ,$3,95 I $92.43 I 10 \2.-1\ Oq 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 tor the Oregon Utility Notification Center Is Hl00-332-2344), '~6' \\)\~ ~ ~t.@.: ~ Inspections Phone: 541~726-3769 This Authorization 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: COM2009-01568 ISSUED: 10/27/2009 APPLIED: 10/27/2009 EXPIRES: 04/27/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone. , , 541-726-3676 F~x, : ":" ..... 541-726-3769 In,spec.tion Line ,. SITE ADDRESS: 400 S 43RD ST ASSESSOR'S PARCEL NO.: 1702323403000 Spriugfield TYPE OF WORK: Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: Mini ,split heating system in residence :' ;'~;,. .Owner: Address: ., .. MiiLEld;UANNON CESSNUN 400 S 43RD ST . SPRINGFIELD OR 97478 I, CONTRACTOR INFORMATION I Contractor Type Mechanical Contractor EUGENE HEATING & COOLING License 149452 Expiration Date 10/2212011 Phone 541-726-7654 I. BUILDING INFORMATION ~ # 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: . ~ ~ "'l! n/a I DEVELOPMENT INFORMATION I REQUIRED. PARKING Frontyard Setback: Overlay Di,st: Total: Side 1 Setback: # Street Trees Rqd: Handicapped: Side 2 Setti',j8<T1CE:"Paved Drive Rqd: ATTENTION: Oregon@\\\/i!l8l!Ires you to Rearyard ~~l&<JkERMIT SHALL EXPIRE IF THE ~ot Coverage: follow rules adopted by tlie Oregon Utility S I S b ,k~' Notification Center. Those rules are set forth oar et ",'tnHORIZED UNDER THIS PERMIT IS NOT In ()Ar:l Q~?_nn1_fln,1(\throu.oh OAR 952-001- ";UIVllVltNL:tO UR I~ AtlANUUN~'k IMPROVEMENTS lD090. You may obtain copies oHM rules DY ANY 180 DAY PERIOD. . .. I cal~f1g the center. (Note: the telephone Street Improvements: '. . nu~Vf!llltff9'l!)I:egon Utility Notification , _.' .: Do r.P.DtA. [i~1-aRnOsQ.-332-2344). . Storm Sewer Available: _ WIIsl'ODlSl1Jt if , Special Instruction: Notes: ., " I Valuation Descriotion I '. Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date CalCulated ,.,. " Page I of2 .- , CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01568 Issuim: 10/27/2009 APPLIED: 10/27/2009 EXPIRES: 04/27/2010 VALUE: Status Issued/\?: 225 Fifth Street; Springfield, OR 541-726-3753 Phone.. 541~726-3676 Fax' i ".'. 541-726-37691nspection Line' i;, ~. . .' ,.". .,. I'." Total Value of Project :s f-.... Fees ~aid I ':;, , , ' . , " '-'. ,.7. . ): Fee Description + 12% State Surcharge + 5% Technology Fee 1st Appliance ::.. ':': Amount Paid Date Paid $9.48 $3.95 " $79.00 10/27/09 10/27/09 10/27/09 Receipt Number 1200900000000001188 1200900000000001188 1200900000000001188 Total AII1,ount Paid -..,-:;:._0., $92.43 , .il.. i ~I , 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 the. same working day, inspections requested after 7:00 a.m. will be made the following work day. : \ -... H ~enuir.~d Insnecdnns I 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 bereon is true and correct, and I 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 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 requesled 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 011 the site at all times during construction. Owner or Contractors Signature Date " . " , , . u "-., Pa2e 2 01'2 '., ~,,:. 22';; Fifth Street :'. ,::)., ", {,.; ',; +,:', '.: it ,; "-: (' ~, ....,.,'.;; ;'.:' "', - ',. -. ;'. Springfield, Oregon,9747.7...X ' 54J-726-3759 PhODe "~ ' ' Job/Journal Number COM2009-01568 C0M2009-0 1568 COM2009-01568 Payments: , . Type of Paymeni " :. ONLINE CHGS cReceiotl , RECElpr,#: Description 1st Appliance" ,;,. ,.+ 5% Technology Fee ":;+12%Si~{e,stih:hiirge ...~~ .~.-. ; > ': .,. ,~ "':' ':-PaidBy,i.., ONLINE PERMIT CBGS .','" Y~'i, .::;' .' .,;, ~" . ' " ~'_ '.. ;:i.( .. ) .':' . : t ~:.. ", 1200900000000001188 Received By Check Number Batch N~mber KR ONLINE " " Page I of 1 City of Springfield Official Receipt Development Services Department Public Works Department Date: 10/27/2009 Item Total, Authorization Number How Received EUGENE Online HEATING AND COOLING Payment Total: .9:04:IOAM Amount Due 79.00 3.95 9.48 $92.43 Amount Paid $92.43 $92.43 10/2712009