HomeMy WebLinkAboutPermit Mechanical 2009-11-6
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:'City Of Springfield
225 Fifth St
Springfield, OR 97477
Phone: 541-726-3753
Email: permit~n1er@ci.springfield.or.us
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New Construction
IRJ Addition/alteration/replacement
~CA'TI;~QBX;{o~ig:Q~~T:[UC;l"IP~4.\~~lIti~l:i~
[Xl 1 or 2 family dwelling .;:' D" M~Iti-family':O Commercial 0 Accessory
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City/State/ZlP: SPRINGFIELD, OR 97477 -.: .,~-. ".
Suite/bldg.faplno.:
Project Name: hedr\ck.
Cross Street/directions to J~~ ~~~:
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'.
Tax map/parcel no.:
1703243305800
3 zone mini split
Name: mollv brady
I Phone: 541-726-7654
I Email:
Fax: 541.726-7657
CCB lie. no.: 149452
I Business Name: EUGENE HEATING & COOLING COMPANY
I Cootact. NOTICE:
I Add,esS! 367~'1~!'S"R,!i~MIT SHALL ~~RE IF TNt W~
I CityIStatelZ,PfiMM/'l!'6If~f.M-"~Ul:t\ I nJ" rd\MiT IS NO.
I ::;::.~:.~~:!:;D :m If: ABAN90NED FO~
Phooo. 54172f.\~?t 1 Rn'naV PI=RlnnFaX! 5417267657
I Email:
Metro lie: no.:
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CIty-lie. no.:
Upon review and approval by your loal Jurisdiction, 'lour permit will be e-milolletl. or fu,ed
wlthln one busIness day, with InstRlctlons on how to schedule your InspectIon.
NOTE: This Authorization To Begin Worll expIres wlthln 180 days If a pennlt Is not obtaIned.
The local building department may detennlnethat an Authorization To BegIn Worll Is null and
void I' It does not meet appllcal:lle land use laW. and local, o~lnances.
Residential Mechanical Authorization To Begin Work
69600-BMC-09-00177
Approval Code; 073490 11/5/2009 4:28 pm
E-mailedTo;wvosburg@automaticheatco.com
I Description
$79.00'
I aty.
Total
I Heat Pump
I Air handling unit
2
$17.00
$34.00
I First !'-ppliance Fee
I Subtotal
I State surcharge (12% of permit
total)
I Technology fe~ (5% of permit total)
I TOTAL PERMIT FEE
$130.00
$15.60
$6,50
$152.10 I
~9- \lfroO ~rL. \ \ l \.Q !Dq
f ~;rENTION: Oregon law requires you to
N~ti~~ rules adopted by the Oregon Utility
in OAR ~~; Center. Those rulasare set forth
0090)li -001-001~ through OAR 952-001.
" au may obtain Copies of the rule b
calling the center. (Note: the tele ho: 'I
number for the. Oregon Utility Notif.catio'n
Center IS 1-800-aa2-2a44).
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Inspections Phone: 541-726-3769
This Authorization To Begin Work,must be posted at the job ljiite until replaced by a Permit
"
"
Status
Issued
225 Fifth Street, Springfield, OR" ",;
541-726-3753 Phone,;; , . .,
541-726-3676 Fax
541-726-37~91n,spection Line
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-0I630
ISSUED: 11/06/2009
APPLIED: 11/06/2009
EXPIRES: 05/06/2010
VALUE:
SITE ADDRESS; . 2539 15TH ST
ASSESSOR'S PARCEL NO.: 1703243305800
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
PROJECT DESCRIPTION: 3 zon'c mini split heating system in residence,
Owner:
Address:
HEDRICK ELIZABETH J
2539 15TH ST
SPRINGFIELD OR'97477
Residential
I CONTRACTOR [NFORMA~ION I
Contractor Type
Mechanical
Contractor
: EUGENE HEATING & COOLING
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms: '
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
License '
149452
Expiration Date
10/22/2011
Phone
541-726-7654
n/a
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
I DEVELOPMENT INFORMATION I
Frontyard Setback: Overlay Dist: ,
Side I Setbaclt.~OTlCE' '.":,s~reet Trees Rqd:
Side 2 Setbacl!~' _XllY..~il!,l;jve Rqd:
Rearyard SetJ.Hl$. PERMIT SHAll EXPIRE IFlIOl1~l\coverage:
Solar SetbaciJ,UTHORIZEO UNDER THIS I'ERMlYD"OT" ,
-:;9MM[fJS:i: ::-: IS ABNJBAfffi~ ~:;,
ANY 180 DAY PERIOD., PUBLIC IMP~OVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
I yaluat,ion De~criDtion I
Description
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Type of Construction
-'
Page I of2
REQUIRED PARKING
Total:
Ha~iCal!l)ed'
ATTENTION: Ore@ll trequlres you to
follow rules adopte y e Oregon Utility
Notification Center. Those rules are set 101111
In. {l~Fl, 952-001-001 0 through OAR 952-oot-
0090. You may ootaln caples 01 \II" I U'"'' "":
calling the center. (Note: the telephone
~"Rlfp1le Oregon Utility Notifioalion
CAnter is 1-800-332-2344).
DownspoutsffiralDs: _ ,
Value
Date Calculated
225 Fifth Street, Springfield, OR
541-726-3753 Phone '
541-726-3676 Fax
541-726-3769 Inspection Line
:'
CITY OF SPRINvf<mLD
Building/Combination Permit
PERMIT NO: GOM2009-01630
ISSUED: 1l/06/2009
APPLIED: 11/06/2009
EXPIRES: 05/06/2010
VALUE:
Status
Issued-
.r:
,
.. ".'.'
Total Value of Project
Fees Paid I
, ,
". '.
$15.60
, $6.50
$79.00
$34.00
$17.00
Date Paid
1 i/6/09
11/6/09
11/6/09
11/6/09
11/6/09
, Receipt Number
Fee Description
. + 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Air Handling Unit lJp to 10,000
Heat Pump
Amount Paid
2200900000000001263
2200900000000001263
2200900000000001263
2200900000000001263
2200900000000001263
Total Amount Paid
$152.10
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.
Reouired I n\nections I
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
By signature, I state and agree, that I have carefuliy ex. milled the completed application and do hereby certify that all
information hereon is true and correct, and I further C'~rlify that any and all work performed shall be don~ in accordance with
the Ordinances of the City of Springfield and theJ,.aws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any' structurewithout permission of the Community Services Division, Building Safety.
I furtber certify that only contractors and employees who are in compli'ance 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
;1
Pa2e 2 of2
225 Fifth Street ' ,
Springfield, Oregon 9?_477 '.?',:: '.~,;-:' .
541.726-3759 rIione ... .:;
Job/Journal Number.
COM2009-01630
COM2009-0 1630
COM2009"0] 630
COM2009-0 1630
COM2009-0 1630
Payments:
Type of Payment
ONLINE CHGS
cReceintl
City of Springfield Official Receipt
Development Services Department
Public Works Department
: RECEIPT. #:. 2200900000000001263
Date: 11/06/2009
D~scription ".~.,
rst Appliance
Air Handling Unit Up to,IO,OOO
Heat PU1l1P ;,:',j;'
':+ ,]2% State Surcharge
;'+'5% Technology Fee
.;,
',"
Paid By: .
ONLINE PERMIT CHGS
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Item Total:
<":heck Number Authorization,
Received By Batch Number Number How Received
ONLINE eugene Online
heating &
cooling
Payment Total;
kr
'., -- '.:',
Pa,ge 1 of 1
II :27:04AM
Amount Due
79.00
34.00
17.00
15.60
6.50
$152.10
Al!lount Paid
$152,10
$152.10
11/6/2009