HomeMy WebLinkAboutPermit Mechanical 2009-11-27
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City Of Springfield
225 Fifth 51
Springfield, OR 97477
Phone: 541-726-3753
EmaiJ: permitcenler@ci,springfield.or,us
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Residential Mechanical Authorization To Begin Work
69600-BMC-09-00197
Approval Code: 000653 11/27/2009 12:43 pm
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I Description
IHoati.h'g/Coolirig-A,ppiiancos. .
I Heat Pump
I Air handling unit
E.mailed To: wvosburg@automaticheatco.com
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I Qty. Ea. Total I
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$17.00 I
$17 00 1
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I First Appliance Fee
IM9ctl~~iQlcal~ermit.-Fees ~oJ.~
I Subtotal
I Slate surcharge (12% of permit
total)
I Technology fee (5% of permit lotal)
I TOTAL PERMIT FEE
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"-"3
#c;'" '.5.;,riPE'OF. WOR~(~-;;:"':,?~ ,
I 0 New Construction
l&J Addition/allerationlreplacemenl
, 'CATEGORV{QF,CONSTRUCl"ION
00 1 or 2 family dwelling 0 Multi-family 0 Commercial
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o Accessory
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0, JOB SITE "INFORMAfION 'AND'I.iocAtio"t-.ff,'0?Fi
Job Address: 160 51STST
City/State/ZIP: SPRINGFIELD, OR 97478
Suite/bldg.fapt.no.:
Project Name; childers
Cross Street/directions to job site:
Tax map/parcel no.:
1702333203700
c,DESCRIRJI9N'O(W6~K~''''t'"Z::
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2 zone mini
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I Name: mollv bradv
I Phone: 541-726-7654
I Email:
Fax: 541-726-7657
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cce lie. no.: 149452
Business Name: EUGENE HEATING &. COOLING COMPANY
Contact:
Address: 3675 FRANKLIN BLVD
City/State/ZIP: EUGENE, OR 97403
Phone: 5417267654
Fax: 5417267657
Emall:
I Metro lie. 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.
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The local building department may determine that IIn Authorization To Begin Work is null and
void if it does not moet applicable land use laws and local ordinances.
Old~
Vln,
$17,00
$17,00
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$79,00 1
'I
$113.00
$13,56
$5,65
$132,21
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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: COM2009-01280
ISSUED: 10/]4/2009
APPLIED: 08/3112009
EXPIRES: 05/]9/20]0
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 fax
541-726-3769 Inspection Line
SITE ADDRESS: 160 51ST ST
ASSESSOR'S PARCEL NO.: 1702333203700
Springfield TYPE Of WORK: Electrical Work Only
TYPE Of USE: Repair Residential
PROJECT DESCRIPTION: Hazardous Wiring Complaint - Electrical permit to rewire structure and electrical
service
Owner: CHILDERS MICHAEL R & WENDY D
Address: 160 N 51ST ST
SPRINGFIELD OR 97478
Phone Number: 541-914-0032
I CONTRACTOR INFORMATION I
Contractor Type,
Electrical
Contractor
OWNER
License
Expiration Date Phone
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
front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks: '
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
0/0 of Lot Coverage:
Total:
Handicapped:
Compact:
I PU~L1C IMPROVEMENTS i
Street Improvements:
Sidewalk Type:
Storm Sewer Available: , . U \0 DownspoutslDrains:
Special Instruction: f\ laW reqUIles yt\ili\V NOTICE: '
E,.n10N', oreg~d '0'1 \ne o{eg~f\S8\ 10M THIS PERMIT SHALL EXPIRE IF THE WORK
Notes: "''fi, VI ruleS e.ClO\'t ihose rules e.~ 95Z-001. AUTHORIZED UNDER THIS PERMIT IS NOT
~I 0 . center. gh O{>.:n ....
d ..:r....'='tl0n -.t"04nthrOU ...\.....rll\95"" F"-'AHnr-~.,..rggRI) ^Q^"'nnr..u:n~nR
""O"p. 952-VV' ~btain CO\,II;~~' \ele ,,~., ~~';'~'R~'u
'" 0 '{oU may \Not8: the t~MaiJ:tllItion DescriDtion ~AY PERIOD.
009 '. the center. Utility tlo , ., ,
call1f\9 the oregon " 2:)44)-
D . .....,mDer~r ........P.OO-~..- $ Per Sq ft Square Footage
escnpt...... o",,-&mlructlOn I . I' B'd A
or mu tip lef or I mount
Value
Date Calculated
Pa2e I of 3
Status
Issued
CITY OF SPRINGFIELD
Buildin~/Combination Permit
PERMIT NO: COM2009-01280
ISSUED: 10/14/2009
APPLIED: 08/31/2009
EXPIRES: '.' 05/19/2010
VALUE:
225 Fifth Street; Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
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Fee Description Amount Paid Date Paid "Receipt Number
+ 12% State Surcbarge $16.92 10/14/09 1200900000000001142
+ 5"i" Tecbnology Fee $7.05 10/14/09 1200900000000001142
Add, Alter, Extend Circ Ea Add $60.00 ]0/14/09 1200900000000001142
Perm ServlFdr 200 amps or less $81.00 ' 10/14/09 1200900000000001142
+ 12% State Surcharge $2.16 10/22/09 2200900000000001207
+ 5% Technology Fee $0.90 10/22/09 2200900000000001207
Other Electrical Permit $18.00 10/22/09 2200900000000001207
+ 12% State Surcharge $\3.56 It/30i09 3200900000000000780
+ 5% Technology Fee $5.65 It/30109 3200900000000000780
I st Appliance $79.00 It/30109 3200900000000000780
Air Handling Unit Up to 10,000 $17.00 It/30109 3200900000000000780
Heat Pump $17.00 11/30/09 3200900000000000780
Total Amount Paid $318.24
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;rl1r',npl'ti?"iJ
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Electric Service: Approval required prior to utility company energizing service.
Pa2e 2 01"3
Status
Issued
225 Fifth Street, Springlield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspec!ion Line
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01280
ISSUED: 10/14/2009
APPLIED: 08/31/2009
EXPIRES: 05/19/2010
VALUE:
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 I further certify that any and all work performed shall be done in accordance with
the Ordinances of the City of Springlield 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 requested ilt 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
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Pa2e 3 of3
Date
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2009-0 1280
COM2009-0 1280
COM2009-0 1280
COM2009-0 1280
. COM2009-01280
Payments:
Type of Payment
ONLINE CHGS
eReceintJ
RECEIPT #:
3200900000000000780
Date: 11/30/2009
Description
I st Appliance
Air Handling Unit Up to 10,000
Heat Pump
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
njm
ONLINE eugene htg Online
Payment Total:
Page I of I
8:39:28AM
Amount Due
79,00
17,00
17,00
5,65
13.56
$132.21
Arnallnt Paid
$132.21
$132.21
11/30/2009