HomeMy WebLinkAboutPermit Mechanical 2009-11-27
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I Job Address: 225 16TH 8T
I City/State/ZIP: SPRINGFIELD. OR 97477
I Suite/bldg./apt.no.:
I Project Name: gilbert
I Cross StreeVdirecUons to job site:
I Tax mapfparcel no.: 1703363104200
D New Construction
[ZJ 1 or 2 family dwelling
I mini split
Name: marly bradv
Phone: 541-726-7654
Email:
City Of Springfield
225 Fifth' 51
Springfield, OR 97477
Phone: S41.726~3753
Email: permitcenter@ci.springfield.or.us
Cq./107
Residential Mechanical Authorization To Begin Work
69600-BMC-09-00196
Approval Code: 056896 11/27/2009 12:39 pm
E-mailedTo:wvosburg@automaticheatco.com
IX] Addition/alteration/replacement
Description J Oty. J Ea. 1 Total
IH~a~!.~QJ.CQq(ibg'[~~p~ptla~rife:s~~~~.'f~~~~~i~>:::~~;t1~;~~~;~~~!~i'Ii~?~1~nil
I Heal ~ump $17.00 1
D Multi-family
o Accessory
D Commercial
First Appliance Fee
Subtotal
I State surcharge (12% of permit
total) ,
I Technology fee (5% of permit total)
I TOTAL PERMIT FEE
$96.00
$11.52
$4,80
$112.32
Fax: 541-726-7657
Business Name: EUGENE HEATING & COOLING COMPANY
CCB lie. no.: 149452
Contact:
I Address; 3675 FRANKLIN BLVD
I City/State/ZIP: EUGENE, OR 97403
Phone: 5417267654
Email:
Metro lie. no.:
Fax: 5417267657
City lie. no.:
Upon review and approval by your local jurisdiction, your pennit will be e-malled or faxed
within one ,business day, with instructions on how to schedule your inspecllon.
01705-
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NOTE: This Authorization T08egln Work expires within 180 days if a permit is not obtained.
Tho local building department may determine that an Authorization To Begin Work is null and
void if it does not meet i1pplicable land use laws and local ordinances.
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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
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Status
Issued
CITY OF ~J:'Kll~GFIELD
Building/Combination Permit
PERMIT NO: COM2009-01705
ISSUED: 11/30/2009
APPLIED: 11/30/2009
EXPIRES: 05/30/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726.3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 225 16TH ST
ASSESSOR'S PARCEL NO.: 1703363104200
Springlield TYPE OF WORK: Mechanical Only
TYPE OF USE: Alteration
Residential
PROJECT DESCRIPTION: Mini-split
Owner: GILBERT NORMA D
Address: 1800 LAKEWOOD C~ #177
EUGENE OR 97402
I CONT~CTOR INFORMA~lO~ I
Contractor Type
Mechanical
Contractor
EUGENE HEATING & COOLING
License
149452
Expiration Date
, 10/22/201I
Phone
541-726-7654
BUlLDl,NG INFORMATION I
# of Units:
Primary Occnpancy Gronp:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Strncture
Type of Heat:
WaleI' Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor: ,
Sq Ft Basement:
Sq Ft Garage/Carport
~q Ft Other:
Occupant Load:
n/a
, DEVELOPMENT INFORMATION ,
REQUIRED PARKING
Total:
Handicapped:
Compact:
Front yard Setback: Overlay Dist:
Side I Setbac.!>: N' 0 gon law requires youto # Street Trees Rqd:
Side ~@~k\O . d reied by the Oregon Utility Paved Drive Rqd:
Rear!\l\\lI.\!\l~ll\fcl~t ~~ Those rules are set forth % of Lot Coverage:
SOlatJs\!i\\'i\llJQ''2n_og~_OO'1 0 through OAR 952-001- ."
l'1. OAK ~5 " _ _ ^"h~ .,,1"0 hv '
0090 YOU may u,",""" ~~ ~'- - '
Ii, the center. (Note: the tel~ph'P,I'mLlC IMPROVEMENTS I
ca mg .~, th.. Oregon Utility NCitlf,j"" .' ~
Street ~te""'nt""QOO_332-2a44).
Center 18 1...
Storm Se~er Available:
Special Instruction:
. Sidewalk Type:
Downspouts/Drains:
Description
Type of Construction
NOTICE: . EIFTHEWORK
TH~ 1~~~IT ~~~~~. ~~~ ?r:a~ntT 1\ NOT
I "U If'V"".'f NOONEO FOn
Valuation DescriptiolqD OR IS ABA
, """ ~ on DAY PERIOD.
$ Per Sq Ft . Square Footage
or multiplier or Bid Amount
Value
Date Calculated
Notes:
Page I of2
Status
Issued
CITY OF SPRINGFIELD
Building/C~mbination Permit
PERMIT NO: COM2009-01705
ISSUED: 11/30/2009
APPLIED: 11/3012009
EXPIRES: 05/30/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees P~id I
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Heat Pump
Amouut Paid
Date Paid
Receipt Number
$11.52
$4.80
$79.00
$17.00
11/30/09
11/30/09
11/30/09
11/30/09
3200900000000000778
3200900000000000778
3200900000000000778
3200900000000000778
Total Amouut Paid
$112.32
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.
I ~,~ouir~d 1.J1sp~ctio~s ,
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
By signature, I state and agree, that 1 have carefully examiiled the completed application and do hereby certify that all
information hereon is true aud correct, and I further certify that any and all wQrk 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 he made of any structure withont permission of the Commnnity Services Division, Bnilding Safety.
I fnrther certify that only contractors and employees who are in compliance with ORS 701.005 will be nsed on this project.
I fnrther agree to ensnre that all required inspections are reqnested 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
Pa2e 2 of 2
225 Fifth Street
Springfield, Oregon 97477
541-126-3759 Phone
Job/Journal Number
COM2009-0 1705
COM2009-0 1705
COM2009-0 1705
COM2009-0 1705
Payments:
Type of Payment
ONLINE CHGS
cRcceintl
RECEIPT #:
Description
I 5t Appliance
Heat Pump
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
City of Springfield Official Receipt
Development Services Department
Public Works Department
~200900000000000778
\
Date: 11/30/2009
',I
Item Total:
<;heck Number Authorization
Received By Batch Number Number How Received
njm
ONLlNEEugene nHtg Online
Payment Total:
Page I of I
8:09:00AM
Amount Due
79,00
17.00
4,80
11.52
$112.32
Amount Paid
$112.32
$112.32
11/30/2009