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Home My WebLink AboutPermit Mechanical 2009-11-27 W:;M-r,t:.f;;Ji!~f;;C'f;i;.JoB!sifE:IN1;:ORM~;fiON[.A:Nbll::O(;Atil(jNt:;h;;:;~~:;;1~_ 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- J' {oJ ;-\of\.. ~~, :;}<"\ ,'\ (\. ~ \O:-vCV' 'V-"Q V6' ~\'~ '\ ~?<<.. ~ 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. wm 2-ObC) !l /3 0 /()(~ Inspections Phone: 541-726-3769 This Authorization To Begin Work must be posted at the job site until replaced by a Permit <i~AIHQI!IlitL;O ' - 'i' ,'"' ,. ,".~" 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