HomeMy WebLinkAboutPermit Mechanical 2009-11-27
City Of Springfield
225 Fifth St
Springfield, OR 97477
Phone: 541-726~3753
Emai\: permitcenter@ci.springfield.or.us
G~' /lOft;
Residential Mechanical Authorization To Begin Work
69600-BMC-09-00195
Approval Code: 030308 11/27/2009 12:34 pm
E-mai!edTo:wvosbur9@automaticheatco.com
I D New Construction
[R] Addition/alteration/replacement
I Description J Qty. lEa,. Total J
IB~~ti.frg/~99ling':~pp!J~ri~~~~':tr~~'~~1d.~,"~-~'~;~^Zrno/-'..'f.:f'~' 11
I Heal Pump $17,00 I
I [Z] 1 or 2 family dwelling 0 Multi-family D Commercial D Accessory
1'7.',r,fi;f'~~1;(\ ';1ipBsifE;fNFORMAtIONfAND:i!O"CAtfor:r~~t~~,!s7ji
I Job Address: 1530 LINDEN AVE
I City/State/ZIP: SPRINGFIELD, OR 97477
I Suitelbldg./apt.no.:
I Project Name: hales
I C'OSS Str..Udi,_ctiO"S to job site:
I Tax map/parcel no.: 1703273200900
Appliance Fee J
IM9:ch~_6i['i!Lft~rlrii.~~f~~~f~~~ iijti; '~.'.i
I Subtotal
I State surcharge (12% of permit
lotal)
I Technology fee (5%'01 per~it total)
I TOTAL PERMIT FEE
$96.00
$11.52
$4.80
$112.32
mini split
Name: mollv bradv
Phone: 541-726-7654
Fax: 541-726-7657
Email:
CCB lie. no.: 149452
Business Name: EUGENE HEATING & COOLING COMPANY
Contact:
Address: 3675 FRANKLIN BLVD
City/State/ZIP: EUGENE, OR 97403
Phone: 5417267654
Fax: 5417267657
Email:
I Metro lie. no.:
City lie. no.:
Upon review and approval by your loca;! jurisdiction, your permit will be e-mailed or faxed
within one business day, with instructions on how to schedule your inspection.
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NOTE: This Authorization To Begin Work expires within 180 days if a permit Is not obtained.
The local building department may determine that an Authorization To ~egin Wo~ Is
void if it does not meet applicable land use laws and local ordinances.
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 :''It'KINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01706
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: 1530 LINDEN AVE
ASSESSOR'S PARCEL NO.: 1703273200900
Springfield TYPE OF WORK: Mechanical Only
TYPE OF USE: Alle~ation
Residential
PROJECT DESCRIPTION: mini-split
Owner:
Address:
HALES MONTE K
1530 LINDEN AVE
SPRINGFIELD OR 97477
,I CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Contractor
EUGENE HEATING & COOLING
License
149452
Expiration Date
10/22/20 Il
Phone
541-726-7654
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:
En'orgy 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 INFOR~ATlON, I
REQUIRED PARKING
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Sethilcks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
..." '~..'.'"
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm~7J!; !i.vailable:
Spe~al ,\'hs?f~!jff'f s ' '
UTNORIZE HALL EXPI ATTENTION: Oregon law requires you to
Noi~s?M/VJE 0 UNDER T RE IF THE W follow rules adopted by the Oregon Utility
'''\Iv 10~N_CEO OR /~ ^ ~~/S PERMJr 1<> ,?~K Notification Center. Those rules are set forth
-, Ulil' PCf:?tO '-r"'JUUNEO - ....: InUl\h~O"UUI'UUIUln'UU!:lI1V"n";)"-VUI.
L, ,D. FO~ Valuation Descriotion ~90. You may obtain copies of the rules by
, , ' calling the center. (Note: the telephone
$ Per Sq Ft ; Square Fo.er for the Oregon Utility Notification
or multiplier or Bid Amount Center ilYq~'OO-332-23Q4}f Calculated
Sidewalk Type:
DownspoutslDrains:
Description
Type of Construction
Pa2e I of2
Status
Issued
CITY OF SPRIN\.Jl'lJ!,LD
Building/Combination Permit
PERMIT NO: COM2009-01706
ISSUED; , 11/30/2009
APPLIED; 1113012009
EXPIRES; 05/3012010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
54l-726-3769 Inspection Line
Total Value of Project
Fees P~id I
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee,
1st Appliance
Heat Pump
Amount 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
3200900000000000779
3200900000000000779
3200900000000000779
3200900000000000779
Total Amount 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.
R,ellllired Insnectjo~s I
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
By signature, I state and agree, that I have carefnlly examined the completed application and do hereby certify that all
information hereon is true and c.orrect, 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 he made of any structure without permission of the Commnnity 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 arc 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, andthe,approved set of plans will remain on the site at all
times during construction.
Owner or Contractors Signature
Date
I'
. Page 2 of2
225 F:ifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-0 1706
COM2009-0 1706
COM2009-0] 706
COM2009-0 1706
Payments:
Type of Payment
RECEIPT #:
Description
Heat Pump
] st Appliance
+ 5% Technology Fee
+ 12% State Surcharge,
ONLINE CHGS ONLINE PERMIT CHGS
Paid By
cReceintl
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.' '
j
____(I; "
City of Springfield Official Receipt
Devel6pment Services Department
Public Works Department
3200900000000000779
Date: 11/30/2009
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
njm
ONLINE eugene htg Online
Payment Total:
Page I of I
8:27:22AM
Amount Due
i7,OO
79.00
4.80
11.52 '
$112.32
Amount Paid
$112.32
$112.32
I I/30/2009