The URL can be used to link to this page

Home My WebLink AboutPermit Mechanical 2009-12-15 .- City Of Springfield '~ ~r_:.;~.,:_.FI:~~O' , i~::~~~~;t_~;69;;;; ii(.,,< ,~ m{:;f:)..., "~EGON Emeil: permitcenter@cLspringfield.or.us I~'-':;- -;:,,-=; i",,:T;~lYPE,OFWORK 't~;~'''':;';''",-r;''i-< "e-: ~~',~l' I 0 New Construction IKl Additionfalteralion/replacement Ii,...<' ' ", :CATEGORy{qf'CONsT[lUC'nON.;;[i;-, I 00 1 or 2 family dwelling D Multi.family 0 Commercial 0 Accessory I" " ~-,7" , '"jOB 'SITE'INFORMATIONANO'Uj'cA TioN", I Job Address: 2266 19TH 5T I CityfState/ZIP: SPRINGFIELD, OR 9747-':' I Suite/bldg./apt.no.: I Project Name: LaFountaine I C'055 st'.e"d;,.ct;ons to job sri", I Tax map/parcel no.: 1703252101000 IV:'}~ii': ' ~ '-,,~" t':72'Jhf<.~"DI;_S_C-R~JIOfjTOF.j~"9~K;:,;:~:"4~:;';"?~/.;.,,:.-ii_~'.W'~4 two zone mini split II . .3~~:~#,j<I~.:~1 ;':;'osrfECONTACJ';:, I' Name: Michael Schilling I Phone: 541-726-7656 I Email: Fax: 541-726-7657 li' !,'! I .~ ..'F, , .\ ~ 'C6NfRAC:tcji(";..":~:~;:~:';.;~i;~~' I CCB nc, no,~'{~9~~2' _ ,',,'nnj( ~ _ .,. -ilL" n I Bus;n,ss N..UI.!>1.dJ.\~Hf~1f"M\~C\!.,iaWd~~~ ;ftI'i \s MOl I In''; fCn. - ER Inli)' CP. 0 Contact, . ",-unR\7EO UNO. n tmnl\\EO fO" I Add,.." 3675~;;',NUrr<:~<l0fO OK '" ~v,\.- , ['\\.v""'-' -[;1\3" I City/State/ZIP' 'i-\\qljNa,s,e U4\,\ r I . I Phone: 54}7267654 Fax: 5417267657 Emall: Metro lie. no.: City lie. no.: Upon revIew and approval by your local lunsdlctlon, your permit will be e.malled or faxed within one business day, with Instructions on how to schedule your Inspection. NOTE: ThIs Authonzatlon To Begin Work expires within 180 days If a permit is not obtained. The local building department may determine that an Authorization To Begin Work Is null and \/old If it does not meet applicable land use laws and local ordinances. 0q-/11l Residential Mechanical Authorization To Begin Work 69600-BMC-09-00218 Approval Code: 620905 12/15/2009 2,01 pm E-mailedTo:wvosburg@automaticheatco.com 1 I~'t.,-;- '!<' :~-:':~~:~T ~~\t'~JFg~"s.cff~DUCE:"''Y il"l1l:,:"~~:..~~~-~ ..". ~ -~I I Description I Qty. Ea. Total I IH~~.tlngiGooliri.'g)\-ppll~l]ce,!3rj;';?~tf~' < 4,~' '-":'. ...~l I Heat Pump '1 $17,00. j $17.00 , "'( I Air handling unit $17.00 $17,00 IM!!1Jmum'Fees~'i.<')7;~j ) ,.,!:-.,. .~.; ~~~~. '.:.~;f' ,. ~;..'" :'i, },::. I First Appliance Fee J J $79,00 1~~~haijJ~?l.:ee~~lt F~'~'s :..;,t.(oo~'..~f..~~Ji' ."-ci '~-,' ~.~t '..:f. :, <.L" .,~ I Subtotal $113.00 I State surcharge (12% of permit $13.561 total) I Technology fee (5% of permit total) $5.65 I I TOTAL PERMIT FEE $132.21 I [9-\\92- \L\L- \1-\\5\09 ATTENTION: Oregon law nqU!r8lYOU,tD follow rules adopted by the Oregon UtiIi\Y Notification Center. Those rules are set ~~ In OAR 952.Q01-001 0 through OAR 952-vu0- 0090 You may obtain copies of the ruleslW Caliing the center. (Note:, '.he tel~phone IIUItlbar for the Oregon Utility Nolilloatioll Center 111800 ~~2-2344). " 0oW>~ Ch~'\ 1)..' ~l\J \QA; -,....., ... ~1(cf' ~Ii\ ~ ~~ ~ Inspections Phone: 541-726-3769 This Authorization To Begin Work must be posted at the job site until replaced by a Permit ,~,_e;",. 'RI"'~..Fl. ,11:1. .l,..ifji ......'... " ...'... 'WfL:-ll ' '; 'n..~~ ;! 'i c: . ',~. ~f' . ' .~. , -.' ,',,-... ,-.,.-.,,,. ", ,. ,,,.,,... ~ Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-0]792 ISSUED: ]2/]512009 APPLIED: 12/]5/2009 EXPIRES: 06/]5120]0 VALUE: 225 Fifth Strect, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2266 19TH ST ASSESSOR'S PARCEL NO.: 1703252101000 Springfield TYPE OF WORK: Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: Two zone mini split system in residence, Owner: LAFOUNTAINE DONNA MARILYN Address: 2266 19TH ST SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type Mechanical Contractor EUGENE HEATING & COOLING License 149452 Expiration Date 10/22/2011 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: Energy Path: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: n/a, ,...Occupant Load: I DEVELOPMENT INFORMATION I REQUIRED PARKING F;ontyard Setback: Overlay Dist: ATTENl10N: ,oregOll"i\iW requlres\youllo S~de I Setback: ., ",{y,,~~,,~\r~et,.Trees Rqd: follow rules,adopte(!lllyqlf6~on!llltilllJ Stde 2 Setback;. fi'.'I'I"~~ Rqd: NotilicationCenter. '~tf:illlS aruet,folilh Rearyard Setba~:Oi\CE. l..\. EXPIRE If 'WM IMverage: In OAR 952-o01-Q010 through OAR952;01lJ\.- Solar Setbacks: 1\-\lS PERM" S\-l~ ,\-lIS PERM\1 1,\ 0090. Youmay"obtaincopies,oftheruleslby --':lll'll"\l=l\l~ rnQ .. " "'! ,).. \-.~ ~U ~~~NCED -OR IS ABPJ'pu)\LIC IMPROVEMENTS I :';;b~rf;' th~'c;~g~'~UiilitYN~lificatlcin Street Improveme~?sl{ i 80 DAY PERIOD, ' Side~~1-800-332-2344). I'm Storm Sewer Available: Downspouts/Drains: Speciallnstr'u~tion: Notes: I Valua'tion Descriotion I Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated , , Paee I of 2 .....s.:.F! ""I\I(il."({.'''~,.,,,., ,., .1 ,1\~1 'l i ......~,.' .: ! ~ Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2009-01792 ISSUED: 12/15/2009 APPLIED: 12/] 5/2009 EXPIRES: 06/15/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line -Total Value of Project Fees Paid I Fcc Description + 12% State Surcharge + 5% Technology Fee 1st Appliance Air Handling Unit Up to 10,000 Heat Pump Amount Paid Date Paid Receipt Number $13.56 $5.65 $79,00 $17.00 $17,00 12/15/09 12115/09 12/15/09 12/15/09 12/15/09 1200900000000001335 1200900000000001335, 1200900000000001335 1200900000000001335 1200900000000001335 Total Amount Paid $132,21 I 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. Relluiredl~ne..tions I Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete, 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 Springfield 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 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 / Paee 2 of 2 2~5 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone : "P~....!"Q I'I_BLO_,_ _ '.' ".'".', .... ,....-.. ." ..... .... ~\ : ,; ....-----.., , ~~-_... .: City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 1200900000000001335 Date: 12/15/2009 2: 13:26PM Paid By Item Total: t:heck Number Authorization Received By Batch Number Number How Received Amount Due 79,00 17,00 17,00 5,65 13.56 $132,21 Job/Journal Number COM2009-0 1792 COM2009-0 1792 COM2009-0 1792 COM2009-0 1792 COM2009-0 1792 Description 15t Appliance Air Handling Unit Up to 10,000 Heat Pump + 5% Technology Fee + 12% State Surcharge Payments: Type of Payment Amount Paid ONLINE CHGS ONLINE PERMIT CHGS KR ONLINE EUGENE Online HEA TING AND COOLING Payment Total: $132,21 $132.21 cReceintl Page I of I 12115/2009