HomeMy WebLinkAboutPermit Mechanical 2009-12-16
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City Of Springfield
225 Fifth 51
Springfield, OR 97477
Phone: 541-726-3753
Email: p~rmitcen.ef@cj.springfield.or.us
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lRl Addition/alteration/replacement
l'T"!,,"JcAfEGORY;OFlc:9B.~i[RlrC:'1'ION'~~tl~!l:",i)~
lX]1 or 2 family, dwelling 0 Multi-family D Commercial 0 Accessory
,'! .!CjOS:SITE1NFORMA'TION'ANi'r120CA 1'lON~;+Jl;;;'"'4:147",:''':1
Job Address: 354 V 8T
City/State/ZIP: SPRINGFIELD, OR 97477
Suitelbldg./aplno.:
J Project Nama: bour
I Cmss St..eUdl..ctrons to job sit.,
Tax map/parce! no.:
1703262104400
mini split
I Name: Michael Schillina
I Phone: 541-726-7656
I Ema!l:
Fax: 541-726-7657
f,i'
eea Iic:no.: 149452
Business Na~! @Jl~0E-o::A liNG & COOLING COMPANY
I Contact THIS PERMIT SHALL t)(J"IIil: Ir ,ME: WJ:\I(
I I'lIlnl',niLciJ i..ii,iifJ; -:-1113 PCP,MIT !': ~lnT
Add..s"3675FRArf.LJN~fX" C' ^e~~lnnMFn FOR
GC-",r.,[-,.~ED OR I.. "
C;tyIStateIZIP, l'[~fVNffi'i'f 11m" PF R 10 D.
Phone: 5417267654
Fax: 5417267657
Email:
Metro lie. no;:
City lie: no.:
Upon review ilncl approval by your local jurisdiction, your permit will be e-mailed or faKed
within one business clay, with InstructIons on how to sc;hedule your I nspection.
NOTE: This Authoriutlon To Begin Work ellplres within 180 days if a permit I, not obtained.
The local building department may determine thaI an Authorization To Begin Work is null and
voidiflldoesnotmeetapplicablelanduselawsandlocalordlnances.
t1'/118
Residential Mechanical Authorization To Begin Work
69600-BMC-09-00220
Approval Code: 618006 12/16/2009 2'55 pm
E-mai'ed To: wvosburg@automaticheatco,com
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I Description
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I First Appliance Fee I I l $79.00
IM.ech~J~"~l~~,~{rriHIF~es'~"~~:~;'~::4'f~.~'!^f~5;-41;;-? .~'t~. _,:;:,/;,~<~:\~ t
I Subtotal $96.00
I Slate surcharge (12% of permit $11.52
tolal)
I Technology fee (5% of permit tolal)
I TOTAL PERMIT FEE
I Heat Pump
$17.00
:1
$480 I
$112.32 I
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ATTENTION: Oregon law requires you to
follow rules adopted by the Oregon Utllily
Notification Center, Those rules are set forth
in OAR 952-001-0010 through OAR 952-001-
. 0090. You may obtain copies of the rules by
calling the center, (Note: the telephone
number for the Oregon Utility Notification
Center is 1-800-332-2344).
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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
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2009-0I798
ISSUED: H/I6/2009
APPLIED: 12/16/2009
EXPIRES: 06/16/2010
VALUE:
225 Fifth Street;Springfield.,OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 354 V ST
ASSESSOR'S PARCEL NO,: 1703262104400
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New,
Residential
PROJECT DESCRIPTION: Mini split heating system in residence,
Owner: BOUR CARL A & JUNE M
Address: 354 V ST
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION'
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:
R'ahge 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 .'
NOTICE: '
Frontyald'-1S~tl?.f&!'AIT SHALL EXPIRE IF THE W~~rlay Dist:
Side I slt\''a~'dPRIZED UNDER THIS PERMIT IS 'k'sireet Trees Rqd:
Side 2 solJ61fdMENCED OR IS ABANDONED FOR Paved Drive Rqd:'
Rearyar"~qtl1~:DAY PERIOD. % of Lot Coverage:
Solar Setbacks:
:--".;:/l'i,!'
, REQUIRED PARKING
Street Improvements:
Storm Sewer Available:
Special Instruction:'
Total:
An-ENnON: Oregon ftMtI~!I:you to
follow rules adopted ~B~gon Utility
Notification Center, Those rules are set forth
In OAR 952-001-0010 through OAR 952-001-
'JClan v,.,.. ~....h+...:.... "'':'~i,:,,:, {"4 tR~ ruloG 1;1'
I PUBLIC IMPROVEMENTS I calling the center, (Note: the telephone
, number for the Oregon Utility Notification
Si<le~i1I\)r1jllPf;800-332-2344)., ,
DownspoutsfDrJlins:
Notes:
. . ~ ., ," '.'-,~.
I Valuation Description I
Description
Type,of Construction
$ Per Sq'Ft
or multiplier
Square Footage
or Bid Amount
Value'
Date Calculated
Page I 01'2
~
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01798
ISSUED: 12/1612009
APPLIED: 12/1612009
EXPIRES: 06/16/2010
VALUE:
225,Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees Paid 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
12/16/09
12/16/09
12/16/09
12/16/09
1200900000000001340
1200900000000001340
1200900000000001340
1200900000000001340
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.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete,
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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 oflhe State of Oregon pertaining to the work described herein, and,
that NO OCCUPANCY will be made of any structure without pennission of the Community Services Division, Building Safety,
I further certily 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
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Paee 2 of 2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-0 1798
COM2009-0 1798
COM2009-01798
COM2009-0 1'798
Payments:
Type of Payment
RECEIPT #:
Description
15t Appliance
Heat Pump
+ 5% Technology Fee
;- 12% State Su'rcharge
ONLINE CHGS ONLINE PERMIT CHGS
Paid By
cReceintl
City of Springfield Official Receipt
Development Services Department
Public Works Department
1200900000000001340
Date: 12/16/2009
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
KR
ONLINE EUGENE Online
HEATING
AND
COOLING
Payment Total:
..
rage I of I
3:02:42PM
Amount Due
79,00
17,00
4,80,
11,52
$112,32
Amount Paid
$112,32
$112.32,
12/16/2009