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HomeMy WebLinkAboutPermit Mechanical 2009-12-16 .. 'I City Of Springfield 225 Fifth 51 Springfield, OR 97477 Phone: 541-726-3753 Email: p~rmitcen.ef@cj.springfield.or.us S.P,RINGFlflO 'f~I.AM"~ "":!~$.~ ~'" = -2 _r ,:U;; *80L",,~ ~- . "", "" OREGON 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 ""'1' I Description ..:, j 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 CG) -liQ'b l12- 12-\\ulD1 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). .,..~-~~~ ..' , , .-1"- '~~ L~ \\J .~tv" ~~.cf\ \~. ~ ~~ ~ 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, ,,~~~\l~ir~,d .~nsrec~i~H~sJ 'h.C; :1 '-,' " 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 ..,t " 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