HomeMy WebLinkAboutPermit Mechanical 2009-12-16
SPRINGFIELO
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City 01 Springfield
225 Fifth St
Springfield, OR 97477
Phone: 541-726~3753
Email: permitcenter@ci.springfield.or.us
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Residential Mechanical Authorization To Begin Work
69600-BMC-09-00222
Approval Code: 623025 12/16/2009 3:07 pm
E-mailedTo:wvosburg@automaticheatco.com
o New Construction
[R] Addition/alteration/replacement
lZJ 1 or 2 family dwelling
D Multi-family D Commercial
D Accessory
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Job Address: 3832 JASPER RD
Suitelbldg.lapt.no. :
City/State/ZIP: SPRINGFIELD, OR 97478
Project Name: Yahn
Cross Stfeetfdireetions to job site:
Tax map/pareel no.:
2 zone mini split
Name: Michael Schillinq
Phone: 541-726-7656
Email:
1802061412~OO
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Fax: 541-726-7657
ees lie. no.: 149452.
Contaet:
Business Name: EUGENE HEATING & COOLING COMPANY
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 permit will be e-malled or faxed
within one business day, with instructions on how to schedule your inspection.
NOTE: Thh. Authorization To Begin Work eJlpires within 180 days if a permit is not obtained.
The local building department may determina that an Authorization To Begin,,~Work is null and
void if it does not meet applicable land use laws and local ordinances.
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I Description
I Heal Pump
I Air handling unit
$17.00
$17.00
$17.00
$17.00 I
I First Appliance Fee . J I $79.00
IM(;~h?l~n!Ciili~6nit1Feesir.~~:~~~:~i":~~!}~--;~/1i.,i'I:l~.::.~+:f::';;J(C~4i,1
I Subtotal $113.00
I State surcharge (12% of permit $13.56
total)
I Technology fee (5% of permit total)
I TOTAL PERMIT FEE
$5,65
$132:21 I
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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
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2009-01799
ISSUED: 12/17/2009 I
APPLIED: 12/16/2009,
EXPIRES: 06/17/2009.
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 3832 JASPER RD
ASSESSOR'S PARCEL NO,: 1802061412400
Springlietd TYPE OF WORK: Mechanical Only
TYPE OF USE: New
Commercial
PROJECT DESCRIPTION: Two-zone mini-split
Owner: HA WKINS PENNY J
Address: 3832 JASPER RD .
SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION,
Contractor Type
Mechanical
Contractor
EUGENE HEATING & COOLING
License
149452
Expiration Date
J 0/22/2011
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:
HeiglIt of Struclure
Type of Heat:
Water Type:
Range Type:
Energy PatlI:
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 IN~ORMATlON I
Front yard Setback:
Side] Setback:
Side 2 Setback:
Rearyard Sclback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
, Handicapped:
Compact:
I PUBLIC IMPR~)vEMENTS I .
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Street Improvements:
Sidewalk Type:
Storm Sewer A vailabte:
Special Instruction:
" 1ITTEN110N:O~~~tD
i "ROW nlell ~ by the Oregon ....u:l.
NotIfIcaUon eenter. Those ruIeIare--
III OAR 852.oo1oOO10throuattOAR eu.001-
:9':'~ ...,. ""'Il/ IIbtllIrt coP'!! 01 the ... ..,
.. 1111 oenter. (Note: ii, ,.,.~ ,....,..
NOTICE: I Va,luation DeSc.f1ft;;.~= .,,-
THIS PERMIT SHALL EXPIRE IF THE WORK _II t
DesAl:ItTiil@RIZEDUfI1IDI1RCf*llthl{ttfqMIT IS~ S.q ~t Sq~a.re Footage
eOMME ED FORI' multlpher or Bid Amount
NeED OR IS ABANDON Ii
ANY 180 DAY PERIOD.
!
Notes:
Value
Date Calculated
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Page] of2
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Air Handling Unit Up to 10,000
Heat Pump
Amount Paid
. $13.56
$5.65
$79.00
$17.00
$17.00
Totat Amount Paid
$132.21
CITY OF SPRINGFIELD
Building/Combinat,ion Permit
PERMIT NO: COM2009cOl799
ISSUED: ]2/] 7/2009
APPLIED: ]2/]6/2009
EXPIRES: 06/17/2009
VALUE:
Total Value of Project
Fees Paid I
I Plan Reviews I
Date Paid
12/17/09
12/17/09
12/17/09
12/17/09
12/17/09
Receipt Number
3200900000000000811
3200900000000000811
3200900000000000811
3200900000000000811
3200900000000000811
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 Reouired Tnsnections I
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
By signature, 1 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 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.
1 further agree to ensure that all required inspections are requested at the proper time, that each address is readabte 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
Paee 2 of2
Date
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone'
City of Springfield Official Receipt
Development Services. Department
Public Work~ Department
. I
,
Job/Journal Number
COM2009:0 1799
COM2009-0 1799
COM2009-0 1799
COM2009-0 1799
COM2009-01799
RECEIPT #:
3200900000000000811
Date: 12/P/2009
Description
H eat Pump
Air Handling Unit Up to 10,000
15t Appliance
+ 5% Technology Fee
+ 12% State Surcharge
Payments:
Type 01 Payment. Paid By
Item Total:
Check Number Authorization
Received By Batch Nu~ber Number How Received
ONLINE CHGS
cReceiml
ONLINE PERMtT CHGS
ONLINE eugene htg Online
Payment Total:
nJm
Page 1 of 1
8:12:47AM
Amount Due
17.00
17.00
79.00
5.65
13.56
$132.21
. Amount Paid
$132.21
$132.21
12117/2009