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Home My WebLink AboutPermit Mechanical 2009-12-17 Cq -/goo City Of Springfield 225 Fifth 51 Springfield, OR 97477 Pho!,le: 541-726-3753 Email: permitcenter@eLspringfield.or.us Residential Mechanical Authorization To Begin Work 69600-BMC-09-00221 . ,-) Approval Code: 423265 12/16/2009 3:03 p!" E.rnailed To: wvosburg@aut~maticheatco,co~ I 0 New Construction IKJ Addition/alteration/replacement ~ 1 or :2 family dwelling D Multi-family D Commercial o Accessory IF~.li;::"'$""'g,~';)OBfSiTE;INE6RMA~lbNiANDlt!OCAffON1!.';;(;~ I *,,"'ili~~1 Job Address: 1120 S 8T City/StateIZIP: SPRINGFIELD, OR 97477 Suite/bldg./apt.no.: I Project Name: Gibson I C,oss S'"e"d;"ctions '0 job si'" I Tax map/pareel no.: 1703261400603 2 zone mini split I Name: Michael Schilfina I Phone: 541-726-7656 I Email: Fax: 541-726-7657 I I~ . ,-<>,. CCB lie. no.: 149452 I . -:-: :+8 ;'[;-;{,lIT ~~ I';LL D,rlJ';[ If ";,11:: WE:r.~~ Busmess N~Uf\9,'r~1lJ.T I~ ~10T. I Contact: COMMENCED OR IS ABANDONED FOR I Add,ess: 3fr~$\}'RAtJ8t@<lil..w PERIOD. . CityIState/ZIP: EUGE,NE, OR 9?4P3 Phone: 5417267654 I Email: I 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 howto schedule your Inspection. 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 Begin Work Is null and void if it does not mcct appli~able limd use laws and local ordinanccs. 1:-;;t;~~;~;Oi;"gr\fPpji~n(:e's~~,i!L;~1'~'~~~'~~~~:~;'?~I I He,' Pump I $17.00 I I Air ~andling unit 1. $17.00 First Appliance Fee I Subtotal I S,tate surcharge (12% of permit total) I Technology fee (5% of permit total) 1 TOTAL PERMIT FEE $11300 I $13.56\ $5.65 $132.21 C-q -I <[pD ~ ~ro1 n.lm .- - '.'-~"''}.L.,;-~t.~;...-t::o~ ",.." ~. "":~"'-.",,"i' ATTENTION: Oregon laW requires you to fonow rules adopted by tile Oregon UtIlity Notification Center. Those Ntes are set IoIth In OAR 952~1~10through OAR 952~1. 0090 You may obtain copies of the rules bf cali'ng the center. (Note: the tel:;:' IIlII1Ibef tor the Oregon UtIlity No Center II Hilla ia?-2344). ., "-"".;t<., ~0\ ~~~ ~~ ~ Inspections Phone: 541-726-3769 This Authorization To Begin Work must be posted at the job site until replaced by a Permit ~ ..~. . ,~.'" " , ,~" &~yR . ']) \.\. ''P~ _S,~R!!'I.(.\r:'ll:lI:':~' , , , ( Status Issued CITY OF ~rKlj~GFIELD Building/Combination Permit PERMIT NO: COM2009-01800 ISSUED: 12/17/2009 APPLIED: 12/16/2009 EXPIRES: 06/17/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1120 S ST ASSESSOR'S PARCEL NO.: 170326]400603 Springfield TYPE OF WORK: Heating System TYPE OF USE: New PROJECT DESCRIPTION: 2 zone mini split heating system in residence. Residential ' Owner: GIBSON JARRED & MARION K Address: 1120 S ST SPRINGFIELD OR 97477 I CONTRAC~OR INFORMATION I Contractor Type Mechanical Contractor EUGENE HEATING & COOLING License 149452 Expiration Date 10/2212011 Phone 541-726-7654 BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bed rooms: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft ]st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: . ", Oc~~~ant Load: n/a NOTICE: . ;JDEVELOPMENTlNFORMATION I DING THIS PERMIT SHALL EXPIRE IF TH~Oaf . ATTENTION: Oregon Ia~JNdlI ybt}~ Frontyard S~~tm.\'6RIZED UNDER THIS PERMIT VH DlSt: fo"pw ~le8 adopted byJIbaOregon UtIlity Side I Setbac~' 11 Trees Rqd: Notification Center. ThoSll:fliIB6:4f_ forth Side 2 Setbab,!MMENCED OR IS ABANDONED FilJi\,ed Drive Rqd: In OAR 952-OO1-OO10thr~~ 952-001- Rearyard sltti~'fk180 DAY PERIOD. % of Lot Coverage: 0090.. You may obtain copies of the rules by Solar Setbacks: calling the center. (Note: the telephone number lor the, Ore..q,onJ.!\!litv )jWlficatian I PUBL~CIMPROVEMENTS I Center Is 1-800-332-2344). Street Improvements: Storm Sewer Available: Special Instruction: . Sidewalk Type: Downspouts/Drains: Notes: I Valuation Descriotion I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee I 00 &PRINOF,llilLO -...~: ..' " f....... ... . ........ .... 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line '.' CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01800 ISSUED: 12/17/2009 APPLIED: 12/16/2009 EXPIRES: 06/17/2010 VALUE: Status Issued Total Value of Project Fees Paid I Fee 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 12117/09 12/17/09 12117/09 12/17/09 12/17/09 1200900000000001341 1200900000000001341 1200900000000001341 1200900000000001341 1200900000000001341 Total Amount Paid $132.21 Plan Reviews I ('i"1 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 Re'luirerl h.snectionsJ 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 correctl 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 wilt be made of any structure without permission ofthc Community Services Division, Buitding 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 alt 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 2 225 .Fifth Street Springfield, Oregon 97477 541- 726-3759 Phone .PAlNG,F'I~" ".,. 1Iiii~ Job/Journ.ll Number COM2009-0 1800 COM2009-0 1800 COM2009-0 1800 COM2009-0 t 800 COM2009-0 1800 Payments: TYI}C of Payment ONLINE GIGS cRcceintl Item Total: Check Number Authorization Received By Batch Number Number How Received RECEIPT #: 1200900000000001341 Description 1st Appliance Air Handling Unit Up to 10,000 Heat Pump + 5% Technology Fee + 12% State Surcharge Paid By ONLINE PERMIT CHGS kr Page I of t City of Springfield Official Receipt Development Services Department Public Works Department Date: 12/17/2009 8:26: 12AM Amount Due 79.00 17.00 17.00 5.65 13.56 $132.21 Amount Paid ONLINE Eugene Online Heating & Cooling Payment Total: $132.21 $132.21 12/1 7/2009