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HomeMy WebLinkAboutPermit Mechanical 2009-12-24 ~,~,RI.NGFIEL,~". ..h~ it'"" ,~. ", 't--",j . ,;. ~'" - \ OREGON City Of Springfield 225 Fifth 51 Springfield, OR 97477 Phone: 541-726-3753 Email: permitcenter@ci.springfield.or.us Residential Mechanical Authorization To Begin Work 69600-BMC-09-00229 Approval Code: 415779 12/24/2009 10:34 am E-mailedTo:wvosburg@automaticheatco.com -.<.'.1 $17.00 l I ....-;.&'~".'J TO~I. " ,I $17,00 I " .'1 $~900 I $96.00 $11.52 If~.;;:~_:~'~-:~~~~}?:1t~~ili~TY~E:.OF,..WORt<4\,,\'.<;,' I 0 New Construction IR] Addition/alteration/replacement I', .:i:rCATEGORYtOF.,CONSTR(jCTION":~.if:}t'",,~~ ',' I [R] 1 or 2 family dwelling 0 Multi-family 0 Commercial 0 Accessory I,: "'.I.'. ., JOBSITE INFORMATIOII(AND:(OCATION;.',,' ,'1;"'''' A I Job Address: 2423 34TH 5T I City/State/ZIP: SPRINGFIELD, OR 97477 I Suite/bldg.lapt.no.: I Project Name: Jannise I C'OSS St,..Udlrectlons to job sit.: I Tax map/parcel no.: 1702193101117 ..' ~<'~<~~~~;~':~R~~.<:_RIRTI6~f,OF:;Wb~RK~~]t~:_~';~~~i~~~~:~~~;'~ Ir~":'.':; ,r"'.. ;i:=;~'FEES'CHEDUEEi:' ,,...., '1;, '_,' .,.tt.,.....,.''"'-.:'' ,.~.- ,', ~ ,,"" _ ... ., '''~'_ I Description IHeaiing/C9oli~~fAppliances-+ "~: 1 Heat Pump IMi_~imun{Fees, I First Appliance Fee Irllecha~ic'al'P~rmitFe~s:;~ I Subtotal I State surcharge (12% of permit total) I Technology fee (5% of permit total) I TOTAL PERMIT FEE I Qty. I, E.. -j"'~.'_:.:'; .., ~':'~ . ..-.... $4.80 $112.32 eq- \~~ ~ \'L\2}\ lCA single zone mini split fS}TE C'O~.Ti'9ir:qJ0rJ~~/~:'>:~f". / I Name; Michael SchillinQ I Phone; 541-726-7656 If :~;~~ ." . I NOTICE: Is",;,ess N;.mI~~MRTI6atAklDtlttXfl:lmNFYTHE WORK Cont.ct: f\U J MUtilLtU UI~Ul:K I HI~ PERMIT IS NOT D8-:U,lcrJCED Jfi 13 MfiMi~iJ0i~~iJ run Add,",,: 36~1\\9 o~~IQr. I City/StatefZIP; EUGENE, OR 97403 I Phone; 5417267654 I Emall; I Metro lie. no.: Fax: 541-726.7657 ',' _<t'~~_!>CONTRActORJ:~:rk~';l<I~;;-~.", cca lie. no.:-'149452 ~,..:;,'. Fax: 5417267657 A'n'ENTION: Oregon law requires you to fonow mles adopted by the Oregon UtIlity Notification Center. Those rules are sat fcrtll In OAR 952.ooHI010 through OAR 952.001. 0090. You may obtain coples of the rules bf oaUJng the center. (Note: the telephone __ for the Oregon UtIlity Notlfloatloll Cen1er II t 800 i'Jl1-2344). CIty lie. no.: Upon review and approval by your local Jurisdiction, your permit will be e.malled or faKed within one business day, with instructIons on how to SChedule your Inspection. 'vc0 ~ ....'-- 1\ t<O ~IV '-' \.\). ,&~.d^- \fL.'- V Q--"" ~~ ~ NOTE: This Authorization To Begin Work expires within 180 days if a permit Is not oblllnad. The local building department may determine thai an Authorl.utlon To Begin Work I, null and VOid If itdoes nol meet applicable land use laWll and locaJ ordlnanC/I s. 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: COM2009-01835 ISSUED: 12/24/2009 APPLIED: 12/24/2009 EXPIRES: 06/24/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541- 726-3769 Inspection Line SITE ADDRESS: 2423 34TH ST ASSESSOR'S PARCEL NO.: 1702193101117 Springfield TYPE OF WORK: Heating System TYPE OF USE: New PROJECT DESCRIPTION: Single zone mini split heating system in residence. Residential '" Owner: JANISSE MITCHELL & JULIE Address: 2425 34TH ST SPRINGFIELD OR 97477 I CONTRACTOR INFORM A TlON I Contractor Type Mechanical Contractor EUGENE HEATING & COOLING License 149452 Expiration Date 10/22/2011 Phone 541-726-7654 ~UILD1NG INFORMATION I # of Units: Primary Occupaucy Group: Secondary Occupaucy 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: Occupant Load: u/a I DE'.'ELOPMENT INFORMATION I REQUIRED PARKING Front yard Setback: Overlay Dist: Sid'J.I~J;lw,,:J~:. , . '",'.,..,.' # Street Trees Rqd: Sidel'2~Ullaa<: 'Paved Drive Rqd: Reaty'i'SJ !SliffiM.JJT: SHAll EXPIRE IF THE WORK % of Lot Coverage: Sohtr.l$'fI(JjJf\4~ED UNDER THIS PERMIT IS NOT ATTENT10N: Oregon law requires you to ~~~;;'~;:ci;~i~ ~E~I~DDK..uu..t:u r"'(~UBLlC fMPROVEMENT~fl~~~C;;;:.~~8:rUl~S=:::~ . , LiO~..nn1f1l!thrOUghoAR952-001' Street Improvements: v1I11< r . ofth rulesby 0090. ou may n coplas a Storm Sewer A vailable: call1~ttleJllllllleDr~a: the telephone Special Instruction: , number for the Oregon Utility Notification Center Is HI00-332-2344). Total: Handicapped: Compact: Notes: I Valuation Descriotion I Descrilltion Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee I 01'2 ,', .__S,~~";~,~~I.~I))',~.~, 1I~ ' . Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2009-01835 ISSUED: 12/24/2009' APPLIED: 12/24/2009 EXPIRES: 06/24/2010 VALUE: 225 Fifth Street, Springfield, OR 541- 726-3753 Phone 541- 726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees P~id 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, 12/24/09 12/24/09 12/24/09 12/24/09 2200900000000001429 2200900000000001429 2200900000000001429 2200900000000001429 Total Amount Paid $112,32 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. I Renuired Insnections . 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:c,ertify that any and all work performed shall be ~one 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 ofany structure without permission of the Community Services Divisio~, Building Safety. I fm.ther 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 propel' 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 Page 2 of2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-0 1835 COM2009-0 1835 COM2009-0 1835 COM2009-0 1835 Payments: Type of Payment ONLINE CHGS cReceil111 RECEIPT #: Description I sl Appliance Heat Pump + 5% Technology Fee + 12% State Surcharge Paid By ONLINE PERMIT CHGS :ti' 2200900000000001429 City of Springfield Official Receipt Development Services Department Public Works Department Date: 12/24/2009 Item Total: Check Number Authorization Received By Batch Number Number How Received KR Page I of I ONLINE EUGENE Online HEATING & COOLING Payment Total: II :29:09AM Amount Due 79,00 17,00 4.80 11.52 $112.32 Amount Paid $112.32 $112.32 12/24/2009