HomeMy WebLinkAboutPermit Mechanical 2009-12-24
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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
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$17.00 l
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TO~I. " ,I
$17,00 I
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$~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
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Ir~":'.':; ,r"'.. ;i:=;~'FEES'CHEDUEEi:'
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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..
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$4.80
$112.32
eq- \~~
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single zone mini split
fS}TE C'O~.Ti'9ir:qJ0rJ~~/~:'>:~f". /
I Name; Michael SchillinQ
I Phone; 541-726-7656
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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.
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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
,',
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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