HomeMy WebLinkAboutPermit Mechanical 2009-12-24
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City Of Springfield
225 Fifth 5t
Springfield, OR 97477
Phone: 541.726-3753
Email: permilcenter@ci.springfield.or,u~
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" OREGON
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''':~}::~tYPELOfWO~:f;r;: .8i:0t2\'<VlJ' ; ;'Ji::r;;~:;;r~"~
I D New Construction IKJ Addition/alteration/replacement
Irgj", or 2f~milY ~~'II:n':CA~G~u:::a~~yCO~S;:~~::~N;~'AC;~S:O~
11'"' ,< UOB SITE INFORMATION'AN6,LOCATl6N~ - ~;''}:'
I Job Address: 2425 34TH ST
I City/State/ZIP: SPRINGFIELD, OR ~7477
I Suite/bldg.lapt.no.:
I Project Name: jannise
I Cross StreeVdirec(;ons to job site
I Tax map/parcel no.: 1702193101117
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3 zone mini split
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I Name: Michael SchiUinQ
I Phone: 541-726-7656 Fax: 541-726-7657
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Busjq;!~1<''t''iJEI'P,,6I'wti'ilf\n& COOLING COMP rJY
I Contact:
I Address: 3675 FRANKLIN BLVD
I City/State/ZIP; EUGENE, OR 97403
Phone: 5417267654
Fax: 5417267657
Email:
I Metro tic. no.:
City lic. no.:
Upon review and approval by your focal jurisdictIon, your permit will be e.malled or faxed
within one business dilY, with fnstructlonson how to schedule your In spectlon.
NOTE: This Authorizatfon To Begin Work expires within 180 days If a permit Is not obtained.
The local building department milY determlno thilt an Authorization To Begin. Wo~ Is null i1nd
void If It does not meet applicable land use laws and local ordinances.
Residential Mechanical Authorization To Begin Work
69600-BMC-09-00230
Approval Code: 417306 12/24/2009 10:37 am
E.mailed To: wvosburg@automaticheatco.com
Ir,~~~yr-,.
I Description
IHeatiog/CoQliflgC A'ppliances o.
I Heat Pump
I Air handling unit
IMiiiimurh Fees .;;)f:, c........ - "';- ~ ~
I First Appliance Fee J
l~~C~~l1icaH~e.r.n.il!JeEfs;' \l\~i~~'i::~} ,,~
I Subtotal
I
Total I
I
$17,00 I
$34,00 I
'''- ,'I
$79,00 I
-',:.s.,:'. ".1
$13000 I
$15.60 I
$650 I
$152.10 I
"j=EE SC:I:IEDULE::o
4~L
Qty,
Ea,
2
I $17.00
$17.00
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State surcharge (12% of permit
total)
Technology fee (5% 01 permillotal)
I TOTAL PERMIT FEE
CGj -lt3lp
~ 12/2}1!Og
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ATTENTION: Oregon Jaw requlres you to
follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth
In OAR 952-001-001 0 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
'1'
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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: COM2009-01836
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: 2425 34TH ST
ASSESSOR'S PARCEL NO.: 1702193101117
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
PROJECT DESCRIPTION: 3 zone mini split heating system in residence.
Residential
Owner: JANISSE MITCHELL & JULIE
Address: 2425 34TH ST
SPRINGFIELD OR 97477
I ~ONTRACTOR INFORMATION I
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:
Secolldary Occllpallcy Group:
Primary Construction Type
Secondary COllstrllction 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:
OccupilOt Load:
n/a
I DEVELOPMENT INFORMATION I
, A'ITE......ON 0 Is REQUIRED PARKING
. "IV II : regon w requlree yoU to
Frontya'f"Se!bacl<:' "",' Overlay Dist: follow rules adopted' by the or~ Utility
Side I S~l~~ctl:. IT SHAll EXPIRE IF THE WOIRl(treet Trees ~ification Center. Thoserulev_.;,;,.,;';llIth
Side 2 se~~ac~:ERM MIT IS NlilVed Drive R400AR 952,oo1-D010through CJA!il$lll1!1001-
Rearyar"dlS1'tb?ttR?ED UNDER THIS PER FOR % of Lot Cove~O. You may obtain copies of the rules by
Solar SeJbJicKs':ENCED OR IS ABANDONED calling the center. (Note; the telephone
...., ~........ "\:/lY r{M'nn numbAr In', thA n~"'gnn Iltn~ t.J"t;.t;...<'Stl"",...
r\llll I u'" ...1" ... ~ -
I PUBLIC IMPROVEMENTS renter i8,1-800-332-2344).
Street Improvements: Sidewalk Type:
Storm Sewer Available:
Special Instruction:
Dowdspouts/Drains:
Notes:
I Valuation Description I
Description
Type of COllstruction
$ Per Sq Ft
or mllltiplier
Square Footage
or Bid Amount
Value
Date Calculated
,Paee I of2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-0I836
ISSUED: 12/2412009
APPLIED: 12/2412009
EXPIRES: 06/2412010
VALUE:
225 Fifth Street, Springfield, OR
54]-726-3753 Phone
541- 726-3676 Fax
54]-726-3769 Inspection Line
Total Value of Project
Fee~ Paid I
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
]st Appliance
Air Handling Unit Up to 10,000
Heat Pump
Amount Paid
Date Paid
Receipt Numher
$15.60
$6.50
$79.00
$34.00
$17.00
12/24/09
12/24/09
12/24/09
12/24/09
12/24/09
2200900000000001428
2200900000000001428
220090000000000]428
220090000000000]428
220090000000000]428
Total Amount Paid
$152.10
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 Rellllired Insoedions I
, ,
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 certify that any and all work performed shall be done in accordance with
the Ordinances of the City of Springfield and the ~aws of the',State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of auy structure without permission of the Community Services Division, Building Safety.
I further certify that only contractors and employees who are in compliauce with ORS 701.005 will he 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
Paee 2 01'2
225' Fifth Street
Sp.;ingfield, Oregon 97477
54i-726-3759 Phone
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City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
2200900000000001428
Date: 12124/2009
II :28:30AM
Paid By
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
79,00
34,00
17.00
6.50
15.60
$152.10
Job/Journal Number
COM2009-0 1836
COM2009-0 1836
COM2009-0 1836
COM2009-0 1836
COM2009-0 1836
Description
1st Appliance
Air Handling Unit Up to 10,000
Heat Pump
+ 5% Technology Fee
+ 12% State Surcharge
Payments:
Type of Payment
Amount Paid
ONLINE CHGS ONLINE PERMIT CHGS
KR
ONLINE EUGENE Online
HEATING
&
COOLING
Payment Total:
$152,10
$152.10
cRcceintl
Page 1 of I
12/24/2009