HomeMy WebLinkAboutPermit Mechanical 2010-1-14
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City Of Sprin9field
225 Fifth 51
Springfield, OR 97477
Phone: 541.726-3753
Email: permitcenler@ci.springfield.or.us
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Residential Mechanical Authorization To Begin Work
69600-BMC-10-00012
Approval Code: 516199 1/14/2010 10:23 am
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o New Construction
lRl Addition/alteration/replacement
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[Z] 1 or 2 family dwelling D Multi-family D Commercial
o Accessory
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Job Address: 88 T ST
City/State/ZIP: SPRINGFIELD, OR 97477
Suite/bldg.lapt.no. :
Project Name: Holt
Cross Street/directions to Job site:
Tax mapfparcel no.:
1703262203873
heal pump and air handler
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Name: Michael Schillinq
I Phone: 541-726-7656
I EmaH;
Fax: 541-726-7657
CCB lic. no.: 188592
\ Business Name: EUGENE HEATING INC
I Contact:
I Address: 3675 FRANKLIN BLVD
I City/StatefZIP: EUGENE, OR 97403
I Phone: 5417267656
Fax: 5417267657
Email: mschilling@automaticheatco.com
Metro lie. no.:
City lie, no,:
Upon review and approval by your local juriSdiction, your pennit will be e-mailed or faxed
within one business day, with instructions on how to 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 Ihat an Authorization To Begin Work is null and
void if it does not meet applicable land use laws and local ordinances.
E-mailedTo:.wvosburg@automaticheatco.com
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I Description r Oty. J Ea. J Total I
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I Heal Pump J 1 J $17,00 I $17,00 J
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I FirslAppliance Fee J.I J $7900 I
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______""~__._~,t;~~i,;0$h~tii~.$~:g!ji~-.i/;.tm},,'{);~~Jw,_?.:rQ:;il
I Subtotal $96.00
I Slate surcharge (12% of p'ermil $11.52
total) .
I Technology fee (5% of permit total)
I TOTAL PERMIT FEE
$4.80
$112.32
Inspections Phone: 541-726-3769
This Authorization To Begin Work must be posted at the job site until replaced bya Permit
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 88 T ST
ASSESSOR'S PARCELNO.: 1703262203873
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM20IO-00047
ISSUED: 01/13/2010
APPLIED: 01/13/2010
EXPIRES: 07114/2010
VALUE:
Springfield TYPE OF WORK: Heating System
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PROJECT DESCRIPTION: Heat pump and air handler in residence.
Owner: HOLT RANDALL L & CINDY S
Address: 88 T ST
SPRINGFIELD OR 97478
TYPE OF USE: New
Residential
Phone Numher: 541-741-7294
I, C?NTRACTOR INFORMATION I
Contractor Type
Electrical
Mechanical
ContractOl'
GMD ELECTRIC INC
EUGENE HEATING INC '
License
162191
188592
Expiration Date
11/1912010
Phone
541- 726-8601
541-726-7656
BUILDING INFORMATION'
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled' Bnilding:
n/a
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
I DEVELOPMENT INFORMATION I
Froutyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard,Setback:
Solar Setbacks: .
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
0/0 of Lot Cov~rage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
, I PUl.lLIC IMPROVEMENTSI
Street Improvero~~NTJON: Oregon i<lw reqUJres you to Sidewalk Type:
Toflbiv rules adopted by the Oregon Utility NOTICE:
Storm Sewer A~tilbJeiion Center. Those rules are set forth THIS PERI9,PrgWJl~~/r^l'il'1t IF THE WORK
Special Instructlbli>AR 952-001-0010 through OAR 952-001- AUTHORIZED UNDER THIS PERMIT IS NOT
0090. You may obtam copies of the rules by , ,
Notes: calling the center. (Note: the telephone COMMENCED OR IS ABANDONED FOR
number for the Oregon Utility Notification ANY'180 DAY PERIOD,
Center is 1-800-332-2344).
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Paee I of 3
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM201O-00047
ISSUED: 01113/2010
APPLIED: 01113/2010
EXPIRES: 07/14/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541"726.3769 Inspection Line
I Valuation Descriotion I
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
Fr"<' PiWU
Fee Descri'Jtion
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Heat Pump
Amount Paid
Date Paid
Receipt,Number
$8.04
$3.35
$55.00
$12.00
$1l.52
$4.80
$79.00
$17.00
1/13/1 0
1/13110
1/13/10
1/13/10
1/14/10 '
1/14/10
1/14/10
1/14/10
1201000000000000039
1201000000000000039
1201000000000000039
1201000000000000039
3201000000000000011
3201000000000000011
3201000000000000011
3201000000000000011
Total Amount Paid
$190.71
I ' Plan Reviews I
To Request an inspection call the 24 hour recording at 726-3769. All inspections r,equested 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 I11Pll,iin~rlln~,nections I
Rough Electric: Pri,?r to Cover
Final Electric: When all electrical work is complete..
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Paee 2 01'3
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726.3676 Fax
541-726-3769 Inspection Line
CITY OF ~t'KINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00047
ISSUED: 01113/2010
APPLIED: 01113/2010
EXPIRES: 07/14/2010
VALUE:
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
iuformation 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 OCCUP ANCY will be made of any structure without permission of the Community 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.
I further agree to ensure that all 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
Page 3 of 3
Date
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
C0M20 I 0-00047
COM20 I 0-00047
C0M2010-00047
C0M2010-00047 '
Payments:
Type of Payment
RECEIPT #:
Description
I st Appliance
Heat Pump
+ 12% State Surcharge
'+ 5% Technology Fee
ONLINE CHGS ONLINE PERMIT CHGS
Paid By
cRceeint 1
3201000000000000011
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 01114/2010
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
NJM
Page I ofl
ONLINE EUGENE Online
HTG
Payment Total:
IO:57:43AM
Amount Due
79.00
]7,00
11.52
4,80
$112.32
Amount Paid
$112,32 '
$112.32
1/14/2010