HomeMy WebLinkAboutPermit Mechanical 2010-1-22
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City Of Springfield
225 Fifth 51
Springfield, OR 97477
Phone: 541-726-3753
EmaiJ: permitcenter@ci.springfieJd.or.us
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I D New Construction lKJ Addition/alteration/replacement
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fZ]1 or 2 family dwelling 0 Multi-family 0 Commercial 0 Accessory
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Job Address: 5253 FORSYTHIA DR
City/State/ZIP: SPRINGFIELD, OR
I Suitefbldg.lapt.no.:
I Project Name: Sturgies
97478
Cross Street/directions to job site:
Tax map/parcel no,: '1802042105100
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heat pump
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Name: Michael Schillinq
I Phone: 541-726-7656 Fax: 541-726-7657
I Email:
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ceB Iic. no,: 188592
Business Name: EUGENE HEATING INC
Phone:5417267656
Fax: 5417267657
Email: mschilling@aulomatichealco.com
Metro lie. no.:
City lie. no.:
Upon review and approval by your local jurisdiction, your pennlt will blil e-malled or faxed
within one business day, with instnu;:tions on how to schedule your inspection.
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Residential Mechanical Authorization To Begin Work
69600-BMC-10-00015
Approval Code: 603935 1/22/2010 10:19 am
E-mailedTo:wvosburg@automaticheatco.com
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I Descriptio'n I cty. I Ea. I Total I
1~!jii'9i~oojjng:~ppji~np:<is'~~l!t~"~%~1
I Heat Pump J 1 I $17,00 I $17,00 I
IMinfmum'F.ees;'~"-~\""""~~=;,,;;:>"t:t"~=.i:::'mf":1
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I Firnt Appliance Fee '1.1 $79.00 I
11!1.~~.~@'atlp_~!.'_i!ii(t;~~~\l!i!t~___~~"m.~~q.~tl.'!
I Subtotal $96.00
I Stale surcharge (12% of per mil $11.52
total) .
I Technology fee (5% of permit Iota I)
I TOTAL PERMIT FEE
$4.80
$112,32
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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
225 Fifth Street, Springfield, OR
541-726-3753 Phone
54]-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00091
ISSUED: 01122/2010
APPLIED: 01121/2010
EXPIRES: 07/22/2010
VALVE:
SITE ADDRESS: 5253 FORSYTHIA DR
ASSESSOR'S PARCEL NO.: ]802042]05100
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
PROJECT DESCRIPTION: 2 circuits for heat pum)l'and air handler iu residence.
Owner: STURGIS RICHARD D & ALlSA A
Address: 5253 FORSYTHIA DR
SPRINGFIELD OR 97478
Residential
I CONTRACTOR INFORMA TION I
Contractor Type
Electrical
Mechauical
Contractor
RITE ELECTRIC
EUGENE HEATING INC
License
1785]8
188592
Phone
54] -895-4466
54]-726-7656
Expiration Date
09/25/20 II
BUILDING INFORMATION I
# of Uuits:
Primary Occupaucy Group:
Secoudary Occupancy Group:
Primal)' Construction Type
Secoudary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Buildiug:
u/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] Sctback:
Side 2 Sctback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special. Instr,ul'lion:
I~Ullul::
NotesrHIS PERMIT SHALL EXPIRE IF THE WORK
',lJTHORIZED UNDER THIS PERMIT IS NOT
,;OMMENCED OR IS ABANDONED FOR
iNY 180 DAY PERIOD.
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.. :~ .
;;: "I'
i .
, 'Paee lof3
REQUIRED PARKING
Total:
Handicapped:
Compact:
ATTENTION: Oregon law requires you 10
follow rules adopted by tlie Oregon UUlity
No1i~cm'll:ln:O(l/Wer. Those rules are set forth
in I1G1MpiiiR&}bP.clh9. through OAR 952-001-
0090. You may obtain copies ofthe rules by
calling the center. (Note: the telephone
number for the Oregon Utility NotificatIOn
Center is 1-800-332-2344).
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Val~ation Oescriotion I
Description
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Tvne of Construction
Total Value of Project
~ Frp<~
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ'
Add, Alter, Extend Circ Ea Add
+ 12% State Surcharge
+ 5% Techuology Fee
1st Appliance
Heat Pump
Amount Paid
Date Paid
$7.32
$3.05
$55.00
$6.00
$]1.52
$4.80
$79.00
$17.00
I121/10
I121110
1121/10
1121/10
I122/JO
I122/] 0
1122/]0
1122/] 0
Total Amount Paid
$]83,69
I Plan Reyiews I
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00091
ISSVED: 0112212010
APPLIED: 0112112010
EXPIRES: 07/22/2010
VALVE:
, Value
Date Calculated
Receipt Number
]201000000000000065
120]000000000000065
1201000000000000065
]20]000000000000065
]20]000000000000068
120]000000000000068
120]000000000000068
]201000000000000068
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~? ,:~.,~
L...Jl,fouirecUnsnections I
Rough Electric: Prior to Cover
Fina' Electric: Wheu all electrical work is complete.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Paee 2 of3
Status
,. \,r ~ ~.j,:
Issued
225 Fifth Street. Springfield, OR
541-726-3753 Phoue
541-726-3676 F,,,
541-726-3769 Inspection Liue
CITY OF ~rKIN\.d'Ui.LD'
Building/Combination Permit
PERMIT NO: COM20IO-00091
ISSUED: 01/22/2010
APPLIED: 01/21/2010
EXPIRES: 07/22/2010
VALVE:
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 auy and all work performed shall be done in accordauce with
the Ordiuances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, aud
that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety,
I further cel'tify 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 iuspections are requested at the proper time, that each address is readable from the
street, that the permit card is located at the frout of the property, aud the approved set of plans will remain on the site at all
times during construction.
Owner or Coutractors Signature
, '
f ,<.
Paee 3 of 3
Date
225 Fifth Strcct
Springfield, Oregon 97477
541-726-3759 Phone
.Job/Journnl Number
COM20 I 0-00091
COM20 I 0-00091
COM20 1 0-00091
COM20 I 0-00091
Payments:
Type of Payment
ONLINE CHGS
cRcccintl
RECEIPT #:
Description
Heat Pump
I st Appliance
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
ONLINE PERMIT CHGS
~.
1201000000000000068
City of Springfield Official Rcceipt
Development Services Departmcnt
Public Works Departmcnt
Date: 01122/2010
Item Total:
<":heck Number Authorization
Received By Batch Number Number How Received
NJM
"
, Page I of I
ONLINE EUGENE In Person
HTG
Paymeut Total:
10:27:25AM
Amount Due
17,00
79,00
11.52
4,80
$112.32
Amount Paid
$112,32
$112.32
1/22/20 I 0