HomeMy WebLinkAboutPermit Mechanical 2010-3-9
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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-10-00043
Approval Code: 101835 3/9/2010 2:36 pm
E-mailedTo:wvosburg@automaticheatco.com
" "" ,,' , FEE SCHEDULE "
. ,
Description Qty, I Ea, Total
Heating/Cooli_ng Appliance~ , "
Heat Pump 1 $17.00 $17.00
Air handling unit 2 $17.00 $34.00
Minim!Jm Fees -,- - , , ,
,
First Appliance Fee I I $79.00
Mechanical Permit Fees ,
Subtotal $130.00
State surcharge (12% of permit $15.60
lotal)
Technology fee (5% of permit lotal) $6.50
TOTAL PERMIT FEE $152.10
ATTENllON: Oregon law requires you to
follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth
In OAR 952-o01-Q010 through OAR 952-001-
0090. You may obtain copies of the rules by
calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center is 1-800-332-2344).
, 'TYPE OF WORK -
''',i
o New Construction
IKJ Additionfalteration/replacement
, ,
,
CA TEGORYOFCONSTRUCTION'
00 1 or 2 family dwelling 0 Multi-family 0 Commercial
D Accessory
JOB SITE INFORMATION AND LOCATION,.
Job Address: 2490 34TH ST
CitylStatelZIP: SPRINGFIELD, OR 97477
Suilefbldg.lapt.no.:
Project Name: Crabtree
Cross Street/directions to job site:
Tax map/parcel no.:
1702193101104
tlD-l Cfl
,
'. ,DESCRIPTION OF WORK
3 zone mini split
SITE CONTACT
Name: Michael SchilllnQ
Phone: 541-726~76S6
Fax: 541-726-7657
Email:
CONTRACTOR'
eee lie. no.: 188592,.,
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aRK
Cont"'t, ERMIT IS NOT
Add.... ABANDONED F
CityIStat., '8\'l' DAV'PERIOO.
Phone: 5417267656 Fax: 5417267657
Email: mschilling@automaticheatco.com
Metro lie. no.:
CIty lie. no.:
Upon review and approval by YOllr local jurlsdlcllon, your permit will be a-mailed or failed
within one business day,wilh Instructions on howto schedule your in spectlon.
NOTE: This Authoriutlon To Begin Work expires within 180 days If a pennllls nol obtained.
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The local building department may detennlne thaI an Authorization To Begin Work Is null and
void If It does not meet applicable land U$U laws and local ordinances. '
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Inspections Phone: 541-726.3769
This Authorization To Begin Wor~ must be posted at the job site until replaced by a Permit
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO:. COM201 0-00297
ISSUED: 03/09/2010
APPLIED: 03/09/2010
EXPIRES: 09/09/2010
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2490 34TH ST
ASSESSOR'S PARCEL NO.: 1702193101104
Springlield TYPE OF WORK: Heating System
TYPE OF USE: New
PROJECT DESCRIPTION: 3 zone mini split heating system for reisdence.
Residential
Owner: CRABTREE LOVING TRUST
Address: 2490 34TH ST
SPRINGFIELD OR 97477
I CONT-RAGT0R INFORMATION ~
Contractor Type
Mechanical
Contractor License
EUGENE HEATING INC 188592
BUILDING INFORMATION I
Expiration Date Phone
541-726-7656
# 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 Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
ell! c!/:' _.' I DEVELOPMENT INFORMATION ~
NOTt 1::: RE IF THE WORK ATTEN110N' Oregon la'/RwaWll$:YJlI'(~KING
J,I-llt: DJ:RMIT SMAtt EXPl . d pted bylQregon Utility
Front yard ::l~lti:lclt. ED UNDER THIS PERMIT IS<N@illay Dist:. follow rules a 0 Thos Ills are set forth
Side I SetiAlJifHORIZ S ABANDONED FOI!'i Street Trees Rqd: Notification Cen:10thr Iftl\'bPIRI96Q-G01.
Side 2 Set;G9MMENCED OR I 'Paved Drive Rqd: In OAR 952-001 btal CO iiW6fffle rules by
Rearyard l'fI1l\l'd~1S0 DAY PERIOD. % of Lot Coverage: 0090. You may Ot n(Note. the telephone
Solar Setbacks: calling the canoer. Ut'lIlty NotificatlOR
.'" r for the regan
I PUBLlCIMPR()VEMENTS ~ en er I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspouts/Drains:
Notes:
I Valuation Description I
Description
Type of Construction
$ Per Sq Fl
or multiplier
Square Footage
'or Bid Amount
Value
Date Calculated
Paee I 01'2
,',..
"'~,"',~ ., ~.
"
Status
Issued
',>
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Valne of Project
Fees Paid ,
Fee Description
+ 12% State Snrcharge
+ 5% Technology Fee
1st Appliance
Air Handling Unit Up to 10,000
Heat Pnmp
Amonnt Paid
$15.60
$6.50
$79.00
$34.00
$17.00
Total Amonnt Paid
$152.10
I Pi~n Re;iews I
Date Paid
3/9/1 0
3/9/1 0
3/9/10
3/9/10
3/9/10
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00297
ISSUED: 03/09/20 I 0
APPLIED: 03/09/2010
EXPIRES: 09/09/2010
VALUE:
Receipt Numher
2201000000000000215
2201000000000000215
2201000000000000215
2201000000000000215
2201000000000000215
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.
Reauired InsDections ~
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
By signatnre, I state and agree, that I have carefully examined the completed application and do herehy 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 Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any structure withont permission of the Commnnity Services Division, Bnilding Safety.
I fnrther 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 reqnired inspections are reqnested at the proper time, that each address is readable from the
street, that the permit card is located at the front or't~fp;:<i'per.i)'; and,the approved set of plans will remain on the site at all
times during construction. ,'f-": , ' .
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Owner or Contractors Signature
Paee 2 of2
Date
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
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City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
22010QO~00000000215
Date: 03/09/2010
2:47:24PM
Job/Journal Number
COM20 I 0-00297
COM20 I 0-00297
COM20 1 0-00297
COM20 I 0-00297
COM20 I 0-00297
Description
I 5t Appliance
Air Handling Unit Up to 10,000
Heat Pump
+ 12% State Surcharge
+ 5% Technology Fee
Payments:
Type of Payment
Paid By
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
79.00
34.00
17.00
15.60
6.50
$]52.]0
Amount Paid
ONLINE CHGS ONLINE PERMIT CHGS
KR
ONLINE EUGENE Online
HEA T1NG
INC
Payment Total:
$152.10
$152.]0
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