HomeMy WebLinkAboutPermit Mechanical 2010-3-30
City Of Springfield
225 Fifth St.
Springfield, OR 97477
Phone: 541-726-3753
Emait: permitcenter@ci.springfield,or.us
Q.\O- 3<&?
Residential Mechanical Authorization To Begin Work
69600-BMC-10-00059
Approval Code: 309898 3/30/2010 10:34 am
E-mailedTo:wvosburg@automaticheatco.com
o New Construction
lRl Addition/alterationlreplacement
CA iEGO~RY, OF'C0NSTRUCTION? .
00 1 or 2 family dwelling
o Multi-family 0 Commercial
o Accessory
, ?, JOB SiTE INFORMATION}(ND l-,OCATION
Job Address: 2481 15TH 8T
-
City/State/ZIP: SPRINGFIELD, OR 97477
Suitefbldg.Japt.no. :
Project Name: Tift
Cross Street/directions to job site:
Tax map/parcel no.: 1703243301300
.,' c: "':'fu'ESCRIPTIONfOF WORK''''': k~,
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2 zone mini split
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Name: Michael Schillina
Phone: 541-726-7656
Fax: 541-726-7657
Email:
;' ", -,'cONTRACTOR
ceB lic. no.: 188592
Business Name: EUGENE HEATING lNC
... '..
Contact:
Address: 3675 FRANKLIN BLVD
CityfState/ZIP: EUGENE, OR 97403
Phone: 5417267656
Fax: 5417267657
Email: mschilling@aulomaticheatco.com
Metro lic. no.:
City Iic. no.:
Upon review and app-rovaJ by your local jurisdiction, your penni! wUf 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 dllys If a permit is not obtained.
The local building department may determine that an Authorization To 'Beg.lf' Work Is null and
void if it dODS not meet applicable land use Jaws and local ordinances.
Total
Description
fl.~'~WQgIGoolinri"~ppliances-~,
Heal Pump
Air handling unit
!YI_inim.i.J1n~Fees .
First Appliance Fee
M~ch:~nical Pet,j1ft'J7E),~_~' ,: ~~~4",
Subtotal
Slate surcharge (12% of permit
total
Technology fee (5%, of permit total)
TOTAL PERMIT FEE
"il.
$17,00
$17.00
$79.00
$113.00
$13.56
$5,65
$132.2f
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Inspections Phone: 541-726-3769
This Authorization To Begin Work must be posted at the job site until replaced by a Permit
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Status
Iss u ed
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00385
ISSUED: 03/30/2010
APPLIED: 03/30/2010
EXPIRES: 09/30/2010
VALUE:
225 Fifth Street, Springfield, OR
541- 726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2481 15TH ST
ASSESSOR'S PARCEL NO.: 1703243301300
Springfield TYPE OF WORK: Mechanical Only
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Two-zone mini-split
Owner:
Address:
TIFT NORMAN E & FERN E
2481 N 15TH ST
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION ~
Contractor Type
Mechanical
Contractor License
EUGENE HEATING INC 188592
BUILDING INFORMATION ~
Expiration Date Phone
541-726- 7656
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:'
, Range TYpe:
'''Eriergy',Piith:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
nla
I DEVELOPMENT INFORMATION ~
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
- ~ -'
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS ~T\ON' Oregon law requires you.to
"l"fli!J-l ' rl.h the Oregon Utihty
Street Improvements: follow ruleSRnwailb y~e: ules are set forth
Storm Sewer Available: Notification gef~~~Ii;QAR 952-001-
Special Instruction: in OAR 952- btain copies of the rules by
NOTICE 0090. You may 0 (Note' the telephone
: calling the center. .'\' Notification
Notes:Y~~S}~R.,MIT SHAll EXPIRE IF TH number for ;~~i~;~g~_~~~344).
, ... ~ v c ERMITrJ$:1Il .. "
~~~1MENCED OR IS ABANDONED #"y,aM~tjon b~'scription I
80 DAY PERIOD. .::' .' ~
$ Pel' Sq'Ft Square Footage
or multiplier or Bid Amount
Type of Construction
Value
Date Calculated
Description
Pace 101'2
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Iss u ed
'.'f-,l
PERMIT NO: COM2010-00385
ISSUED: 03/30/2010
APPLIED: 03/30/2010
EXPIRES: 09/30/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
~', . J
UFees Pliid-t .
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Air Handling Unit Up to 10,000
Heat Pump
Amount Paid
Date Paid
$13.56
$5.65
$79.00
$17.00
$17.00
3/30/10
3/30/10
3/30/10
3/30/10
3/30/10
Receipt Number
3201000000000000106
3201000000000000106
3201000000000000106
3201000000000000106
3201000000000000106
Total Amouut Paid
$132.21
. I Plan Reviews. II
.) 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.
Rea"uiredelnsDect"
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Rough Mechanical: Prior to Cover
"
Final Mechanical: When all mechanical work is complete.
By signature, 1 state and agree, that 1 have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and 1 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 Community Services Division, Building Safety.
1 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 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. i".
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Owner or Contractors Signature
Date
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Paee 2 of2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
,
3201000000000000106
Date: 03/30/2010
IO:42:39AM
Job/Journal Number
COM2010-00385
COM20 I 0-00385
COM20 I 0-00385
COM20 I 0-00385
COM2010-00385
Payments:
Type of Payment
ONLINE CHGS
cReceintl
Description
1st Appliance
Air Handling Unit Up to 10,000
Heat Pump
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
ONLINE PERMIT CHGS
Check Number
Batch Number
Rc~eived By
nJm
ONLINE
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Page I of I
Item Total:
Authorization
Number How Received
Amount Due
79.00
17.00
17.00
13.56
5.65
$132.21
Amount Paid
eugene Online
Payment Total:
$132.21
$132.21
3/30/20 I 0