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HomeMy WebLinkAboutPermit Mechanical 2010-4-1 City Of Springfield 225 Fifth $1 Springfield, OR 97477 Phone: 541-726-3753 Email: permiICenler@ci.springfield.or.us C-\D- 3''\"1 Residential Mechanical Authorization To Begin Work 69600-BMC-10-00061 Approval Code: 101346 4/1/2010 8:55 am E-mailedTo:wvosburg@automaticheatco.com c.'!iL; .L. " ,'r TYF>i:.OF' ,-';", 7 ' rj""c~-;" 0 New Construction IRI Addilion/allerati on/repJaceme nt . , , !;7:,':;;" '~-'?;;'A<::A'rEGORY,OFC:ONSTRUCTI()N ':: , j"3'.'c0i~ - , , IRI , or 2 family dwelling 0 Multi~famjly 0 Commercial 0 Accessory .' JOEl SITE INFoRM.A.:rTorli'AN D ....... .',; .... '. " .., . LOCATIOr-b::~ ';, .. Job Address: 662 RIVER HILLS DR CityfState/ZIP: SPRINGFIELD, OR 97477 Suite/bldg./apt.no. : ,-, Project Name: jim olsen ';""! {,' ,"Hi , ~. Cross Street/directions to job site: Tax mapfparcel no.: 1703341304800 roo"" ",.", ;', '" . .,t:::: : "'V".VC ' .' ;",;;;, mini split ,::", ';';h ','r. ,. srte CONTAcT . ,',;7;:", :," , . :. Cecc' Name: , , Fax: , Phone: " '" " ", Email: !"... .".';", ":~;"" ' ,'" C.ONTRAc:f6rfi' 5~," ",.':, ,.' :.'&,f=-:{:I cee lie. no.: 188592 Business Name: EUGENE HEATING INC Contact: .. , Address: 3675 FRANKLIN BLVD ,- ",. " " , ,'" City/StatefZIP: EUGENE, OR 97403 ".>:"".F , Phone: 5417267656 Fax: 5417267657 " EmaiJ: mschilling@aulomaticheatco.com Metro lic. no.: City lie. no.: Upon review and approval by your local jurisdiction, your permit will be a.mailed or faxed within one business day, with instructions on how to schedule your inspection. NOTE: This Authorilation To Begin Work expires within 180 days if a permit is not obtained. The local building department may determine that an Authorization To Begl," Work is null void if it does not meet applicable land use laws and local ordinances. CEmw I 0 - CdS cr7 '-t -I -I 0 nfY'\ '-- Description ~e~iirig/Coolil1g"Appli'anc~s;:$; <~;;t4, Heat Pump MinTmumFees-r, First Appliance Fee Mechanlca'H:>er.r:nit' Fees Subtotal $79.00 $96.00 $11,52 State surcharge (12% of permit lotal Technology fee (5% of permitlotal) $4.80 $112.32 TOTAL PERMIT FEE , " :~(: ~~ ~ L\.'l' ~ ~w 0-\ Inspections Phone: 541-726,3769 This Authorization To Begin Work:~;~,st;~~ ~~~ted afthe job site until replaced by a Permit .>~..~:} ':; CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2010-00397 ISSUED: 04/0112010 APPLIED: 04/0112010 EXPIRES: 1010112010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 662 RIVER HILLS DR ASSESSOR'S PARCEL NO.: 1703341304800 Springfield TYPE OF WORK: Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: Mini-split ",-' . ',.;. ,,~~.r '. Owner: CHARLOTTE PEARCE & JAMES OLSEN FA1\lI Address: 662 RIVER HILLS DR 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: 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 I DEVELOPMENT INFORMATION . .,. "'. REQUIRED PARKING Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Sola,r.~e_tbacks: , Overlay"Dist: , #'Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: -.- Street Improvements: I PUBLIC IMPROVEMENTS ~ .~ NOTICE: Sidewalk ~ri~ WORK THI~ PERMIT SHAbb~T~rPERMtris NOT AUTHORIZED UNDER FOR COMMENCED OR IS ABANDONED ANY 180 DAY PERIOD. Storm Sewer Available: SpeciallrATrfjh\T.IPN: Oregon law requires you to follow rules adopted by the Oregon Utility Notes: Notification Center. Those rules are set forth , In OAR 952-001-0010 through OAR 952-001, . calling the center. (Note: the tel p number for the Oregon Utility No . Center is 1-800-33~-2344). $ Per Sq Ft Description Type of ConstructIOn It' I' or mu Ip ler Square Footage or Bid Amount Value Date Calculated .,', ".", i ,,,~-i:i.,;g; .., "-'::_"-~~':lIO-~'" -', '" " - Page I of2 ;fi.1 , , ~ " . ,.,. ---I., '. .~:.' " CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00397 ISSUED: 04/01/2010 APPLIED: 04/01/2010 EXPIRES: 10/01/2010 VALUE: 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 Surcharge + 5% Technology Fee 1st Appliance Heat Pump Amount Paid Date Paid Receipt Number Total Amount Paid $11.52 , $4.80 ~,,,. $79.00, $17.0Q,y:-,,' $112.32 , J .;... ",~'t. 4/1/10 4/1110 , 4/1/10 4/1110 3201000000000000114 3201000000000000114 3201000000000000114 3201000000000000114 " ...'J,. . I Plan Reviews ~ 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. ' " ReOliired Insoections ~ Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. By signature, 1 state and agree, that I have carefully"e.~,~m!ne,~ (~e completed application and do hereby certify that all information hereon is true and correct, and I furthf~+ 'c'ertify th"at'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 structJre withotil'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 Date .: Paee 2 of 2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 3201000000000000114 9:09:46AM Date: 04/01/2010 Job/Journal Number COM20 1 0-00397 COM20 10-00397 COM20 1 0-00397 COM2010-00397 Payments: Type of Payment ONLINE CHGS cReccintl Description Heat Pump 15t Appliance + 12% State Surcharge + 5% Technology Fee Paid By ONLINE PERMIT CHGS Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Due 17,00 79,00 11.52 4,80 $112.32 Amount Paid njm ONLINE eugent htg Online Payment Total: $112.32 $112.32 " f'I".t' , !:{~ \~ ,.," .'-,- ',' .;. , ,.~;fl~\': ,':' -'. ,.. , :.~^'; Page 1 of 1 4/1/2010 -fi~;.' "11 R!' -, ,