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
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Residential Mechanical Authorization To Begin Work
69600-BMC-10-00061
Approval Code: 101346 4/1/2010 8:55 am
E-mailedTo:wvosburg@automaticheatco.com
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0 New Construction IRI Addilion/allerati on/repJaceme nt
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IRI , or 2 family dwelling 0 Multi~famjly 0 Commercial 0 Accessory
.' JOEl SITE INFoRM.A.:rTorli'AN D ....... .',; .... '. "
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Job Address: 662 RIVER HILLS DR
CityfState/ZIP: SPRINGFIELD, OR 97477
Suite/bldg./apt.no. : ,-,
Project Name: jim olsen ';""! {,'
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Cross Street/directions to job site:
Tax mapfparcel no.: 1703341304800
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mini split
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Name: , ,
Fax: ,
Phone: " '" " ",
Email:
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cee lie. no.: 188592
Business Name: EUGENE HEATING INC
Contact:
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Address: 3675 FRANKLIN BLVD ,- ",.
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City/StatefZIP: EUGENE, OR 97403 ".>:"".F
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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.
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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
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Inspections Phone: 541-726,3769
This Authorization To Begin Work:~;~,st;~~ ~~~ted afthe job site until replaced by a Permit
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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
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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
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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
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4/1/10
4/1110
, 4/1/10
4/1110
3201000000000000114
3201000000000000114
3201000000000000114
3201000000000000114
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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
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ONLINE eugent htg Online
Payment Total:
$112.32
$112.32
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4/1/2010
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