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Home My WebLink AboutPermit Mechanical 2010-4-19 City Of Springfield 225 Fifth St. Springfield, OR 97477 Phone: 541-726-3753 Email: permilcenter@ci.springfield.or.us Q\()- 1..\-'15 Residential Mechanical Authorization To Begin Work 69600-BMC-10-00072 Approval Code: 210490 4/19/2010 1:28 pm E~mailed To: wvosburg@automaticheatco.com I. "'IT:",;,, "rC'.04\C::. ,,~,TYPE,.oF,WORKr':f ~~ 0 New Construction IRI Addition/alteration/replacement '. " ",' :: /;" ~ CATEGORY OF CONSTRU,CTION , " ;{", ' :~, , pc:;:;.~ , , " IRI 1 or 2 family dwelling 0 Multi-family 0 Commercial 0 Accessory , JOBSITEJNFORMATION AND 120CATION,,: , ", " , , ""I :1..:, Job Address: 1022 LONG RIDGE DR City/State/ZIP: SPRINGFIELD, OR 97478 . Suite/bldg./apt.no.: Project Name: Sexton Cross Street/directions to job site: Tax map/parcel no.: 1802061411800 " ' , "', "'," v'~ ,:DESCRIP!lONOF[""ORK:: 'J0')L.../'" ~"",.,..~ IV ;~:: ..} J;>;;:1;.' mini split C" ';" ,',.,: :" .t,":' SrrE,CONTA,CT', .- -'.,' : .... ':,,' , Name: Michael Schillinq, Phone: 541-726-7656 Fax: 541-726-7657 Email: i' " " ;' .: "'/', . ,:",/::;,' CONTRACTOR" ,,:'i" .' "'',, .:-:. CCB Iic. no.: 188592 '1"', ,., , )", Business Name: EUGENE HEATING INC ,-, Contact: ~,.. Address: 3675 FRANKLIN BLVD CitylStatelZIP: EUGENE, OR 97403 Phone: 5417267656 Fax: 5417267657 Email: mschilling@automaticheatco.com Metro lie. no.: City lic. no.: Upon review and approval by your local jurisdiction, your penn;t will be a-mailed or faxed within one businflss day, with instructions on how to schedule your inspection. NOTE: This Authorization To Begin Work expires within 180 days If a permit is not obtained. The local building department may determine that an Authorization To Begin Work is null and void if it doali not meet applicable land use laws and local ordinances. &mlo/O' --1- /9-10 ooL;7S /7~ " , )' J,',. "'?JiEESCH,EDUI2E ;'*':; " , ., "'C.sJ.:F' i Description Qly, Ea, Total Minim!J~"Fees:1: ' '. ; . ',.,,', 'v",'. ' ," , First Appliance Fee $79,00 N1ec:t1a~icaJ p'ef'rriitFa9S '-'t , :': ., . . Subtotal $79,00 State surcharge (12% of permit $9.48 total) Technology fee (5% of permit total) $3.95 TOTAL PERMIT FEE $92,43 t ~~0~ ~. ~iD.\\) A: V c[(~ \>. \):) 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 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1022 LONG RIDGE DR ASSESSOR'S PARCEL NO.: 1802061411800 PROJECT DESCRIPTION: Mini-split Owner: SEXTON CLYDE L Address: 1022 LONG RIDGE DR SPRINGFIELD OR 97478 .----~ CITY OF SPRINGFIELD Building/Combination Permit \ PERMIT NO: COM2010-00475 ISSUED: 04/19/2010 APPLIED: 04/19/2010 EXPIRES: 10/19/2010 VALUE: Springfield TYPE OF WORK: Mechanical Only TYPE OF USE: New Residential I CONTRACTOR INFORMATION . # of Stories: Height of Structure Type of Heat: Water Type: Range Type: . Energy Path:" Sprinkled Building: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: """-- " 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: nla Lot Size: Sq Ft I st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occupant Load: I DEVELOPMENT INFORMATION ~ Frontyard Setback: Side I Setback: Side 2 Setback:. Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: REQUIRED PARKING Total: Handicapped: Compact: I PUBLlCIMPROVEMENTS I \0 Sidew ~W lequile~l\\'I ~1iEl'l~~~~~~~~~~~e~~ 1oll0W l. cen\el. 1'1\ hOAR - .... tlo\iliCa\\On -O01..oo10\nlOU~ 101 \tie ru\ea... \0 Op.R 952 may ob\aIn coPe~ ttle \elep~ 0090. . '{o~ne center. t~ UtilitY tloUftoa\lOl' numbelc~n\el is 1-80 NOTICE: TH!S PERMIT SHALL EXPIRE IF THE WORK flU I DE TH COMMENCED OR IS ABANDON ANY 180 DAY PERIOD. Notes: Description Type of Construction $ Per Sq Ft or multiplier Square Footage . or Bid Amount Date Calculated Pa2e I of 2 Value ,,. "'f ,~, ,"<.:p;.~ Status Issued ...j, 225 Fifth Street, Springtield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769Inspeetion Line }"~' Total Value of Project Fees Paid ~ Fee DeseriPtion + 12% State Sureharge + 5% Technology Fee 1st Appliance Amount paid $9.48 $3.95 $79.00 Total Amount Paid $92.43 Plan Reviews , ~"~..,,.,: ..~, ...,.' ,- >",;;.",:1 ,. _.;.: i.\"': Date Paid 4/19/10 4/19/10 4/19/10 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00475 ISSUED: 04/19/2010 APPLIED: 04/19/2010 EXPIRES: 10/19/2010 VALUE: Receipt Number 1201000000000000356 1201000000000000356 1201000000000000356 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. LReauired Insoections I Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complet'e. 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 any and all work performed shall be done in accordance with the Ordinances of the City of Springtield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Sllfety. I further certify thllt only contractors llnd employees who are in complillnce with ORS 701.005 will be used 011 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 llpproved set of plllns will remain on the site at llll times during construction. . \,"1.... /l'I','; 'e , .".,l.....~ Owner or Contractors Signature ;: p' . . ~ ..~'" - , Paee 2 of 2 Date 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 1201000000000000356 1 :42:54PM Date: 04/1912010 Job/Journal Number COM20 I 0-00475 COM2010-00475 COM201O-00475 Payments: Type of Payment ONLINE CHGS cRcceintl Description 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 79.00 9.48 3.95 $92.43 Amount Paid njm ONLINE eugene htg Online Payment Total: $92.43 $92.43 -"" Page I of I 4/19/20 I 0