HomeMy WebLinkAboutPermit Mechanical 2010-4-22
C-IO -Lf\lo
Residential Mechanical Authorization To Begin Work
69600-BMC-10-00073
Approval Code: 525656 4/22/2010 7:01 am
E-rna/led To: wvosburg@automaticheatco,com
City Of Springfield
225 Fifth 5t.
Springfield, OR 97477
Phone: 541-726-3753
Email: permitcenter@ci.springfield.or.us
.T~"'-': i';''';;"T10;
o New Construction
IX] Addition/alteration/replacement
"-CATEGORV,9F'CONSTRUCrloN"y
[g] 1 or 2 family dwelling
o Multi-family 0 Commercial
o Accessory
Description
Hea~i~g/Coolj:ng,Appliances'<
Heal Pump
Air handling unit
lVIirllmum'iFees
First Appliance Fee
M.echanic~I,Per!riiJ'Fees; "'''' "
Sublotal $113.00
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~OB SITE n>iFoRMATION'ANl:l LOCATION':' ;,
Job Address: 3955 S E ST
City/State/ZIP: SPRINGFIELD, OR 97478
Suitelbldg.lapt.no.:
Project Name: sheldon
Slate surcharge (12% of permit
total
Technology fee (5% of permillotal)
TOTAL PERMIT FEE
$13.56
Cross Street/directions to job site:
$565
$132,21
Tax map(parcel no.:
1702314403900
"",";;DE~CRIP:rIONbF WORk,i:.~;:
2 zone mini split
SITE;CONtAC:r,~'. ,
,
Name: Michael SehillinQ
Phone: 541-726-7656
Fax: 541-726-7657
Email:
.. ,'C,,' Co'NT~C.TOR&i;"h
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CCB lie. no.: 188592
Business Name: EUGENE HEATING INC
Contact:
Address: 3675 FRANKLIN BLVD
CityfState/ZIP: EUGENE, OR 97403
Phone: 5417267656
Fax: 5417267657
Email: mschilling@aulomaliehealco.com
Metro lie. no.:
City lie. no.:
Upon review and i1pprovill by your local jurisdiction, your permit will bo II-mailed or faxlld
within one business dilY. with instructions on how to schedule your inspection.
The 10cilI building department may determine thilt an Authorization To
void if it does not meet applicable land use laws and local ordinances.
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NOTE: This Authorization To Begin Work expires within 180 days if a permit is not ob.~ained.
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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
, .
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00496
ISSUED: 04/22/2010
APPLIED: 04/22/2010
EXPIRES: 10/22/2010
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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SITE ADDRESS: 3955 S E ST
ASSESSOR'S PARCEL NO.: 1702314403900
Springfield TYPE OF WORK: Heating System
TYPE OF USE:
PROJECT DESCR[PTION: Two zone mini-split
Owner: SHELDON CARY & MARGARET D
Address: 3955 S E ST
SPRINGF[ELD OR 97478
Contractor Type
Mechanical
I CONTRACTOR-[NFORMATION ~
Contractor License'
EUGENE HEATING INC 188592
BUILDING [NFORMATlON ~
Expiration Date Phone
54[-726-7656
# of Units:
Primary Occnpancy Gronp:
Secondary Occnpancy Gronp:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range'Type:
'E(iergy Nth:
. ,
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 ~
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
SohlJ' Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
. . ,
REQUIRED PARK[NG
Total:
Handicapped:
Compact:
'.""'7""lr".
I PUBLIC IMPROVEMENTS .'
Sidewalk TYRe:
. Ore Q law requl\eS YO~,to
ATTENTION. g ~ownsl!oft\s/"D~ihW\lty
follow Jules adopte fJ~~' r~\~s are set forth
Notification Center. Tho hOAR 952-001-
In OAR ~52-001 -O~t~~~~~~i~S of the rules by
O~O'. you may 0 Note: the telepl10ne
he Oregon 1I1
r is 1_800-332-2344).
Street Improvements:
Storm Sewer Available:
Special [nstruclion:
Notes:
is PERMIT SHALL EXPIRE IF THE
JTHORIZED UNDER THIS PERMIT I "", , , "
D .(nt4.M~NCErLf\. Q Ie:.. JlRAMnnh\l::n FORi Per siFFt-
eSANY'180 DAY'PfRtOo.l1lim'tl<'t''-iJn'-' or mulfiplier ,.
Square Footage
or Bid Amount
Value
Date Calculated
Page [ of2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM20IO-00496
ISSUED: 04/22/2010
APPLIED: 04/22/2010
EXPIRES: 10/22/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
"
LF.~~spJid .
'{~'!f':"
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Air Handling Unit Up to 10,000
Heat Pump
Amount Paid
Date Paid
Receipt Numher'
$13.56
$5.65
$79.00
$17.00
$17.00
4/22/10
4/22/10
4/22/10
4/22/10
4/22/1 0
3201000000000000163
3201000000000000163
3201000000000000163
3201000000000000163
3201000000000000163
Total Amount Paid
$132.21
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.
Rough Mechanical: Prior to Cover
I Reauked..lnsnections I
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Final Mechanical: When all,mechanical work' is complete.
By signature, 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 Sp,'ingfield and tbe Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any structure witbout permission of tbe Commnnity Services Division, Building Safety.
I fnrther certify that only contractors and employees who are in compliance with ORS 701.005 will he nsed on this project.
I further agree to ensure that all required inspections are requested ,at the proper time, that each address is readahle from tbe
street, that the permit card is located at the front of the properry;and tbe approved set of plans will remain on tbe site at all
times during cOllstructio.n. . . "~ .' ~.. ,{I. .
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Owner or Contractors Signature
Date
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, Page 2 of2
225 Fifth Street
Springfield, Oregon 97477
~ ' . ..
541-726-3759 Phone
Wit.p.~~-
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City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
3201000000000000163
Date: 04/22/2010
8:00:39AM
Job/JourO:I) Number
COM20 I 0-00496
COM2010-00496
COM201O-00496
COM20 I 0-00496
COM20 1 0-00496
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
1_ Check Number
ReC"ei~ed 8y",+; Batch' Number
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njm: ONLINE
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Page I of I
Item Total:
Authorization
Number How Received
eugene htg Online
inc
Payment Total:
Amount Due
79.00
17.00
17.00
13.56
5.65
$132.21
Amount Paid
$132.21
$132.21
4/22/20 I 0