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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 ~ .,. . ~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 ."-"""j 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. ~,'2,"_W"k." """ '"~ ~~~.,' \\. \J)~ ~\) ~ 5\,~ ~ ~7~ ~ NOTE: This Authorization To Begin Work expires within 180 days if a permit is not ob.~ained. UnzIleJ/O - OJ*'f <(---;;;>;).-/0 /J/YZ 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 .,1" 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 Ii "[i' ~ ~ 0.,.1;:; ".....1 d "'<!~t- :':<., , < 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. . ,.J'.';.';"'" ': Owner or Contractors Signature Date . !,.it).' ~.tl~, i?,J_ "i?i; ,f.r.;'~s~fJ>,~ . ;(. , , o. , Page 2 of2 225 Fifth Street Springfield, Oregon 97477 ~ ' . .. 541-726-3759 Phone Wit.p.~~- ,..... ",... ...,' 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 ".,j " njm: ONLINE ". ;'1: ~ I . ..' I.,;~;l~: j r) r'~! '-'. " ",1 '. . ...... , n.nli .' , ~ ~7:;,": . {:t,' "!' ".....", ..: . ::)>..lj 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