HomeMy WebLinkAboutPermit Mechanical 2010-4-30
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Residential Mechanical Authorization To Begin Work
69600-BMC-10-00081
SPRINGFIELD'
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City Of Springfield
225 Fifth 51.
Springfield, OR 97477 ,";;'.7-.\':
Phone: 541-726-3753 .!
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Email: permjtcenter@ci,springfleld.or.u~ ",:~,,,:
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0 New Construction IRJ Addition/a Iteration/replacement
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IZI 1 or 2 family dwelling D Multi-family D Commercial D Accessory
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Job Address: 345 21ST ST
City/State/ZIP: SPRINGFIELD, OR 97477
Suite/bldg./apt.no.:
Project Name: gilbert.
Cross Street/directions to job site:
Tax map/parcel no.: 1703361305300
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mini split
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Name: Michael SchillinCl
Phone: 541-726-7656 Fax: 541-726-7657
Email:
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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@automalicheatco.com
Metro lie. 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 illstrucllons on how to schedule your inspection.
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NOTE: This Authorization To Begin Work I;Il1pires within 180 days if a permit is not obi~ined. '
The local building department may determine that an Authorization To Begin, Work is null and
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void if it does not meet applicable land use laws and local ordinances.
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Approval Code: 416866 4/30/2010 9:54 am
E_mailed.To:wvosburg@automaticheatco.com
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Description
Heatirig/Co.OlirigfApi~man~es'
Heat Pump
~!n(mlJ~_Fees~:~(,l~l'
First Appliance Fee
Mechanicai'PermiU:tl6t;
Subtotal
State surcharge (12% of permit
total
Technology fee (5% of permit total)
TOTAL PERMIT FEE
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Inspections P.hone: 541-726,3769
This Authorization To Begin Work must be posted at the job site until replaced by a Permit
Total
$17.00
$79,00
$96.00
$11.52
$4.80
$112.32
Status
Iss u ed
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM201O-00544
ISSUED: 04/30/2010
APPLIED: 04/30/2010
EXPIRES: 10/30/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 345 21ST ST
ASSESSOR'S PARCEL NO.: 1703361305300
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Mini-split
Owner: GILBERT NORMA D & JAMES E
Address: 345 21ST ST
SPRINGFIELD OR 97477
Contractor Type
Mechanical
I CONTRACTOR INFORMATION I
Contractor License
EUGENE HEATING INC 188592
BUILDING INFORMATION I
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 B'uilding:'
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
nla
I DEVELOPMENT INFORMATION .
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
<,- ."
REQUIRED PARKING
Total:
Handicapped:
Compact:
:' .
Street Improvements:
Storm Sewer Available:
Special Instruction:
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PUBLIC IMPR0VEMEN w rules adopted by the Oregon Utility
otificati<1lldtW:\\kf'f~~€:se rules are set forth
In OAR 952-001-00101hrough OAR 952-001-
0090. YoiPmli~!JlllMQJ;Jlt\l~B of the rules by
calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center is 1-800-332-2344).
Notes:
Description
'!OTICE: ~ . f I
-HIS PERMIT SHALL EXPIR~scnp IOn I
IT~rJ11&f;go~UP~~~obHIS PsfF~!-1.~tNOT 'Squa~e Footage
'i,I\ll.:i:U UK I;) I\tjANDwfl\jj!i!l",,,,,~r' or Bid Amount
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Value
Date Calculated
Page I of 2
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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 I
Fee Description
+ 12% State Snrcharge
+ 5% Technology Fee
1st Appliance
Heat Pnmp
Amount Paid
., Date Paid
$1 1.52
$4.80
$79.00
$17.00
4/30/10
4/30/10
4/30/10
4/30/10
Total Amount Paid
$112.32
Plan Reviews I,
>t~' :Pl Of~\ .'~' ,"
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00544
ISSUED: 04/30/2010
APPLIED: 04/30/2010
EXPIRES: 10/30/2010
VALUE:
Receipt Numher
3201000000000000177
3201000000000000177
3201000000000000177
3201000000000000177
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.
Reauired InsDections I
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
By signature, I state and agree, that I have carefully examined the completed lIpplication and do hereby certify that 1I11
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 Springfield and the LlIws of the State of Oregon pertllining to the work described herein, and
that NO OCCUPANCY will be mllde of any strncture withont permission of the Community Services Division, Building Safety.
I further certify thllt only contractors lInd employees who are in compliance with ORS 701.005 will be used on this project.
1 further lIgree to ensure thllt all required inspections are requested lit the proper time, thllt ellch address is readllble from the
street, that the permit Cllrd is located lit the front of the property, and the lIpproved set of plans will remllin on the site at 1I11
times during construction.
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Owner or Contractors Signllture DlIte
PlIge 2 of 2
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225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
3201000000000000177
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Date: 04/30/2010
IO:34:49AM
Job/Journal Number
COM20 I 0-00544
COM20 I 0-00544
COM20 I 0-00544
COM20 I 0-00544
Payments:
Type of Payment
ONLINE CHGS
cReceintl
Description
1 st Appliance
Heat Pump
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
ONLINE PERMIT CHGS
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Amount Due
79.00
17.00
11.52
4.80
$112.32
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
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Amount Paid
ONLINE eugene htg Online
Payment Total:
$112,32
$112.32
4/30/2010