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Home My WebLink AboutPermit Mechanical 2010-4-30 City Of Springfield 225 Fifth $t. Springfield, OR 97477 Phone: 541-726-3753 Email: permitcenter@ci.springfield.or.us c., \ 0 - 5LJ-l? Residential Mechanical Authorization To Begin Work 69600-BMC-10-00083 Approval Code: 607078 4/30/2010 10:09 am E.mailed To: wvosburg@automaticheatco.com , '~';. ,; -, " :" '",'P;' 'CO,;,), .';VPE'Ofi.,WORK"''';'''' ,-.. .:;;;" ;;":. :"2,,;, ,c:;i , 0 New Construction IKI Addition/a Iteralion/re placeme nl , " l.'cATEGORY'c5F;c;QNSTRUCTI()N " , ; ; ~. . ".':: IZl 1 or 2 family dwelling 0 Multi-family 0 Commercial 0 Accessory ,. . . .. j6El;SIIEINFORMA"TI0N'ANDL.OCA TION , Job Address: 4865 DAISY ST City/StatelZIP: SPRINGFIELD, OR 97478 Sulte/bldg.lapt.no.: "': Project Name: Fennell Cross Street/directions to job site: Tax map/parcel no.: 1702324406000 I"" ,I,., ..- '-.\'i. :'''''j[)~SCRIPTI9~:c5F:W.QRK''' /4 , . +$.7',": ., ''i''''<<'' <i.-d'i.'''' ,,,", , -,,' 2 zone mini split ~" , '.,~.'~ ,I.. I:: <'i'~~-; ",' ,:'~, '~, ~,: ,.SiTe:C:;Qt:'iJ:.6.CT ""." .. {. " . "" ~. , ,,:' .' Name: Michael SchillinQ Phone: 541-726-7656 Fax: 541-726-7657 Emall: T " , . 'L;C()~TRACTOR.~: + ,., "'. "..~ , .. ,. .. eCB lie. no.: 188592 Business Name: EUGENE HEATING INC Contact: .. Address: 3675 FRANKLIN BLVD CitylStatefZIP: EUGENE, OR 97403 Phone: 5417267656 Fax: 5417267657 EmaiJ: msehilling@aulomaticheatco,com Metro lie. no.: City lie. no.: Upon review and approval by your 10cllI jurisdiction, your permit will bee-mailed .!Jr faxed within one business day, with instructions on how to schedule your inspection. NOTE: This Authorization To Begin Work expires within 180 days if a permit is no~ ~~Ja~~ed. , The local building department may determine that an Authorization To Begin Work is null and void if it does not meet applicable land use laws and local ordinances. Ca-r1W\O- CC)Sl[S 4~3D-'vb NtJ\ """,'" >ULE~; , "" - .' ". ,",~' '''''I,' Description Qty. Ea. Total Heati~9JC0()()lliigl~pp!iance.s0' 0 .' +, .' ",. Heat Pump 1 $17.00 $17.00 Air handling unit 1 $17.00 $17.00 Minimum Fees '.,:; " . ,,' .: First Appliance Fee I I $79.00 Mechan'h5al.Pe~mit Fees " . . '. Subtotal $113.00 State surcharge (12% of permit $13.56 totall Technology fee (5% of permit total) $5.65 TOTAL PERMIT FEE $132.21 .~ "'\hrJR " \y </0' ~ \ . ~ 6 J>-' t)'4<~ ~~ Inspections Phone: 541.726.3769 This Authorization To Begin Work must be posted at the job site until replaced by a Permit ~H ',: CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00545 ISSUED: 04/30/2010 APPLIED: 04/30/2010 EXPIRES: 10/30/2010 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 4865 DAISY ST ASSESSOR'S PARCEL NO.: 1702324406000 Springfield TYPE OF WORK: Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: Two-zone mini split Owner: FENNELL NATESHA MAE Address: 4865 DAISY ST SPRINGFIELD OR 97478 Contractor Type Mechanical I CONTRACTOR INFORMA TION , Contractor License EUGENE HEATING INC" . 188592 BUIL-DIN'C' 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: Rauge Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft 1 st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: u/a I DEVELOPMENT INFORMATlO~ Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS ~ _. U ,- COMMENCED OR IS ABAND IlfiOffilbn Descri ANY 180 DAY PERIOD. Sidewalk Type: >.]. n. nng~W requires you to ATT\Ilil"'~polHs~al s: h 0 egon Utility follow rules adopted Y t e r h Notification Center. Those rUhle~t~e ~;~_~~~_ In OAR 952-001-001 0 throug 0090 You may obtain copies of the rules by . to' t leohone number for the Oregon Utility Notification Center is 1_800-332-2344). Street Improvements: Storm Sewer Available: Special Instruction: .~..;~,~~ .i~\il "~::~, ~_'''1~ ,1 " . .!?'. ,.~.,. .., l'~.. Notes: . NOTICE: Ii THIS PERMIT SHALL EXPIRE IF THE WORK Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated _~".""..,_....~-.;c,,,:" Paee 1 01'2 .' , \-.:. Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line n{~' '':ff :\;.'9',<.- . i! .... ,. . . ,.~, .J.,1i. ., ~ PI Total Value of Project Fees Paid I Fee Description + 12% State Surcharge + 5% Technology Fee 1st Appliance Air Handling Unit Up to 10,000 Heat Pump Amount Paid $13.56 $5.65 $79.00 $17:00; $17.00 Total Amount Paid $132.21 I Plan Reviews ~ '. ..'*....;;~. ,-:! ~I~' ',. Date Paid 4/30/10 4/30/10 4/30/10 4/30/10 4/30/10 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00545 ISSUED: 04/30/2010 APPLIED: 04/3012010 EXPIRES: 10/30/2010 VALUE: Receipt Number 2201000000000000446 2201000000000000446 2201000000000000446 2201000000000000446 2201000000000000446 ; ,. , To Request an inspection call the 24 hour rec6rding 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. I Reouired 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 application and do hereby certify that all information hereon is true and correct, and I furthet certify that 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 structure without 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 . ''''~;'';i ~.~"'" "'~.", i ,een.., q~':. ~'j r Pa2e 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 #: " 2201000~90000000446 Date: 04/30/2010 12:12:50PM Job/Journal Number COM20 I 0-00545 COM2010-00545 COM20 I 0-00545 COM20 I 0-00545 COM2010-00545 Payments: Type of Payment ONLINE CHGS cRcccintl Description Heat Pump Air Handling Unit Up to 10,000 I st 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 17.00 79.00 13.56 5.65 $132.21 Amount P"id njm ONLINE eugene htg Online Payment Total: $132.21 $132.21 , I ;!:~}(l~ :Uf! ,j! l" .1U.,!, '.!~n ;1;' Page I of I 4/30/2010