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Home My WebLink AboutPermit Mechanical 2010-5-4 (l,\()- fk>3 SPRINGFIELD ~'ll"" J:'~'" ";;"11 . '~,. : 'OREGON City 01 Springfield 225 Fifth 51 Springfield, OR 97477 Phone: 541-726-3753 Email: permilcenter@ci.springfield.or.us Residential Mechanical Authorization To Begin Work 69600-BMC-10-00084 Approval Code: 046255 5/4/2010 2:42 pm .E-mailedTo:brandy@associatedheating.com f:. JOB SITE INFORMATION ANO'LOCATlON ." , :1 .. }H . ,~, :.,,",:%.;;' FEE'SCHEOl!lE> ....' . ., .' 'X'. '...~::..~..L . '_ ' Description I Qty. I E.. Total MlhlnHun"Fees '~'t. "". ...~.;' ~ ..... , . First Appliance Fee I I I $79.00 Mectl_iu~j~al~Permit feet'~~> ,'~. ~iO" ," ' .' . Subtotal $79.00 Slate surcharge (12% of permit $9.48 total) Technology fee (5% of permit total) $3.95 TOTAL PERMIT FEE $92.43 . "f'(Rg':6F11vO~K'+F:..:'r7 :'~;l,.... IX] Addition/alteration/replacement ," ,,~j::ATEGClR'(;Cl(~O~STRUC'T10N 001 or 2 family dwelling 0 Multi-family D Commercial D p,ccess~ry Job Address: 5580 FRANKLIN BLVD City/State/ZIP: EUGENE. OR 97403 Suitelbldg./aplno.: Project Name: CjQ-519j t)L ~\q(IO Cross Street/directions to job site: 'Tax map/parcel no.: 1803101000200 .,~ :":';,OESCRIP-iioN O';WC)RK,~.""-':'-;.:;:,-~/.". . \nstall ductless HIP 'SIT$'.CONT iiCJc'"';',~"'~::<" "', Name: Frank Brewer Phone: 541-505-7779 Fax: Email: -j. ~ K"" ."'" .. .,'.. ,. ;. E'PlllAIT IS~Npr', ,. '1f 1'2I"Jl.B9lMIJ!Q!ll1,jj{) ,fGR-- .. ;';/1 R{) D/W PERIOD. 1< .' , 'CONTR Phone: 5416832590 Fax: 5416070287 ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth In OAR 952-001-001 0 through OAR 952-001. 0090. You may obtain copies of the rules by calling the center. (Note: the telephone number for the Oregon Utility Notification Center is 1-800-332.2344). " , Business Na"1e.A~nRHI!'-~ Contact: Address: PO BOX 412 City/StateIZIP: EUGENE, OR 97440 Email: Metro lie. no.: City lic-. no.: Upon review and approval by your local Jurisdiction, your permit will be e-maileCl or, faxed within one business day, wilh iOl,tructlons on how to schedule your InspectIon. NOTE: This Authorization To Begin War\\: expires within 160 days if a permit Is not obtained. . \~ '~~\D ~ 6.\0.\0 ~<6?- tt\ The local building department may determine that an Authorization To Begin Work void Jf It does nol meet applicable land use laws and local ordinances. -.' " 'T;;;~ "'.' ....,." Inspections Phone: 541.726.3769 This Authorization To Begin Work must be posted at the job site until replaced by a Permit 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 2201000000000000457 Date: 05/04/2010 3:05: 14PM Job/Journal Number COM20 I 0-00563 COM20 I 0-00563 COM20 I 0-00563 Payments: Type of Payment ONLINE CHGS cReceintl Description 1 st Appliance + 12% State Surcharge + 5% Technology Fee Paid By ONLINE PERMIT CHGS Amount Due 79.00 9.48 3.95 $92.43 Item Total: Check Number Authorization Received By Batch Number Number How Received KR ,~uO; ilil' > . ,;,"l ',.1, Page 1 of 1 Amount Paid ONLlNEASSOCIA T Online ED HEATING &AIR Payment Total: $92.43 $92.43 5/4/20 I 0 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM20IO-00563 ISSUED: 05/04/2010 APPLIED: 05/04/2010 EXPIRES: ll/04/2010 VALUE: 225 Fifth Street, Springfield, OR 54]-726-3753 Phone 54 ]-726-3676 Fax 54]-726-3769 Inspection Line SITE ADDRESS: 5580 Franklin Blvd ASSESSOR'S PARCEL NO.: 1803101000200 Eugene TYPE OF WORK: Heating System . TYPE OF USE: New Residential PROJECT DESCRIPTION: Install ductless heat pump in residence Owner: Address: BREWER FRANK L 5580 FRANKIN BLVD EUGENE OR 97403 I CONTRACTOR INFORMATION ~ Contractor Type Mechanical Contractor License ASSOC]ATED HEATING & AIR CONIJITlO 106275 BUlLIJING INFORMATION I Expiration Date 08/3112010 Phone 54]-683-2590 # of Units: # of Stories: Lot Size: Primary Occupancy Group: Height of StructureSq F.t ]st Floor: Secondary Occupancy Gronp: Type of Heat: Sq Ft 2nd Floor: "- Primary Constl'Uct!<0lIlGf:'" '-'W'a'iel"TY'pe: . Sq Ft Basement: Secondary Constr'l1~i?fPFP/MIT SHAll EXPIRE I~M~RK Sq Ft Garage/Carport # of Bedrooms: AUTHORIZED UNDER THIS PE . ~t _ AITENTIOR.. 01 H'e~: I tfmldmg: follow rules' ~lN.~equfres you to r.n .. . llie Or . ~NY 180 DAY PERIOD. I DEVELOPMENT INFORMATlIll10~952-001'OO;Oti'~~D:~esetforth IImll1.' You may obtaiN- l'ftffotfhl' RT&lI~ calling the ce t e rules by Front yard Setback: Overlay Dist: number f th n er. ~:. ~he telephone Side 1 Setback: # Street Trees Rqd: C~~t e.Ojrem&d.llHit/l(fllOtification Side 2 Setback: Paved Drive Rqd: er IS -8€Q,-':~~;hilj344J. Rearyard Setback: % of Lot Coverage: Solar Setbacks: ... ......, ........ .... .. .. ,'i~.;:; I PUBLICIMPROVEMENTS ~ Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Downspouts/Drains: Notes: I Valuation Description ~ Description Type of Construction $ Pel' Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pa~e ] of2 ':<\\) !", i..,': CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM20IO-00563 ISSUED: 05/04/2010 APPLIED: 05/04/2010 EXPIRES: 11/0412010 .y ALUE: Status Issued ..'n"", 225 Fifth Street, Springfield, OR 541-726-3753 Phnne 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees Paid .' Fee Description + 12% State Surcharge + 5% Technology Fee 1st Appliance Amount Paid Date Paid Receipt Number $9.48 $3.95 $79.00 5/4/10 5/4/10 5/4/10 2201000000000000457 2201000000000000457 2201000000000000457 Total Amount Paid $92.43 I Pi~'nRe~iews ~ ...-:.+.;...,g..; ,X<,\::;I "j'."d 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. I"...Reouired Insvections , Rough Mechanical: Prior to Cover , , :;! -,.'., l' 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 trne and correct, and I further certify that any and all work performed shall be done in accordance witb 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 oftlilfpr6perty,.arid,the approved set of plans will remain on the site at all times during construction. ~"i.:, ,jl,l \<: I -('.,,1< ".'1"1 Owner or Contractors Signature Date , , Paee 2 01'2