HomeMy WebLinkAboutPermit Mechanical 2010-5-7
o New Construction
[Zl1 or 2 family dwelling
City Of Springfield
225 Fifth St.
Springfield, OR 97477
Phone: 541-726-3753
Email: permitcenter@ci.springfield.or.us
QID. SI4--
. 'Residential Mechanical Authorization To Begin Work
69600-BMC-10-00086
Approval Code: 429065 5/7/2010 8:03 am
E-mailedTo:wvosburg@automaticheatco.com
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(Xl Addition/alteration/replacement
cft: T:EGORY'OF)CONSTRUCTtON
.
o Multi-family 0 Commercial
D. A?cess~ry
Job Address: 1033 DONDEA ST
;-;JOB SI:r'E'INFORMA TION AND toeA TlON -~~;;
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Suite/bldg.lapt.no.:
CitylStatefZIP: SPRINGFIELD, OR 97478
Project Name: Cronk
Cross Street/directions to job site:
Tax mapfparcel no.:
heat pump
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Name: Michael SchillinQ
Phone: 54'1-726-7656
Email:
1802061308800
YDESCRIPTtON:9F~WORK.:r-:
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Fax: 541-726-7657
- CONTRACTOR'
Contact:
Business Name: EUGENE HEATING INC
CCB lic. no.: 188592
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Address: 3675 FRANKLIN BLVD
CityfStatefZIP: EUGENE, OR 97403
Fax: 5417267657
Phone: 5417267656
Email: mschilling@automatichealco.com
City lie. no.:
Metro lie, no.:
Upon revllitw and approval by your tocal jurisdiction, your permi! will be 'e-mailed or fax;ed
within one business day, with imitrucllons on how to schedule your inspection.
NOTE: This Authorization To Begin Work ex;pires within 180 days if a permi! is not obtained.
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.
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$17.00
$79.00
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$96.00
$11.52
$4.80
$112.32
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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
Description
Heating'-Coojillg- Applfances:
Heat Pump
MI}lirnum;Fe'9s~'"
First Appliance Fee
Mec~Cll1iq~l" P~rmifF.ees
Subtotal
State surcharge (12% of permit
tola!
Technology fee (5% of permit total)
TOTAL PERMIT FEE
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Status
Issued
225 Fifth Street, Springfield, OR
54]-726-3753 Phone
54]-726-3676 Fax
54]-726-3769 Inspection Line
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00574
ISSUED: 05/06/2010
APPLIED: 05/06/2010
EXPIRES: 10/07/2010
VALUE:
SITE ADDRESS: 1033 DONDEA ST
ASSESSOR'S PARCEL NO.: ]802061308800
Springfield TYPE OF WORK: Heating System
PROJECT DESCRIPTION: Heat Pump
Owner: CRONK LOUISE ANN
Address: 1033 DONDEA ST
SPRINGFIELD OR 97478
TYPE OF USE: Addition
Residential
l
I CONTRACTOR INFORMATION I
Expiration Date
11/]9/20]0
Phone
541-726-860]
54] -726-7656
Contractor Type
Electrical
Mechanical
Contractor License
GMD ELECTRIC INC ' . ]62]9]
EUGENE HEATING INC"""'" "'.',,,. ]88592
BUILDING INFORMATION_
# 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 Building:
nla
Lot Size:
Sq Ft ]st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side] Sethack:
Side 2 Sethack:
Rearyard Sethack:
Solar Sethacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
I PUBLIC IMPROVEMENTS I
,.....-,
Street Improvements:
Storm Sewer Availahle:
Special Instruction:
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Notes:
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
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,,1.;;";;,1,:,
Paee ] of 3
REQUIRED PARKING
Total:
Handicapped:
Compact:
Sidewalk Type:
Downspouts/Drains:
ATTENTION: Oregon law requires you ,to
follow rules adopted by the Oregon Utili%,
I\IotIfICatlon Center, Those rules are set 10
In OAR 952.001-<1010 through OAR 952-001-
0090 You may obtain copies of the rules by
.Dine the center. (Note: the te'e~h~e ..
IllIIftb8r for the Oregon UtIlity NotilioatiOft
Center Is 1-800-332.2344).
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Status
Issued
225 Fifth Street, Springfield, OR
54]-726-3753 Phone
54] -726-3676 Fax
541-726-3769 Inspection Line
Description
Tvoe of Construction
Fee Description
+ ]2% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 12% State Surcharge
+ 5% Technology Fee
]st Appliance
Heat Pump
Total Amount Paid
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I Valuation Description ~
$ Per Sq Ft
or multiplier
Square Footage,
or Bid Amount
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00574
ISSUED: 05/06/2010
APPLIED: 05/06/20]0
EXPIRES: 10/07/20]0
VALUE:
Value
Date Calculated
Total Value of Project
,~
Amount Paid
Date Paid
Receipt Number
320]000000000000]89
320]000000000000189
320]000000000000]89
3201000000000000]89
3201000000000000]92
320]000000000000]92
3201000000000000]92
320]000000000000]92
To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00
.,- \'" 'r
a.m. will be made the same working day, inspections re,quested after 7:00 a.m. will be made the following
work day. ' , , .
$7.32
$3.05
$55.00
$6.00
$]].52~!",
$4.80
$79.00 'c,',
$]7.00::-
.
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516/10
516/10
516/]0
516/]0
5171]0
5171]0
5171]0
5171]0
$]83.69
I Plan Reviews ~
l...P-eCluirecUnsnectjons ~
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Rough Mechanical: Prior to Cover
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Final Mechanical: When all mechanical work is complete.
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00574
ISSUED: 05/06/2010
APPLIED: 05/0612010
EXPIRES: 10/07/2010
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
By signatnre, I state and agree, that I have carefnIlY;~~,:imi~,e~,the completed application and do hereby certify that all
information hereon is trne and correct, and I fnrther certify. that any and all work performed shall be done in accordance with
the Ordinances ofthe City of Springfield and the ~aws of the State of Oregon pertaining to the work described.herein, and
that NO OCCUPANCY will be made of any strnctnre withont permission of the Commnnity Services Division, Bnilding Safety.
I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
I fnrther 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
Date
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225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Iii~ii'
City of Springfield Official Receipt
Development Serviees Department
Publie Works Department
RECEIPT #:
3201000000000000192
Date: 05/07/2010
9:02:IOAM
Job/Journal Number
COM2010-00574
COM20 1 0-00574
COM20 1 0-00574
COM20 1 0-00574
Payments:
Type of Payment
ONLINE CHGS
cReceintl
Description
Heat Pump
I st Appliance
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
ONLINE PERMIT CHGS
Amount Due
17.00
79.00
11.52
4.80
$112.32
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
NJM
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Amount Paid
ONLINE EUGENE Online
HTG
Payment Total:
$112.32
$112.32
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51712010