HomeMy WebLinkAboutPermit Mechanical 2010-5-7
D New Construction
City Of Springfield
225 Fifth SI.
Springfield, OR 97477
Phone: 541-726-3753
Email: permilcenter@ci.springfield.or.us
IRJ Addilion/alteralion/r~~lacement-
.~CAtEG0RY.Of,CClNSTRl)CTIONf .'
[KJ 1 or 2 family dwelling 0 Multi-family 0 Commercial D.Accessory
Job Address: 5083 G ST
. JOB"SITE INFORMATfoNAND;LOCATION..
CityfState/ZIP: SPRINGFIELD, OR 97478
Suite/bldg./apt.no.:
Project Name: dowdy
Cross Street/directions to job site:
Tax map/parcel no.:
2 zone mini split
Name: Michael SchiJlinq
Phone: 541-726-7656
Email:
""t.,
1702332300110
,eDESCRjPjlof.fOF.WQRK,.. ';,;",,;.,
'.:SITE (;ONTACT'<Z"'h
.._..0...0 '0'00'" ..... _
"
~ih_
Fax: 541-726-7657
;~!rf)(f ":1"~"':r'
" ,,'.
. , .~ ~
..,
, .0.... CONTRACTOR" h
. L. . :.. '_'
Contact:
Business Name: EUGENE HEATING INC
CCB lie. no.: 188592
Address: 3675 FRANKliN BLVD
City/State/ZIP: EUGENE, OR 97403
Fax: 5417267657
Phone: 5417267656
Emaif: mschiffing@automaticheatco.com
City IIc. no.:
Metro Iic. no.:
Upon review and approval by your local jurisdiction, your permit will be e-mailed or faxed
within one business day, with instructions on how to schedule your Inspection.
NOTE: This Authorilalion To Begin Work expires within 180 days If a permit is not obtained.
The local building department may determine that an Authorization To Begin Work is null and
void if it does nol meet applicable land use laws and local ordinances.
Wr{lWO
6-/-10
- m66D
NrV\
H;f'~,
.",'t ~,/,-'
:t~~: ~..
~;.:';' l'
QtO.~ro
Residential Mechanical Authorization To Begin Work
69600-BMC-10-00090
Approval Code: 405935 5/7/2010 8:48 am
E-mailedTo:wvosburg@automaticheatco.com
.,
.,.'T':FEEscHEDuI.E'.' n"'.,,, .... . , '. -:1
':',{ ,
Description I Qly. Ea. Total
,H~ajirig!~qo)!hg Appl!ances: :~ ;~~:: f7 ''".' " c" . ...
:
Heat Pump 1 $17,00 $17.00
Air handling unit 1 $17.00 $17.00
Mjnill'l\1r1}~Fe9S . .". .'., .- , .. . .'" . :
First Appliance Fee I $79.00
Me~~anic'atPerh1_ifFees ,. - , .
.. ., , . '. :
Subtotal $113.00
State surcharge (12% of permit $13.56
total)
Technology fee (5% of permillotal) $5.65
TOTAL PERMIT FEE $132.21
..~~
~\\'
\)DV ,,0
'0,\'O '~
~~
~
Inspections Phone: 541.726-3769
This Authorization To Begin Work must be posted .at the job site until replaced by a Permit
I
~j
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00580
ISSUED: 05/0712010
APPLIED: 05/07/2010
EXPIRES: 11/0712010
VALUE:
Status
Issued
, ,....
. .~.
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 5083 G ST
ASSESSOR'S PARCEL NO.: 1702332300110
, Springfield TYPE OF WORK: Heating System
"'j'" 0>-
"-~~' ......'
TYPE OF USE:
New
Residential
PROJECT DESCRIPTION:
~. ,!,'
Two-zone mini split.",~~. .'
".(
<-,.;'
Owner: DOWDY EDWARD J
Address: 5083 G ST
SPRINGFIELD OR 97478
Contractor Type
Mechanical
I CONTRACTOR INFORMATION ~
Contractor License
EUGENE HEATING INC 188592
BUILDING 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:
Range Type:
Energy Path:
Sprinkled, Building:
Lot Size:
. Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occnpant Load:
"
n/a
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:
Notes:
NOTICE:
THIS PERMIT
:u, H IZED UNDER THIS P
vOMMENCED 0
, , MJY 180 DAY PE~:~~BAND $ Per S . Ft
Descnp"on Type of ConstructIOn I ,q I' '. '
. or mu tIpler.,l. :t~, .'.,'
I PUBLIC~P~:I\iIWTS l .
., les ad Q laW-l,o",'
,Notificatian C apted by th~uoeWUIil JiDlQCfo
In OAR enter Th regan ~~'
""0'" . 952;001'00' aselDle!lWlIt mns:
( i "" OilO. You '. 10 thrau h se orth
, . calling th:~~ ~btain capi~s o~~R 952-001.
nUmber far thencfr. (Nate; the tel:;~'es by
Center is r:gan Utility Not!. O~8
Street Improvements:
Storm Sewer Available:
Special Instruction:
Square Footage
or Bid Amount
Value
Date Calculated
......"..... .,
,."...;,'" ...... ~
:~j.'C'r . .,'.-f
'il";!:,,!" ';t;(, ' ~'<i'-r. :
Page I of2
~'4'A:.~. !l~.j
,t~~i'!,~.~';}' :<".',~.
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
, PERMIT NO: COM2010-00580
ISSUED: 05/07/2010
APPLIED; 05/07/2010
EXPIRES; 11/07/2010
VALUE;
225 Fifth Street, Springfield, OR
54]-726-3753 Phone
54]-726-3676 Fax
54]-726-3769 Inspection Line
, .'1
. "..~
Total Value of Project
Fees Paid___
-,
,
5/7/10
5/7/10
5/7/]0
5/7/]0
5/7/]0
Receipt Number
320]000000000000]95
320]000000000000]95
320]000000000000]95
320]000000000000]95
320]000000000000]95
Fee Description
+ ]2% State Surcharge
+ 5% Technology Fee
]st Appliance
Air Handling Unit Up to ]0,000
Heat Pnmp
Amount Paid
$13.561':0;:,
$5.65 .,;,':,
$ " t
79.00,;, "
$17.00 "
$17.00
Date Paid
..,",:
,~~ :~"~
Total Amount Paid
$132.2]
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;'in~p~ctions requested after 7;00 a.m. will be made the following
work day.
L Reouired InsDections ~
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
'..d. ,,'n .
,...,....."., ',"-" .........
By signature, ] state and agree, that 1 have carefully"e~amined the completed application and do hereby certify that all
information hereon is true and correct, and I furth\'~r-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 eusure 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
, \.
.~ ' :r
Page 2 of2
,,'
h~.'~.
c
225 Fifth Street
Springfield;Oregon 97477
541-7:!6-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
3201000000000000195
Date: 05/0712010
12:55:5] PM
Job/Journal Number
COM2010-00580
COM20 I 0-00580
COM20 I 0-00580
COM20 I 0-00580
COM20 I 0-00580
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
." ~\~~~ ,. \ ~i:1'
Item Total:
Authorization
Number How Received
Amount Due
79.00
17.00
17.00
13.56
5.65
$132.2]
Paid By
ONLINE PERMIT CHGS
'.'~r::::,.,:.":.- :......~~:.~ 'J-!:'(Check,Number
r"". '$1"; - '1 - .
R'ec~i~ed.8y ~, Batch Number
'-'."In;.~',~.': "':; ,
Amount Paid
'f1jIji
. ,~.
d, ' ,~ti : .
...' :.~3!'.' t "l" , '
~~ ":'~~>~~"~"-i:' i' \" .~ '.
;'l',-:;.!: If',:,t'''
.J.,';_~~;<<;:.' , ~
.-....,'.,
, :'y,"',':
,if; ,
.'0,',
;i1~
""".....,,,,',
. .~~"i;
Page 1 of I
ONLINE eugene htg Online
Payment Total:
$132.21
$132.21
5/7/2010