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Home My WebLink AboutPermit Mechanical 2010-5-7 City Of Springfield 225 Fifth 51. Springfield, OR 97477 Phone: 541-726-3753 Email: permitcenter@ci.springfield.or.us ~IO.S/'t, Residential Mechanical Authorization To Begin Work 69600-BMC-10-00087 Approval Code: 610555 5/7/2010 8:41 am ." E-mailedTo:wvosburg@automaticheatco.com , ,',1 f.rl";;; ~".' . .,$.c~, ,,;,\: ";::". ......- 0 New Construction IKI Add ition/alleration/rep laceme nt f' .. ';'-'?gA-rEG.okvOF..gONSTRlIc:IIQN" . ~.' ."~ , , . " ',' . .,.'" -- , IKI 1 or 2 family dwelling 0 Multi-family 0 Commercial 0 Accessory .:,; . 'JOB.SITE;INFOkMA-riot-i'ANo'LOCATION " '.~; . . .' .. , Job Address: 6877 o 5T City/StatefZIP: SPRINGFIELD, OR 97478 Suite/bldg./apt.no.: Project Name: furtado - Cross StreetJdirections to Job site: Tax mapJparcel no.: 1702352310000 " ..- e,: .;~ ~'" '.r,:. "-;cr v.' single zone mini splil "'. .; .\ .'. ~. ..,;'y SITE;cbIllJACtt\:;. '. ;;:_;;:.~ .t:. ,~\>>. Name: Michael Schillinq ~ . .. ...~- -- .. i1/. Phone: 541-726-7656 Fax: 541-726-7657 Email: I' . "j~>L.' ;,,",tr -' ~ ",...: ." ~,' .~, , ,I , , ,. GGB lic. no.: 188592 Business Name: EUGENE HEATING INC Contact: Address: 3675 FRANKLIN BLVD City/State/ZIP: EUGENE, OR 97403 .' Phone: 5417267656 Fax: 5417267657 Email: mschilling@automaticheatco.com Metro lic. no.: City 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 Authorization To Begin Work expires within 180 days if a permit is not o~tained. - --~." "- ~_.. The local building department may determine that an Authorization To ~~gi!!.L~Or1l ;t!,;:.n~~1 ard void if It does not meet applicable land use laws and local ordinances. CJ:rraoIO " 5-7 -/0 08~ nrn (ij' ",; "~EE'SCHEbuLE !VIinimum~Fees Description t1e~tingICoolirig?'A.ppliances Heat Pump ""Y',>>, c""" First Appliance Fee !VIe~h'arHd,1 Permit Fees. Subtotal State surcharge (12% of permit total Technology fee (5% of permit total) $79.00 $96 00 $11.52 $4.60 $112.32 TOTAL PERMIT FEE " ~~v ~~~<P ~~ ~ ~ Inspections Phone: .541-726-3769 This Authorization To Begin Work must be posted at the job site until replaced by a Permit ':'-' , .'1 , , 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line " ..~ CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00578 ISSUED: 05/07/2010 APPLIED: 05/07/2010 EXPIRES: 11107/2010 VALUE: Status Issued ',.'.<<.'.:' ."':' -.\.. . '<':';-'- , , ~'.. SITE ADDRESS:. 6877 D ST ASSESSOR'S PARCEL NO.: 1702352310000 Springtield TYPE OF WORK: Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: Single zone mini-split Owner: Address: CORRIS TERRY A & JANA L 497 68TH PL SPRINGFIELD OR 97478 I CONTRACTOR INFORMATION . Contractor Type Mechanical Contractor License EUGENE HEATING INC 188592 BUILDING INFORMATION ~ Expiration Date Phone 541-726-7656 # of Units: Primary Occnpancy Gronp: Secondary Occnpancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: II:,0f Stories: , , "Height ofoStructure i; Type of Heat: 'Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft I st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMENT INFORMATION ~ Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: ' ,,'0/0 of Lot Coverage: ,....." .' REQUIRED PARKING Total: Handicapped: Compact: Street Improvements: Storm Sewer Avaihible: Special Instruction: I PUBLIC IMr..R0V,EMEN1f,S~On law, requires you.to ~""""""u,~,~ '!lLv.'!!edbY:,the Oregon Utility ~r~tili~ation Center. ThciSl!Il'I)'llll!<8ftJm forth ij~i0AR 952.001-0010 thi9c1Wt\OAA Qqg~1. 0090. You m~y obtain copies oymi' fUi3ll'bY calling the, center., (Note: the telephone fUJ.lqur;n,ber for the Oregon Utility Notification .:h,t: .i':"~,,, 'Center'is 1-800-332-2344). Notes: Description I'IU I . . .. THIS PERMIT SHALL EXPIRE Ivififilil/iiYJi\FDescri tion I~UTHORIZED UNDER THIS PE ~u I COl\iiMp~J6tfttb@ltrurtib\lANDo1l,,~ ~I!l~t ANY 180 DAY PERIOD. or mulllpher Square Footage or Bid Amount Value Dale Calculated Pa2e I of2 ': . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line t~"]~l . l'k.. '('\'otal Value of Project c ~ ',.''t'" '~I' i ':iFees Paid , Fee Description + 12% State Surcharge + 5% Technology Fee 1st Appliance Heat Pump Amount Paid $11.52 $4.80 $79.00 $17.00 Total Amount Paid $112.32 I" Plan Reviews I Date Paid 5/7/10 5/7/10 5/7/10 ,5/7/10 , , CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00578 ISSUED: 05/0712010 APPLIED: 05/07/2010 EXPIRES: ll/07/20IO VALUE: Receipt Number 3201000000000000197 3201000000000000197 3201000000000000197 3201000000000000197 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.... ~,; ".:, , I;" ,"-'.:,.....a. '......r,u., Rea'ulred lnsDections ~ ~ lOt" Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. By signature, 1 state and agree, that I have' carefully examined the completed application and do hereby certify that all information hereon is true and correct, and 1 further 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 reqnired inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front,oLth'e propefty;'and the approved set of plans will remain on the site at all ti~es during construction. ( '..~ j Owner or Contractors Signature L";I i'f~i,l! ".~ !'. .,,~3i;~,., ,nil' ."'.~.!"' '''" '",,'''.:' ..'" Paee 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 #: 3201000000000000197 12:59:26PM Date: 05/07/2010 Job/Journal Number COM2010:00578 COM20 1 0-00578 COM20 I 0-00578 COM20 I 0-00578 Payments: Type of Payment ONLINE CHGS cReceint 1 Description 15t Appliance Heat Pump + 12% State Surcharge + 5% Technology Fee raid By ONLINE PERMIT CHGS Item Total: <;::heck Number Authorization Received By Batch Number Number How Received Amount Due 79.00 17.00 11.52 4.80 $112.32 Amount Paid njm ONLINE eugene htg Online Payment Total: $112.32 $112.32 . ]\~';;~, \~;~y '~,' j_~i ' .It: \~\of :,\,1": ;..''' !.~r /t::f ':f~i~} ~;,", .:J. " .r!,(_/. . "{. '1. ffl- f;~:':'; I :.~ Page 1 of 1 5/7/2010