HomeMy WebLinkAboutPermit Mechanical 2010-5-7
City Of Springfield
225 Fifth St.
Springfield, OR 97477
Phone: 541-726-3753
Email: permileenler@ci.springfield.or.us .
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Residential Mechanical Authorization To Begin Work
69600-BMC-10-00089
Approval Code: 509766 5/7/2010 8:44 am
E-mailedTo:wvosburg@automaticheatco.com
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D New Construction
[R] Addition/alteration/replacement
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lKJ 1 or 2 famHy dwelling
o Multi-family D Commercial
D:Accessory
.: " "', ' . "'JOEfSITE'INFORMA TION J;ND t:6CA T10Ni.'t:,f , ,
Job Address: 935 V 5T
City/State/ZIP: SPRINGFIELD, OR 97477
Suite/bldg.fapt.no.:
Project Name: dworshak
Cross Street/directions to Job site:
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Tax mapfparcel no.:
1703261202800
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,::; DESCRIfi-tION PI::.WO'RK;;i ::\ '. .;-.. ,. ....,;~.;;. tJ
mini split
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Name: Michael Schillinq
Phone: 541-726-7656
Fax: 541-726-7657
Email:
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CCB lie. no.: 188592
Business Name: EUGENE HEATING INC
Contact:
Address: 3675 FRANKLIN BLVD
City/State/ZIP: EUGENE, OR 97403
Phone: 5417267656
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Fax: 5417267657
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Email: mschilling@automaticheatco.com
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Metro lie. no.:
City lie. no.:
Upon review and approval by your local Jurisdiction, your permit will be e-malled or faxed
within on'e business day, with Instructions ~n how to schedule your Inspection.
NOTE: This Authorization 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 not meet applicable land use laws and local ordinances.
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Heat Pump
IVItni!i1um'Fees
First Appliance Fee
Mechanical Penn it Fees", .-,." '<
Subtotal
State surcharge (12% of permit
total
Technology fee (5% of permit total)
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$96.00
$1152
$480
$112,32
TOTAL PERMIT FEE
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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
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Status
Issued
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00579
ISSUED: 05/0712010
APPLIED: 05/0712010
EXPIRES: 1110712010
VALUE:
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225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 935 V ST
ASSESSOR'S PARCEL NO.: 1703261202800
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Mini-split
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Owner: DWORSHAK MICHAEL R & AGNES
Address: 935 V ST
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION ~
Contractor Type
Mechanical
Contractor License
EUGENE HEATING INC 188592
BUILDING'INFORMATlON I
Expiration Date Phone
541-726-7656
# of Units:
Primary Occnpancy 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:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION ~
REQUIRED PARKING
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
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I PUBLIC IMPROVEM!&ITI . .
foil ON,. Oregon law requires you to
'N .ow r~les 1iidlllYlllM IiYIlI'ie Oregon Utility
ollficatlon <4ln~8 wd;W, .",
"...., In OAR 952.,ob'f. ~ ~JijJ'llIllHlre selforth
- 1 t rough OAR 952-001-
0090, You.mayobtain copies of the rules by
calling the center, (Note: the telephone
number for the. Oregon Utility Notification
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Street Improvements:
Storm Sewer Available:
Special Instruction:
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Not~WTlCE:
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\UTHORIZED UNDER THIS PERMIT I~ ~Tuation Description I
COMMENCED OR IS ABANDONED FO ,
A~JY ,180 DAY PERlnn . $ Per Sq Ft
DeSCriptIOn Type o,/"ConstructlOn It' I'
or rnu Ip lef
Square Footage
or Bid Amount
Value
Date Calculated
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225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00579
ISSUED: 05/07/2010
APPLIED: 05/07/2010
EXPIRES: 11/07/2010
VALUE:
Status
Issued
/
Total Value of Project
Fees Paid ~
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Heat Pump
Amount Paid
Date Paid
Receipt Number
$11.52
$4.80
$79.00
$17.00'
5/7/10
5/7/10
5/7/10
5/7/10
3201000000000000196
3201000000000000196
3201000000000000196
3201000000000000196
Total Amount Paid
$112.32
I Plan Reviews ~
To Request an inspection call the 24 hour reco.rdingat 726-3769. All inspections requested before 7:00
a.m. will be made the same working day, ir\'sp~ctions requested after 7:00 a.m. will be made the following
work day.
Reauired Insnections ~
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
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By signature, 1 state and agree, that 1 have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and I further certify that aiiy and all work performed shall be done in accordance with
the Ordinances of the City of Springtield 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.
,
1 further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
1 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
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Date
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225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
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City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
3201000000000000196
Date: 05/07/2010
12:56:40PM
Job/Journal Number
COM20 I 0-00579
COM20 I 0-00579
COM20 I 0-00579
COM20 I 0-00579
Payments:
Type of Payment
ONLINE CHGS
cReccintl
Description
1st Appliance
Heat Pump
+ 12% State Surcharge
. + 5% Technology Fee
Paid By
ONLINE PERMIT CHGS
Amount Due
79.00
17.00
11.52
4.80
$112.32
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
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Amount Paid
ONLINE eugene htg Online
Payment Total:
$112.32
$112.32
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5/7/2010