HomeMy WebLinkAboutPermit Mechanical 2010-5-11
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Residential Mechanical Authorization To Begin Work
69600-BMC-10-00091
City Of Springfield
225 Fifth St. . ~
Springfield, OR 97477
Phone: 541-726-3753
Email: permitcenter@ci.springfield.or.us
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D New Construction IRl Addition/alteration/replacement
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IZI 1 or 2 family dwelling D Multi-family D Commercial D Accessory
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Job Address: 2899 WAYSIDE LOOP
City/State/ZIP: SPRINGFIELD, OR 97477
Sulte/bldg./apt.no.:
Project Name: laxton
Cross Street/directions to Job site:
Tax mapfparcel no.: 1703224102300
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2 zone mini split
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Name: Michael Schilling
Phone: 541-726-7656 Fax: 541-726-7657
Email:
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CCB lic. no.: 188592 , ..
Business Name: EUGENE HEATING INC ... ...
Contact:
Address: 3675 FRANKLIN BLVD
CityfState/ZIP: EUGENE, OR 97403
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Phone: 5417267656 Fax: 5417267657
Email: mschilling@automaticheatco.com
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Metro lie. no.: City lic. no.: , , ,
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Upon review and approval by your local jurisdiction, your permit will. bee-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 obtained.
The local building department may determine that an Authorization To Begin Work i8 null and
void if it does not meet applicable land use laws and local ordinances.
Com2dO- 0066~
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Approval Code: 411309 5/11/2010 10043 am
E-mailedTo:wvosburg@automaticheatco.com
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Description
HeC!tir,1~Co61i~g'AppJi(ui~e.s" -
Heat Pump
Air handling unit
MihimumF.e(;)s
First Appliance Fee
~e~h'anicaIPermifFees~{;::;; +:~,,,
Subtotal
State surcharge (12% of permit
total
Technology fee (5% of permit total)
TOTAL PERMIT FEE
17
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$1700
$17.00
$79.00
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$113.00
$13.56
$5.65
$132.21
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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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225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 I nspection Line
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00588
ISSUED: 05/11/2010
APPLIED: 05/11/2010
EXPIRES: 11/1112010
VALUE:
Status
Issued
SITE ADDRESS: 2899 Wayside Lp
ASSESSOR'S PARCEL NO.: 1703224102300
Springlield TYPE OF WORK: Heating System
TYPE OF USE: New
Commercial
PROJECT DESCRIPTION: Two-zone mini-split
Owner: LAXTON LILY G
Address: 2899 WAYSIDE LOOP
SPRINGFIELD OR 97477
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I CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Contractor
EUGENE HEATING INC
License
188592
Expiration Date Phone
541-726- 7656
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:
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 I
REQUIRED PARKING
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist: -,
#,.:~ire~l:i;rees Rqd:
Paved Drive Rqd:
, % of Lot Coverage:
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer Available:
Special Instruction:
I PUBLIC IMPROVEM~'TION: Oregon law requires yo~to
ulesJldopted by the Oregon U\llity
Notification O\ll\t~'f.'I"tiW!!'Fules are set forth
In OAR 952~3~1J?>IIlIffi\>J.~n9.AR 952-001-
0090. You may obtain copies of the rules by
, calling the center. (Note: the tel~~hone
IIImber for the Oregon Utility Notification
Center Is 1-800-332-2344).
Notes: NOTICE:
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AUTHORIZED UNDER THIS PER~V I ~
COMMENCED OR IS ABANDON~tlOn Description I
ANY 180 DAY PERIOD. $ Pe Sq Ft - Square Footage
Description Tvpe of Construction r
or multiplier or Bid Amount
Value
Date Calculated
Page I of 2
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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Total Valne of Project
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:1 "Fees Paid _
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Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Air Handling Unit Up to 10,000
Heat Pump
Amount Paid
$13.56
$5.65
$79.00
$17.00
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$17.00,~;,::'~
Total Amount Paid
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$132.21 y' .
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Date Paid
5/11/10
5/11/10
5/1111 0
5/11110
5/11110
I PI~n Reviews ~
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00588
ISSUED: 05/11/2010
APPLIED: 05/11/2010
EXPIRES: 11/11/2010
VALUE:
Receipt Number
3201000000000000202
3201000000000000202
3201000000000000202
3201000000000000202
3201000000000000202
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.
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Reouired Ins'oedions ~
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 I fnrther certify tbat any and all work performed shall be done in accordance with
the Ordinances of the City of Springfield and'the L<!~.s of tile State of Qregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any structnr!i,with?Ulpermission of the Commnnity Services Division, Bnilding Safety.
1 fnrther certify that only contractors and employees:,who aretin compliance with ORS 701.005 will be nsed on this project.
1 fnrther agree to ensnre that all reqnired inspectio'ns are requested at the proper time, that each address is readable from the
street, that the permit card is located at the front of:fhe'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
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
/
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
3201000000000000202'
Date: 05/11/2010.
12:40:49PM
Job/Journal Number
COM2010-00588
COM2010-00588
COM20 1 0-00588
COM20 1 0-00588
COM20 10-00588
Payments:
Type of Payment
ONLINE CHGS
cReceintl
Description
Heat Pump
Air Handling Unit Up to 10,009 ....
I 5t Appliance
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
ONLINE PERMIT CHGS
Received By
Check Number
Batch Number
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ONLINE
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Page 1 of f
Item Total:
Authorization
Number How Received
Amount Due
17.00
17.00
79.00
13.56
5.65
$]32.2]
Amount Paid
EUGENE Online
HTG
Payment Total:
$132.21
$]32.2]
5/11/2010