HomeMy WebLinkAboutPermit Mechanical 2010-5-20
City Of Springfield
225 Fifth St.
Springfield, OR 97477
Phone: 541-726-3753
Email: permitcenter@ci.springfield.or.us
o New Construction
1KI AdditjOn/alter~tionfreplacemenl
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CATEGORY OE4~ONSTRUCTI0N'i;i~ 2~'~~~
[Z] 1 or 2 family dwelling 0 Multi-family D Commercial D Accessory
'JOB SITE'iNFORMA TION AM) COCA liON' ~,fr
Job Address: 2277 11TH ST
City/State/ZIP: SPRINGFIELD, OR 97477
Suite/bldg.lapt.no. :
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Project Name; king
Cross Street/directions to job site:
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Tax map/parcel no.:
1703261105400
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2 zone mini split
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Name: Michael Schillina
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Phone: 541-726-7656
Fax: 541-726-7657
Email:
,~' ':c(:ONTRACTOR;:.
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CCB lie. no.: 188592
Business Name: EUGENE HEATING lNC
Contact:
Address: 3675 FRANKLIN BLVD
City/State/ZIP: EUGENE, OR 97403
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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 fa){ed
within one business day, with instructions on how to schedule your Inspection.
NOTE: This Authorization To Begin Work e){pires within 180 days if a permit is not obtained.
The local building department may determine that an Authorization To Begin Work is
void if it does not meet applicable land use laws and local ordinances.
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Residential Mechanical Authorization To Begin Work
69600-BMC-1 0-001 02
Approval Code: 304354 5/20/2010 8:29 am
E-mailed To: wvosburg@automaticheatco~com
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Description Qty, Ea, Total
,
H~,~ti~gLC;oQljng .4ppliances- _ <i:Ptr-,""-" - {', '." >:,,-
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Heat Pump 1 $1700, $17.00
Air handling unit 1 $17,00 $17,00
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First Appliance Fee $79.00
Me'chanical PermifFe'es*.J-;' ,}.t. , ,'; ," "''',,'. ': " '.
Subtotal $113.00
State surcharge (12% of permit $13.56
total)
Technology fee (5% of permit total) $5,65
TOTAL PERMIT FEE $132,21
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Inspeciiqos l"~on.,e:.54l-726-3769
This Authorization To Begin Work'must'be posted at the job site until replaced by a Permit
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00647
ISSUED: OS/2012010
APPLIED: OS/20/2010
EXPIRES: 11/2012010
VALUE:
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Sta tus
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2277 11TH ST
ASSESSOR'S PARCEL NO.: 1703261105400
Spri~gfield TYPE OF WORK: Healing System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Two-zone mini split
Owner: KING WENDELL S & BARBARA
Address: 2277 N 11TH ST
SPRINGF[ELD OR 97477
Contractor Type
Mechanical
I CON~AAen)R INFORMATION I
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Expiration Date . Phone
54[-726-7656
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bed,'ooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Ellergy Path"', '
Sprinkled B'uilding:
Lot Size:
Sq Ft [st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side [ Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQU[RED PARKING
Total:
Handicapped:
Compact:
I PUBLI6;IMPROVEMENTS I .,
Street Improvements:
Sidewalk Type:
Storm Sewer Available:
Speciallnstruclion:
Downspouts/Drains:
laW requires youto
AlTENiION: Oregon b the Oregon Utt\ity
follOW rules adopte~h:se rules are set lorlh
Notification Center. gh OAR 952-00i-
throu , __
'v rt I SHALL EXPIRE IFTH you may obtain copIes t~le hone
J r"IORIZED UNDER THIS PERMI ation Descri tio lilng the center. (NOI~~i;~; Notitcation
JrVIMENCED OR IS ABANDONED FOil ..... ....mbBr for the Oregoon M2-2344).
. ;':\1 18 . YlIer Sq Ft . Square fIfM't"lTlfe t r \s 1-80 ~..:w
DescnptlOn a DJrYQe[<jI(OOstructlOn I ' 'I' " '. "'B'd A tcen e 'Va[ue Date Calculated
. or rou tip ler ' 'or I moun .
Notes: . , .,
"ECE:
Pa2e I of 2
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769Inspection Line
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Status
Issued
Total Valne of Project
, Fees Paid-l .
Fcc Description
+ 12% State Surcharge
+ 5% Technology Fcc
Ist Appliance
Air Handling Unit Up to 10,000
Heat Pump
Amount Paid."
~l; .
, Date Paid
$13.56
$5.65
$79.00
$17.00
$17.00
5/20/10
5/20/10
5/20/10
5/20/10
5/20/10
Total Amount Paid
$132.21
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00647
ISSUED: OS/20/2010
APPLIED: OS/20/2010
EXPIRES: 11/2012010
VALUE:
Receipt Number
3201000000000000212
3201000000000000212
3201000000000000212
3201000000000000212
3201000000000000212
To Request an inspection call the 24 hour'recording at 726-3769."'AIl 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.
~Reauired InsDec~iol1s ~
Rongh Mechanical: Prior to Cover
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Final Mechanical: When all mechanical work is complete.
By signature, I 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 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 arc in compliance with ORS 701.005 will be used on this project.
I further agree to ensure that all required inspections arc requested at the proper time, that each address is readable from the
street, that the permit card is located at the front of,!,!}e';pr~p'c.tty"alidthe approved set of plans will remain on the site at all
times during construction.."t:i!:A. ,!;t~;_y~\': '...'
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Owner or Contractors Signature
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Pa~e 2 of 2
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Date
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225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
3201000000000000212
Date: OS/20/2010
9:28:07AM
Job/Journal Number
COM20 I 0-00647
COM2010-00647
COM2010-00647
COM2010-00647
COM2010-00647
Payments:
Type of Paymeot
ONLINE CHGS
cReceintl
Description
I 5t Appliance
Air Handling Unit Up to 10,000 .-
Heat Pump
+ 12% State Surcharge
+ 5% Technology Fee
Amount Due
79.00
17.00
17.00
13.56
5.65
$132.21
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Paid
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ONLINE eugene htg Online
Payment Total:
$132.21
$132.21
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5/20/2010