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Home My WebLink AboutPermit Mechanical 2010-6-1 {!IO.b1il; city Of Springfield 225 Fifth St Springfield, OR 974n Phone: 541-726-3753 Emsil: pennitcenter@ci.springfield.or.us Residential Mechanical Authorization To Begin Work 69600-BMC-10-00115 Approval Code: 129008 6/112010 8:02 am E-mailedTo:wyosburg@automaticheatco.com D New Construction IX] Addition/alteration/replacement Description $17.00 Job Address: 53B W M ST First Appliance Fee I&J 1 or 2 family dwelling 0 Multi-family 0 Commercial City/StatelZIP: SPRINGFIELD, OR 97477 Subtotal State surcharge (12% of permit total Technology fee (5% of permit total) $96.00 $11.52 SuitelbldgJaptno.: Project Name: gauthier Cross Streettdirections to job site: TOTAL PERMIT FEE $4.80 $112.32 Tax map/parcel no.: 1703274300603 CJD~ \i1~ kL ~ll\\tD Name: Michael Schillina Phone: 541-726-7656 Fax: 541-726.7657 Email: IS NOT Contact: COMMENCED OR IS ABANDONED FOR Add,es., 3675 FRA~~dM sL31J DAY PERIOD. Phone: 5417267656 Fax: 5417267657 AITENTlON: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth In OAR 952-001-0010 through OAR 952-001- 0090. You may obtain copies of the rules by calling the center. (Note: the telephone number for the Oregon Utility Notification Center is 1-800-332-2344). City/StateJZlP: EUGENE, OR 97403 Email: mschilling@automaticheatco.com Metro lie. no.: City lie. no.: Upon review and approval by YOl.lr 10~1 Jl.lrisdlc:tion, your permit will be e-malled or faxed within one business day, wtIh Instructions on how to schedule your inspection. ..t.. .~ ~v ..J ~ ~~~ \)\ NOTE: This Authorization To Begin Wort!; expires wtthln 180 days If a permit is not obtained. The 10~1 building department may determine that an AuthorizatIon To Begin Wort!; Is null and void If It does not meet applicable land use laws and 10CllI on:linanees. Inspections Phone: 541-726-3769 This Authorization To Begin Work must be posted at the job site until replaced by a Pennit Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: C0M2010-00696 ISSUED: 06/01/2010 APPLIED: 06/01/2010 EXPIRES: 12/01/2010 VALUE: 225 Fifth Street, Sprinl(field, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 538 W M ST ASSESSOR'S PARCEL NO.: 1703274300603 Springfield TYPE OF WORK: Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: Mini split heating system in residence. Owner: GAUTHIER MARK W & SHIRLEY L Address: 538 W M ST SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION ~ Contractor Type Mechanical Contractor EUGENE HEATING INC License 188592 Expiration Date Phone 541-726-7656 BUILDING INFORMATlON~ # of Units: # of Stories: Lot Size: Primary Occupancy Gronp: Height of Structure Sq Ft 1st Floor: Secondary Occnpancy Group: Type of Heat: Sq Ft 2nd Floor: Primary Construction Type ... ,",,\;<'''0,~~JerType: Sq.ft.Basement: . Secondary C~<<umlfn Type: RI'.'1~~pe: Sq' Ft.Garage/Carport # of BedroolD.fu IS PERMIT SHAll EXPIRE IFlHi~. ath:.. Sq FtOther: UNDER THIS PERMll'>l&, d Bmldmg: nla Occupant Load: COMMENCED OR EVELOPMENT INFORM les ~dopted by the Orm9JJ 1l1iliNH ANY 180 DAY PERIOD. 0 I cat on Center. Tho~~~NG Frontyard Setback: Overlay Dist: In OAR 952-o01-001~ thrG\llQInPAR 952-001. Side I Setback: # Street Trees Rqd: 0090. You may obtain c~l~thlll,llles by Side 2 Setback: Paved Drive Rqd: calling the center. (No' ~!llpn'one number for the Oregon I I citifieation Rearyard Setback: % of Lot Coverage: Center is 1-800-332-2344). Solar Setbacks: I PUBLIC IMPROVEMENTS ~ Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: DownspoutslDrains: Notes: I Valuation Description I Description Tvpe of Construction $ Per Sq Ft or multiplier Sqnare Footage or Bid Amount Value Date Calculated Pal!e I of2 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00696 ISSUED: 06/01/2010 APPLIED: 06/01/2010 EXPIRES: 12/0112010 VALUE: 225 Fifth Street, Sprin2field, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project ~ Fee DescriDtion + 12% State Surcharge + 5% Technology Fee 1 st Appliance Heat Pump Amount Paid Date Paid Receipt Number $11.52 6/1/10 1201000000000000587 $4.80 6/1/10 1201000000000000587 $79.00 6/1/10 1201000000000000587 $17.00 6/1/10 1201000000000000587 Total Amount Paid $112.32 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, inspections requested after 7:00 a.m. will be made the following work day. . UleouirelJJnsnec~ Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. By signature, I state and agree, that I have carefully examined the completed application and do herehy 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 ofthe 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 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 tbe approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature Date Pal!e 2 of2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 1201000000000000587 Date: 06/01/2010 9:42:14AM Job/Journal Number C0M20 10-00696 C0M20 10-00696 C0M20 10-00696 C0M20 I 0-00696 Payments: Type of Payment ONLINE CHGS cReceint 1 Description I sl Appliance Heal Pump + 12% Stale Surcharge + 5% Technology Fee Paid By ONLINE PERMIT CHGS Amount Due 79.00 17.00 11.52 4.80 $]]2.32 Item Total: Check Number Authorization Received By Batch Number Number How Received KR Page I of I Amount Paid ONLINE EUGENE Online HEATING INC Payment Total: $112.32 $]] 2.32 6/1/2010