HomeMy WebLinkAboutPermit Mechanical 2010-6-1
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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.
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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