HomeMy WebLinkAboutPermit Mechanical 2010-6-9
City Of Springfield
225 Fifth St.
Springfield, OR 97477
Phone: 541~726-3753
Email: permilcenter@ci.springfield.or.us
D New Construction
(K) Addition/alteration/replacement
- -;:;-.1: ~CATEG"O~Y OF-CONSTRUqION~~_i,f#,~:'_
[g] 1 or 2 family dwelling
o Multi-family 0 Commercial
D Accessory
;-'".";~+: 'LJOB_SITE.INFORMA TION-ANDCOCATION.f"! _.:7'
Job Address: 515 18TH 5T
City/State/ZIP: SPRINGFIELD, OR 97477
Suite/bldg.lapt.no.:
Project Name: Gropp
Cross Street/directions to job site:
Tax map/parcel no.:
1703362400501
single zone mini split
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Name: Michael SChillinq
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Phone: 541-726-7656
Fax: 541-726-7657
Email:
.:,CONTRACTOR';.;' .
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cee lie. no.: 188592
Business Name: EUGENE HEATING INC
Contact:
Address: 3675 FRANKLIN BLVD
City/State/ZIP: EUGENE, OR 97403
Phone: 5417267656
Fax: 5417267657
Email: mschilling@automaticheatco.com
Metro lie. no.:
City lie. no.:
le/()."7'1'f
Residential Mechanical Authorization To Begin Work
69600-BMC-10-00127
Approval Code: 109778 6/9/2010 1:48 pm
E-mailedTo:wvosburg@automaticheatco.com
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Upon review and approval by your local jurisdiction, your. pennit will be e-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 no~ ~~;~~~ed.
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The local building department may determine that an Authorization To Be~~~0>>,ork
void if it does not meet applicable land use laws and local ordinances.
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Description
He~ti~~gIGorJHng" ARPJi_ances;>~,:::-p" ~-'
Heat Pump
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First Appliance Fee
rJ!ec~anj~~.1 P.ermit'Fees,
Subtotal
State surcharge (12% of permit
total
Technology fee (5% of permillotal)
$96.00
$1152
$4.80
$112.32
TOTAL PERMIT FEE
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Inspections Phone: 541- 726.3769
This Authorization To Begin Work must be post~d at the job site until replaced by a Permit
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 515 18TH ST
ASSESSOR'S PARCEL NO.: 1703362400501
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00744
ISSUED: 06/09/2010
APPLIED: 06/09/2010
EXPIRES: 12/09/2010
VALUE:
Springfield TYPE OF WORK:
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Single zone mini-split
Owner: GROPP HAROLD VICTOR
Address: 515 18TH ST
SPRINGFIELD OR 97477
I CON'rRACTOR INFORM A T10N .
Contractor Type
Mechanical
Contractor
EUGENE HEATING INC
License
188592
Expiration Date Phone
541-726-7656
BUILDING INFORMATION I
# of Units:
Primary Occnpancy Gronp:
Secondary Occnpancy Gronp:
Primary Construction Type
Secondary Constrnction Type:
# of Bedrooms:
# of Stories:
Height of Structnre
Type of Heat:
Water Type:
Range Type:" .
.. Energy Path:
Sprinkled Building:
n/a
Lot Size:
Sq Ft I st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
I DEVELOPMENT INFORMATION .
I PUBLIC IMPROVE_ION: Oregon law requires you to
fa ow rules ~~pte~ till.tt1~ Oregon Utility
Notification Celw~r.a, ~oW'liiles are set forth
In OAR 952-0CDtOOJ,q,lt'iVt'S!rolltlrii\R 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).
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
%..of Lot Coverage:
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Street Improvements:
Storm Sewer Available:
Special Instruction:
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
^'ITU()DI7 f., r T I
Notes:
Description f
COMMENCED OR IS ABAI~WNmiliQfbescription i
MY 180 DAY PERIOD. ,
$ pi.. Sq Ft
or multiplier
REQUIRED PARKING
Total:
Handicapped:
Compact:
Tvpe of Construction
Square Footage
or Bid Amount
Date Calculated
Pa2e 1 of 2
Value
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Status
Issued
't,
225 Fifth Street, Springlield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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, Total Value ofpj'oject
Fees P~id t,
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Fee Description
+ 12% State Surcharge,
+ 5% Technology Fee
] st Appliance
Heat Pump
Amount Paid,
$11.52
$4.80
$79.00
$]7.00
Total Amount Paid
$112.32
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Date Paid
6/9/10
6/9/10
6/9/10
6/9/l 0
I .rlAn R~y'iews ,.~
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM201O-00744
ISSUED: 06/09/2010
APPLIED: 06/09/2010
EXPIRES: 12/09/2010
VALUE:
Receipt Number
3201000000000000283
320]000000000000283
3201000000000000283
3201000000000000283
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.
Reauired InsDections ~
Rough Mechanical: Prior to Cover
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Final Mechauical: When all mechanical workis complete.
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 1 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.
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 10 ensnre that all required inspectio".~,!\re,rrqll~sted ,at the proper time, that each address is readable from the
street, that the permit card is located at the front or:tne':'pi'O'pe'rty;and,the approved set of plans will remain on the site at all
times during construction. t~.1:,l; I!,.',,(:;";":" , ' '.
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Owner or Contractors Signature
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Paee 2 of 2
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Date
225 Fifth Street
Springfi~ld, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
3201000000000000283
Date: 06/09/2010
2:05:31 PM
Job/Journal Number
COM20 I 0-00744
COM2010-00744
COM2010-00744
COM20 I 0-00744
Payments:
Type of Payment
ONLINE CHGS
cRecciotl
Description
1st Appliance
Heat Pump
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
ONLINE PERMIT CHGS
"f.c;:
Amount Due
79.00
17.00
11.52
4.80
$112.32
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Paid
NJM
$112.32
$112.32
ONLINE Eugene Htg In Person
Payment Total:
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