HomeMy WebLinkAboutPermit Mechanical 2010-6-9
City Of Springfield
225 Fifth St.
Springfield, OR 97477
Phone: 541-726-3753
Email: permitcenter@ci.springfield.or.us
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Residential Mechanical Authorization To Begin Work
69600-BMC-10-00128
Approval Code: 107978 6/9/2010 1 :52 pm
E.mailed To: wvosburg@automaticheatco.com
D New Construction
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o Multi-family 0 Commercial
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o Accessory
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Job Address: 1822 12TH 8T
City/State/ZIP: SPRINGFIELD, OR 97477
Suite/bldg.lapt.no. :
Project Name: Netherton
Cross Street/directions to jOb site:
Tax map/parcel no.:
1703264103600
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Name: Michael SchillinQ
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Phone: 541-726-7656
Fax: 541-726-7657
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Email:
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ceB 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@automalicheatco.com
Metro lie. no.:
City lie. no.:
Upon review and approval by your local jurisdiction, your permit will be a-mailed or faxed
within one business day, with instruc;:tions 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 Be~\~WI?~I\ i,~~_. ~,U,!I, an~
void if it does not meet applicable land use laws and local ordinances,
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Description
Heat Pump
lVIinim"YrT1Fe~s:
First Appliance Fee
M~{~hanica} p'ermit Fees. .:"
Subtotal
Slate surcharge (12% of permit
total
Technology fee (5% of permit total)
$96.00
$11.52
$4.80
TOTAL PERMIT FEE
$112.32
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Inspections Phone: 541-7,26-3769
This Authorization To Begin Work must be posted at the job site until replaced by a Permit
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM201O-00746
ISSUED: 06/09/2010
APPLIED: 06/0912010
EXPIRES: 12/0912010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1822 12TH ST
ASSESSOR'S PARCEL NO.: 1703264103600
Springfield TYPE OF WORK: Heating System
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TYPE OF USE: New
Residential
. PROJECT DESCRIPTION: -mini-split
Owner: MCLAUGHLIN JUDY A
Address: 1822 12TH ST
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION ~
Contractor Type
Mechanical
Contractor License
EUGENE HEATING INC 188592
BUlLDINGINFORMA.TION ~
Expiration Date Phone
541-726-7656
# 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:
Sp~inkled Bnilding:
L'ot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
. Sq Ft Other:
Occnpant Load:
"fa
I DEVELOPMENT iNFORMATION ~
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
. Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Street Improvements:
I PUBLIC IMPROVEME~TSl: S\-\i'.LL t)(I'IRt I Mil IS 1'101
;~}t:;~~t~~~~~:r~~~;~~tOFOR
c OMMENGq!lw'1~ou[}lDralDs:
:- {\NY ! fiG DIN I'tR\OIJ
Storm Sewer Available: .. .
Special Instruction: . ,;1_' I '
ATTENTION: Oregon law reqUires you to
Notes: follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth
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0090. You may obtain capie, 0 me ru. '
calling the center, (1'10t9: jhY uati .
number for the Ore:)')r: U~1!:tv Notification
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rpe Wt' onstpuctlO[}l-.............:.............-' '", .
or mo tJpher ,
Description
Sqnare Footage
or Bid Amount
Value
Date Calculated
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225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00746
ISSUED: 06/09/2010
APPLIED: 06/0912010
EXPIRES: 12/09/2010
VALUE:
Status
Issued
Total Value of Projeet
Fees Paid I
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Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Heat Pump
Amount Paid,:"," '... ,".
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$11.52";{.:.
$4.80
$79.00""
$17.00
Date Paid
Receipt Number
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6/9/10
6/9/10
6/9/10
6/9/10
1201000000000000639
1201000000000000639
1201000000000000639
1201000000000000639
Total Amount Paid
$112.32
I Plan Reviews ~
. . .,
To Request an inspection call the 24 hour t;e'cording lit 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. '
Reouired Inspections I
Rough Mechanical: Prior to Cover
Final Electric: When all eleetrical work is corrtplete.
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By signature, I state and agree, that I have carefull~.e~amined tbe 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 Commnnity Services Division, Building Safety.
I fnrther certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
I fnrther agree to ensure that all reqnired 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 the approved set of plans will remain on the site at all
times during construction.
Owner or Contractors Signature
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Date
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Page 2 of2
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225 F.ifth Street
Springfield, Oregon 97477
541-726-3759 Phone
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City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
1201000000000000639
Date: 06/09/2010
2:37:44PM
Job/Journal Number
COM20 10-00746
COM2010-00746
COM2010-00746
COM20 1 0-00746
Payments:
Type of Payment
ONLINE CHGS
cReceiotl
Description
1st Appliance
Heat Pump
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
ONLINE PERMIT CHGS
Amount Due
79.00
17.00
11.52
4.80
$112.32
Item Total:
Check Number Authorization
Recc_i,;,cd By Batch Number Number How Received
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Page 1 of I
Amount Paid
ONLINE EUGENE Online
HTG
Payment Total:
$112.32
$112.32
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6/9/2010