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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 em '7L/& 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 (KJ Addition/alterat~o~~~~.p.!ac~ni~.~! . .' ", : ..........-... ........... ..7............ ....:.. _ '.. ."'...."....~.....'" :::> "I:, "," '. .' . :CA:rEGgRYzOF:CONSTRUqlo~:ii, ,j'" ';..; "\, ..", -,..~ '0 so, ~,.~. o Multi-family 0 Commercial 00 1 or 2 family dwelling o Accessory rl ~:;"';:':tT~~jOB'SITEilNF~ORMA'1"I0N AND LOCATION% ~';'"'. 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 '; ::ii",.DESC:;RIRTI0NioF;WORKs:": ~~!,7' Name: Michael SchillinQ ,.~,~~. .':- Phone: 541-726-7656 Fax: 541-726-7657 :i;:..'D! i"lI'. Email: "~.\ -::)f,,; t..' 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, '-.'f 'n'.. ',-,,;-,,' r 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 .V? #; ;--.' ~~ ~ 'fr.J \P~\\) \.9:'{J~~ ~~ 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 . c. ,t,., '-\, 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 " "l'~ v ~ 0090. You may obtain capie, 0 me ru. ' calling the center, (1'10t9: jhY uati . number for the Ore:)')r: U~1!:tv Notification T cr (iJ' .. '- < c' " ';. -, $'Perlsq Ft rpe Wt' onstpuctlO[}l-.............:.............-' '", . or mo tJpher , Description Sqnare Footage or Bid Amount Value Date Calculated . -', . ~...."... Ph" ,_'''''. ,-,-, , ~:L(:)1 --if.~~' .;i". {' ";,.;i~'..'; ,,(,w. Paee I of 2 "'.'''1 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line .., ""~. 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 ',;/ Fee Description + 12% State Surcharge + 5% Technology Fee 1st Appliance Heat Pump Amount Paid,:"," '... ,". ~..)t~ . $11.52";{.:. $4.80 $79.00"" $17.00 Date Paid Receipt Number "\ ;- .. 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. . , .c~., ..,~, , ....."'. ,. '/:,1. ... ~' .' \ " 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 "."c,'; 'j,:-, Date !: '",.' ;,:~I:/ ,',. Page 2 of2 ..' 225 F.ifth Street Springfield, Oregon 97477 541-726-3759 Phone arr;4ttI iii: 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 NJM 1,.1,~~. ";'!fi~; . :;;'~~'~'f;t.,:~..:~.;,~~~~~" '~,;~~,,!~. ," . ;........., . ",f! . .':i:"'1 '" '~"f". ;'~'iiJt' ~ ,l~:ti;ti;. '.'~"'J':~' '-'L~~~':;""'\ ~ \{f Page 1 of I Amount Paid ONLINE EUGENE Online HTG Payment Total: $112.32 $112.32 -. , '"I 6/9/2010