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HomeMy WebLinkAboutPermit Mechanical 2010-6-15 City Of Springfield 225 Fifth 51. Springfield, OR 97477 Phone: 541-726-3753 Email: permilcenler@ci.springfield.or.us {II (). 7(Pf.p Residential Mechanical Authorization To Begin Work 69600-BMC-10-00134 Approval Code: 205249 6/15/2010 9:55 am E.mailed To: wvosburg@automaticheatco.com d . 'FEESCH'EDlH:.E'/>~ ~ .'2-', Cross Street/directions to job site: ,. Description HeatingrCooling-Appliances' Heat Pump Air handling unit Mini!l1um'Fees< ;:" First Appliance Fee MechanfcaTPer'mlt :Fees' Subtotal State surcharge (12% of permit tolal Technology fee (5% of permit total) :..j ~CATEGOI~Y()FCONS"RUC"ION . o Multi-family 0 Commercial o Accessory 'Joi3:sifE:INFORMA liON ANIJ"LOCA TION . Job Address: 1040 6TH ST CityfState/zrp: SPRINGFIELD, OR 97477. ~...:'l;' Suitefbldg.fapt.no.: :,.",/:' $130,00 $15.60 Project Name: Carver $6.50 TOTAL PERMIT FEE $152.10 Tax map/parcel no.: :'"":J~ 1703352100300 ~;;:.;,". DE:SCRr~TION,QF.W.oRIS.A'A 3 zone mini split ;~ ~~:\SIIE;<:ONTACT . " Name: Michael Schillino Phone: 541-726-7656 Fax: 541-726-7657 ';,' ,'( Email: 'l .~~ .'~' "ACONJRACTOR. CCB lic. no.: 188592 Business Name: EUGENE HEATING INC Contact: Address: 3675 FRANKLIN BLVD .. 'd; City/State/ZIP: EUGENE, OR 97403 Phone: 5417267656 Fax: 5417267657 Email: mschilling@aulomaticheatco.com Metro lic. no.: City lie. no.: Upon ruvh.Jw 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 not obtained. The local building department may determine that an Authorization To Begin Work is n.~,li .~~d void if it does not meet applicable land use laws and local ordinances. CtJm 'Zo / 0 ~_/S:--/() ()Ol~~ /7 /'Yt..- 1',''-'''-1' ~~. ~ Inspecti,?ns.eho~e: 541-726-3769 This Authorization To Begin Work, "1ust'be posted 'at the job site until replaced by a Permit .:\,. :~{~',l:~; (:,1:.: .".' . Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00766 ISSUED: 06/15/2010 APPLIED: 06/15/2010 EXPIRES: 12/1512010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: . 1040 6TH ST ASSESSOR'S PARCEL NO.: 1703352100300 Springfield TYPE OF WORK: Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: Three zone mini-split Owner: CARVER ALAN & SALLY BARBARA Address: 1040 6TH ST ", SPRINGFIELD OR 97477 ;:J~';, .' ..",.;'....'.. Contractor Type Mechanical , ,~ \ ;.-! ; '.. ' ',' ... I CONTRACTOR INFORMATION ~ Contractor License EUGENE HEATING INC 188592 BUILDING INFORMATION ~ Expiration Date Phone 541-726-7656 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Constructiou Type: # of Bedrooms: # of Stories: , Height of Structure_ Type of Heat: Water Type: ' " RilUge Type:' -,' ". -, Energy Path: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occupant Load: nla I DEVELOPMENT INFORMATION ~ REQUIRED PARKING .' Frontyard Setback: Overlay Dist: Total: Side I Setback: # Street Trees Rqd: Handicapped: Side 2 Setback: .P.~ved:?r!~e. ~qd:" . requi~PAt;\1l Rearyard Setback: "%',qf Lot Coverage:ENTION'. oregon laW h Oregon Utility Solar Setbacks: . ".'''''' w..' Jl-TT d pted by t e se\lorth 7;;:'''';:' .~'..;.., loW rules a 0 ose rules are . 1. NOTICE: PU PROVE" 2,001-001~\hrOUiesoltherulesbY TU'C' DCRMIT SHALL EXPIRE I You m~,obta\n cop. \he\e'epho~e Street ImprAUTH~fW7ED UNDER THIS PERMIT IS NOT OO~~iling the 8e'ffl\ll'!II\~\\ity No\iticatiOn Storm Sewer Availabl~:ED OR IS -ABANDONED FOR number tor ~t~_gu~!\4). . 1:1 I 11/!I\11I-I\lLo \ r" 1: Suo: SpecIal InstructIon:' Y PERIOD Cen e ,,,-NY 180 DA . Notes: I Valu'ation De's~~iPtion ~ . . . DescriPtion Tvpe of Construction $ 'p(;j. Sq Jet or multiplier Square Footage or Bid Amount- Value Date Calculated Paee 1 of 2 Status Issued "':";;" CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00766 ISSUED: 06/15/2010 APPLIED: 06/15/2010 EXPIRES: 12/15/2010 VALUE: ri:":'. ':,J.,"l"i,:,-: , "'~-j: ~, '~l:~r:tl (,>. ;. :;?:"r ", 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project <,' '-:) .01 ;"FeeS Paid~ Fee Description + 12% State Surcharge + 5% Technology Fee 1st Appliance Air Handling Unit Up to 10,000 Heat Pump Amount Paid Date Paid $15.60 . $6.50 , $79.00 $34.00 $17.00 .' i<jiY Iy 6/15/10 6/15/10 6/15/10 6/15/10 6/15/10 Receipt Number 3201000000000000301 3201000000000000301 3201000000000000301 3201000000000000301 3201000000000000301 Total Amount Paid $152.W.,: ,;'; \;~!\ r:y- " , I '..pi~~ Re~iews ~ 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 reque~ted after 7:00 a.m. will be made the following work day. 1 :~" ; Reouired Insocctions ~ ',- ..,~.,,,, I . ,I " . .,., .!('.; '" Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. By signatnre, 1 state and agree, that I have carefnlly examined the completed application and do hereby certify that all information hereon is true and correct, and I fnrther 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 structnre,with!,ut permission of the Community Services Division, Bnilding Safety. I further certify that only contractors and employeeS;w.ho;,areii,n compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspectiohs;arc'requested at the proper time, that each address is readable from the street, that the permit card is located at the front iif;We-;propefty; and the approved set of plans will remain on the site at all times during construction. ,~, I"~ ' Owner or Contractors Signature Date . ~ ~ I , '." .'.,' ','.:!. 't.,.. ,.~,;:f":,., ',; .' ;~~~;;j . . .i't ~ . l' Page 2 of2 225 Fifth Street Springfield,'Oregon 97477 541-726-3759 Phone . City of Springfield Official Receipt Development Services Department Public Works Department . ,.~' . RECEIPT #: 3201060000000000301 i.f .'; Date: 06/15/2010 10:39:20AM Paid By ONLINE PERMIT CHGS Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Due 79.00 17.00 34.00 15.60 6.50 $152.10 Job/Journal Number COM20 1 0-00766 COM20 1 0-00766 COM20 1 0-00766 COM20 I 0-00766 COM20 1 0-00766 Description 1 st Appliance Heat Pump Air Handling Unit Up to 10,000 + 12% State Surcharge + 5% Technology Fee Payments: Type of Payment ONLINE CHGS Amount Paid ~Jm .' ONLINE eugene htg Online Payment Total: $152.10 $152.10 '. ~~\"d . ," , . .' ~,:;~:~'ir i::~;.,;:~:,<:J':1 . ~~J,,:t, ,d<,:~ ,~:l~~,,,':j, ..,' . ,,~~: "'. .\[:';~ . l, . . :F;~V~,.: ,t.i'tl... ,i~\." '/i ,.',., i., . ",. .,'; : ?f,~~,l I.'~"~"" . .....-h...l't " . ,II ~ i ~ j . cRcceint 1 Page I of I 6/15/2010