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
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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
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Cross Street/directions to job site:
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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)
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~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.
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Suitefbldg.fapt.no.:
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$130,00
$15.60
Project Name: Carver
$6.50
TOTAL PERMIT FEE
$152.10
Tax map/parcel no.:
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1703352100300
~;;:.;,". DE:SCRr~TION,QF.W.oRIS.A'A
3 zone mini split
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~~:\SIIE;<:ONTACT .
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Name: Michael Schillino
Phone: 541-726-7656
Fax: 541-726-7657
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Email:
'l .~~ .'~' "ACONJRACTOR.
CCB lic. no.: 188592
Business Name: EUGENE HEATING INC
Contact:
Address: 3675 FRANKLIN BLVD
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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.
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Inspecti,?ns.eho~e: 541-726-3769
This Authorization To Begin Work, "1ust'be posted 'at the job site until replaced by a Permit
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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
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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
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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
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00766
ISSUED: 06/15/2010
APPLIED: 06/15/2010
EXPIRES: 12/15/2010
VALUE:
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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.,: ,;';
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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.
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Reouired Insocctions ~
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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
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Page 2 of2
225 Fifth Street
Springfield,'Oregon 97477
541-726-3759 Phone
. City of Springfield Official Receipt
Development Services Department
Public Works Department
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RECEIPT #:
3201060000000000301
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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
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ONLINE eugene htg Online
Payment Total:
$152.10
$152.10
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Page I of I
6/15/2010