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HomeMy WebLinkAboutPermit Mechanical 2010-6-16 City Of Springfield 225 Fifth 8t. "~"Sprlngfield, OR 97477 ""Phone: 541-726-3753 Email: permitcenter@ci.springfiefd.or.us Residential Mechanical Authorization To Begin Work 69600-BMC-10-00137 Approval Code: 320920 6/16/2010 2:11 pm E-mailedTo:wvosburg@automaticheatco.com D New Construction IKl Additionfalterationfreplacement .cA'Te~o'RtJ>fiCpNSTRu~-t-19'N:~mHM!1~!I'~I!I!!I!mttwr 00 1 or 2 family dwelling D Multi-family D Commercial D Accessory , , )JOB SITE INFORMATION ANfi'tci'C~:rION:: Job Addre$s: 1028 1ST 8T CityfStatelZlP: SPRINGFIELD, OR 97477 Sulte/bldg./apt.no.: Project Name: Barrett/Dalrymple Cross Street/directions to job site: Tax map/parcel no.: 1703352213800 2 zone mini split Name: MiChael Schillina SITE CONTACT, ' Phone: 541-726-7656 Fax: 541~726.7657 Email: CONTRACTOR.. ", rHi~ P IT SHALL \9(~'!'~~olf1ili~ WORK Bus'ness NamVEijQfNli'Ei:tAmJ,j\;\!i)JCR THIS PER ~ ..- .. ," . Contaot, COMMt ,..: 1-\1\11 U Un\ Address: 3675 FRANKLIN BLVD City/StatelZlP: EUGENE, OR 97403 Phone: 5417267656 Fax: 5417267657 Email: mschilling@automatichealco.com Metro lie. no.: City lie. no.: Upon review and approval by your local jurisdiction, your permit will be e-malled or faxed within one business day, with instructlons on how 10 schedule your Inspecllon. NOTE: This Authorization To Begin Work expires within 180 days if a pennlt is nol obtained. The local building department may detennlne that an Authorlzallon To Begin Work Is null and void if it does not meet applicable land use laws and local ordinances. (!IO, 777 " ,:y ,.\,,,,, ~,,:,:: Description Qty. Ea. Total H.eatln'g'/~9~.II~'g'.A'pplian~,t:is, .';: '\0" Heat Pump 1 $17.00 $17.00 Air handling unit 1 $17.00 $17.00 ."1 First Appliance Fee I $79.00 , ,,:, Subtotal $113.00 State surcharge (12% of permit $13.56 total' Technology fee (5% of permit total) $5.65 TOTAL PERMIT FEE $132.21 'j CIO-'lfTl ~ Vllul10 ....)t. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 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). ~ ~~~ \\. ~\o I~~' \J)~~ ~ Inspections Phone: 541-726-3769 This Authorization To Begin Work must be posted at the job site until replaced by a Permit CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00777 ISSUED: 06/16/2010 APPLIED: 06/16/2010 EXPIRES: 12/16/2010 VALUE: Status Issued 225 Fiftb Street, Springfield, OR 541-726-3753 Pbone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1028 1ST ST ASSESSOR'S PARCEL NO.: 1703352213800 Springfield TYPE OF WORK: Heating System PROJECT DESCRIPTION: 2 zone mini split beating system TYPE OF USE: New Residential Owner: Address: DALRYMPLE DEBBI A 1028 1ST ST SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type Mecbanical Contractor License EUGENE HEATING INC 188592 BUILDING INFORMATION I Expiration Date Phone 541-726-7656 # of Units: # of Stories: Primary Occupancy Group: Heigbt of Structure Secondary Occupancy Group: Type of Heat: Primary Construction Type .'" "Water Type: Secondaryi~8f!lM)lifion Type: F THE ~I'~t Type: # of Bedroffi~ PERMIT SHAll EXPIRE \ \'f1?: Patb: AI UITHORIZEO UNDER THIS PERMlT , rn!kled Building: nla MBA~tBQ"I~n J:nR COMMENGI:U UK 15 .. i 'DEVELOPMENT INFORMATION I ANY 180 DAY PERIOD. REQUIRED PARKING ATTENTION: Oregonjaw requires you to Frontyard Setback: Overlay Dist: follow rules adoptedb~t~ Oregon Utility Side I Setback: # Street Trees Rqd: Notification Center. TtlM~~ set forth Side 2 Setback: Paved Drive Rqd: in OAR 952-001-001 0 ~~QAR 952.001- Rearyard Setback: % of Lot Coverage: 0090. You may obtain copies of the rules by Solar Setbacks: calling the center. (Note:.t.he tel~~hone I PUBLIC IMPROVEMENTS. Center is 1-800-332-2344). Street Improvements: Storm Sewer Available: Special Instruction: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft.Otber: Occupanl'toad:' Sidewalk Type: Dow-:,spoutslDrains: Notes: I Valuation Description ~ Description $ Per Sq Ft or multiplier Square Footage or Bid Amount Tvpe of Construction Pal!e I of2 Value Date Calculated Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: C0M2010-00777 ISSUED: 06/16/2010 APPLIED: 06/16/2010 EXPIRES: 12/16/2010 VALUE: 225 Fifth Street, Springfield, OR 54 I -726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Valne of Project ~ Fee Description + 12% State Surcharge + 5% Technology Fee 1st Appliance Air Handling Unit Up to 10,000 Heat Pump Amount Paid Date Paid Receipt Number $13.56 6/16/10 3201000000000000307 $5.65 6/16/10 3201000000000000307 $79.00 6/16/10 3201000000000000307 $17.00 6/16/10 3201000000000000307 - $17.00 6/16/10 3201000000000000307 Total Amount Paid $132.21 I Plan Reviews , 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. ~eouirerUnsnections ~ Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. By signature, I state and al!;ree, that I have carefully examined the completed application and do hereby certiJy that all information hereon is true and correct, and I further certiJy that any and all work performed shall be done in accordance with the Ordinances ofthe City of Springfield and the Laws ofthe 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, Buildinl!; Safety. I further certiJy that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required 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 Date Pal!e 2 of2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone ~j~o.~:~ WE. City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 3201000000000000307 Date: 06/16/2010 3:07:14PM Job/Journal Number COM20 1 0-00777 COM20] 0-00777 COM20 1 0-00777 COM20 1 0-00777 COM20 1 0-00777 Payments: Type of Payment ONLINE CHGS cReceiotl Item Total: Check Number Authorization Received By Batch Number Number How Received Description 1 st Appliance Heat Pump Air Handling Unit Up to 10,000 + 12% State Surcharge + 5% Technology Fee Paid By ONLINE PERMIT CHGS KR ~-_." #"4\-"" ;~,~",:'Jj-ii'i'i;)') 'i'..." i:" "" . ":~:~%~ ';'i;r.!' ", .' "'.~- "J"". - d'" ;.r; ~\~ ":i~iAJ~ :'.~ ~~~~:: , tk f' .' . '-.'i-i>." Page] of I Amount Due 79.00 17.00 17.00 13.56 5.65 $132.21 Amount Paid ONLINE EUGENE Online HEATING INC Payment Total: $132.21 $132.21 6/16/20 I 0