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
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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).
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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
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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