HomeMy WebLinkAboutPermit Mechanical 2010-6-22
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''',: Residential Mechanical Authorization To Begin Work
69600-BMC-10-00143
Approval Code: 104025 6/22/2010 8:03 am
E.mailed To: wvosburg@automaticheatco,com
City Of Springfield
225 Fifth 5t
Springfield, OR 97477
Phone: 541.726-3753
Email: permitcenter@ci.springfield.or.us
D New Construction
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[2$] 1 or 2 family dwelling 0 Multi-family 0 Commercial
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.JOB SITE:iNFORMATlON AND LOCATION~.:::
Heating/Cooling~ppli~nces~'~' .."'
Heat Pump
Air handling unit
Mihim!-lrn F:ees:': ;.;
First Appliance Fee
Mechanical perJllit'f:_ee~.
Subtotal
State surcharge (12% of permit
total
Technology fee (5% of permit total)
TOTAL PERMIT FEE
$17.00
Job Address: 550 17TH ST
$79.00
City/State/ZIP: SPRINGFIELD, OR 97477
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Project Name: Wiechmann
$113.00
$13.56
Suite/bldg.lapt.no.:
Cross Street/directions to job site:
$5.65
$132.21
Tax mapfparcel no.:
1703362406000
"D~SCRfpT(1:5~Off,;WORK~~.:: :;;7::l
2 zone mini split
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Name: Michael SchillinCl
Phone: 541-726-7656
Fax: 541-726-7657
Email:
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,CONTRACTOR' ",;~,;"
CCB 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@aufomaticheatco.com
Metro lie. no.:
City lie. no.:
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Upon review and approval by your local jurisdiction, your pennlt will be a.malled or faxed
within one business day, with instructions on how to schedule your inspection.
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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 nuff and
void if it does not meet applicable land use laws and local ordinances.
Inspections Phone: 541-726-3769
This Authorization To Begin Work must be posted at the job site until replaced by a Permit
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00800
ISSUED: 06/22/2010
APPLIED: 06/22/2010
EXPIRES: 12/22/2010
VALUE:
Status
Iss u ed
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 550 17TH ST
ASSESSOR'S PARCEL NO.: 1703362406000
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Two-zone mini-split
Owner: WIECHMANN FREDERICK K & J A
Address: 550 N 17TH ST
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
Mechanical
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Expiration Date Phone
541-726-7656
Contractor ,,"" ;',;.;J License
EUGENE HEATING INC' ,.; , 188592
BuiLDING INFORMATION I
# 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:
Sprinkled B,uilding: '
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT'INFORMATION I
Frontyard Setback:
Side I 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:
Storm Sewer Available:
Special Instruction:
I PUBLIC IMPROVEMENTS.
':! ' ATTiti'(Ij;WoIIk lDyp~on law requires.youto
.' . follo"i>~~les adQP.l.e,d.~y the Oregon Utility
"7Ft . ,_0 ," Notifica'fib~seg\\\'IW"tW&ie rules are set forth
In OAR 952-001-0010 through OAR 952-001-
0090. You may obtain copies of the rules by
Clilling the center. (Note: the telephone
aon Ulilit Notification
Center is 1-800-332-23
Notes:
I~OTlCE: l.llll:lllllt-ion Description I
THIS PERMIT SHALL EXPIRE IP ..--- iii
, . !\UTHODI71'n 11NOFR THIS PERW1)~~T Squire Footage
DescnptlOn Tvpe'ofConstruCtio'l'DO".-n r(.\,\1:I, B'd A t
COMMENCED OR I~ AtlJ.\h I'onrnmtlp ,er ,or, moun
ANY 180 DAY PERIOD, ....... ,
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Value
Date Calculated
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Pa2e I of2
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225 Fifth Street, Springfield, OR
54].726.3753 Phone
54].726.3676 Fax
54].726.3769 Inspection Line
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00800
ISSUED: 06/22/2010
APPLIED: 06/22/2010
EXPIRES: 12/22/2010
VALUE:
Status
Issued
~:.t:,:I' ':t
';r.
Total Value of Project
Fees Paid i
Fee Description
+ ]2% State Surcharge
+ 5% Technology Fee
]st Appliance
Air Handling Unit Up to 10,000
Heat Pump
Amount Paid
t'
Date Paid
"
Receipt Number
$]3.56
$5.65,\ ,
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$79.00 '
$]7.00
$]7.0'0
6/22/]0
6/22/10
".
6/22/10
6/22/10
6/22/]0
320]000000000000324
320]000000000000324
320]000000000000324
320]000000000000324
320]000000000000324
Total Amount Paid
$132.2]
I Plan Reviews ~
\
To Request an inspection call the 24 hour ~~'&;rdi~'g 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.
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,
l"...Reouired InsDections ~
Rough Mechanical: Prior to Cover
Final Mecbanical: Wheu all mechanical work is complete.
By signature, I state and agree, that I have carefu,/,Iy'-examioed the 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 withont permission of the Community Services Division, Building Safety.
I further certify 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.
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Owner or Contractors Signature
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Date
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Page 2 of2
225 Fifth Street
Springfield, 'Oregon 97477
541-726-3759 Phone
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City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
3201000000000000324
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Date: 06/22/2010
8:32:25AM
Job/Journal Number
COM20 I 0-00800
COM2010-00800
COM20 1 0-00800
COM20 I 0-00800
COM20 I 0-00800
Payments:
Type of Payment
ONLINE CHGS
cRcccintl
Description
Heat Pump '..'.
Air Handling Unit Up to 10,000
I st Appliance
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
ONLINE PERMIT CHGS
Received By
NJM
Check Number
Batch Number
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Item Total:
Authorization
Number How Received
Amount Due
17.00
17.00
79.00
13.56
5,65
$132.21
Amount Paid
$132.21
ONLINE EUGENE Online
HTG
Payment Total:
$132.21
6/22/20 I 0