HomeMy WebLinkAboutPermit Mechanical 2010-6-24
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'Residential Mechanical Authorization To Begin Work
69600-BMC-10-00149
Approval Code: 224395 6/24/2010 1:08 pm
E-mailedTo:wvosburg@automaticheatco.com
City Of Springfield
225 Fifth 5t.
Springfield, OR 97477
Phone: 541-726-3753
Email: permitcenter@ci.springfield.or.us
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4
D New Construction
IX] Addition/alteration/replacement
Description
q~~'fue(P.rPlng''r.-'' "ft"
00 1 or 2 family dwelling
o Accessory
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-- '~OBjSITE INFOR'MA:rioNAND LOCJl.f(Ofli~":":~f;;"~~'~" J Heating/Cooling
o Multi-family
o Commercial
Gas Piping - first four
Job Address: 3584 YOLANDA AVE
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Furnace - up to 100,000 BTU.
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CltyIState/ZIP:'SPRINGFIELD, OR 97477
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Suite/bldg./apt.no. :
First Appliance Fee
~echarHca'I:Permit,'Fe_es-'
Subtotal
State surcharge (12% of permit
total
Technology fee (5% of permit total)
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Project Name: Reed
$103,00
$1236
Cross Street/directions to job site:
Tax map/parcel no.:
1702194207300
TOTAL PERMIT FEE
$515
$120.S1
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gas furnace
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Fax: 541-726-7657
ceB lie. no.: 188592
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Business Name: EUGENE HEATING INC
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Contact:
Address: 3675 FRANKLIN BLVD
Metro lie. no.:
City lie. no.:
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City/State/ZIP: EUGENE, OR 97403
Phone: 5417267656
Fax: 5417267657
Email: mschilling@automaticheatco.com
Upon review and approval by your local Jurisdiction, your permit will be e-mailed or faxed
within o~e 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 null and
void if it does not meet applicable land use laws and local ordinances.
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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
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225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM201O-00820
ISSUED: 06/24/2010
APPLIED: 06/24/2010
EXPIRES: 12/24/2010
VALUE:
Status
Issued
SITE ADDRESS: 3584 YOLANDA AVE
ASSESSOR'S PARCEL NO.: 1702194207300
Springfield TYPE OF WORK: Use Initials
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Gas Furnace
Owner:
Address:
REED JULIE
3584 YOLANDA AVE
SPRINGFIELD OR 97477
I,CON'fRACTOR-INFORMA TION .
Contractor Type
Mechanical
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 Construction Type:
# of Bedrooms:
# of Stories:
t1~ight of Structure
,Type ofiH,eat:
Water Type:
-Riinge TYpe:'
'Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1 st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION ~
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
.a-,........ .
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS ~
OTICE' Sidewalk Type: WORK
N' Cy.D'RF.lF THE
Storm seJl:"'f~i~~i,I.3~Je'Oregon law requires you to THIS PERMIT QQWspouwDr'ffiiv\\T IS NOT
Special IMilmSYBI'Js adopted by the Oregon Utility AUTHORIZED UNDIESRATSHAISNDPONED FOR
Notification Center. Those rules are sef forth NCED OR
Notes: in OAR 952-001-0010 throuGh OAR 952-001: COMME DAY PERIOD.
Q J mav obtam COplGS 01 the rules by"'! ANY 180
calling the center. (Note:. me telE':"~~'~~:':;':. "'::. .:'"
number for the Oregon Utility Not f1W'lillitiiJri Descri
Center is 1-800-332-2344). "...
$ Per sq lit
or multiplier
Street Improvements:
Description
Type of Construction
Square Footage
or Bid Amount
Value
Date Calculated
Paee 1 of 2
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00820
ISSUED: 06/24/2010
APPLIED: 06/24/2010
EXPIRES: 12/24/2010
VALUE:
Status
Issued
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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
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J.,;;Fees Paid j
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Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliauce
Furnace - up to 100,000 htu
Gas Outlets 1-4
Amount Paid Date Paid Receipt Numher
$12.36 6/24/10 3201000000000000333
$5.15 6/24/10 3201000000000000333
$79.00 6/24/10 3201000000000000333
$17.00 6/24/10 3201000000000000333
$7.00 6/24/10 3201000000000000333
Total Amount Paid
$120.51
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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.
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Reoliiredi'lns'oections I
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Rough Mechanical: Prior to Cover
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Final Mechanical: When all mechanical work is complete.
Final Gas: When all gas work is complete.
By signature, I state and agree, that I have carefully examined the completed application and do herehy 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 Law~ of the 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, Building Safety.
I further certify that only coutractors and employees who are i1ic~mpliance with ORS 701.005 will be used on this project.
I further agree to ensure that all required inspectio~'s,are chi"e,!e,' at the proper time, that each address is readable from the
street, that the permit card is located at the frontiiii'the: property; and the approved set of plans will remain on the site at all
times during construction.
Owner or Contractors Signature
Date
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.j',: Paee 2 of 2
225 Fifth Street
Springfield, Oregon 97477
541-726.3759 p'hone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
3201000000000000333'
Date: 06/24/2010
2:50:28PM
Job/Journal Number
COM20 I 0-00820
COM20 I 0-00820
COM20 I 0-00820
COM2010-00820
COM20 I 0-00820
Payments:
Type of-Payment
ONLINE CHGS
cReceintl
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Description
1st Appliance
Furnace - up to 100,000 btu
Gas Outlets 1-4
+ 12% State Surcharge
+ 5% Technology Fee
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Paid By
ONLINE PERMIT CHGS
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Amount Due
79.00
17.00
7.00
12.36
5.15
$120.51
Amount Paid
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ONLINE eugene gth Online
Payment Total:
$120.51
$120.51
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