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HomeMy WebLinkAboutPermit Mechanical 2010-6-24 C/{). &zo '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 ":".:'J.P' FE'E:SCHEDU:LEp 4 D New Construction IX] Addition/alteration/replacement Description q~~'fue(P.rPlng''r.-'' "ft" 00 1 or 2 family dwelling o Accessory .,:'.'. .,~,..' .~I . ' -- '~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 ,.'h.'~ Furnace - up to 100,000 BTU. !v1inimuf11:Fee's' CltyIState/ZIP:'SPRINGFIELD, OR 97477 ':,:,\~ "- 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) - j:/ Project Name: Reed $103,00 $1236 Cross Street/directions to job site: Tax map/parcel no.: 1702194207300 TOTAL PERMIT FEE $515 $120.S1 ",li:'.. gas furnace ";'~ ~.~ . , . "\"~ Fax: 541-726-7657 ceB lie. no.: 188592 .~:t?L1;'; .1, . , ., Business Name: EUGENE HEATING INC ," Contact: Address: 3675 FRANKLIN BLVD Metro lie. no.: City lie. no.: / '\..,~ ~~ <;j ~/ ~.\o ~:V ~ ~<R. ~ 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. /" ( . ()/Yl!2-o / C! r- (//OJ.-f'- / (;; 0062-0 /7/1.-, /,"'. /. :,:t,,,;, \~~}:fI:~ ,. .,....,.:-.:. i't;, Inspections Phone: 541-726,3769 This Authorization To Begin Work must be posted at the job site until replaced by a Permit 1IIrt;~~~g~~, I . , .... ," ..-~.. 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line ,/<,~, l~Yf:~ ,;/r I Y>. ~ :,l! I 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 H";' " 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 '," '. .:"....,'....,.' 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line , Total Value of Project - .........._. ".~, '_..>C_., '." . ......,. ",_ no"'. J.,;;Fees Paid j ''-''i' , 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 : I:, p'I~n Re~i~;;s ~ 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. . ~':{..:Ii ..I.d I " Reoliiredi'lns'oections I f~t'w ",1'.~'\' :;1~:~: '~"':"''';:ifl';' Rough Mechanical: Prior to Cover ~ .'-, 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 ',,'I,i h. ",j, .. ::;,~'~I~fF ':~~f~~'~"~7i~'; . ~...~ ''''-"'''~~\o{>'')'' , .:.tru:: :',:t... l:'t.'f!::~' ;~ 'A~ ~ '" .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 J ,., Paid By ONLINE PERMIT CHGS njm ;;;x:r ". "'INi:'? ,..,:.',~~~:~, r,'. : ," .. "~'),,:' '\i'.l /,':.I>HI' . "~.~:1;.~ , , . ";,,,,;,.,'/ ":r~",'.' Amount Due 79.00 17.00 7.00 12.36 5.15 $120.51 Amount Paid :~~:~1 " /1, ....';<1... ,,' ., ONLINE eugene gth Online Payment Total: $120.51 $120.51 '" r'l' ., - ""f ,.,.;,;~ ,..; ';',,, 1.:. '1,';_, ~ '<:"'1' 'r l' Page 1 of 1'. , '1-/" 6/24/2010