HomeMy WebLinkAboutPermit Mechanical 2010-6-24
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City Of Springfield
225 Fifth SI.
Springfield, OR 97477
Phone: 541-726-3753
Email: permitcenter@ci.springfreld.or.us
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.Residential Mechanical Authorization To Begin Work
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69600-BMC-10-00148
Approval Code: 316902 6/24/2010 12:48 pm
E-mailedTo:wvosburg@automaticheatco.com
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o Multi-family 0 Commercial
o Accessory.
1 or 2 family dwelling
'JOB)3fTE INFORMA Tf0N AND. Loc:(TibN~
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JobAddress:810 61STST
CityfStatefZIP: SPRINGFIELD, OR 97478
Suite/bldg./apt.no.:
Project Name: Robert
Cross Street/directions to job site:
Tax map/parcel no,: 1702342100503 ,:, k::';' : '_~I . ;1i '
.~;:_::DESCRip:'rION'6F}jij6RKZ-~,,),;:~ ~;'"'~;_-.f.'.
heat pump
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Name: Michael SchillinCl
Phone: 541.726-7656
Fax: 541-726-7657
Email:
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CCB Iic. no.: 188592
Business Name: EUGENE HEATING INC
Contact:
Address: 3675 FRANKLIN BLVD
City/StatefZIP: EUGENE, OR 97403
Phone: 5417267656
Fax: 5417267657
Email: mschHling@automaticheatco.com
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Metro Iic. no.:
City Iic. no.:
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Ii,;,'" a-mailed or falled
Upon review and approval by your local jurisdiction, your pennlt will
within one business day, with instructions on how to schedule your Inspection.
NOTE: This Authorization To Begin Work ellpires 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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Description
Heat Pump
Mlninl'umiFees 1
First Appliance Fee
!VIec~anical. P9rm~i'r:ees~
Subtotal
State surcharge (12% of permit
total
Technology fee (5% of permit total)
$17.00
,f"
*
$96.00
$11.52
$460
TOTAL PERMIT FEE
$112.32
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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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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM20IO-00819
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
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SITE ADDRESS: 810 61ST ST
ASSESSOR'S PARCEL NO.: 1702342100503
Springfield TYPE OF WORK: Mechanical Only
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Heat pump
Owner:
Address:
GMAC MORTGAGE LLC
810 61ST ST
SPRINGFIELD OR 97478
I C0N'fRACTORINFORMATION I
Contractor Type
Mechanical
Contractor
EUGENE HEATING INC
License
188592
Expiration Date Phone
541-726-7656
BUILDING INFORMATION ~
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of. H~at:
Water Type:
,;~iiiige Type:
"'Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
nla
I DEVELOPMENT INFORMATION .
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:
IUn"'f"'~
Street ImprovemeJ'.E'i
Hjl" ~rD"JT .
Stor~ Sewn,~~,~I~l)le. SHALL EXPIRE IF THE WORK
SpCClal In~ructlOn: IZED UNDER THIS PERMIT IS NOT
uOMMENCED OR IS ABANDONED FOR
Notes: J\NY j 80 DAY PERIOD.
ATTENT/ON' Ore
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I PUBLIC IMPROVEMENt~ification Cent:r.' Th~~ rne/o1egori Utility
-"'AR 952-001-00.1 n, e ru as 81 a sat forth
0090. Ycfu<ffi1l'~lgb1ype~rough 01\.2952-001_
cal/ingD'oWliSPout~~;~~~~~ of (~" fvle, 0Y
number for th 0 \' ....,., (he tel.':;J)t-. D ";
e rego/' [ltl!:I', ;,j._,.' ..
Center IS 1-800_0'? d. '. J, '" t,.;n
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Description
Type of Constructiou
I valu~i.i,o~~~~,~riPtion ~
$ Pe,' SrFt Square Footage
or multiplier or Bid Amount
Value
Date Calculated
Paee 1 of2
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: COM20]0-008]9
ISSUED: 06/24120]0
APPLIED: 06124/20]0
EXPIRES: 12124120]0
VALUE:
Status
Issued
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. Total Value of Project
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Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Heat Pump
Amount Paid~1 ;
Date Paid
$11.52
$4.80
$79.00
$17.00
6/24/10
6/24/10
6/24/10
6/24/10
Receipt Number
3201000000000000332
3201000000000000332
3201000000000000332
3201000000000000332
Total Amount Paid
$112.32
I Plan Revig~s_ ~.,
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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.
ReQuired InsDect~
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Rough Mechanical: Prior to Cover ,.{r~~>f :t"~~;J:'.1
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Final Mechanical: When all mechanical wor~A complete.
By signature, 1 state and agree, that 1 have carefully examined 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 without 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.
] 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
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times durmg constructIOn. ,:t:""'" '" .
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Owner or Contractors Signature
Date
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,::'C\Paee 2 of 2
225 Fifth Street
Springfield, Qregon 97477
541-726-3759 Phone
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City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
3201000000000000332
Date: 06/24/2010
2:16:4IPM
Job/Journal Number
COM20 10-00819
COM20 I 0-00819
COM20 I 0-00819
COM20 1 0-00819
Payments:
Type of Payment
ONLINE CHGS
cReceiotl
Description
15t Appliance
Heat Pump
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
A mount Due
79.00
17.00
11.52
4.80
$112.32
Amount Paid
njm
eugene Online
heating
Payment Total:
$112.32
ONLINE
$112.32
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