HomeMy WebLinkAboutPermit Mechanical 2010-7-16
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City Of Springfield
225 Fifth Sf
Springfield, OR 97477
Phone: 541-726-3753
Email: permitcenter@ci.springfield.or.us
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Residential Mechanical Authorization To Begin Work
69600-BMC-10-00191
Approval Code: 220656 7/16/2010 8:34 am
E-mailedTo:wvosburg@automaticheatco.com
Job Address: 495 WALLACE LN
City/State/ZIP: SPRINGFIELD, OR 97477
Project Name: Felton
Subtotal
State surcharge (12% of permit
tolal
Technology fee (5% of permit total)
TOTAL PERMIT FEE
$96.00
$11.52
Suite/bldg./apt.no.:
$4.80
Cross Street/directions to job site:
$112.32
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Tax map/parcel no.:
1703341106503
Name: Michael SchillinCl
Phone: 541-726-7656
Fax: 541-726-7657
Email:
CCB lie, no.: 188592
BusIness Name: EUGENE HEATING INC
Contact:
Address: 3675 FRANKLIN BLVD
City/State/ZIP: EUGENE, OR 97403
Metro lic. no.:
City lie. no.:
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Phone: 541-726-7656
Fax: 541-726-7657
Email: mschflling@automatieheateo.eom
Jpon review and approval by your local Jurisdiction, your pennit will be e.mailed or faxed
vithin one business day, with Instructions on how to schedule your Inspection.
~OTE: This Aulhorization To Begin Work expires within 180 days if a pennit is not obtained.
llIe lo<:al building department may delermine that an Authorization To Begin Work Is
foid if it does not meet applicable land use laws and local ordinances.
c.cY77 Z-o/O
7-/G.- /U
00960
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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: COM20I0-00950
ISSUED: 07/16/2010
APPLIED: 07/16/2010
EXPIRES: 01/16/2011
VALUE:
"
Status
Issued
;'
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 495 WALLACE LN
ASSESSOR'S PARCEL NO.: 1703341106503
Springfield TYPE OF WORK: Mechanical Only
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Mini-split
: "-,:,
Owner:
Address:
FELTON PiULIP J & JANET R
495 WALLACE LN
SPRINGFIELD OR 97477
Contractor Type
Mechanical
I CONTRACTOR INFORMATION ~
Contractor ..-. - ..- License
EUGENE HEATING INC, .. 188592
Bu'iLDIl~GINFORMA TlON ~
Expiration Date Phone
541-726-7656
# 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 Building:
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 ~
REQUIRED PARKING
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Comp~ct:
. "...
I PUBLIC-IMPROVEMENTS _ ,
, Sidewalk Type: , ' t
,. ATTENTION: Oregon law reqUires you .0
-'''-'-. ""."" follow rules. !?&<!",9.~PJlutJlPrains:gon Utility
'P - Notification Center. Those rules are set forth
in OAR 952-001-0010 through O~R 952-001-
Notes: NOTICE: 0090, You may obtain copies of ,he rules by
~'''~ ~~~.. "^' vn,nr: Ie I Pit I ino the center. (NcAa: the telephone
",...... . '-, ...." '" ,....- ....,.' ... . " for the ureguil Ul,llLY 1,......."'-'.....'.... 1
'\UTHORIZED UNDER THIS PEm~~dl'u~Hbn Descripti~U~"lercenter is 1-800-33~ 2344),
~OMMENCED OR IS ,tI,BANDONEt'J ~v" . - I .
_ ,~,hlY H;n [tr,y pr-qinn. $ Per Sq Ft ': Square Footage
DescnptlOn - Tvpe of ConstructIOn It- I' , B'd A
' Of mu Ip lef. :. or I mount
Street Improvements:
Storm Sewer Available:
Spedallnstruction:
Value
Date Calculated
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Status
Iss u ed
225 Fifth Street, Springfield, OR
54]-726-3753 Phone
54]-726-3676 Fax
54]-726-3769 Inspection Line
r:.itttl"'~' . ,
Total Value of' Project
Fees Paid I
.'
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
]st Appliance
Heat Pump
Amount Paid :,
$11:52';;; i
$4.80
$79.00
$]7.00
7/]6/]0
7/16/10
7/]6110
7/]6/10
Date Paid
Total Amount Paid
$1l2.32
Pll\D ~e~iews ~.
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00950
ISSUED: 07/16/2010
APPLIED: 07/16/2010
EXPIRES: 01/16/2011
VALUE:
Receipt Number
3201000000000000451
320100000000000045]
3201000000000000451
320]000000000000451
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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 InsDections I
Rough Mechanical: Prior to Cover
, ,
.. '<..
Final Mechanical: When all mechanical work'is cQmplete..
,
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By signature, 1 st~te and agree, that I have car,;foily 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.
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, a~d the approved set of plans will remain on the site at all
times during construction. . jt::',~1 ,',
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Owner or Contractors Signature
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Pa2e'20f' 2
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Date
225 Fifth Street
Springfield, Ol'egon 97477
541-726-~759 Phone
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City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
3201000000000000451
Date: 07/16/2010
JO:3J:07AM
Job/Journal Number
COM201O-00950
COM2010-00950
COM20 1 0-00950
COM2010-00950
Payments:
Type of Payment
ONLINE CHGS
cReceint 1
Description
1st 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
NJM ONLINE EUGENE Online
HTG
Payment Total:
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Amount Due
79.00
17.00
11.52
4.80
$112.32
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Amount Paid
$112.32
$112.32
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