HomeMy WebLinkAboutPermit Mechanical 2010-7-16
SPRINGFIELD' '
~h,~_
"'/C4'( ~
,'" ,C"
.. ,\. OREGON
City Of Springfield
225 Fifth 5t
Springfield, OR 97477
Phone: 541-726-3753
Email: permilcenler@ci.springfield.or.u5
8/0.141
Residential Mechanical Authorization To Begin Work
69600-BMC-10-00192
Approval Code: 323957 7/16/2010 8:41 am
E-mailedTo:wvosburg@automaticheatco.com
;:1.:
. ,
,,;~, .::,
If:.',. :'~ ( "" - :'J,ii>E;oF WORK', , .,,,', , "'%." ,
11. , ,
0 New Construction IRI Addition/alteration/replacement
I ,_. ,..CATEGORY OF C;ONSTRUCTION ", "-.,' ,
IRI 1 or 2 family dwelling 0 Multi-family 0 Commercial 0 Accessory
I JOB,SITE INFORMATION,AND LOCATION' ,~ ce-
.-.
Job Address: 128 HAYDEN BRIDGE WAY
CityfState/ZIP: SPRINGFIELD, OR 97477 ,
SultelbldgJapt.no.:
Project Name: Climer
Cross Street/directions to job site:
Tax map/parcel no.: 1703233300220 ' , ,
,"
Ik4~" "'~I'DESC;~ipTION '9FN\lORK ~
.'
2 zone mini splil .
. SrrE'CONT ACT. ,. ......, ~., ~ . I
<
Name: Michael SchillinQ
Phone: 541-726-7656 Fax: 541-726-7657
Emall:
i -. ',;'" .. CONTRACTOR .:., .:' "'. .
. , ,
CCB lie. no.: 188592 .- .. .. ,..;,
Business Name: EUGENE HEATiNG INC H'__" ...-.
Contact:
Address: 3675 FRANKLIN BLVD
City/State/ZIP: EUGENE, OR 97403
Phone: 541-726-7656 Fax: 541-726-7657
Emall: mschilling@automalicheatco.com -'-.
"
Metro lie. no.: City lie. no.: " '~:,i\I' \'1:'1\, ~.t.'.
':."'" _._-- ....
Upon review and approval by your local Jurisdiction, your permit will' be e.mailed or faxed
within one business day, with Instructions on how 10 schedule your inspection.
NOTE: This Aulhorization To BegIn Work expires wIthin 160 days if a permit is not obtained.
The local building department may determine that an Authorization To Begin Work Is null snd
void if it does not meet applicable land use laws and local ordinances.
Co--rvuJ 10
7-/~~ /u
q-fi
)7/'
,-
'" c'Tl ., ':" FEE SCHEDULE '7:>,"
," '; . ,c',...
Description aly, Ea, Total
He~t.!ngJCooling Applia~ces .. . .
-
Heat Pump , $17.00 $17,00
Air handling unit , $17.00 $17,00
Minimum Fees " .
First Appliance Fee $7900
Mechanical,,~ermit-Fe~s ' . ,';' ;:
Subtotal $113.00
State surcharge (12% of permit $13.56
totan
Technology fee (5% of permillotaf) $565
TOTAL PERMIT FEE $132,21
'/
t$J ~:-..\
~.
~.\O
~l#
~
!.
.'
Inspections Phone: 541-726-3769
This Authorization To Begin Work must be posted at the job site until replaced by a Permit
'...:'.
"
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM20IO-00947
ISSUED: 07/16/2010
APPLIED: 07/16/2010
EXPIRES: 01/16/2011
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 128 HAYDEN BRIDGE WAY
ASSESSOR'S PARCEL NO.: 1703233300220
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Two-zone mini-split
Owner: CLIMER KENNETH A & DAPHNE
Address: 128 HAYDEN BRIDGE WAY
SPRINGFIELD OR 97477 . . f
.
I C()NTRACTOR INFORMATION .
Contractor Type
Mechanical
Contractor
EUGENE HEATING INC
License
188592
Expiration Date Phone
541-726-7656
BUILDING INFORMA nON'
# 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 GaragelCarport
Sq Ft Other:
Occupant Load:
nla
I DEVELOPMENT INFORMATION .
REQUIRED PARKING
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Sethacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
..: ,,_~:o. of Lot .<::o~erage:
. ATTENTION: Oregon law require~ 'IOU to
,,'" '"'' I ~"'" UUfJ'~lJ uy lIle uregon UlIIlly
PUBLIC IMPROVEMIi!l'![$. .tlOn Center. Those r~les are set forth
In OAR 952-~ilieW.jk~fype:gh OAR 952-001-
0090.. You may obtain COpiG~ of the rules by
calling thE.D-"Jr.~~p'o~~~[I?J!,!,~t: lelephon'e
number for the Oregon Utility Notification
Center is 1-800-332-2344).
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer Available:
Special Instruction: '
Notes:
ti ;d'.:lli. i...'..
Description
MI'\Ti"E' 11.'1,." (j'~:::', i,
," ...
THIS PERMIT SHALL EXPIRE '.~' "-,, ...
\UTHORIZED UNDER THIS FFN" fioiillescri
"OMMENCED OR IS ABANDON~D FOR
Au Ny'f.jvpe of,Consmuction $: er S.q ~t Square Footage
'vv un. I L..I\............. or multiplIer or Bid Amount
Value
Date Calculated
Paee I of2
:'~l,
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00947
ISSUED: 07/16/2010
APPLIED: 0711 6/20] 0
EXPIRES: 01/16/2011
VALUE:
;: ..i.
Status
Issued
225 Fifth Street, Springfield, OR
54]-726-3753 Phone
54]-726-3676 Fax
54]-726-3769 Inspection Line
".,.r ".
~,i;ot~ry~iue of Project
. . ~,:. r ~ >,J ." '.'
I :,F'~es P~id_
-,'t-
Fee Description
+ ]2% State Surcharge
+ 5% Technology Fee
Ist Appliance
Air Handling Unit Up to ]0,000
Heat Pump
Amount Paid
Date Paid
Receipt Number
$ 13.56
$5.65
$79.00
$17.00
$17.00
7/]6/]0
7/]6/]0
7/]6/]0
,7/16/10
:'7/]6/10
320]000000000000449
3201000000000000449
320]000000000000449
3201000000000000449
3201000000000000449
Total Amount Paid
$132.21 '
,t : ,I' .
f I _'",
'I:'pi~n Revie~s I
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.
:,. v! . :;,~ l}-_.. . .
;.J" :!~,.:i_liJn' f _l,:.
Re uj'ved. Ins ectio
t:~MJ
: ~J,""
, .
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
By signature, 1 state and agree, that] have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and I further certify that any aJ.1d 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.
1 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 req~~s(e'~ at the proper time, that each address is readable from the
street, that the permit card is located at the front;ofith:e prop'erry; arid the approved set of plans will remain on the site at all
I ,"'"
times during construction. 'J i' I
;1
Owner or Contractors Signature
Date
R-iJ: ,j ,
."l:J~, ;L:::.~Vl:: _
. ~~~~ (;\~~:,~~::.:;
1 ~ oJ':; I
'!.~~"i(:
J';I
Page 2 of2
225 Fifth Street
,
Springfield, Oregon 97477
541-726-3759 Phone
G,~...~':'l!'~.~ii" ~'.."-'-'-..-.'..'.;.'
W1c'
. . .
i ..,
HIi
.-+u......... '....,.-.~.,.. ".",_.' .."
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
3201000000000000449
Date: 07/16/2010
]0:]3:26AM
Job/Journal Number
COM20 I 0-00947
COM20 1 0-00947
COM2010-00947
COM2010-00947
COM20 I 0-00947
Description
Heat Pump
Air Handling Unit Up to ] 0,000
] st Appliance
+ ] 2% State Surcharge
+ 5% Technology Fee
-1':,. '
'".
Item Total:
Amount Due
17.00
17.00
79.00
13.56
5.65
$]32.2]
Payments:
Type of Payment
ONLINE CHGS
cRcceil1tl
Paid By
ONLINE PERMIT CHGS
Check Number Authorization
Received By Batch Number .. Number How Received
NJM
:',::)11
....}.i'
'~ Jr;v:(~~'''~.f
.",,;.; ,~ ,..
. 'J'"
~. ....{'i",. '"
,-,t..;, ;"
, -;),/\:: ,:
Page] of I
. ,,",l~,
, :_~: ~&!
I ~"'i.:~~
.. .~ '~~:'"
.j, J..
, ~t ), ,~"...
, 'it"""
Amount P:lid
ONLINE EUGENE In Person
HTG
Payment Total:
$132.21
$132.21
".~.
7116/20 I 0