HomeMy WebLinkAboutPermit Mechanical 2010-7-30
SPRINGFIELD .~
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City Of Springfield
225 Fifth 51
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-10-00203
Approval Code: 322679 7/30/2010 1:26 pm
E-mailedTo:wvosburg@automaticheatco.com
~1~":'~.', ~:..:,,,,... . . \TYPE;OF WORK'.' -,'- ".....~ ,,' X'T ."'
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0 New Construction IRJ Addition/allerationlreplacement
, ....., CATEGORV;OF CONSTRUCTION
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IRJ 1 or 2 family dwelling 0 Multi-family 0 Commercial 0 Accessory
! " ;' JOB'SrrE INFORMA TION~'ANDtOCA;T1(lN ':
Job Address: 176 16TH ST
City/State/ZIP: SPRINGFIELD, OR 97477
Sulte/bldg.laplno.: .. .. .
Project Name: bixby
Cross Street/directions to job site:
Tax map/parcel no.: 1703363101300
,. .',~> ' ......., ' /JOESCRjPTloN,on'iORK .,." ",
iff:
mini split
I, ,.' ',', - .. ~ -, "SITE,CONTACT " .' " ..
.
Name: Michael Schillina .. .. .....
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Phone: 541-726-7656 Fax: 541-726-7657.. ~.. .... ....
Emall:
,. .,,~ :":'. . "r" CONTRACTOR ' . ". ..
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cee lie. no,: 188592
Business Name: EUGENE HEATING INC
Contact:
Address: 3675 FRANKLIN BLVD +"---- -.------.--
CltyfState/ZIP: EUGENE, OR 97403 . ~.~.'- ......
Phone: 541-726-7656 Fax: 541-726-7657
Email: mschilling@automaticheatco.com
Metro lie. no.: City lie. no.:
Upon ruvil,lw and approval by your local jurisdiction, your permit will be o-malled or faxed
within one business day, with Instructions on how 10 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
void if il does not meet applicable land use laws and local ordinances,
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To Bogi~ Wol1l; is null and
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, . , ,- J FEE SCHEDULE . . ,
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Description I Qty. Ea. Total
H~atin9JCooling'Applia.nces . " , ,'.
Heat Pump I 1 $17.00 $17.00
Minlmuni~Fees i '""':": .'" .J"" " " " , ..' ., .~~
"
First Appliance Fee I $79,00
Mechanical Permit. Fees '.' ;1
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Subtotal $96,00
State surcharge (12% of permit $11.52
tolall
Technology fee (5% of permillotal) $4.80
TOTAL PERMIT FEE $112.32
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Inspectio"s P~one: 541.726.3769
This Authorization To Begin Work'must be posted at the job site until replaced by a Permit
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Iss u ed
',,;.,
PERMIT NO: COM20IO-OI028
ISSUED: 07/3012010
APPLIED: 07/3012010
EXPIRES: 01130/2011
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 176 ]8TH ST
ASSESSOR'S PARCEL NO.: 1703363]01300
Springfield TYPE OF WORK: Heating System
PROJECT DESCR]PTlON:
Mini-split
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TYPE OF USE:
New
Residential
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Owner: BIXBY ROBERT L & BEVERLY A P.,'
Address: 176 N 18TH ST
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION ~
Contractor Type
Mechanical
Contractor
EUGENE HEATING INC
License
188592
Expiration Date Phone
54] -726- 7656
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
BUILDING IN~ORMA;f10N I
. '#' 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:
it/a
I DEVELOPMENT INFORMATION ~
,.;,,';.i '~l, ". :!',
'"
REQUIRED PARKING
"'Ov~'r1ay"Dist:
# Street Trees Rqd:
Paved Drive Rod:
A/T{::",..,..
% of Lot CIb~erage" ION' 0
N law rUle ' regOn'l '
. of/ficat' ...! a.dODt~rJ r. 8\111 rerll Ii..
PUBLIC IMPRQ.V "'E-N1{~~I~~e;i Th;;el~~eOreg;; U~/to
Call - "ay b O'hro" L S are Set' ty
Ing th 0 taSidewalli,Ty,pe: 10rth
nUmber ~ e Center '~~~().'Jles o/<~' 952'00 t
C otfhe Ore' Downspouts/DI'ains:. b .
e 9 "t'lel -0 y
Speciallnstructi,O,n:T'CE' '.,' "/,',, n,fer is I'BOon Utility N ephone
.~u, . . 0'332'2 otll/Catio
THIS PERMIT SHALL EXPIRE IF THE WORK 344), n
AUTHORIZED UNDER THIS PERMITlS NOT
l;UIVlIVIENCED OR IS ABAI,'uui,C: run
ANY 180 DAY PERIOD, Valuation Descri
Total:
Handicapped:
Compact:
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Notes:
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
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CITY OF SPRINGFIELD
Building/Combination Permit
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Status
Issued
PERMIT NO: COM2010-01028
ISSUED: 07/30/2010
APPLIED: 07/30/2010
EXPIRES: 01/30/2011
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees Paid-l
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
I st Appliance
Heat Pump
Amount Paid
Date Paid
Receipt Number
$ 11.52
$4.80.["
$79 00""'"
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$17.0~~:, ::
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7130/10
7130/10
7130/10
7130/10
3201000000000000500
3201000000000000500
3201000000000000500
3201000000000000500
. ..,
Total Amount Paid
t.,"!
$112.32
I Plan Reviews ~
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
workday. ,. '.," ,
Reouired Insoections I
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
By signature, I state and agree, that I have carefully ~xamined the completed application and do hereby certify that all
information hereon is true and correct, and I furt~.er,.c',ert.ify t~.a~ any and ~II work performed shall be done in accordance with
the Ordinances of the City of Springfield and the ~aws 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 employe~swho a,:e in compliance with ORS 701.005 will be used 011 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, 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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Page 2 of2
225 Fifth Street
Springfield, Oregon 97477
541-726-3'(g.9 Phone
.
RECEIPT #:
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3201000000000000500'
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 07/30/2010
2:38:21 PM
Job/Journal Number
COM20 I 0-0 1 028
COM20 I 0-0 I 028
COM2010-01028
COM20 I 0-0 I 028
Payments:
Type of Payment
ONLINE CHGS
cRcceintl
Description
151 Appliance
Heat Pump
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
ONLINE PERMIT CHGS
Re_,:~!yed ~y..
Check Number
Batch Number
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Item Total:
Authorization
Number
Amount Due
79.00
17.00
11.52
4.80
$112,32
How Received
Amount Paid
eugene hlg In Person
Payment Total:
$112.32
$112,32
7130/20 I 0