The URL can be used to link to this page

Home My WebLink AboutPermit Mechanical 2010-7-30 City Of Springfield 225 Fifth 51 Springfield, OR 97477 Phone: S41v726-3753 Email: permitcenler@ci.springfield.oLus (!JO-/Qzq Residential Mechanical Authorization To Begin Work 69600-BMC-10-00204 Approval Code: 324631 713012010 1:29 pm E.mailed To: wvosburg@automaticheatco.com ';;::~1FEE!l<;HEDU:LE o New Construction I&J Addilion/allerati.on/replacement '.~" ';'F'".CAT~(30RY10F,;,<::9NllTRUCtlq~v~""~,;,f~~ [Z] 1 or 2 family dwelling 0 Multi-family 0 Commercial 0 Accessory C" 'J," ',:lJOB'SrrEINFORMA TION.ANDjLOCAiI6N'':'~~, . Job Address: 1628 MENLO lOOP City/State/ZIP: SPRINGFIELD, OR 97477 Suite/bldg./apt.no.: Project Name: alban Cross Street/directions to job site: ;,;,.,.f. Tax map/parcel no.: 1703273301400 Name: Michael SchillinQ Phone: 541-726-7656 'I::!,\:..,. Fax; 541-726-765L "... Email: [" : ~",," '-");~~\f~~,it, 'f'GONTRj:cro,R;.,.;'. CCB lic. no.: 188592 Business Name: EUGENE HEATING INC Contact: Address: 3675 FRANKLIN BLVD CityfState/ZIP: EUGENE, OR 97403 Phone: 541-726-7656 Fax: 541-726-7657 '. Email: mschilling@automaticheatco.com Metro lie. no.: City lie. no.: - ""-,' '~:\," '''l I --.<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 to schedule your inspection. NOTE: This Authorizalion to Begin Work expires within 180 days if a permit Is not obtained. The local building department may determine that an Authorization To Begl~. Work. Is, n~!I...}m~. void if it does not meet applicable land use laws and local ordinances. Cnnw/o - OI03.<1l /lm 7-30- -vO Description .}': Heatiitg;Cooling~~pp~j~:h~9S'":C';,,~;' Heat Pump Air handling unit Minjmum Fees" First Applianc~ Fee ~echahicaIPerr,nifFees; ~:"{~::;g'\ Subtotal State surcharge (12% of permit total Technology fee (5% of permit total) TOTAL PERMIT FEE $113.00 $13.56 $5.65 $132.21 ..~~ W~. ~ .~.'b' ,Q 'J:f:<(t-" ~ Inspections Phone: 541-726-3769 This Authorization To Begin Work;must be'posted.~t the job site:until replaced by a Permit .".:,. ,. ,i' Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-01029 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 ",,:' ," ~ "~1r' SITE ADDRESS: 1628 Menlo Lp ...."- ,,".. "Springfield TYPE OF WORK: Heating System ASSESSOR'S PARCEL NO.: 1703273301400 TYPE OF USE: New Residential PROJECT DESCRIPTION:" Two zone mini split Owner: ALBAN ROBERT F & ALICE M Address: 1628 MENLO LP SPRINGFIELD OR 97477 Contractor Type Mechanical I CONTRACTORiNFORMA TION I Contractor License EUGENE HEATING INC 188592 BUILDING INFORMA nON I 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: "Rangnype: . ",' .. .. ,:Energy Pii"ih,' ..~prinkled '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 I Front yard Sethack: Side I Sethack: Side 2 Sethack: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: Street Improvements: I PUBLIC IMPROVEMENTS I , .. ATTENTI<5l4:elilallgrny~1'V requires you to follow rul~ a~_qQted Q.y tl1e ?regon Utility Notification ~~~Wf?~I"M'il'/lI!es are set forth In OAR 952..001..001 0 through OAR 952..001.. 0090. You may obtain copies of the rules by calling the center. (Note: the telephone THIS PERMIT S lIPIR!', .. aon Utilitv Notification AUTHOR/ZED UNDER THI~ ~~~~W~~ .. ~ Center is 1-800-332-2344), COMMENCED OR IS ABAN"'" ,a n Uescnphon , .. . '.:, .... ANY 1 ", . .. 80 DAY PER/9D. $ Per'Sq'Ft, , "it,: , Square Footage Type of ConstructIOn If' I' . B'd A or mu Ip ler or I mount NOTICE: Storm Sewer Available: Special Instruction: Notes: Description Value Date Calculated Paee I of2 Status Issued ",'f. '" -J; , ~. "~'Y.'~i : CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-01029 ISSUED: 07/30/2010 APPLIED: 07/30/2010 EXPIRES: 01/30/2011 VALUE: ,',,0(" ;;.. 1~.", i,,~"i'~ : 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line :Total Value of Project . .~,~~.!,!,. \ .;;,:!, . 't:Yee~PailI ~ '.',0 ' i'..;.-,.;t"';" , c', Fee Description + 12% State Surcharge + 5% Technology Fee 1 st Appliance Air Handling Unit Up to 10,000 Heat Pump ('k':'- Amount Paili" ' Date Paid Receipt Number $13.56 $5.65 $79.00 $17.00 $17.00 7130/10 7130/10 713011 0 713011 0 7130/10 3201000000000000499 3201000000000000499 3201000000000000499 3201000000000000499 3201000000000000499 Total Amount Paid $132.21 ,1.~lanR~;i~#S' r 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. "':", Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. LReo'UjredmisiJections ~ ,~~if~'f:: ,;;;.W/ " By signature, I state and agree, that I 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. 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;aild'the approved set of plans will remain on the site at all times during construction. ,i: )}'::'.' '.',:; '".~",~O~'" .'. "~-,. I ,_ :;., Owner or Contractors Signature Date ., _dO ",...~ wO ,:;}~;i~{~{;:lt:. ""j.;- " 1.kh:; 'Page 2 01'2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone ,!p..". A:...~..lIl.A.._.".;..... . .........'. ~... . ." '.' '.:- '. ; ," " M~ . ..".."." H,_MoM,.. ".".~. ( City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: " 3201000000000000499 Date: 07/30/2010 2:30:54PM Job/Journal Number COM2010-01029 COM2010-01029 COM2010-01029 COM2010-01029 COM201O-01029 Payments: Type of Payment ONLINE CHGS " cRcceintl Description 1 st Appliance Heat Pump Air Handling Unit Up to 10,000 + 12% State Surcharge ~. + 5% Technology Fee Paid By ONLINE PERMIT CHGS ^"~F:I.. . . .', ~]\ I~,."~,, 'Check Number Received By Batch Number NJM " ~ '; 4 1.~rf'~"!' '.t~.I~,i.t ., .~, ~f, " ,1,";" .---......,'.. J' .'! '~' ';. > ' . . '. . ~::"1 ." . ~" ; " {i,;';(, '~". .:",' . ,r ',J, /,'" "''':~''' Page I of I Item Total: Authorization Number How Received Amount Due 79.00 17.00 17.00 13,56 5.65 $132.21 Amount Paid $132.21 ONLINE EUGENE Online HTG Payment Total: $132.21 7/3012010