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HomeMy WebLinkAboutPermit Mechanical 2007-10-12 CITY OF SPRINGFIELD - Building/Coplbination Permit i Status Issued PERMIT NO: COM2007-01543 ISSUED: 10/12/2007 APPLIED: 10/12/2007 EXPIRES: 04/12/2008 VALUE: . 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2500 CENTENNIAL BLVD ASSESSOR'S PARCEL NO.: 1703254400103 Springfield TYPE OF WORK: Heating System I I TYPE OF USE: Alteration Residential PROJECT DESCRIPTION: Install heat pump system with duct work. Owner: JAMISON JANICE L Address: 2500 CENTENNIAL BLVD SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type Mechanical Contractor CHARLES ISAAC OSGOOD License 168942 Expiration Date 03/0712008 Phone 541-988-5674 BUILDING INFORMATION I # 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 O,ther: Occupant Load: n/a I DEVELOPMENT INFORMATION I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: :Handicapped: . Compact: I PUBLIC IMPROVEMENTS' Street Improvements: Sidewalk Type: Downspouts/Drains: Stor'." Sew~Tt ffllrtldf.i: Oregon law requires you. t,o Special Inl~rdUomles adopted by the Oregon Utility Notification Center. Those rules are set forth Notes: in OAR 952-001-0010 through OAR 952-001- n.".M Vn" .m:l:l~1 nht~i'l conies of the rules by calling the center. (Note: the t l:-iSr.:~<: number for the Oregon Utility N tltafuilfion Descri Center is 1-800-332-2344 . $ Per Sq Ft or multiplier Type of Construction flurnr.11=. t. -HIS PERMIT SHALL EX, PIRE IF THE WORK IOn UTHORIZED UNDER THIS PERMIT IS NOT Square FrJt~~1.ENCED ORJ~ ABANDONJ:n J:OR or Bid A'IWilun60 DAY PEFlftjf)~ D1l't~ El11culated Description Pal!e 1 of 2 ! Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Air Handling Unit Up to 10,000 Heat Pump Minimum/Adjustment Mechanical Miscellaneous Mechanical Total Amount Paid CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01543 ISSUED: 10/12/2007 APPLIED: 10/12/2007 EXPIRES: 04/12/2008 VALUE: Total Value of Project Fees Paid I Amount Paid Date Paid Receipt Number 1200700000000001299 1200700000000001299 1200700000000001299 1200700000000001299 1200700000000001299 1200700000000001299 1200700000000001299 1200700000000001299 $20.00 $5.00 $2.50 $4.00 $9.00 $14.00 $10.00 $17.00 10/12/07 10/12/07 10112/07 10/12/07 10/12/07 10/12/07 10/12/07 10/12/07 $81.50 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 work day. ReQuired Insoections , Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. 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, and the approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature Date Pal!e 2 of 2 Mechanical Authorization To Begin Work E-mailedTo:C-Hheating@comcast.net Receipt # EC518538 10/11/20074:41:37 PM .City of Springfield Check on status of permit By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us Ea. Total o New construction [K] Addition/alteration/replacement WI or 2 family dwelling o Multi-family o Accessory Building 1 Fumace- up to 100,000 BTU I Furnace - above 100,000 BTU I Electric Furnace I Duct alterations and additions I Gas heater units/ in-wall, in- duct, suspended, etc/ 1 Vent, flue, liner for above 1 Air Conditioner 1 Heat Pump Air Handler $17.00 I I $17 00 I I 1 1 $14001 $9.001 Job no.: IJob address: 2500 CENTENN1AL BLVD I City/State/ZIP: SPRINGFIELD, OR 97477-4362 I Suitelbldg./apt.no.: I Project name: Cross street/directions to job site: 28th to centennial. Behind Jerrys. $14.00 $9.00 1 Subdivision: 1 Tax map/parcel no.: 1703254400103 I Lot no.: I Water heater I Gas fireplace/insertlstove Gas log! log lighter Gas clothes dryer Gas stovelrange Pool or spa heater, kiln I Wood/pellet stove/insert I Wood fireplace I Chimneyllinerlflue/vent w/o I Name: Charles Osgood 1 Phone: (541)988-5674 IFax: (541)747-7026 1 Email: C-Hheating@comcast.net I Range hood I Clothes dryer exhaust , Single-duct exhaust (bathrooms, toilet compartments, utility rooms) Attic/crawlspace fans I CCB lie. no.: 168942 I Business Name: CHARLES ISAAC OSGOOD 1 Contact: CHARLES OSGOOD IAddress: PO BOX 70564 I City/State/ZIP: EUGENE, OR 9740 I 1 Phone: (541 )9885674 I Fax: (54] )7477026 I Email: C-Hheating@comcast.net I Metro lie. no.: I City lie. no.: 1 upto first 4 outlets( enter Qty=l) each additional outlet 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. I I I I * City Of Springfield $10 Issuance Fee Subtotal $40.00 Minimum fee used instead of Subtotal $50.00 State Surcharge (8% of permit fee) $4,00 City Of Springfield fees * $27.50 I TOTAL PERMIT FEE $81.50 I 10% Local Admin Fee; 5% Local Technology Fee; 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 To Begin Work is null and void if it does not meet applicable land use laws and local ordinances. This Authorization To Begin Work must be posted at the job site until replaced by a Permit 225 Fifth Street Sprjngfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2007-01543 COM2007-0 1543 COM2007-01543 COM2007-01543 COM2007 -01543 COM2007-01543 COM2007-01543 COM2007-01543 Payments: Type of Payment ONLINE CHGS cReceintl RECEIPT #: 1200700000000001299 Description Miscellaneous Mechanical Heat Pump Air Handling Unit Up to 10,000 Minimum! Adjustment Mechanical ~Mechanicallssuance Fee~ + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee City of Springfield Official Receipt Development Services Department Public Works Department Date: 10/12/2007 Item Total: Check Number Authorization Received By Batch Number Number How Received Paid By ONLINE PERMIT CHGS ddk Page 1 of 1 ONLINE CHARLES Online ISAAC OSGOOD Payment Total: 8:27:59AM Amount Due 17.00 14.00 9.00 10.00 20.00 2.50 4.00 5.00 $81.50 Amount Paid $81.50 $81.50 10/12/2007