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
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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
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$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.
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* 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