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HomeMy WebLinkAboutPermit Mechanical 2008-3-24 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-00392 ISSUED: 03/24/2008 APPLIED: 03/24/2008 EXPIRES: 09/24/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 390 BLACKSTONE ST ASSESSOR'S PARCEL NO.: 1703233407700 Springfield TYPE OF WORK: Mechanical Only TYPE OF USE: New Residential PROJECT DESCRIPTION: Replace gas furnace Owner: HARTMAN JACK Address: 390 BLACKSTONE CT SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION' Contractor Type Mechanical Contractor CHITTIM ENTERPRISES IINC License 47396 Expiration Date 03/0812009 Phone 541-461-2101 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 Other: Occupant Load: n/a I DEVELOPMENT INFORMATION. REQUIRED PARKING Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: I PUBLIC IMPROV.!~: Oregon law requires Y~~i~~Y . - d ntepJ:>y. the Oregon follow rules a Orsl~~ fllies:are set forth Notification Center, hL'lAB 952-001- . OAR 952-001-0D1AV\WptllitsYl1f,IU?Nules by In btain copies 0 In 0090. You may 0 (Note: the telephone calling the center. Utility Notification Notes: NOTICE: number for the, oregon_332_2344). T~ll p~o~nIT ~I-l~ll I='l(P1RI= IF THE WORK. Center IS 1-800 AUTHORIZED UNDER THIS PEK\VliT i5 !~yi .. I COMMENCED OR IS ABANDONl!:rVralWltlOn DescrIptIOn Descriptio~~N 18~PJ~rlfJRPuction $ perl~ql~t Square Footage or mu tIp ler or Bid Amount Street Improvements: Storm Sewer Available: Special Instruction: Value Date Calculated Pal!:e 1 of2 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-00392 ISSUED: 03/24/2008 APPLIED: 03/24/2008 EXPIRES: 09/24/2008 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 I Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee Furnace - up to 100,000 btu Gas Outlets 1-4 Minimum/Adjustment Mechanical Amount Paid Date Paid Receipt Number $20.00 $5.00 $6.00 $2.50 $14.00 $5.00 $31.00 3/24/08 3/24/08 3/24/08 3/24/08 3/24/08 3/24/08 3/24/08 3200800000000000185 3200800000000000185 3200800000000000185 3200800000000000185 3200800000000000185 3200800000000000185 3200800000000000185 Total Amount Paid $83.50 I Plan Reviews 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. Reouired Insnections I 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 of2 "FEE SCHEDULE " DeSCription Qty. " II "" '>ill <'''I !Ieating/c?oJing appllan'ces': ,. Furnace- up to 100,000 BTU Furnace - above 100,000 BTU Electric Furnace Duct alterations and additIons Gas heater umts/ In-wall, In- duct, suspended, etc/ Vent, flue, lIner for above Air ConditIOner Heat Pump AIr Handler Other fuel biJtn.iDgrapp,'I,~~ces , Water heater Gas fireplace/InsertJstove Gas log! log lIghter Gas clothes dryer Gas stove/range Pool or spa heater, kiln Wood/pellet stove/Insert Wood fireplace I Chlmney/IIner/flue/vent w/o applIance I Environmental'exhaustAND'ventilation ',' ,.,:r,"" ., " I Range hood I Clothes dryer exhaust SIngle-duct exhaust (bathrooms, toilet compartments, utilIty rooms) I AttIc/crawlspace fans I'FuelpipiW'. I upto first 4 outlets(enter Qty=l) $500 $500 I I each additIOnal outlet I I I . . : MECHANICAL PERMIT FEES I II Subtotal I $1900 I I I MInimum fee used Instead of Subtotal $5000 I I State Surcharge (12% of penn It fee) I $600 I City Of SprIngfield fees *1 $27 50 I I TOTAL PERMIT FEE I $83 50 I * City Of SprIngfield 10% Local AdmIn Fee, 5% Local Technology Fee, $10 Issuance Fee City of Springfield Mechanical Authorization To Begin Work E-mailedTo:bethany@jamesheating.com Check on status of permIt By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us il, /11 ( TYPE OF WORK'': 'j D New constructIOn W AddltlOn/alteratlOnlreplacement I ' CATEGORY OF CONSTRdcrI9~ i:r ,:;d [i] 1 or 2 family dwellIng D Multi-family D Accessory BuildIng '1'< II' k',I<II, \ , I " I "'#4 II ~ d ,,~ . " : +'':1'" ',I fd"';'~91:M~!rE,I~,F..oRM~TION AND LOCATION:~;,:,y;,: ,.', I Job no. 23670 I Job address' 390 BLACKSTONE ST IClty/State/ZIP SPRINGFIELD, OR 97477-1415 I SUlte/bIdg /apt no ' I Project name Hartman Cross street/directIOns to Job site' I SubdiVISion. I Tax map/parcel no I 'AI replace gas furnace I Lot no 1703233407700 DESCRIPTIONOF,WORK" , I I 'I t ~ <;" ~/T5j+h:~h+,?,br*0 +t~I+>:C4~l0ti;i;b"/ > 'I: SITE (CONTACT ,~ " 'I"" 1 i'"IA,~t,;) I[ ) ',I, If /! I' I Ij I #'\ I Name: James HeatIng IPhone (541)461-2101 I EmaJl. I, I Fax , +~/'III CONT'R-.A'CTC)'R'f+f,t"'r"Vl,),tk ~ - _h ~, 1'1 , I" '" iilH\, ~ '"Iiid ", I CCB he no' 47396 I Busmess Name CHITTIM ENTERPRISES I INC I Contact Bethany RIgel I Address' 115 LAWRENCE ST IClty/State/ZIP EUGENE, OR 974012221 IPhone (541)4612101 IFax. (541)6864820 I Emall' bethanY@JamesheatIng com I Metro hc. no.. I City hc. no.. Upon review and approval by your local JUrisdiction, your permit Will be e-malled or faxed wlthm one busmess day, With mstructlons on how to schedule your mspectlon NOTE ThiS AuthOrization To Begm Work expires wlthm 180 days If a permit IS not obtamed Receipt # EC527542 3/2412008 8:39:28 AM Ea Total II I I I I I I I I $1400 $1400 COM' ;).0-0 fr': 0 039i"'" "..~"...._",.. RCPT #. 3'2 (.YO t' - ) 8,5 DFPROCESSED~~r \ r /' / PROCESSED RY:7f Ii ill\ ) / /( ThiS AuthOrization To Begin Work must be posted at the Job site untIl replaced by a PermIt The local bUlldmg department may determme that an AuthOrizatIOn To Begm Work IS null and VOid If It does not meet applIcable land use laws and local ordmances 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2008-00392 COM2008-00392 COM2008-00392 COM2008-00392 COM2008-00392 COM2008-00392 COM2008-00392 Payments: Type of Payment ONLINE CHGS cRecelOt] RECEIPT #: 3200800000000000185 Date: 03/24/2008 DescrIptIOn Mlmmum/ Adjustment Mechamcal ~Mechamcal Issuance Fee- Furnace - up to 100,000 btu Gas Outlets 1-4 + 5% Technology Fee + 12% State Surcharge + 10% Administrative Fee Paid By ONLINE PERMIT CHGS Item Total: Check Number AuthorIzatIOn Received By Batch Number Number How Received NJM ONLINE CHITTIM Online Payment Total: Page 1 of I 8:55:26AM Amount Due 3100 2000 1400 500 250 600 500 $83.50 Amount Paid $83 50 $83.50 3/24/2008