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