HomeMy WebLinkAboutPermit Mechanical 2009-1-13
~
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00057
ISSUED: 01/13/2009
APPLIED: 01/1312009
EXPIRES: 07/1312009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 205 S 54TH ST SPACE 79
ASSESSOR'S PARCEL NO,: 1702330001200
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Replace heat pump and air handler
Owner: WAGGONER SHIRLEY) & CECIL R
Address: 205 S 54TH ST SPACE 079
SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION'
Contractor Type
Mechanical
Contractor
CHARLES ISAAC OSGOOD
License
168942
Expiration Date
03/07/2010
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 GaragelCarport
Sq Ft Other:
Occupant Load:
nla
I DEVELOPMENT INFORMATION'
REQUIRED PARKING
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd: .
Paved Drive Rqd:
% of Lot Coverage:
Total:
Haudicapped:
Compact:.
_l'"'..". ___~_
I PUBLIC IMPROVEMENTS I .
... 1-\1,'l:NTIQN. OreMn law requires you to
Street IM6YQ{S~lts: K follow rUI&~d~ll'd/HeI:t'8Y' the Oregon Utility
Storm s1\i~ A'f.RM\Te?HAll EXPIRE IF THE WOR Notificatiol))~Il~%IluTOOi-\l;U!l~s are set lorth
Special IlliiH/GIbIZED UNDER THIS PERNJITIS NOT In OAR 952-001-11010 througn OAR 952-001-
COMMENCED OR IS ABANDONED FOR 0090. You may obtain copies 01 the rules by
Notes: ANY 180 DAY PERIOD. calling the center. (Note:,t,he telephone
number for the Oregon Utility Notification
:..,./.._. ~: ~ ~,:,n t:lo')t')f)I),"A~
I Valuation Descriotion I
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Wf~~
Square Footage
or Bid Amount
Value
Date Calculated
Paee I of2
Status
Issued
225 Fifth Street, Springfield, OR
541-726_3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees Pair! I
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Air Handling Unit Up to 10,000
Heat Pump
MinimumlAdjustment Mechanical
Amount Paid
$9.48
$3.95
. $17,00
$17,00
$45,00
Total Amount Paid
$92.43
I Plan Reviews ,
Date Paid
1/13/09
1/13/09
1113/09
1/13109
1/13/09
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00057
ISSUED: 01/13/2009
APPLIED: 01/13/2009
EXPIRES: 07/13/2009
VALUE:
Receipt Number
3200900000000000023
3200900000000000023
3200900000000000023
3200900000000000023
3200900000000000023
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
r-
work day. .
I .~eoll~~erl, Insn,~~~i~!!~ 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 accordauce 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
Paee 2 of 2
Date
City of Springfield
,
Mechanical Authorization To. Begin Work
E-mailedTo:C-Hheating@comcast.net
Receipt # EGS45036
1113/20091:13:27 PM
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci,springfield,or,~s
J D New construction
[KJ Addition/alteration/replacement
I Description
Total
I [X] ] or 2 family dwelling
o Multi-family
D Accessol)' Building
I Fumace- up to 100,000 BTU
I Furnace - above] 00,000 8TU
I EIe-ctfie Furnace
I Duct alterations and additions
I Gas heater unitsl in~wall, in-
duct, suspended, elel
.'1 Vent, [lue, liner for above
I Air Conditioner
I Heat Pump
I Air Handler
$1700
$17.00
$17001
$17.00 I
I Job no.: I Job address: 205 S 54TH ST
City/State/ZIP: SPRINGHELD, OR 97478-62~3
Suite/bldg.htpt.no.: SPC 79
Project name:
Cross street/directions to job site: Main St, behing Safcway
I Subdivision:
!Tax map/parcel no.: 1702330001200
ILo'tno.:
I Water heater
I Gas fireplace/insert/stove
I Gas log! log lighter
I Gas clothes dryer
I Gas stove/range
I Pool or spa heater, kiln
I Wood/pellet stove/insert
I Wood fireplace
I Chiinney/liiierJf1ue/vent w/o
I
I
.-,1.....
I
Replace Heatpump and Airhandler
1 Name: Charles Osgood
I Phone: (54]) 988-5674
lEma;':
I Fax:
Ram~~ITIOM' Or"t"" ''''1M '''""IrP_CU!''" ,.
3/l'I11I.iWYilfi!i;!ill),rlm'ltp.rll,~ UtilolV
~p,g~1'Ie'dfWi'f~(!'~,"'fh' Ise rules ~re set Ie rth I
tJ>~~}:f~'1lP=n "' R 1
M<lffis')'<H "t><<- 0 - 010 It rough 0, \ 952-011.
I I A:lOOilaw/(FWeOOay ootaln "oples 01,(ne rUlesloy _
1 I'-F~""'Uj'**'celller,"'\IJule""lelll;:1'~~J'~1.:\~'"
1 l'h'~'I~';;!\~;'l J~;(':i~~;Z;;~i;~; ~:~~~;T1;~f:""'" .;--;",,,!',,
up 0 IlfS .. olJl!.e1S_~llter ~':{IY..,- ~ A)
II _i;....~r Iv , - . - I
each additional outlet. ..
l'I!t~+:;:,"~~,,;;:;;:;~~sE~~!S~~'[~(T~~~~.!!i:~~~lllrfj!1
II Subtotal $34.00 I
I Minimum fee used instead of Subtotal $79.00 I
I State Surcharge (12% of permit fee) $9.48 I
. City Of Springfield fees. $3.95 I
I TOTAL PERMIT FEE $92.43 I
. City.Of Springfield fees: 5% Technology Fee
ICCB';o.no., 16t1l1MlIl;E:
I Bnsiness Nam" 11U.srJi!E~Ml:'rcS~ EXPIRE IF THE WORK
ICon',,", Cl-lARittfm~ED UNDER THIS PERMIT IS NOT
IAddcoss, pOB~eMMENCED OR IS ABANDON.ED.iflR
I Cily/State!ZIP, 14N1i!NJ;8&-rnpl'9'1 PER lOp.
Phone: (541)9885674 . IFax: (541)7477026
I Email: C-Hheating@comcaSl.nei
.!Metro lie. no.: I City lie. no.:
Upon review and approval by your local jurisdiction, your
permit will be a-mailed or faxed within one business day,
with instructions on how to schedule your inspection.
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 "ulland void if it does not
meet applicable land use laws and local ordinances.
COM:Z'i')m -m'JSl
RCr-T#~CDq~d3
DATE PROCESSED: ilclm
PROCESSED BY: k~( r
.
This Authorization To Begin Work must be posted at the job site until replaced by a Permit.
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 ~hone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2009-00057
COM2009-00057
COM2009,00057
COM2009-00057
COM2009-00057
Payments:
Type of Payment
ONLINE CHGS
. cReceintl
RECEIPT #:' 3200900000000000023
Date:.01/13/2009 '
Description
Air Handling Unit Up to 10,000
Heat Pump
Minimum/Adjustment Mechanical
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
Item Total:
<":heck Number Authorization
Received By Batch Number Number How Received
KR
ONLINE CHARLES Online
ISAAC
OSGOOD
Payment Total:
,
"
Page 1 of 1
1:42:IOPM
Amount Due
17.00
17.00
45.00
3.95
9.48
$92.43
Amount Paid
$92.43
$92,43
111312009