HomeMy WebLinkAboutPermit Mechanical 2009-1-13
Status
Iss u ed
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00055
ISSUED: 01113/2009
APPLIED: 01113/2009
EXPIRES: 07/13/2009
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 78
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: SMITH LA VONIA L
Address: 205 S 54TH ST #78
SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Contractor
CHARLES ISAAC OSGOOD
License
168942
Expiration Date
03/07/2010
Phone
541-988-5674
I, BUILDING INFORMATlO~ 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 I
REQUIRED PARKING
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
'Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Tota!:_ .
-~'Hln-dicapped:
Compact:
'TT<=~mm.J' Oreoon.law requtresyoutcn
I PUBLIC IMPROVEMENTS I follow rules adopted by me ur"yulI u'f'''al1
, Notification Center. Those rules are set, 0 ,
Street ImproveIl\M.t.sp " I cmlif~pl101 Othrough OAR 952;OO~-
NU lICE: n 'l V flbtain copies of fhe rules1by
Ston~ Sewer A~'l'~'f>ERMIT SHALL EXPIRE IF THE WORK OO!?6o,wh1~IlJ,~s/i1(El\-',n'Note: the telephone
SpeclallustruC!l1\'UTHORIZED UNDER THIS PERMIT IS NOr nC:~'~2r fO~ f~e Oregon Utility Notification
Notes: ' COMMENCED OR IS ABANDONED FOR Center is 1-800-332-2344).
ANY 180 DAY PERIOD.
I. Valuation Descriotion I
Description
Tvoe of Construction
,
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated,
Paee I of2
_~j~t!J~W'l!JlI!'t!~'
",
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fee Descriotion
+ 12% State Surcharge
+ 5% Technology Fee
Air Handling Unit Up to 10,000
Heat Pump
MinimumlAdjustment Mechanical
Total Amount Paid
~otal Value of Project
I Fees Paid 1
_11111
Amount Paid
$9,48
$3,95
$17.00
. $17,00
$45,00
$92.43
I Plan Reviews I
Date Paid
1/13/09
1/13/09
1/13/09
1/13/09
1/13/09
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00055
ISSUED: 01/13/2009
APPLIED: 01/13/2009
EXPIRES: 07/1312009
VALUE:
ReceiptNumber
2200900000000000044
2200900000000000044
2200900000000000044
2200900000000000044
2200900000000000044
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.
~efl'lir~~ Ins!l~c!io~~.1
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 ensurethat,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 of2'
Date
City of Springfield
Mechanical Authorization To Begin Work
E-mailedTo:C-Hheating@comcast.net
Receipt# EC545035
1/13/2009 ]:11:]8 PM
Check on status of permit
By Phone: (541)726-3753'or Email: permitcenter@ci.springfield.or.us
I 0 New construction
!XJ Additi.onlalterationlrcplacement
I Descriptio-n
Total
[i] 1 or 2 family dwelling
D Mul~i~family
o Accessory Building
I Furnace. up to 100,000 BTU
I Furnace - above 100,000 BTU
I Electric Fumace
Duct alterations and additions
Gas heater units! in-wall, in-
duct susoended, cle/
I Vent, flue, ] iner for above
I Air Conditioner
I Heat Pump
I Air Handler
$17,00
$17,00
$]7,00
$17,00
I Job no.: I Job address: 205' S 54TH ST
'I City/StatelZlP: SPRINGFIELD, OR 97478-6263
I Suite/bldg./apt.no.: SPC 78
I Project Dame:
Cross street/directions to job site: . Off Main 51, behing Safcway.
I Subdivision:
map/parcel no,: 1702330001200
ILot no.:
!Waterheater
I Gas fireplace/insert/stove
I Gas log! log lighter
I Gas clothes dryer
Gas stove/range
I Pool or spa heater, kiln
I Wood/pellet stove/insert
I Wood fireplace
I Chimney/linerlflue/vent w/o
heatpump and air handler
I Name: Charles Osgood
IPhone: (541) 988.5674
IFox:
I Raog' hood I
I Clothes dryer exhaust I
I Single-duct exhaust (bathrooms, l '
toilet compartments, utility '.
rooms) ATTCI\ITIf"\t..l. n!. rynn I~w rpnllire!=; VOU to
I Atticlcra\'ii'RilC:,Ja~lI.l~~ a.dnllied by t/"e Orepo 1 Utilify
1~Il}N~\1l1n.Gemlf~1i~Kal'e:g:(i!(!J1S!tt;!O,i'!!;l.i1
I opto firsi~<lWl:iStenr.2@~)-Op1 0 thro~gn UA.H 1':>~-UU 1-.
I eachaddG!ri,\',1loot),'ilU may o]p1alncofJle~.u'.L1:"I,~,."~_Ll
1_,-~ltl!i!:'ME\l'HANlcAr'!lfERMffj'F.EES~!1-~!'l.4~;;,l.;:~;:
~~"",_~.~~..+.-,<""..'J...,."t_;;">-,_,,,,,,,,,,,,,,,,,,,,,,,".<J:bl.':{;'\1,N(r'~".aq"l'"
I IlUlllUlJl _'VI ""...... ,.....". ';' ;:;S'ubtotaI: I~,.,,, A $34.00 I
I Minimum.feb!usE:l in~edd'dfSi1otot~ir-........ , .). $79:00 I
State Surcharge (12% of permIt fee) $9.48 I
I City Of Springfield fees" $3.95 I
L.-- TOTAL PERMIT FEE $9243 I
* City or Springfield fees: 5% Technology Fee
ICCBIiC. no.: 168942
f Business Name: CHARLES ISAAC OSGOOD
I Contact: CHARLES OSGOOD
IAddress: PO BOX 70564
I OIylStalelZlP: E1;\~1 P.If=9740]
IPhone: (54])9885674."" Dt:Q~nIT ~I-lAlllFa0(Ii'll~7IfjirHE WUtil\
IEmail: C-Hheating@~p~sJis\~7t:n IIMnFR THIS PERMIT IS NUl
IMelrolic.no.: ''':;:;;,;;;t:w't:n nl1l~j\,1IMf'IDONED FOR
. ;;~IV':;Rn nAY PERIOD.. .
Upon review ano'apprO\fat'byyour local jurisdiction, your
permit will be e-mailed or faxed within one business day,
with instructions on how to sche~~I!'t 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 null and void if it does not
meet applicabfe land use laws and local ordinances.
. COM:Z1l!~U)f)05S
RCPi#:~~(X)q .~ LJ.L\
DATE PROCESSED:
;.
This Authorization To Begin Work must be posted at th ~Y~It~~i131(;
, - I.,j
":..:-.. "'~"
,
\
225 Fifth Street
Springfield, Oregon 97477
54I-726-3759Phone
Job/Journal Number
COM2009-00055
COM2009-00055
COM2009-00055
COM2009-00055
COM2009-00055
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
City of Springfield Official Receipt
Development Services.Department
. Public Works Department
2200900000000000044
Date: 01113/2009
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:
Check Number Authorization
Received By Batch Number Number How Received
KR
ONLINE
Charles Online
Isaac
Osgood ,
Payment Total:
Page 1 of 1
1:28:28PM
Amount Due
17,00
17.00
45.00
3.95
9.48
$92.43
Amount Paid
$92.43
$92.43
111312009