HomeMy WebLinkAboutPermit Mechanical 2009-2-19
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2009-00241
ISSUED: 02/19/2009
APPLIED: 02/19/2009
EXPIRES: 08/19/2009
VALUE:
225 Fifth Street, Spriugfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2148 17TH ST
ASSESSOR'S PARCEL NO.: 1703252i08000
Springfield TYPEOF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Replace heat pump
Owner: TERESA L MORGAN LIVING TRUST
Address: 61277 SPENDOR LN
BEND OR 97702
I CONTRACTOR INFORMATION. I
Contractor Type
Mechanical
Contractor
JOHN F SOKOL
License
163I18
BUILDING INFORMA,TWN ~
Expiration Date
02/0812011
Phone
541-683-5900
# of Units:
Primary Occupancy Group:
Secondary OccupancyGroup:
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
.' ~ DEVELOPMENT INFORMATION I
Frontyard Setba~iNOTICE: Overlay Dist:
Side I Setback: THIS PERMIT SHAll EXPIRE 1/1 $ff[ewtlRKRqd:
Side 2 Scthack: AUTHORIZED' UNDER THIS PEA',mI{llIB'W(gP-qd:
RearyardSetback{;OMMENCED OR IS ABANDON'fD'tikR:\ Coverage:
Solar Setbacks: ANY 180 DAY PERIOD.
I PUBLIC IMPROVEMENTS I
REQUIRED PARKING
Total:
Handicapped:
Compact:
I Valuation DescriDtion ,
Sidewalk Type:
ATTENTION: Oreg,?n law requires you to
foIlGQI''''e~PJl\\t!f#.ml''!jy the Oregon Utility
Notification Center. Those rules are set forth
in OAR 952-001-0010 through OAR 952-001- .
0090. You may obtain copies of the rules by
callina the center. (Note: the teleohone
numbe'r tor tM oregon Utility Notllication
Center is 1-800-332-2344).
Street Improvements:
Storm Sewer Availahle:
Special Instruction:
Notes:
Description
Type of Construction
$'Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee lof 2
Status
Iss u ed
CITY VI' :"lrRINGFIELD .
Building/Combination Permit
P,ERMIT NO: COM2009-00241
ISSUED: 02/19/2009
APPLIED: 02/19/2009
EXPIRES: 0.8/19/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
.' ,
Total Value ot'Project
. Fees P~i~ I
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
I st Appliance
Air Handling Unit Up to 10,000
Heat Pump
Amount Paid
Date Paid
Receipt Number
$13.56
$5.65
$79.00
$17.00
$17.00
2/19/09
2/19/09
2/19/09
2/19/09
2119109 .
2200900000000000184
2200900000000000184
2200900000000000184
2200900000000000184 .
2200900000000000184
Total Amount Paid
$132.21
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.
I Reouired Insn~,c,tio~,s.
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 o(Springr.eld 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 readahle 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
Paee 2 of2
225 Fi.fth Street )
SpringfieId,Oregon97477
541-726-3759 Phone
Job/Journal Number
COM2009-0024I
COM2009-00241
COM2009-0024I
COM2009-0024I
COM2009-00241
Payments:
Type of Payment
ONLINE CHGS
cReceioll
RECEIPT #:
City of Springfield Official Receipt
Development Services Department
Public Works Department
2200900000000000184
Date: 02/19/2009
Description
I st Appliance
Air Handling Unit Up to 10,000
Heat Pump
+ 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 John F Sokol Online
Payment Total:
Page 1 of I
lO:07:23AM
Amount Due
79.00
17.00
]7.00
5.65
13.56
$132.21
Amount Paid
$132.21
$132.21
2119/2009
City of Springfield
Mechanical Authorization To Begin, Work
E~mailed To: westsideheatingl@yal1oo.com
Receipt # EC547018
2/19/20099:48:22 AM
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
I D New construction
[K] Addition/altera~ionlrep]acement
I [K] I or 2 family dwelling
o MuJti~fami]y
D Accessory Building
IJobno,: IJobllddress: '2148 17THST
/City/Stater.llP;, SPRINGFIELD, OR 97477.2517
I SiJite!bldg./apt.no.:
!Project name:
Cross street/directions to job site:
ISubdivision:
ITax map/parcel no.: 1703252108000
I Lot no.:
pump
I Name: Tereasa Morgan
I Phone: (541) 726-lill~T1~~: IF,x:
IEmail: T'.l,l 0. _'"' 0" .,. . . ..... m ... '
1_AZ1;~~~!Ji~0M1Tct:lJ.~_a;~~!l1S~~cl!.!:!!S",ClgJii;01t:i
-'"C~-iWfIlonlzmuiJ;JfFi'TfjIS'J'lEFlMlnS-NOr~
ICCBhc. no,: 1631JA L
IBn'inos'Name: JO~~~C~ 13 ABANDONED I'OR I
Contact: john sOko~1 OOeA'l Fd'i10u. I
I Add",,, PO BOX 25110 I
I City/State/ZIP: EUGENE, OR 97402 . t r
!Phone: (541)6835900 IF,x: (541)3447113 I
I Email: westsideheatingl@yahoo.com I
I Metro lie. no.: I City lie. no.: I
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.
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.
~~",~r~"",,,:{1li.cF.E8SC-HeDUi!Eif4'lli."""~T.;!I!~'l~1
Itllil _ "~1. ,!Il~""1!._~,,,~ .,.O?..~..,.__li'!""'~~",."'~,,~.
Qty. Ea, Total
I rurnace~ up to 100,000 BTU
I Furnace.~ above 100,000 BTU
Electric Fumace
I Duct alt~rations and additions
I Gas heater units/ m-wall. in-
duct.,susoended. etc/
[ Vent, flue, liner for above
I Air Conditioner
I Heat Pump
I AitHand]er
I
I
I
I
I
I
I
$17001
I
II
1
$1700
$17.00
I Water heater
I Gas fireplace/insert/stovc
I Gas log! Jog lighter
I Gas clothes dryer
I Gas stove/range
I Pool or s'pa heater,'kiln
I Wood/pellet stove/insert
I Wood fireplace
~;~f~~~~~~::~fl:/:::/~J,;,_,'i.F.'''''':m:...',";
!:Environ ," 'N -ventllahonL'\~.v.l'~,,,",
"--,.,. ,n '" .;, ' ] ,'.
I Range ~AI rlll,:a.e, ~dD.p prl h)' th ()r~g"n ' ,
I ClolheN1ollfleMmn Center! Those r )Ie$ are ~el forth
I Singleil\''0;aiR"1I521iJ'(W!{lO! 0 throu~h OAR 9~2-001. I
tOllele utlht . .
mom'~tr.''f6'U may ob am COpl s of the r les by
I Attic/cra.!1li1nl!1e cent~. (Note: nelelep one
If~[CITPfmWttft.t~~~~~~r'?;~"~~l'J~t!l~Y~~~ic ~ID,~J:!\l~?kr):,~1
=n:"~+:,;~+'1'\.__~'__7._ ,... 'C<'~'^" ""'""3 ," ,,1XiCct~_~,._..JI
""w. ,,_. .- I "0<',, 1- ., . I I
upto firs..t 4 outlets(enter I..lty=l)
each additional outlet r ~
- :~;ifl ..,' "i,fECHANlcAm'ERMITJEe"Es ~(i!"r. ~""MI
,1Iil~~ ~_c_"""..,_"."."~~~~ - ~""~~ _
I Subtotal I $34.00 I
I City OfSptingfield First Appliance fee $79.00 I
I State Surcharge (12% of penn it fee) $13.561
I City Of Springfield fees *"1 $5.65 I
I TOTAL PERMIT FI<:E $132.2] I
* City Of Springfield 'fees: 5% Techno]ogy Fee
~S1- 24 \ K.R.
2.2.00'\ ~ l?M
2.\ \C\\D9
This Authorization To Begin Work must be posted at the job site until replaced by a Permit