HomeMy WebLinkAboutPermit Mechanical 2009-2-24
City of Springfield
Mechanical Anthorization To Begin Work
E~mailed To: bethany@jamesheating.com
Receipt # RC547234
2/24/20099:10:42 AM
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ei.springfield.or.us
C ~;l..t5q
D Multi~fami]y
o Accessory BuiJ.ding
I Furn'ace- up to 100,000 BTU
I Fum.ace - above 100,000 BTU
I Electric Furnace
I 1 Duct alterations and additions
I I Gas,heater unitsl in-wall, in- I
duct; susoended. ctef .
I I Vent: flue, liner for above I
r I Air Conditioner I
I H,at Pump I
I Air Handl" I
[K] New construction
o Addition/alteration/replacement
I [X] I or 2 family dwelling
11700
$l7.00
I Job no.: 24797
I CityfStalerLIP: SPRINGFIELD, OR 97477-1355
I Suite/bldg.lapt.no.:
I Proj~ct name: Berry
Cross streeUdirections to job site:
ISubdivision:
ITax map/parcel no.: 1703224408300
1 Lot no.:
IW~terheater
I Gas 'fireplace/insert/stove ;
I Gas log! log lighte(
I Gas clothes dryer
I Gas stove/range
I Poof or spa heater, kiln
I Wood/pellet stove/insert
I Wood fireplace
replace gas furnace
w/o
I
IPhn.e: (541)46l-2l0[ ATTENTIc!fll:<OMQlln.!mllll requires YOU_!O I
11~___!'~.tli'liO;':,~~~~;~~r~.dl":~::;;~~~.":~. f.~;~~~~{~*..j
1~~~~~~~~~:~;t~t~~~~i~~:~~~~'1
I B.,I.", Name: CHlTTlM ENh~!!1\Ii.s. ~R'& ""nIP< INote: the telephone I
ICon',", Beth,ny Rigel n:;;"h';; for the Oregon Utility Notification I
IAdd"'" ll5LAWRENCEST Center is 1-800-33;<-;<;:S4'I), I
ICity/S,atelZlP: EUGENE, OR 9740l222l I
IPhone: (54l)46l210l IF"" (54l)6864820 I
I Email: bethany@jamesheating.com I I Subtotal I $17.00 I
1'[ I [' IC'lyl' II City Of Springfield First Appliance fee $79.00 I
11 e ro IC. no.: I IC. no.: I
State Surcharf!;c (12% of penn It fee) $1 1.52 I
I City Of Springfield fees *1 $4.80 I
I TOTAL PERMIT FEE $112.32
'tqr:r;';;~'hnOlOgyv r _ 2-\2-1\ U1
!Name: james heating
Range hood
Clothes dryer exhaust
Single.duct exhaust (bathroom-s,
toilet compartments, utility
rooms)
I AtticJcrawlspace fans
I upt9 first 4 outlets(enter Qty=:l)
I each'additional outlet
Upon review and approval by your local jl!risdiction, 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 pennit is not obtained.
The local building department may detennine that an
Authorization To Begin Work is null and void if it does not
meet applicable land use laws and local ordinances.
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHO~IZED UNDER THIS PERMIT IS NOT
CPMMENCED OR IS ABANDONED FOR
ANY i 80 DAY PERIOD.
This Authorization To Begin Work must be posted atthejob site until replaced by a Permit.
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2009-00259
ISSUED: 02/24/2009
APPLIED: 02/24/2009
EXPIRES: 08/24/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line'
SITE ADDRESS: 2455 SHADYLANE DR
ASSESSOR'S PARCEL NO.: 1703224408300
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Replace gas furnace
Owner: WILLARD & DONA BERRY Liv TR
Address: 2455 SHADY LANE DR
SPRINGFIELD OR 97477
I CONTRACTOR ",~uKMATlON I
Contractor Type
Mechanical
Contractor
CHITTlM ENTERPRISES IINC
License
47396
Expiration Date
03/0812009
Phone
541-461-2101
BUILDING IN~ORMA nON I
# of Units:
Primary Occnpancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bed roo ins:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft I st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DE~ELOPMENT INFORMATION'
ATTENTION: Oregon law requIres .l(ou to ,
F~ontyard SetIfflllsw rules adopted by the OregoiVtJ'lnll9' Dlst:
SIde 1 SetbackjlJotification Center. Those rules are ge'\tfof\hTrees Rqd:
Side 2 SetbaC~!l OAR 952-001-0010 through OAR ~g,!)Wive Rqd:
Rearyard SetlOO!<~, You may obtain copies of the ~Ieb\# Coverage:
Solar Setbacks: calling the center, (Note: the telephone
_.._'__..J._..Ll_~ ........__.__. "~'''.L. .'__"'.l'__,'
_ ___ ._ _ ._. _H_ _. -v-- _ on.., . ___..._~.._..
Center is 1-800-332-12B~~LIC IMPROVEMENTS I
NU liLt: Sidewalk Type:
THIS PERMIT RHAll E)sP(ffiE.JF THE WORK
AUTHORIZED tJ~~ofA' !r~~MIT IS NOT
COMMENCED DR IS ABANDONED FOR
ANY 180 DAY PERIOD.
REQUIRED PARKING
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer Available:
Special Inst~uction:
Notes:
I Valuation DescriDtion I :
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Fo~tage
or Bid Amount
Value
Date Calculated
Paee 1 of2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00259
ISSUED: 02/24/2009
APPLIED: 02/24/2009
EXPIRES: ,08/24/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726,37691nspection Line
Total Value of Project
F~e,s Pai~ I
$11.52
$4,80
$79.00
$17:00
DatePaid
2/24/09
2/24109
2/24/09
2/24/09
Receipt Number
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Furnace - up to 100,000 btu
Amount Paid
3200900000000000118
3200900000000000118
3200900000000000118
3200900000000000118
Total Amount Paid
$112,32
Plan Reviews ,
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, ~.~o~ir~rl Insl~ectj,ons I
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
By signature, I state and agree, that 1 have carefully examined the completed'application and do hereby certify that all
information hereon is true and correct, and I fnrther 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 ofJhe 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 pr,oper 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
Page 2 of2
225 Fifth Street
.
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-00259
COM2009-00259
COM2009-00259
COM2009-00259
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
Description
1 st Appliance
Furnace - up to 100,000 btu
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT'CHGS
City of Springfield Official Receipt
Development Services Department
Public Works Department
3200900000000000118
Date: 02/24/2009
9:21:35AM
Item Total:
Check Number Authorization
Received By Batch Number. Number How Received
Amount Due
79,00
17,00
4,80
11.52
$112,32
Amount Paid
kr
Chittim Online
Payment Total:
$112,32
$112,32
ONLINE
Page I of I
2/24/2009