HomeMy WebLinkAboutPermit Mechanical 2009-4-6
Mechanical Authorization To Begin Work
E-mailedTo:jeanette-jco@comcast..net
Check on status of permit.
By Phone: (541)726-3753 or Email: permitcenter@cLspringlield.or.us
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City of Springfield
[0 New construction
[K] A~djtion/aJlemljolllrcplacement
I!KJ I or 2 family dwelling
o Multi.family
o Accessory Building
IJob no.: IJob llddrcss: 353 S 68TH PL
I City/Staternp: SPRINGFIELp, OR 97478.7387
I Suite/bldg./apt.no.:
I Project name:
Cross strect/dircctionsto job site:
I Subdivision:
ITax map/parcel no.: 1702353307300
I Lot no.:
Replaced heal pump and air handler.
I Name: Dan Brandel
IPllum':
I.:mail:
I,"
.. '..
IF."
I ceo lie, no.: 169209
I Husim'ss NlltTlN ~r!t~~
IContac" B';irH~ PERMIT ~H,^LI.. ':\iD11l,E II: TI-IUN[lRK
'IAdd"": 5729~~lr~5':~t!h~ ~Ngm :L.iI'3 D':QMIT I~ MlIT
C;ty/sl.terLlp,:"~~~'f.JP{!f8M-"8f141t .'\lWID0~I,:n ~0Q
I Phone: (541)7~~~951 CD 'JAY r:::rmm-.IF"" (541)6S85816
Emllll: Jcanetle-Jco@corm:ast.net .
II\1etro lie. no.: I City lie. no.:
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.
Receipt # EC5495R4
4/6/20092:26:58 PM
I Description
Qty.
I Furnflcec up to ] 00,000 BTU
I Furnace - above 100,000 IHU
i Electric Furnace
I Duel alter~li{lns and ndditions
I' Gas healer units/in-wall, in-
duct. suspended. e{e!
I Vent, flue, liner for above
I. Air Conditioner
Heat Pump
I Air Handler
$17.00
$17.00
I
$17001
$17001
I 'Water heater
I Gas fireplacelin~ertlstove
I Gas log! log lighter
I Gas clothes dryer
I Gas stove/range
I Pool or spa healer, kiln
I Wood/pellet stove/insert
I Wood lircplace
Chimney/linerlf1uelvent w/o
aooliance
~~tt~:inji!~~t;T'~x~~~:~e~\~Ei€~~i~~iio~~'J;+~~r;~~;:!!~-;~~"1~~-":;_~~ 'r.0
I R.nf ho~d__, _ I I I
Iln 9J~~ltkt:h~;tUregon law requites you td>
;j 1,"ducl"xilail;tqblithroon\S,UIY me uri"gon Utili~y
, 0 Mn1linmeilUGOItI!iJ', The se ruies I Je set fOI th
m:fll=lat:\'1J'Hli f\f\~.f\tr.._.___I- ,...>~___~
oo.3'crral'ffjr c~ - '~ . , .....~~r' vr rl uvc.-vLIj I-
I' .', ~;i.'.:;i;~"0C:;ji,~>,:,:,~,t~,~;,"'r~7~ ::7"'~f~':'.!~~_:~.;!i,l:,,Y,?j-< ~);'J{
;~)I!'Jlp,RT,J ,tl'iel6ei1ter:,TIN!)t'''%!I1""ltol"l;h'n~ >'''-'",,\,:k4'Y'
I ,/iI/Jlifrtie~Jilli!,tlnfr,i1)I~)b~ Uliiifv N~tiiir.;ti;]
I each "dd;t;J,,;Ij)l*!tilJi IS 1-800f332-234j!), I
1~~i~">F'i'~;:'.~3~";;;;:<MEc..rA'r;flcXL;PERMiTFEEs",T0":~~'",Cd ; -
:;~J!t~o ;4i.- ':t"'J"''"'.~!%-i,.,. m,_, '._~'_"_""M . "',_ ,',- ..."""',:;,, .1'>";"" ~
I I Subtotal I $34.UU
I I City OfSpringfidd First Appliance fee $79:00
I State Sllrcharge (12% of per mil fee) I $13.56
I City Of Springfield fees .1 $5.65
I TQTALPERMITFEE $]32.21
'" City Of Springfield fees: 5% Technology Fee
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This Authorization To Begin Work must be posted at the job site until replaced by a Permit
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00450
ISSUED: 04/03/2009
APPLIED: 04/03/2009
EXPIRES: 10/06/2009
VALUE:
SITE ADDRESS: 353 S 68TH PL
ASSESSOR'S PARCEL NO.: 1702353307300
Springfield TYPE OF WORK: Heating System
PROJECT DESCRIPTION: Replace Heat Pump and Air Handler
Owner: BRANDEL DAN & CONNIE
Address: 353 S 68TH PL
SPRINGFIELD OR 97478
TYPE OF USE: New
Residential
I CONTRACTOR ~NFORMA nON.
Contractor Type
Electrical
Mechanical
Contractor
CHRISTENSON ELECTRIC INC
J COO INC
License
458
169209
Expiration Date
05/01/2009
04/12/2010
Phone
541-688-6121
541-746-7065
. BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Constrnction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
n/a
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar SetbaN~TICE:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
._ _..:~....'" \/....11 tn
llllv I LrllV1I1 unMLL c^rlnc. I~I nr- I'Yjo I.e.n \.11 tN IlUt'll. Ul'G'::l'../I.'....... . - -,- . urn
;\UTHORIZED UNDER THIS PE. ,\.I1;l4~'AAPROVEMENTS'_llow rules adopted by the Oregon ; I Yh
....... , " ". ('o~t-. Those rules are set ort
Street Im(lr.oycrn.e~}~;CED OR IS ABANDONED FOR NotltlcaSllleWlilK'T1pe:hrou hOAR 952-001-
8 "'V 1 ~f.\ n ^Y PERIOD in OAR 952-001-001 U 19 I b
Storm SewerIA'Vailliblc,"'. 0090. ~e.'l'I!~lJo_utSf.f)r:iiils:es of the ru es y
Special Instruction: calling the center. (Note: the telephone
number jor the Oregon Utility Notification
Center is 1_800-332-2344),
Notes:
Paee I of 3
_ ~~r;n~~,S;:I,~9'l l!'ol~WI!I"II",_;.f,
~. '
,"
Status
Issued
225 Fifth Street, Springlield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descriotion I
Description
Tvne of Construction
$ Per Sq Ft
or multiplier
Square Footage
01' Bid Amount
Total Value of Project
Fees Paid I
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Air Handling Unit Up to 10,000
Heat Pump
Amount Paid
Date Paid
$7.32
$3.05
$55.00
$6.00
$13.56
$5.65
$79.00
$17.00
$17.00 '
4/3/09
4/3/09
4/3/09
4/3/09
4/6/09
4/6/09
4/6/09
4/6/09
4/6/09
Total Amount Paid
$203.58
I Plan Reviews I
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00450
ISSUED: 04/0312009
APPLIED: 04/0312009
EXPIRES: 10106/2009
VALUE:
Value
Date Calculated
Receipt 'Number
2200900000000000335
2200900000000000335
2200900000000000335
2200900000000000335
3200900000000000225
3200900000000000225
3200900000000000225
3200900000000000225
3200900000000000225
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 Insnections I
Rough Electric: Prior to Cover
Final Electric: W~en all electrical work is complete.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Pa2e 2 of 3
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Status
Iss u ed
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00450
ISSUED: 04/03/2009
APPLIED: 04/0312009
EXPIRES: 10/06/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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 he made of any structure without permission of the Community Services Division, Building Safety.
I fnrther 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 aU 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 wiU remain on the site at aU
times during construction.
Owner or Contractors Signature
Date
Paee 3 01'3
225 Fifth Street
Springfield, Oregon 97477
541-7-26-3759 Phone
Job/Journal Number
COM2009-00450
COM2009-00450
COM2009-00450
COM2009-00450
COM2009-00450
Payments:
Type of Payment
ONLINE CHGS
cReceintl
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
3200900000000000225
2:46:2IPM
Date: 04/06/2009
Description
I st Appliance
Air Handling Unit Up to 10,000
Heat Pump
+ 5% Technology Fee
+.12% State Surcharge
Amount Due
79,00
17,00
17,00
5,65
13,56
$132.21
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Paid
ONLINE J Co, lnc, Online.'
Payment Total:
$132,21
$132.21
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Page I of I
4/6/2009