HomeMy WebLinkAboutPermit Mechanical 2009-4-13
~f\, '?
C\I
Ci
City of Springfield
Mechanical Authorization To Begin Work
E-mailedTo:jeanette-jco@comcast.net
Receipt # . RCS49972
4/13/200910:55:17 AM
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
10 New construction 0 Addition/alteration/replacement
~'t:!~-;~,:~~?':S~''"~~~~~:~;E~tE~P,~~9^E:~~OJ~~!~^Q;~t}9F~~~~{~~jrrl~~~:;1
[K] I or 2 f~mily dwelling 0 Multi-family 0 Accessory Building I
I~;.~'~::~: ~~ ~;rJ4~~(),~,?IT~i~j<?~~TIOWAr.if5!qpS@9,~.iJ{~~~}~~j>!?;34~1
/.lol1rlO.: I.1QVllddrcs...: 2)03 23RDSr I
I City/Slalt'/ZIP: SPRINGFIELD, OR 97477-6513
ISuite/bldg.lapt.no,: I
[Project name: I
Cross street/directions to job site:
I Subdivision:
!Tax map/parcel no.: 1703251209800
ILot no.:
'~;~~~:x~~~
Replacing heat pllInp and air handler
IN,m" Bob McC]",gN9Tl~~:. . . 1
i~;;~::::]~,::::8i~2i~~;~~i~;~;::;~;t'~'~J~~'~~~0~s;~~, <<.)
IC~~~:. :'o~,'~';:20pDr;1M~r~~b"iln'i5-iloAI~.~'tJI:;tUtU;t'"W'. ~'I
I Ros;.les, Nan"" J ~~~J 80 DAY PHuuu. I
I Contact: BrianTiller I
IAddrrss: 5729 MAIN 51' #233 I
I City/Stale/ZW: SPRINGFIELD, OR 97478 I
I Phone: (54 J )7467065 I Fa:~; (541)68858J6 I
I Email: jeanet1e-jco@comcasl.n~t 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.
D!:scription I Qty. j Ea. Total
~~J!.nW~2!>1Hri]p^HIi~w~~:~$J~~~'l~~,;,!~~~~~~;:r~:~~,t,
1
1
1
1
I
1
1
$]7.001
$]7.001
c'l
:' -:~,
I
1
I
I
I
I
I
I
I Chirnn!:~/linerll1ueJVentw/o I
aP:t~hance .
1'~p\]'.)!~rioll>1o/~'j;~~\fuii~I~W1f~qulr~s;y'6uto~,i'l
I R,nge hotallow rules ado~ted by tI e urego Utll]ty
I Clothes ~QI]I,'ililllpn veme r. I noseu]es r e
I Singk~diJJtW.~.'i&a1\;,\)&hkO ltJ ;j"uc"l, ",-JJ 1-
toilet coeOOfil,o]j01JlIi1S1ay 01 ,taln cOP'les of the rules by
rooms) :3~~:ng the cent ~~~I,,::,~:, tho t:,l:, h,,:,n,#--
I AttlC;C'""JlPllI'iIlfl9.1 jf" fhp (1}r<'Qonll iJjtv N()t~lcation
I:FUc(~ipJng~:f';;;'C.; ~e'n' 't'''e r";,7]s~1'8' ;:OT3~~3'~272'.34';I)j';f;:v.'~i;:J$l
,,~"'>' ' '."~",~d&",,," {." ," "" "" \J~, ',~,,'" ""'''''~"", ,_ ",""i.
I upto first 4 outlets(enter Qty=l) I
I each additional oullel I
Furnnce- up to ] 00,000 BTU
I Furnace - above 100,000 BTU
I Electric Furnace
I Duct alterations and additions
IGaShea(erunits/in-wUll,if1-
duct susp<:.:nded. etcl
I Vent, flue, liner for above
I Air Conditioner
I Heat Pump
I Air Handler
$]
$]
I Water heater
I Gas tlreplace/insertlstove
I Gas log! log lighter
I Gas clothes dryer
I Gas stove/range
1'001 orspa heater, kiln
I Wood/peJlet stove/inseT!
I Wood fireplace
I Subtotal
I City OfSpringlleld FirstAppliance fee
I State Surcharge (12% of permit fee)
I City or Springfield fees '.1
I TOTAL PEH.MIT FEE I
. City Of Springfield fees: 5% Technology Fee
$34.00 I
$79.00 I
$]3.561
$5.65 I
$132.2] I
C~-413
\~
'-f 113[04
This Authorization To Begin Work must be posted at the job site until replaced by a Permi!.
r'
Status
Issued
225 Fifth Street, Springlield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2103 23RD ST
ASSESSOR'S PARCEL NO.: 1703251209800
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: cOM2009-00473
ISSUED: 04/09/2009
APPLIED: 04/09/2009
EXPIRES: 10/13/2009
VALUE:
Springfield TYPE OF WORK: Heating System
PROJECT DESCRIPTION: Reconnect Furnace
Owner: MCCLURG JOINT TRUST
Address: 2103 23RD ST
SPRINGFIELD OR 97477
TYPE OF USE: New
Residential
I CONTRACTOR INFORMATION'
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
BUI~~ING INFORMA TlON ~
# 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:
n/a
Lot Size:
Sq Ft I st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
I DEVELOPMENT INFORMATION I
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
NOTICE: . I PUBLIC IMPROVEMENTS I
Street ImprUl,~e~fs~MIT SHALL EXPIRE II: I Nt VVUhl\ ATT~iU:-~k()yw~n law requires youto
AUT~ORIZED UNDER THIS PERMIT IS NOT follov~ules adopted.by the Oregon Utility
Stor~l Sewec6r;,\'fv'(l!llttED OR IS ABANDONED FOR NotifiPa~'6R~gm~P.'1'I\lY'je rules are set_fort~
SpeCIal InstA~~yOf80 DAY PERIOD. in OAR 952-001-0010 through OAR952 001
0090. You may obtain copies of the rules by
Notes: calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center is 1-800-332-2344).
Page I of 3
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2009-00473
ISSUED: 04/09/2009
APPLIED: 04/09/2009
EXPIRES: 10/13/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I, Valuation DescriDtion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
. I Fees Paid I
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Air Handling Unit Up to 10,000
Heat Pump
Amount Paid Date Paid Receipt Number
$6.96 4/9/09 2200900000000000355
$2.90 4/9/09 2200900000000000355
$58.00 4/9/09 2200900000000000355
$13.56 4/13/09 1200900000000000262
$5.65 4/13/09 1200900000000000262
$79.00 4/13/09 1200900000000000262
$17.00 4/13/09 1200900000000000262
$17.00 4/13/09 1200900000000000262
Total Amount Paid
$200.07
1 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 In..nedions I
. Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Page 2 of 3
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: cOM2009-00473
ISSUED: 04/09/2009
APPLIED: 04/09/2009
EXPIRES: 10/1312009
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 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 he nsed on this project.
I further agree to ensure that all required inspections are reqnested 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
Date
"
Page 3 of 3
City of Springfield Official Receipt
Development Services Department
Public Works Department
225 Fifth Street
Springfield, Oregon 97477
541-7,26-3759 Phone
Job/JournaJ Number
COM2009-00473
COM2009-00473
COM2009-00473
COM2009-00473
COM2009-00473
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
II :26:24AM
1200900000000000262
Date: 04/13/2009
Description
15t 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. Online
Payment Total:
$132.21
$132.2\
KR
Page I of I
4/1 3/2009