HomeMy WebLinkAboutPermit Mechanical 2009-5-11
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,City of Springfield
Mechanical Authorization To Begin Work
E-mailedTo:bethany@jamesheating.com
Receipt # ICC551539,
5/11/20094:29:32 PM
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
10 New construction
ru Addition/alterationJreplac.ement
IlliJ 1 or 2 ramily dwelling D Multi-family D Accessory Building
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IJobno.: 24833 IJobaddress: 1378 TST I
ICily/State/ZIP: SPRINGFIELD, OR 97477-2432 \ I
I Suite/bldg./llpt.no.: I
I Project name: Ngariki I
Cross street/directions to job site:
ISubdivision:
ITax map/pIITeelno.: 1703252300604
ILot no,:
replace heatpump lino Hir handler
I Name: james heating
I Phone: (541)461-2101 IFax: (541)686-4820
I Em.iI NOTlr.F' 1
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IB"";",SSN"'n<C(ljH,ITin\t1~AH!lr~..:EFi~v~1 ,,, I~UI 1
I Con'"," BethM,IJYigllaO Dily,n[nIDD n ,ua1\icu rUIi I
!Address: 115 LAWRENCE ST .
jCity/State/ZII>: EUGENE,OR 9740]222] '\.. I
] Phone: (541)4612101 IFax: (541)6864820 "-\.. I
I Email: bethany@jameshealing.com .... I
I Metro lie. no.: I CitJ 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 la'ws and local ordinances.
I Dt~cription
Qty,
I Fumuce- up to 100,000 BTU
I Furnace. above 100,000 BTU
! Electric Furnace
I Duct alteralions and additions
I Gas heater units/ in-wall, in-
duct suspended. elc/
I Vent, flue, liner for above
I Air Conditioner
I Heat Pump
I Air Handler
$17,001
117,001
I
117001
117,00
IWaterhealcr
,Gas fireplace/insert/stovc.
I Gas log! log lighter
I Gas clothes dryer
r Gas slovelrange
I Pool or spa heater, kiln
I Wood/pellet stove/insert
I Wood fireplace
I Chil~neyllinerlf1l1t/vei1t w/o ,I
appliance
liS~yi~R'o.i7f.t~lKffJfj&R~j}}~p.~~ffW!+~MV::reQ'U1F~rs~y:6'(11!Qp~;;.~~~l
I R""g"fjlli9i\\~ rilles adopf~.d by the IOregon ljlllllty 1
ClotllifL'!!Y.~t~.9fl Center, Those ru e~ a~e _s_'t ~~<"
I S;nglrr"I;5'AfII'.YtJlbOOqmOOl J mroug' V/'\n 0'" ,'vu 1
toUet!it~ort"'ft'I!J ~Vlj!;y obtdn copie~ of the ru 'esQY ,
room,M' . '''I_L_.~...^.f.^ll"'\nr()np,
I Mum" hIt" \.i~""" ,Hvw' , ,- ,- "
AttlC/craW1-~pa.re.:Ja.. ',Ie:' _ r\ ~~^... .1 Hi! tv Nntifid;ltion
ib::~":;:::~ft8;~I~]~(~~f.i32t344~~i~i~:';<;!
1~~~~~~~~~~SE~~J~~~~~~~1i^iTIf,~,~~~~~~jf~l:~w~1 .
I Subtotal $34.00 I
I City OfSpringrield FirstAppliance tee $79.00
I State Surcharge (12% ofpcnnil.fee) $13.561
1 City Of Springfield fees" $5.65 1
I TOTAL PER1\lIT FEE $132.2] 'I
.. City OfSpj-inglield fees: 5% Technology Fee
t4- LtS/ ~ stl2...IO"l
This Authorization To Begin Work must be posted ,at the job site until replaced by a Permit.
.
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00651
ISSUED: 05/12/2009
APPLIED: 05/11/2009
EXPIRES: 11/12/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1378 T ST
ASSESSOR'S PARCEL NO.: 1703252300604
Springfield TYPE OF WORK: Heating System
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PROJECT DESCRIPTION: Replace heatpump;'and air handler
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TYPE OF USE:
New
Residential
Owner:
Address:
NCARIKI KELLIS S & LLOYD
1378 T ST
SPRINCFIELD OR 97477
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I CON!RACTOR INFORMATION.
1[
,I
Contractor Type
Mechanical
Contractor II
CHITTIM ENTERPRISES I INC
License
47396
Expiration Date
03/24/20 II
Phone
541-461-2101
# of Units:
Primary Occupancy Croup:
Secondary Occupancy Croup:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
BUIWINC INFORMATION I
l!
II # of Stories:
I' Height of Structure
I Type of Heat: _
;,' Water Type:
Range Type:
: Energy Path:
:, Sprinkled Building: n/a
I! '
Lot Size: '
Sq Ft 1 st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Carage/Carport
Sq HOther:
Occupant Load:
I DEVELOPMENT INFORMATION I
REQUIRED PARKINC
Front yard Setback: :i Overlay Dist: Total:
Side ] Setba~ OT/CE' ': # Street Trees Rqd: A Handicapped:
Side 2 Setbllf \: . i, Paved Drive Rqd: TTENTION: Oregon la('!o'intl.'b'!'?s you to
Rearyard Set JA'?J:'ERMIT SHALL EXPIRE IF THE'WlmI4>t Coverage: ~~~Ii~~a~~e~ adopted by the o'regon Utility
Solar SetbaN.JJHORIZED UNDER THIS PERMli IS NOT in OAR 95;_0~1~~~'16~~se ru~e~:Rre setforth
"nn"nr"^~n ^F:'- ,,- - ,- - I u rouq 952-001-
~ - ......_f.......'-u v I U r\I.JMI"UUI~7 . U'_~'-"V. IIJU It/;q.y UU(2Hn copies or me rules by
ANY 180 DAY PERIOD. ' II'UlILtC IMPROVEMENTS tailing the center, (Note: the telephone
Street Improvements: :I ' numb€!5l&1MJiit~ li1\IR'i!,m Utiiity Notification
; Center IS 1 :800-332-2344)
Storm Sewer Available: Downsponts/Drains: .
Speciallnstructioll:
Notes:
Description
Type of Construction
I Valuation Descriotion ,
II
$ Per Sq Ft Square Footage
or mJltiplier or Bid Amount
II
Value
Date Calculated
Page I 01'2
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00651
ISSUED: 05/12/2009
APPLIED: 05/11/2009
EXPIRES: 11/12/2009
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees Paid I
11.111 .
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Air Handling Unit Up to 10,000
Heat Pump
Amount Pa,id
,I)
$13,56
$5.65
$79,00
$17,00
$17.00
Date Paid
Receipt Number
5/12/09
5/12/09
5/12109
5/12/09
5/12/09
1200900000000000396
1200900000000000396
1200900000000000396
1200900000000000396
1200900000000000396
Total Amount Paid
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$132,21
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I: Plan Reviews I
To Request an inspection call the 24 hour recording at726-3769. All inspections requested before 7:00
a.m. will be made the same working day, i!lspections requested after 7:00 a,m, will be made the following
work day. I
Renuired I nsnections I
Rough Mechanical: Prior to Cover I:
Final Mechanical: When all mechanical w~rk is complete,
I
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] furth'er certify that any and all work performed shall be done in accordance with
the Ordinances of the City of Springfield aud the Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any struct:hre 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 inspecti~ns are requested at the proper time, that each address is readable from the
street, that the permit card is located at the front 0,1' the property, and the approved set of plans will remain on the site at all
times during construction. Ii
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Owner or Contractors Signature
Date
Page 2 01'2
225 Fifth Street
, Spr.ingfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-00651
COM2009-00651
COM2009-0065 I
COM2009-0065 I
COM2009-00651
Payments:
Type of Payment
ONLINE CHGS
cRcceintl
RECEIPT #:
City of Springfield Official Receipt,
Development Services Department.
Public Works Department
II
1200900000000000396
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Date: 05/1212009
Description
1st Appliance
Heat Pump
Air Handling Unit Up to 10,000
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
~eceived By
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Item Total:
Check Number Authoriz~,tion
Batch Number Number How Received
ONLINE Chittim Online
Enterprises
Payment Total:
Page I of I
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8:00:53AM
Amount Due
79,00
17,00
17,00
5,65
13,56
$132,21
Amount Paid
$132,21
$132,21
5112/2009