HomeMy WebLinkAboutPermit Mechanical 2009-5-15
Receipt # EC551793 1\,0/
5/15/200911:04:17 AM / ~
V~
<;:ity of Springfield
Me.chanical Authorization To Begin Work
E-mailedTo:jeff@dimatecontroJ-mc.com
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
o New construction
I Description
Ea.
Qty.
lliJ ~ A dd iti on/al terationJreplacement
I Furnace- up to 100,000 BTU
I Furnace - above 100,000 BTU
[Electric Furnace
I Duct alterations and additions
I Gas heater unitsl in-\vall, in-
duct susoended. clef
I Vent, flue, liner for above
I Air Cond.itioner
I I-kat Pump
lAir I-hlndler
$20.00
~ I or 2 family dwelling
D,: Multi-family
D Accessory Building
IJob no.: rr-913 IJob llddr~ss: 1364 LAWNRIDGEAVE
ICily/Stolle/ZIP: SPRINGFIELD, o~.:. 97477-2445
Suite/bldg./apt.no.: II
I Project name: rr-913
Cross street/directions (0 job site: II Mohawk to lawnridge
$17.00
Total
I
$20.00 I
I
I
I
I
I
$17.001
I
ILot no.:
I Subdivision:
ITax map/parcel no.: 1703252202800:
I Water heater
I Gas fireplace/insert/slove
I Gas log/log lighter
I Gas clothes dryer
I Gas slove/range
I 1'00] or spa heater kiln
Wood/pellet stove/lnscn
I Wood fireplllce
Chimney/liner/f1ue/vcnt w/o
~nce
~~~,ff~:~~jelria(~~~1,~~lrr~~~~lll!_ni}~~~~
I Range hood .
I Clothes dryer exhaust
I Single~duct exhaust (bathrooms,
toilet compartments, utIlity
rooms)
I Auiclcrawlspacefans
Replace old heating system with new lennox duel fuel heat pump system.
I Name: JeIT Casley
I Phone: (541)501-0280
[mail: jeIT@c1imatecontrol-mc.com ;:
I Fax: (541 )"736-3468
ICCB lie. no.: J69547
I Business Name: MARTIN CASTLE~^N LLC
IContact: JefTCasJey
IAddrcss: 63080 ST
I City/Stat!'/ZIP: SPRINGFIELD, OR JI97478
I Phon!': (541)50]2010 IFax: (541)7363468
I [mail: jeff@c1imateconlrol-mc.co_m
I Metro lie. no.: I City lie. no.:
I upto first 4 outlets(enter Qty=l)
I each additional outlet
I Subtotal I
I City OrSpringtield First Appliance feel
I State Surcharge (12% of perm 11 fee)
I City OrSpring(jcfd fees"'l
I TOTAL PERJ\.lIT FEE I
* City Of Springfield fees: 5% Technology Fee
Cq-tDl~ telL 0115\01
. Upon review !\if~-frofiiWii~Y y:hlll(]lilialljUYiS8ilffioi1:'%u!OU. to
. permit will tw...e-'R~il~aR!sa3.td,,)~H~i.!:! ~ p'y!i@~~ay~ Utility
wilh inslru~/.flm.'.on how losch.edul'tVQUt lnspecuon'e set forth
NotifIcatIon Liemer. i IU~t:: II:.ll'CS al
. ~,~ n(;~ nn~ 'n~<.(\thr"""h n^R O~-001-
NOTE: Thi~lAuUloliia' ion \TO' BeginlVYotk expires'W1thtn~1
days if a P'\!Rl!l~,s. n'l!;~I\'I!!.~obtain copies of the ru es by
Th I I b .1~nlli..n tho ('~ntprd (t\ln'r"'. thh'" telephone
e oca UI (IlOg l.Iepart'r'nen~ rni!Y etefrn M.l at an 'f r
AUlhorizaliorrirR]lj/jgjn worl/lli!.,{JIlPa!i&Qo\dtjfl~\!Ib'Wi\gpa Ion
meet applicable land 'e~I~ro1A~d10SvlM!liIilrUlQ.s14),
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
. i
This Authoriz~tion To Begin Work must be posted at the job site until replaced by a Permit
$37.00
$7900 I
$13.92 I
$5.80 I
$135.7:21
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00675
ISSUED: 05/15/2009
APPLIED: 05/15/2009
EXPIRES: 11/15/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1364 LA WNRIDGE AVE
ASSESSOR'S PARCEL NO.: 1703252202800
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
PROJECT DESCRIPTION: Replace old heating system with new lenllox duel fuel heat pump system
Residential
Owner:
Address:
BRANSON CHRISTOPHER M & JESSICA
1364 LA WNRIDGE AVE
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Contractor
MARTIN CASTLEMAN LLC
License
169547
Expiration Date
04/07/2010
Phone
541-736-3438
BUI~DING INFORMATION I
# 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:
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
r DEVELOPMENT INFORMA nON I
REQUIRED PARKING
Total:
Handicapped:
Compact:
Front yard Setback: Overlay Dist:
Side I Setback: . # ~treet Trees Rqd:
Side 2 SetbaakTTENTION: Oregon law requires YO~a~ed Drive Rqd:
Rearyard SJilihCK: rules adopted by the Oregon lj,iJlIJy. Lot Coverage;
Solar Setba~Ir;!fication Center. ThoseTules are set ('oYlh. .
l'l. nAR 952-001-0010 throuqh OAR 952-001-
0090.. You may obtain copies OTI~:uliiJ~jMpROVEMENTS I
calling the center. (Note:.the',. ,,;.. .,;
Street ImproMemrous:for the Oregon Utility Notification
Center is 1-800-332-2344).
Storm Sewer Available: .
Special Instruction:
Sidewalk Type;
DownspoutslDrains:
Notes:
Description
Type of Construction
NnTIr'!='
I Valuation DescriPtiJ~~ ,6~~~16 ~~~~~ ~~~R~~~~~EI~~~~
$ Per Sq Ft Squrr'JrF&~[a"g~ED OR IS h~ANDONED 60~
or multiplier or BldJ~II)&ol)IDAY PERlbJ)~ ue a e Calculated
, .
Paee I of 2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00675
ISSUED: 05/15/2009
APPLIED: 05/15/2009
EXPIRES: ',11/15/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fee~ Paid I
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Furnace - more than 100,000
Heat Pump
Amount Paid
Date Paid
Receipt Number
$13.92
$5.80
$79.00
$20.00
$17.00
5/15/09
5/15/09
5/15/09
5/15/09
5/15/09
1200900000000000460
1200900000000000460
1200900000000000460
1200900000000000460
1200900000000000460
Total Amount Paid
$135.72
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 reque.sted after 7:00 a,m. will be made the following
work day.
Re\,uiredlnsnectillns I
Rough Mechanical: Prior to Cover
Filial 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
t~e 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 be used on this project.
I further agree to ensure that all 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 will remain on the site at all
times during construction.
Owner or Contractors Signature
Date
Pa2e 2 on
225 Fifth Street
Springfield, Oregon 97477
'-
541-726-3759 Phone
Job/Journal Number
COM2009-00675
COM2009-00675
COM2009-00675
COM2009-00675
COM2009-00675
Payments:
Type of Payment
ONLINE CHGS
cRcccintl
RECEIPT #:
Description
I st Appliance
Furnace - more than 100,000.
Heat Pump
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
City of Springfield Official Receipt
Development Services Department
Public Works Department
1200900000000000460
Date: 05/15/2009
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
kr
ONLINE Martin Online
Castleman
Payment Total:
Page I of I
1I:31:I2AM
Amount Due
79.00
2000
17.00
5.80
13.92
$135.72
Amount Paid
$135.72
$135.72
5115/2009