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Home My WebLink AboutPermit Mechanical 2009-6-3 City of Springfield Mechanical Anthorization To Begin Work E-mailedTo:jeff@climatccontrol-mc.com Receipt # 6/3/200912:45:47 PM EC552941 ((\~ [j~/ i,1 I I I I I I I $17.001 I :1 I I I I I I I I I I I I I I I I I ':M>Ec:HANic:.AL!l'eE.RMIT!,~EES)Jt'}\'!ijJ;.. ., I Subtotal I $17.00 I CiEyOfSpringfield FirslAppliance feel $79.00 I State Surcharge (12% ofoermit fee) I $] ] .52 I City or Springfield fees *1 $4,80 1 I TOTAL PI.:RMIT FEE I $] 12.32 I .. City Of Springfield fees: 5% Technology Fee ~ Check on status of permit By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us . ~\h-, . ~~_"~:~TY~_E-OF)~QRt5.;,~. ;;;'-;..- - ,"- o ~ddition/U]terationlreplacement - 'i.._.C;:>:'~-; \. - ~ -~._' ., .11""..,'0''':-''-' ;','FEE.S. c.HEDuLE,....">... c,. .' ' -, ~ :.- ., -;". ~"..?S:!-,., .~ ..... _.'. -. _ - "<r. ! ih};~~_:~~:~Ofi~~~~I)Pii~~CCs'~~J~~. Qty.~,=., ~ I Fumacc- up to 100,000 BTU I Furnace. above] 00,000 BTU I Electric Furnace I Duel alterations and lldditions Gas heater units/in-wall, in- _duct. susoended. etc! Vent, nue, liner for above I Air Conditioner I Heat Pump I Air HandJer Ii.,Qihc~,~.c~~ur!l2g:li~p,11~nf.c~~:;,. Waterhellier I D New construction : '. CATEGO)iv OF c6NSTRUCTioN:~,: . [X] I or 2 family dwelling DMulti-family D Accessory Building ;.C,:J6~ SI:rE,!",FORMATIQN~NOLOC,A,..I()N I Job no.: RR-9331 I Job address: 523 65TH ST I City/StllterI.IP: SPRINGFIELD, OR 97478-7044 I Suite/bldg.lllpt.no.: Illroject name: RR.933 I Cross street/directions to job site: Thurston road turn onto 65th st $17.00 I Subdivision: ITax map/parcel no,: I Lot no.: I I -. .1 ....,. Gas log/log lighter Gas clothes dryer Gas fireplace/insert/stove 1702341300425 DIsCRIPT1,()f{6FoA'!i6R!$,-:~"!T~;~ ;, Install 2 Ion Fujitsu heat pump system. n.,..t.; GasslOvelrange '. :. :'.?:.SITE COi'lTA,CTc Poo'l or spa heater, kiln Wood/pellet stove/inseil Wood fireplace Chimney/linerlnue/venl w/o aooliance Ei{vironrilent1!.1 e.xhaust ~\Ni?~ve'Dii1ation 1;c-:.:: .'~. ..""-- . 7,_ ,.t'.";'1 - '."t ". " [Name: JelTC;Jsley I Phone: (54 I) 501.0280 I Email: jdT@c1imatecontrol.mc.com I I Fax: (541) 736.3468 I Range hood Clothes dryer exhaust Single-duct exhaust (bathrooms, I toilet compailments, utility I rooms) I Anic/cmwlspace fans I I F~~i ~iping ~ ,/,; ;':, -II upto first 4 outlets(enter Qly=l) I each additional outlet I I ~, . " '1 -,:', ,.; .1 t' ;"'+-,'CONT~'<:TO~':' ' ICCB lie. no,: 169547 I Business Name: MARTIN CASTLEMAN LLC IConlact: JclfCasley !Address: 6308 D ST ICity/Staterl.lP: SPRINGFIELD. OR 97478 [Phone: (541)5012010 I [mail: jelf@climatecontrol.mc.com I Metro lie. 110,: I Fa" (541 )7363468 ICit)' 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 detennine that an Authorization To Begin Work is null and void if It does not meet applicable land use laws and local ordinances, CCHy{20l9l' ~ CD77 9 ~ .- .?:, ~~~ \"'~ This Authorization To Begin Work must be posted at the job site until replaced by a Permit. , :t' _, -~,; ,," TOlal'l CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00779 ISSUED: 06/03/2009 APPLIED: . 06/03/2009 EXPIRES: 12/03/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone ' 541- 726-3676 Fax 541-726.3769 Inspection Line SITE ADDRESS: 523 65TH ST ASSESSOR'S PARCEL NO.: 1702341300425 Springfield TYPE OF WORK: Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: Heat pump Owner: NORRIS FRANCES W HETZ Address: 523 65TH ST SPRINGFIELD OR 97478 I CONTRACTOR INFORMATION I Contractor Type Mechanical Contractor MARTIN CASTLEMAN LLC License 169547 Expiration Date 04/07/20 I 0 Phone 541- 736-3438 BUILDING 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 I DEVELOPMENT INFORMATION I REQUIRED PARKING Notes: NOTICE: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: I requires you to __...Tlr\!l.l. nn:lnon aw . ,,"~.... I PUBLIC lMPROVEM~~is.,;ules adoPte~h~.S. ~nr~I~~":r;'~eI-i~rih NOlI1I~"tlon C.enter. _ . "1 hOAR 952-001- . OAR 952.~\!le,!,alkJType:.g ,\ les by In '0\1 nhtain COpies of .,1e ru 0090. You rDownspouts{!K~ins:, telephone callin9 the cen~r. \~n Utility Notification number for the re8900_332-2344). Center IS 1- Total: Handicapped: Compact: Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewe~ Available: Special Instruction: TU!C'" nr"".~I_ ........ ;.u:ri1oR/zED UNDER ~H~~n~Elkl~~~~~~~~'DescriDtion I ~;?MfVIENCED OR IS ABANDONED FOR D ....NY 1 "Tn nl\vfCnr:Qlnn . $ Per Sq Ft Square Footage escnotton YOe 0 onstructton I' I' B'd A or mu tlp lef or I mount Value Date Calculated Pa~e I uf 2 _S!,!:~!N!1!~IIit!;.1?" f Status Issued 225 Fifth Street, Springfield; OR 541-726-3753 Phone 541,726-3676 Fax 541-726-3769Inspection Line Fee Description + 12% State Surcharge + 5% Technology Fee 1st Appliance Heat Pump Amount Paid $11.52 $4.80 . $79.00 $17.00 Total Amount Paid $112.32 Total Value of Project ':ees .Paid. I Plan Reviews I Date Paid 6/3/09 6/3/09 6/3109 6/3/09 CITY OF SPRINGFIELD I Building/Combination Permit PERMIT NO: COM2009-00779 ISSUED: 06/0312009 APPLIED: 06/0312009 EXPIRES: 12/0312009 VALUE: Receipt Number 32009000000000004]7 3200900000000000417 3200900000000000417 3200900000000000417 !1 , 'To Request' an inspection call the 24 hour recording at 726-3769. All inspections r~quested 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. Reouired Insnections I Rough Mechanical: Prinr to Cover Final Mechanical: When all mechanical work is complete. By signature, ] 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. ] 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 Pace 2 of2 Date 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-00779 COM2009-00779 COM2009-00779 COM2009,00779 Payments: Type of Payment ONLINE CHGS cReceintl RECEIPT #: Description I st Appliance HeatPump + 5% Technology Fee + 12% State Surcharge Paid By ONLINE PERMIT CHGS ~. 3200900000000000417 City of Springfield Official Receipt Development Services Department Public Works Department Date: 06/03/2009 Item Total: Check N umber Authorization Received By Batch Number Number How Received NJM Page I of I ONLINE MARTIN Online CASTLEM AN Payment Total: 12:59: 17PM Amount Due 79.00 17.00 4.80 11.52 $112.32 Amount Paid $112.32 $112.32 6/312009