HomeMy WebLinkAboutPermit Mechanical 2009-6-4
City of Springfield
Mechanical Authorization To Begin Work
[-mailed To: bethany@jamesheating.com
Receipt # EC553050
6/412009 ] :49:56 PM
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Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
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10 New construction
f. '. TYPE'OF WORK- ''';:.'\.,
[KJ Addition/alteration/replacement
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CATEG9RVOF CO!lSTRYCTION:-' ,,'it
I [K] 1 or 2 family dwelling 0 Multi-family 0 Accessory Building
I JOB'SITE INF9~MATlciNA.ND' LOCATION;.. -",;,
IJobno.: ]8213 IJobaddress: 517 GRANITEPL
'City/Stater/.IP: SPRINGFIELD, OR 97477.3680
I Suite/bldg./llllt.no.:
1 Project name: 18213
Cross street/directions to job site:
I Description
II iea~i nglcoolin~:~Plllia nccs~""
I Furnace- up 10 ] 00,000 BTU
I Furnace. above 100,000 BTU
I Electric Furnace
I Duct alterutions and additions
I Gas heater unitsl in-w<lll, in-
duct. susoended. cte/
I Vent, flue, liner for above
I Air Conditioner
I Heat Pump
I Air Hlmdler
I\Ot_~~-ful'J biirni~itilPP'I!~nye~->5 .;C-;
I Walerheatcr
1 Gas fireplllce/insertlstove
I Gas log/log lighter
I Gas clothes dryer
I Gas stove/range
I Pool or spa heater, kiln
! Wood/pellet stove/insert
I Wood fireplace
. .'11 Chimney/liner/fluc/vent w/o
I aooliance
I l'EDrifo~ment~re~hilust Afo!P ventilatio~
I I Range hood
I Clothes dl)'cr exhaust
.--1 I'single-duct exhaust (bathrooms,
I toilet compartments, utility
I rooms)
j Attic/crawlspace fans
I j,Fu{I"piping
I I upto first 4 outlets(enter Qty""l)
II each additional outlet
II II;', . .MECHANlc~g.PERMIT FEES
SubtoUlI
I I City Of Springfield First Appliance fee
I State Surchar~e (12% of permit fee)
I City Of Springfield fees'-
I TOTAL I'EI~MJT FEE
. City Of Springfield fees: 5% Technology Fee
I Suhdi\'ision: I Lot no.:
I"" map/porcel no.: I ~;;=~ 21:~~Os_qRlP!iON Ofw6RK:";{~'::
install heatpump and gas furance
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SITE CONTA~:r
1 Name: Ryan & Jody Anderson
I Phone: (541)741~9708
IEmail:
1"0"
.: i' '-." ., if.' _pON)RACTO~_:~:.'
ICC8Iic, no.: 47396
I Business Name: CHrnIM ENTERPRISES I INC
I Contact: Bethany Rigel
Address: ] 15 LAWRENCE ST
I City/Stalef.lIP: EUGENE, OR 97401222]
I Phone: (54])4612101 IFax: (541)6864820
I Email: beth::my@j1l1l1Csheating.com
I Metro lie, no,: I City lie. no.:
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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.
t\rA.}
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$17.00
$17.00
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$17.001
$17.001
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$34.00 I
$79.00 I
$13.56 I
$5.65 I
$132.2] I
NOTE: This Authorization To Begin Work expires within 180
days if a pennit 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,
Cornvro '1- Q07~
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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: cOM2009-00792
ISSUED: 06/04/2009
APPLIED: 06/04/2009
EXPIRES: 12/04/2009
VALUE: .
225 Fifth Street, Springfield, OR
54]-726-3753 Phone
54]-726-3676 Fax
541-726-3769 Inspection Line
S]TE ADDRESS: 517 GRANITE PL
ASSESSOR'S PARCEL NO.: 17033412]4800
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: ]nstall heat pump and gas furnace
Owner: ANDERSON RYAN V
Address: PO BOX 50982
EUGENE OR 97405
Phone Number: 54]-74]-9708
I CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Contractor
CHITTIM ENTERPR]SES I INC
License
47396
Expiration Date
03/24/20 II
Phone
541-46]-2101
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 ]st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENTlNFORMATION I
IREQUlRED PARK]NG
Frontyard Setback:
Side]' Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist: Total:
# Street Trees Rqd: Handicapped:
Paved Drive R'\!!TTENTION: Oregon law reou'Comp'ic,t:; .
% of Lot Covef~g~:N rules adopted by the O~egon Ut;~.y
Notification Center. Those rules m~ or-I Lrth
. _. ~ ....,...... 1'"\(\-1 nnii\ fh.~."'ll(!\- ':t,:,,'. \".,'"'.001...
I PUBLIC IMPROVBMENTS:I~ may obtain ~l,:~0~ ~l.\::" . "ejY
Ccl.lllll\J lhe cp.!1ter. (t -lLne,l, '~,. . . :
number for t1~~d$l"~a~k.,T~l!e.:, .>_),...~~..on
CentEDb\yrisPro~is/[jr~ii"s: .
Street Improvements:
Storm Sel'{e,'j(\';~!!~ble: WORK
Special Instruction:MIT SHALL EXPIRE IF THE OT
~~~HOR;ZED UNDER THIS PERMIT IS N
Notes: COMMENCED OR IS ABANDONED FOR
_ ..' ~,........nl"'\
ANY IOV uru 1.......--.
I Valuation Descrintion ,
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Page 1 01'2
Status
Issued
225 Fifth Street, Springfield, OR .
54]-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fee Description
+ 12% State Surcharge
+ 5% TechnoIo'gy Fee.
]st Appliance
Air Handling Unit Up to 10,000
Heat Pump
Amount Paid
$13.56
$5.65
$79.00
$17.00
$]7.00
Total Amount Paid
$132.2]
Total Value of Project
Fe~.~ P~i~ I
Plan Reviews ,
Date Paid
6/4/09
6/4/09
6/4/09
6/4/09
6/4/09
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00792
ISSUED: 06/04/2009
APPLIED: 06/04/2009
EXPIRES: 12/04/2009
VALUE:
Receipt Number
3200900000000000420
3200900000000000420
3200900000000000420
3200900000000000420
3200~00000000000420
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.
Reouired Tnsnections I
Rough Mechanical: Prior to Cover
Final 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 shaIl.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 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 tile
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
Page 2 of2
Date
225 Fifth Street
Springfield, Orcgon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-00792
COM2009-00792
COM2009-00792
COM2009-00792
COM2009-00792
Payments:
Type of Payment
ONLINE CHGS
cReccintl
RECEIPT #:
wr~.
City of Springfield Official Receipt
Development Services Department
Public Works Departmcnt
3200900000000000420
Date: 06/04/2009
Description
Air Handling Unit Up to 10,000
Hoat Pump
I st Appliance
+ 5% Technology Fee
-+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
Item Total:
l:heck Number Authorization
Received By Batch Number Number How Received
NJM
ONLINE CHITTIM Online
Payment Total:
Page I of I
2:12:11PM
Amount Due
17.00
17.00
79.00
5.65
13.56
$]32.2] .
Amount Paid
$132.21
$]32.2]
6/412009