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Home My WebLink AboutPermit Mechanical 2009-6-4 City of Springfield :'\ '\ '}- rJA/ Receipt # EC553073 V"I 614/20093:04:52 PM . Mechanical Authorization To Begin Work E-mailedTo:C-Hheating@comcast.net Check on status of permit By Phone: (54])726-3753 or Email: permitcenter@ci.springfield.or.us I D New construction [X] Addition/alteration/replacement .'l-tt:c~f~GQ~Y;,9!"9:Q"f{~T~L[~!!Q~~~~~K>~:~:", ) IX] 1 or 2 family dwelling D Multi-family 0 Accessory Building ~f:J~~~S!T~!l~F9F{~MATIQ~~~D:~~9~i(q:~~:~i~~~~;WZJT~j! [Job no.: IJob address: 143 W J ST. I I City/State/ZIP: SPRINGFIELD, OR 97477-3723 I Suitc/bldg./apt.no.: I Project name: Cmss street/directions to job site: corner of water and j /Subdh1hion: !T:1X map/parcel no.: 1703352208200 J Lot no.: replacc'ulh.udd hip I Name: Charles Osgood I Phone: (54 f) 988-5674 I }<',I.\:; IEmail: IceD lie. no.: ]68942 I Business Name: CHARLES ISAAC OSGOOD j Contact: CHARLES OSGOOD jAddrcss: PO BOX 70564 I City/State/ZIP: EUGENE, OR 97401 I Phon., (541 )9885674 1 Fa>, (541)7477026 i ..:mail: C-Hhealing@comcasl.net 'Metro lie. no.: I City 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 determine that an Authorization To'Begin Work is null and void if it does not meet applicable land use laws and local ordinances. I Description I furnace- up to 100,000 BTU I furnace - above 100,000 BTU I Electric Furnace I Duct lllterations and additions I Gas heawr units/in-wall, in. duel. susoended, etc/ I Vent, nue, liner for above I Air Conditioner I Heat Pump I Air Handler 11 $17.00 $17:00 Water heater I Gas fireplace/insert/stove I Gas log/log lighter I Gas clothes dryer I Gas stove/range I Pool or spa healer, kiln I Wood/pellt:t stove/insert I Wood fireplace I Chimney/linerlnue/wnt w/o aJ:?P'llance 1~[~~m!~i#!~X~a~_~,,&~D~~~~_~H~~QilW~Ft;-~~~ -:::~"'t I Range hood I Clothes dryer exhaust I Single-duct exhaust (bathrooms, toilet compartments, utility rooms) I Attic/crawlspace fans I upto first 4 oUllets( enler Qty= I) I I each additional otltlet . MECI;fe.J,jlC~~~ER.~T;}:!IE.~';; I Subtotal I City Of Springfield First Appliance fee I State Surcharge (12% ofoennit fee) I City Of Springfield fees '" ~ TOTAL'PERMIT FEE '" City'OfSpringfield fees: 5% Tcchpology Fee 6:J;n~oo/ / j\Jtyt i't;,: 1 Total "1 1 1 I 1 I I 1 $17.001 $1700 1 1 1 1 I I I 'i1 I 1 I 1 $34.00 I $79.00 $1356 $5,65 $132.21 0077;)... ~ o/-(YI 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: cOM2009-00772 ISSUED: 06/03/2009 APPLIED: 06/02/2009 EXPIRES: 12/03/2009 VALUE: 225 Fifth Street, Springfield, OR 54]-726-3753 Phone 54]-726-3676 Fax 54]-726-3769 Inspection Line SITE ADDRESS: ]43 W J ST ASSESSOR'S PARCEL NO.: 1703352208200 Springfield TYPE OF WORK: Heating System TYPE OF USE: Addition PROJECT DESCRIPTION: Two Circuits to Reconnect Electric Fnrnace and New Heatpump Residential Owner: MEYERS MARLA / MICHELLE Address: PO BOX 395 YACHATS OR 97498 I CONTRACTOR INFORMATION I Contractor Type Electrical Mechanical Contractor L YNNS ELECTRIC CHARLES ISAAC OSGOOD License 102316 ]68942 Expiration Date 10/]4/2011 03/07/2010 Phone 54] - 726-7895 541-988-5674 '. BUILDING INFOR~ATI~N. # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height or Structure Type or Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ftlst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other, Occupant Load: n/a I DEVELOPMENT INFORMATION I Front yard Setback: Side] Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: Notes: NOTICE: THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. \Jires ~Ol\ to ~.n,,(\f\ iaW req, _ _^n I \\ilitV I PUBLIC IMPR6yiM'E~is;,10pted b~~~ ~:\~~ -are set loor~_ . .1_ .... -. nte!. 1\'10- ... cp,r,e5Z-0 NotilicatlOn _~~1_00'~idewiil"'T&.~ile rulss b~ 'n OAR 952 bHn copIes - 1'"''''0118 I 090 'Iou ma~ 0 Dow~JP_outslDi'a!~~i..'\On o . ~ tne center. \\ I '~rl\tv ~'~l\iICC." calling . the 0199G,1.,', 2":\4). number 101 .' 1_5;"O-3v~- J centel \S Street Improvements: Storm Sewer Available: Special Instruction: Page] of 3 _e~I.!lI2!:i1S;~" '...~= ! " Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 54]-726-3676 Fax . 541-726-37691nspection Line I Valuation DesCI'intion I Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Total Value of Project fpp~ P~ilU Fee Description + 12% State Surcharge + 5% Technology. Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 12% State Surcharge + 5% Technology Fee ]st Appliance Air Handling Unit Up to ]0,000 Heat Pump Amount Paid $7.32 $3.05 $55.00 $6.00 $13.56 $5.65 $79.00 $17.00 $]7.00 Total Amount Paid $203.58 I Plan Reviews ~ Date Paid 6/3/09 6/3109 6/3/09 6/3/09 6/5/09 6/5/09 6/5/09 6/5/09 6/5/09 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00772 ISSUED: 06/03/2009 APPLIED: 06/02/2009 EXPIRES: 12/03/2009 VALUE: Value Date Calculated Receipt Number 2200900000000000600 2200900000000000600 2200900000000000600 2200900000000000600 3200900000000000422 3200900000000000422 3200900000000000422 3200900000000000422 3200900000000000422 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. wili be made the following work day. ' I Rpmwr~ Ir~n~rt~ 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 Iss u ed 225 Fifth Street, Springfield, OR 54]-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00772 ISSUED: 06/03/2009 APPLIED: 06/0212009 EXPIRES: 12/03/2009 VALUE: 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 OCCUI,'ANCY will be made of any structure without permission of the Community Services Division, Bnildi~g Safety. I further certify that only contractors and employees who are in compliance with ORS 70] .005 wiiI be used on this project. I further agree to ensnre 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 Signa.ture Page 3 of 3 Date 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-00772 COM2009-00772 COM2009-00772 COM2009-00772 COM2009-00772 Payments: Type of Payment ONLINE CHGS cReceinlJ RECEIPT #: City of Springfield Official Receipt Development Services Department Public Works Department 3200900000000000422 Date: 06/05/2009 Description I st Appliance Heat Pump Air Handling Unit Up to 10,000 + 5% Technology Fee + 12% State Surcharge Paid By ONLINE PERMIT CHGS Item Total: Check Number Authorization Received By Batch Number Number How Received njm ONLINE charles Online osgood Payment Total: Page I of I 6:52:49AM Amount Due 79.00 17.00 17.00 5.65 13.56 $]32.21 Amount Paid $132.21 $]32.21 6/5/2009