HomeMy WebLinkAboutPermit Mechanical 2009-7-8
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01001
ISSUED: 07/08/2009
APPLIED: 07/08/2009
EXPIRES: 01/08/2010
VALUE:
, 225 Fifth Street, Springfield, OR
54i-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1424 YOLANDA AVE
ASSESSOR'S PARCEL NO.: 1703243302500
Springtield TYPE OF WORK: Heating System
TYPE OF USE: New
PROJECT DESCRIPTION: Install heat pump and air handler in residence
Residential
Owner: GUlLEY EDWARD L & JOAN L
Address: 1424 YOLANDA ST
SPRINGFIELD OR 97477
. I CONTRACTOR INFORMA~ION I
Contractor Type
Mechanical
Contractor
CHITTIM ENTERPRISES IINC
License
47396
Expiration Date
03/24/2011
Phone
541-461-2101
.' BUlL~ING 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 1 st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENTlNFORMATlON I
REQUIRED PARKING
Frontyard Set'NtftlCE' Overlay Dist:
Side I Setback.' # Street Trees Rqd:
Side 2 SetbackTHIS PERMIT SHALL EXPIRE IF TIfIii~ve Rqd:
Rearyard SetbllikTHORIZED UNDER THIS PERMlfoI6HJ(i).TCoverage:
Solar Setback~OMMENCED OR IS ABANDONED FOR
Af~'I. ;~~ ut'U r~nluu.
Total:
H.llndic:w,p,ed'
ATTENTION: Orego LThw re:/p"es you to'
follow rules adopted~'\PIp'~"uregon Utility
Notification Center. Those rules are set forth
in OAR 952-001-0010 through OAR 952-001-
VV::;lU. TUU IIICl.Y UUlctlll vUJJlt::::. Ullllt:: IUlt::b uy
I ~UBLlC IMPROVEMENTS I calling the center. (Note: the telephone
nursRJ%I;Jlil'ktljy.tRregon Utility Notification
Center IS 1-800-332-2344).
Downspouts/Drains:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
I Valuation Descriotion I
Description
Type of Constrnction
$ Per Sq Ft
or mnltiplier
Square Footage
or Bid 'Amount
. Value
Date Calculated
Paee t 01'2
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection 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
~~~~ Pail! I
I Plan Reviews ,
Date Paid
7/8/09
7/8/09
7/8/09
7/8/09
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01001
ISSUED: 07/08/2009
APPLIED: 07/08/2009
EXPIRES: 01/08/2010
VALUE:
Receipt Number
1200900000000000784
1200900000000000784
1200900000000000784
1200900000000000784
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.
I Reouirel! I nsneetions I
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
By signature, 1 state and agree, that 1 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.
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 Contr1!ctors Signature
Page 2 of2
Date
City of Springficld
"
-&P.RIN~f!Isu:t::
-P .... .,..P'.!2...."""--...,..;:..,
Mechanical Authorization To Begin Work
E-mailedTo:bethany@jamcsheating.com
69600-BMC-09-00016
7/8/2009 9:04 am
Approval Code: 071907
Check on status of permit
Br Phone: 541-726-3753 or Email: permitcenter@ci.springfield.or.us
10] or 2 f.1mily dwelling 0 Multi-family D ,COlmill:rcial
DAcces~X)ryDUilding
Appliance Fcc
10 NewConstruction
o AdditionJaltemtion!repla~emenl
Ilft1!!~~oojing'ap-plian,~~~~~.
I Heat Pump .1
Job Address: 1424 YOLANDA AVE
I City/State/ZIP: SPRINGFIELD, OR 97477
I Suite/bldg.!apt.no.:
I Project Nume: Guilcy
I Cro~s Street/directions to job sile:
I Tax map/llarcel no.:
I
I
I
I TOTAL PERMIT l<'EE
! Q9-ICD\
J
1J\-I~~A~!,G,6,-t)>I{R~11.t:F~ES1:~~ .'
!Subtotal
IStatesurChargC(12%OfPCIl11it
total)
!TeChnOlogy fee (5% of penn it
lof~l}
$96.00
$11.52
$4.80
$112.321
~t ~loID~
install ht:atpump UI]d air handler
Name:caryramsay
Phone: 541-46]-2101
I Email: bethany@jamesheating.com
Fax: 54[.686-4820
I CCBlk.no.: SHALL EXPIRE IF THE WORK
I "",I"", N'mAtJifii@Iil~OORWiNDIifl THIS PERMIT IS NOT
I c""',,,: COMMENCED OR IS ABANDONED fOR
I A""",,, Ils\4N1M<OOTDAY PERIOD.
I City/State/ZIP: EUGENE, OR 97401222]
I Phone: 54]c461-2101
I Emllil:
I Metro Jie. no.:
FllX: 541,686-4820
ATTENTION: Oregon law requires you to
follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth
in OAR 952-001-001 0 through OAR 952-001-
0090. You may obtain copies of the rules by
calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center is 1-800-332-2344).
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
pennit is not obtained,
The local building department may determine that an Authorization To
Begin Work is null and void ifit does not meet applicable land~se laws
and local ordinances
This Authorization ~o Begin Work must be posted at the jbb site until replaced by a P~rmit
225 Fifth Street
S~ringfield, Oregon 97477
54J -726-3759 Phone
Job/Journal Number
COM2009-0 1 00 1
COM2009-0 100 I
COM2009-01001
COM2009-01001
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
Description
1 st Appliance
Heat Pump
+ 5% Technology Fee
+ 12% State Surcharge,
Paid By
ONLINE PERMIT CHGS
1200900000000000784
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 07/08/2009
9:07:2IAM
Amount Due
?9.00
17.00
4.80
11,52
$112.32
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
KR
Page I of I
Amount Paid
ONLINE CHITTlM Online
ENTERPRl
SES
. $112.32
Payment Total:
$112.32
? /8/2009