HomeMy WebLinkAboutPermit Mechanical 2009-7-21
City of Springfield
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Mechanical Authorization To Begin Work
E-mailedTo:befhany@jameshcating.com
Check on status of permit
By Phone: 541-726-3753 or Email: permitcenter@ci.springficld.or.us
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14+,~~;~~:;~1::r.:~!lo8TSITE;INF6RMATION';AND-!"~oCfZTI6N'7I:~~;1iL;J~ '~:t~~
Job Address: 2105 LOMOND AVE
City/State/ZIP: SPRINGFIELD, OR 97477
Suite/bldg.lapt.no.:
Project Name: smith
CrossStreetldirections tojobsite:
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1~~'~r:~~}!~1fJ8~#~~ifDES'C'R'ii~'JjON~OF.jW~Klf~.:~.3~~~Jbgt~.<:;~~1
install heutpump and air handler
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Name:caryramsay
Phone: 54]-461-2101
Fax: 541-686c4820
Email: bethuny@jameshellting.com
I CCB lie. nu.: 47396
I Business Name: CH]TT]M ENTERPRISES I ]NC
I Cuntact:
Address: 1]5 LAWRENCEST
Cit)'/State/ZIP: EUGENE, OR 974012221
Phune: 541-461-2101
Fax: 54]-686-4820
Email:
Metrolic.no,:
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 ita
pennit is not obtained.
The local building deparbnent 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
liieatingiC:O:OII~g~app!i.a~.~~~. ~.
II]eal Pump
I First Appliance Fec
I Subtotal
ISllllcsurChllrgC(]2%0[PCmlil
tolal)
I Techllology fec (5% o[pcllnit
total)
!TOTAL PERMIT HE
69600-BMC-09-00035
Ii
7/2112009 9:11 am
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App"roval Code: 083459
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This Authorization To Begin Work must be posted at the job site until replaced by a Permit"
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Total :,>
$17,~~"1,
.. ~79~~1
~'~".I
- ~ .---
$96.00
$11.521
$4,801
$112.321,
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Status
Iss u ed
CITYOr ~rKINlj1<u.LD
Building/Combination Permit
PERMIT NO: COM2009-01049
ISSUED: 07/2112009
, APPLIED: 07/21/2009
, EXPIRES: 01/2i12010
VALUE:"
225 Fifth Street, Springfield, OR
54]-726-3753 Phone
541-726-3676 Fax
54]-726-3769 Inspection Line
SITE ADDRESS: 2105 LOMOND AVE
ASSESSOR'S PARCEL NO,: 1703251204700
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Install heat pump & air handler
Owner: SMITH THOMAS L & ROBIN L
Address: 2105 LOMOND AVE
SPRINGFIELD OR 97477
" CONTRACTORINFO~MATION ,
Contractor Type
MechaniCal
Contractor
CHITTIM ENTERPRISES I INC
License
47396
Expiration Date
03/24/20 II
Phone
54]-461-210]
BUILDING INFORMA,TION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Trpe of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
, .,
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Othe,':
Occupant Coad:
n/a
I DEVELOPMENT INFORMA nON I
Ii
REQUIRED PARKING
"
Frontrard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Seiback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
, Hai~dicapped:
'Co:~pact:
I PUBLIC IMPROVEMENTS I
ATTENTION: Oregon law requires you to
Si'dewaI1<!'ifYpe:,dOlJted by the Oregon Utility
Notification Centel. Those rules are set forth
Downspouts/Drains' , , .
111 un.] ",,<;-vC I;vv1 0 through OAR 952-001-
0090, You may obt~in copies of the rules by
calling the center. (Note: the telephone
number for the Oregon Utility Notification
Cp.nteL is l'-ROO-332-2344\.
Street Improvements:
Storm Sewer Avail:j,1l,TlCE:
Special Instruction'fHIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
Notes:
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I Vah,lation Descriptio~ ,
'".
."
Description
Tvpe of Construction
$Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee ] of 2
Status
Iss u ed
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fa.
541-726-3769 Inspection Line
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Ist Appliance
Heat Pump
Amount Paid
$11.52
$4,80
$79.00
$17.00
Total AmountPaid
$112,32
Total'Value of Project
~ees ~a.i~ N
I Plan Reviews ,
Date Paid
7/21/09
7/21/09
7/21/09
7/21/09
CITY OF SPRINGFIELD'
L'
"
Building/Combination Permit
PERMIT NO: COM2009-01049
ISSUED: 07/21/2009
APPLIED: 07/21/2009
EXPIRES: 01/21/2010
VALUE:
Receipt N,~mher
. :1
3200900000000000545
3200900000000000545
3200900000000000545
3200900000000000545
,
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 Reouired I"sneclions .
Rough Mechanical: 'Prior to Cover
Final Mechanical: ~hen all mechanical work is complete,
By signature,J state and agree, that I have carefully examined the completed application and do hereb'y certify that all
information hereon is true and correct, and I further certify that any and all work performed shall he '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 he made of any structure without permission of the Community Services Division, Building Safety,
I further certify that only coutractors 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 readahle from the
street, that the permit card is located at the front of the property, and the approved set of plans will reinain on the site at all
times during construction. l' ;,
Owner or Contractors Signature
Pa!!e 2 of2
Date
225 Fifth Street
Springfield, Oregon 97477
54I-726-3759Phone
Job/Journal Number
COM2009-0 I 049
COM2009-01049
COM2009-0 1 049
COM2009-0 I 049
Payments:
Type of Payment
ONLINE CHGS
cReceiot I
RECEIPT #:
Description
Heat Pump
1st Appliance
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
3200900000000000545
Received By
Check Number
Batch Number
City of Springfield Official Receipt
Development Services Department
,. .I
Public; Works Department
,
"
Date: 07/21/2009
Item Total:
Authorization
Number
;1 I'
How~eceived
NJM
ONLINE ,CHITTlM Online "
Payment 10tal:
:l
Page I of I
9:12:38AM
Amount Due
17,00'
79,00'.
4,80
11.52
, $112,32
Amount Paid':
$112,32
$112.32
7121/2009