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Home My WebLink AboutPermit Mechanical 2009-8-3 " City of Springfield $f~~~~,!:I~--:,~~ 69600-BMC-09-00051 Mechanical Authorization To Begin Work E-mailedTo:centrah.alJeyair@nelzero.net 8/3/2009 8,09 am Approval Code: 020411 Check on sta~us of permit 8)' Phone:.541-726~37S3 or Email: permitcenter@cLspringfield.or.us D NewConstruction o AdditionJalteration/replacemcnI 01 or2 family dwelling o Multi-ramily 0 Commercial o Accessory Bnilding, ;=:f~IrSiTE'TNfoRMATlbN:AND1Lfo'bA-fI6N;;:~~~i~:?fr~~: I Job Address: 253 S 70TH PL City/State/ZIP: SPRINGFIELD, OR 97478 Suite.llJld1;:.lulll.no.: Project Name: Cross Street/directions 10 job site: Tnap/"""'.,, \'1rf}~i59~ ()lo~ ITkL;iz~g,;4~~TGY!,~~~;;11}DEs-CRIBT16N76f;fWORK't~~;;~~~_it;~~%~!i furnace and heal pllmp replacemcnl I NlImc:dannyjones I Phone: 541-726-814] Fax: I Em.i1 N.rm.r..F" r~;~;:1:~~~::=:I~:::~~:~:;:~~~::~/~~~~;: "%:~~;'I 1.",;","N"';"~jMmilo'l!ltIjiI'\RFtWP.l\ ARA~lnnNFn FOR I I Con"", l\~IV 1 Qn nllv Dj:Rlnn I I Address: 6699 SKYLINE RD S I I City/StatelZII': SALEM, OR 97306 I I Phone: 503-932-8304 Fax: 503-362-]208 I Emuil: I Metrtllic.no.: CitY lie. nu.: I Upon review and approval by your local juriSdiction, your permit will be a-mailed or faxed within one business day, with instructions on how to schedule your inspection. I Description I Fumacl;: - up to ]00,000 BTU 'First Appliance Fee 'J t 1~1~CH~\I'~f~~1:l'ERMI'ttJ;:~.K~;F;::~.fu>;?;::E.~~-,:"~";"~"", I Subtotal I State surcharge C12% of penn it lotal) ITt:ChnOlogYfee(5%OfPermit total) I TOTAL PERMIT FEE 579.001 $96.00 $]L52 $4.80 $112.321, 01- \ \ld. KJL B}3/0'l ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001- 0090. You may obiain copies of the rules by calling the center: (Note: the telephone number for the Oregon Utility Notification Center is 1'800-332-2344). ~ \;. "-. 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 ~rS^- ro~. ~~ This Authorization To Begin Work must be posted at the job site until replaced by a Permit -~~~~~9~!~~~:::ffr~1,~,~~j\fP..~ Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01112 ISSUED: 08/0312009 APPLIED: 08/0312009 EXPIRES: 02/0312010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 253 S 70TH PL ASSESSOR'S PARCEL NO.: 1702353406505 Springfield TYPE OF WORK: Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: Furnace and heat pump replacement Owner: JONES DANNY R Address: 90414 THOMSON LN VIDA OR 97488 I CONTRACTOR INFORMATION I Contractor Type Mechanical Contractor TIMOTHY DALE FRESHOUR License 127032 Expiration Date 01115/2010 Phone 503-932-8304 BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structnre Type 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 Other: Occupant Load: n/a I DEVELOPMENT INFORMATION I REQUIRED PARKlNG Notes: Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setback".. OTI C E: I~ ,- -I'~ 'Ji~'1'1 THIS PERIVIII ::JHALL CAnr ~ I" "." .".",. 'f: 1"p,UIl1M:II:J\1J1WVEMENTS I AUTHORIZED UNDER THIS 'hiIiilililirlI'- ". . ou to Street Improvements:1ENcED OR IS ABANDONED FOR AT'fmte"j;llilkJ'JQ/;\;9on law reqoUlres y Ut'l'lty lJU IVIIV follow rules adopted by the regon , Storm Sewer AMllftljIgO DAY PERIOD. Noti1RPd'liBWe~\,mraT*l(;se rules are set forth Special Instruction: in OAR 952-001-0010 through OAR 952-001- 0090. You may obtain copies of the rules by calling the center. (Note: the tele~hone number for the Oregon 'Utility N011flcaliDn l,;enter IS I-OVV::l}o,),~~,.r""'J. OverlayDist: # Street Trees Rqd: Paved Drive Rqd: % of tot Coverage: Total: Handicapped: Compact: I Val~ation Desc~iDtion I Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pa!!e I of2 _~A~~IIlI"'~ . h 'I " Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection ,Line Total Value of Project Fees PHirl . Fee Description + 12% State Surcharge + 5% Technology Fee 1st Appliance Furnace - up to 100,000 btu Amount Paid Date Paid $11.52 $4.80 $79.00 $17.00 8/3/09 8/3/09 8/3/09 8/3/09 TotalAmount Paid $1l2.32 I Plan Reviews I CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01112 ISSUED: 08/03/2009 APPLIED: 08/03/2009 EXPIRES: 02/03/2010 VALUE: Receipt Number 3200900000000000561 3200900000000000561 3200900000000000561 3200900000000000561 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 Renllirerllnsllections I Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. By signature, I state and agree, that I have carefnlly 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 Springtield 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 ihe 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 2i5 Fifth Street Springfield, Oregon 97477 54'1-726-3759 Phone City of Springfield Official Receipt Development Services Department Pub~ic Works Department Job/Journal Number COM2009-0I112 COM2009-01112 COM2009-011I2 COM2009-01112 Payments: Type of Payment ONLINE CHGS cRcceintl RECEIPT #: 3200900000000000561 Date: 08/03/2009 Description 1 st Appliance Furnace - up to 100,000 btu + 5% Technology Fee + 12% State Surcharge Paid By ONLINE PERMIT CHGS Item Total: Check Number Authorization Received By Batch Number Number How Received kr ONLINE Timothy Online Dale Freshour Payment Total: Page I of 1 8:34:28AM Amount Due 79,00 17,00 4,80 11.52 $112.32 Amount Paid $112.32 $112.32 8/3/2009