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HomeMy WebLinkAboutPermit Mechanical 2009-8-12 b Mechanical Authorization To Begin Work E-mailedTo:bethany@jamesheating.com Check on statu~ of permit By Phone: 541-726-3753 or Email: pemiitcenter@ci.springfield.or.us 69600-BMC-09-00071 8/12/2009 4:55 pm App"ro\'al Code: 085468 II o NewCoostruction o Addition/alteration/replacement /;;;.~:;:;;:-,~'FEE'SCHEDULE_ . I Dncription I,i Qty. I 1010; 2 f=lly dwol""g 0 ","I-r=lIy 0 Comm,,",1 DAccessoryBlLilding IGasPiping.firSI four IHeat!ilg(eO:O~rig,appii~~'CeE '~.- -'r~i-;'~ IFurnace-up\{) 100,000 BTU II :...., $79.001 "~-'~"-~I' -.'(r. \."'-"V $103.00 $12.36 I Job Address: 4608 HOLLY $T I Cii)'IStlltc/ZIP; SPRINGFIELD, OR 97478 I SuiteJbldg./npt.no.: I ProjeclName: Lessard I c"" St,,,V';,,;.,", '" job ,;,,, Tax map/parcel no.: \ \ ~ IFirstApplianceFee II! l~lEc!"lANICAl>PER1\-jrLFEts-;:,~--I,:{~~_f.!' I Subtotal IStatesurCharge(12%OfPennil total) ITeChnolob'Y fee (5% of permit total) I TOTAL PERMIT FEE Cli -1110- I&- B\ \3\ D9 U \\00 install gas fumace and heatpump I Name: cary ramsay I Phone: 541-461-2101 Fax: 541-686-4820 1 Emall:,~fI~fT'h~atJngcom ~~ 1 1~~~:~~H;~i~~~-i~~ri~~;il~~~~~~~~~'~~'~~~l I BU'I""~~'li.~~IT:~~~~~T~!'f'1ss X~7\~~~~~IE~ F~[) I I cO"""',,\l1 ~~ ~..^,\I rE[)~';:'[', I I Address: 115LAWRENCEST I I City/Slllte/ZIP: EUGENE, OR 974012221 I I Phone: 541-461-2101 Fax: 541:6864820 I I Em.lI. I J 1\1etro lie. no.: . City lie. DO.: 1 $5,15 $12051 ATTENTION: Oregon law requires you to foll.ow rules adopted by the Oregon Utility Nollflcation Center. Those rules are set forth In OAR 952-001-0010 through OAR 952-001- 0090. You may obtain copies of the ruies by calling the center. ,,(Note: the telephone number for the Oregon Utility Notification Center is 1-800-332-2344): Upon review and approval by your local jurisdiction, your permit will be e-mail(ld or faxed within one business day, with instructions on how to schedule your Inspection. .~ ~\.Qj ~~." W ~.rcf 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 ~.cf\ ~~ ~ This Authorization To Begin Work must be posted at the job site until replaced by a Permit:. Status Issued CITY OF SPRINGFIELD Building/Co.mbination Permit PERMIT NO: COM2009-01172 ISSUED: 08/13/2009 APPLIED: 08/13/2009 EXPIRES: 0211312010 VALUE: ' 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 4608 HOLLY ST ASSESSOR'S PARCEL NO.: 1802051207700 Springfield TYPE OF WORK: Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: Install gas furnace and heat pump. Owner: LESSARD SHERRY MAY & L W Address: 4608 HOLLY ST SPRINGFIELD OR 97478 I CONTRACTOR INFORMATION I Contractor Type Mechanical Contractor CHITTIM ENTERPRISES I INC License 47396 Expiration Date . Phone 03/24/2011 541-461-2101 BUILDING INFORMA nON I # of Units: Primary Occnpancy 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 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 PARKING Frontyard sM6'a"fi<r.E: Overlay Dist: "Total: Side 1 Setball~;lS PERMIT SHALL EXPIRE IF THE#Wt5f}1tTrees Rqd: ATTENTION: Oregon IlrHan<\ic'appe,ct,u to Side 2 Setbal\tTHORIZED UNDER THIS PERMIT r~'1~~-prive Rqd: follow rules adopted by0ompacl)On Utility Rearyard s'C~f1~h~IENCED OR IS ABANDONED Fd'Kof'Lot Coverage: Notification Center. Those rules are set for1h Solar SetbackS'y 10 in OAR 952-001-0010 through OAR 952-001- AN nO nAY PFRlnn ^nr.,.. \I....;. ............. .....h+"'i.... ,...A.nio.~ f'\fthp. rrllpc: h\f I PUBLIC IMPROVEMENTSlalling the c'enter. (Note: the telephone , "umber for the Oregon Utility Notification Street Improvements:' S&J',~~\kiify.p.suO;332-2344). Storm Sewer Available: Special Instructiol\: Downspouts/Drai~s: Notes: I Valuation Descri9tion I Description Type of Construction '$ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Page I of2 CITY OF ~r.Kll'\ilJJfl.l'.LD Status Issued Building/Combination Permit PERMIT NO: COM2009-01172 ISSUED: 08/1312009 APPLIED: 08/13/2009 . EXPIRES: 02/13/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees Pai~ I $1l.52 $4.80 $79.00 $17.00 8/13/09 .8/13/09 8/13/09 8/13/09 Receipt Number 1200900000000000916 1200900000000000916 1200900000000000916 1209900000000000916 Fee Description + 12% State Surcharge + 5% Technology Fee 1st Appliance Heat Pump Amount Paid Date Paid Total Amount Paid $1l2.32 I Plan Reviews I 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. wil(be .made the following work day. I R..,ollired II' sllections I 111111__111111 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 shall be done in accordance with the Ordinances ofthe 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 nsed 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 remain on the site at all times during construction. Owner or Contractors Signature Date Page 2 of2 n' . 225 Fifth Street ~pringfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-0 1172 COM2009-01172 COM2009-01172 COM2009-01172 COM2009-0 1172 Payments: Type of Payment ONLINE CHGS cReceintl City of Springfield Official Receipt Development Services Department Public Works Department " , RECEIPT #: . 1200900000000000922 Date: 08/13/2009 3:58:50PM Description 1st Appliance Furnace - up to 100,000 btu Gas Outlets 1-4 + 5% Technology Fee + 12% State Surcharge Paid By ONLINE PERMIT CHGS Amount Due 79.00 17.00 7.00 5.15 12.36 $120.5\ Item Total: l.:heck Number Authorization Received By Batch Number Number How'Received KR Page 1 of 1 Amount Paid ONLINE CHITT1M Online ENTERPRl SES $120.51 Payment Total: $120.5\ 8/13/2009