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