HomeMy WebLinkAboutPermit Mechanical 2009-8-18
Mechanical Authorization To Begin Work
[-mailed To: jert@c1imatecontrol.;inc.com
69600-BMC-09-00078
8/1812009 11:14 am
Approval Code: 055555
Check onsta'us of permit
By Phone: 541-726-3753 or Email: permitcenter@ci.springfield.or.us
D NewConstruction
o Addition/alteration/replacement
I Description
~;J,~'::;l*r_;'il
I Firsi Appliance Fee
o ] or 2 family dwelling D Multi-family D Commercial
DACCeSSOI)' Building
I Subtotal
I State surcharge (12% ofpcmlit
total)
/TeChllO!OgYfCI;:(5%OfPermit
total)
!TOTAL PERMIT FEE $92.431
I Job Addres~: 2160 DEBRA DR
I City/State/ZIP; SPRINGFIELD, OR 97477
I Suife/bldg.lllpt.no.:
I Project Name: RR-9344
I Cm"Sl",""',,"'o", "jo.,""
I Taxmapfparcelno.:
c.~-\\q<b ~ B\\e,\O'1
Inslallofmitsubishheatpump
Name: JeffCasley
Phone: 541-501-20]0
Fax: 541-736.3468
Email: jelT@clil.~~r~~oorn
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I Contact: Af\IV iQn nAV DCOlnn
Address:6308DST
City/State/ZIP: SPRINGFIELD, OR 97478
Phone: 541-501-2010
Fax: 541.736-3468
ATTENTION: Oregon law requires you to
follow rules adopted by the Oregon Utifity
Notification Center. Those rules are set forth
in OAR 952-001-0010 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).
Emsi':
I Metrolic.no.:
Citylic._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 Au~horization To BeginWork expires within 180 days if a
permit is not obtained.
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The local building department may determine that an Authorization To
Begin Work is null and void if it does not meet applicable land use taws
and local ordinances
This Authorization To Begin Work must.be.posted at the job site unti'l.replaced by a Permi~
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01l98
ISSUED: 08/18/2009
APPLIED: 08/18/2009
EXPIRES: 02/18/2010
VALUE:
Status
Iss u ed
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2160 DEBRA DR
ASSESSOR'S PARCEL NO.: 1703261103100
Springfield TYPE OF WORK: Hea'ting System
PROJECT DESCRIPTION: 'Install heat pump in resi'dence
TYPE OF USE: New
Residential
Owner: VANBUSKIRK D D & J L
Address: 2160 DEBRA DR
SPRINGFIELD OR 97477
I CONTRACTOR INFORMA TlON ,
Contractor Type
Mechanical
License
169547
Contractor
MARTIN CASTLEMAN LLC
BUILDING 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:
n/a
I DEVELOPMENT I:-'FORMATlON ,
Expiration Date Phone
04/07/20 I 0 541-736-3438
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Frontyard Setback: Overlay Dist:
Side I Setba<;,\<' # Street Trees Rqd:
Side 2 Setbat'i<PTICE: Paved Drive Rqd:
Rearyard seTtliJ&PERMIT SHALL EXPIRE IF THEol.MO'lll&t Coverage:
Solar Setbar,k~THORIZED UNDER THIS PERMIT IS NOT
__'____...n hO . ,. _ ., ___ ;nnAQQl;?_n01_0010throuahOAR952-001-
AVN.JY''''1'8'~0''DIJA~Yu pUEnR'vO MUM"uui'puBLlc IMPROVEMENTS 110090, You may obtain copies of the rules by
, I D. ' _ I calling the cenler. (Note: the telephone
Street Improvements: nur!'i!ll~l'll!lktfl"9'Rll~egon Utility Notification
Storm Sewer Available: Do~~~J\lls\nfii~Rs~-332-2344).
Special Instruction:
Notes:
1 Valuation Descriotion I
Descrintion
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Tvne of Construction
J
Paee I 01'2
Value
Date Calculated
-~~,!.'M;1lJi:!'~!.~J
~,'-",I
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01198
ISSUED: 08/18/2009
APPLIED: 08/18/2009
EXPIRES: 02/18/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fee.s Pai~j
Fee Descrintion
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Amount Paid
Date Paid
Receipt Number
$9.48
$3.95
$79.00
8/18/09
8/18109
8/18/09
2200900000000000926
2200900000000000926
2200900000000000926
Total Amount Paid
$92.43
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. will be made the following
work day.
I . R~.?~i~,~d T ~.sil1ec.ti~~s .1
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 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 a.ddress 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 Contractors Signature
Date
Pa2e 2 01'2
225,Fifth Street
Springfield, Oregon 97477
,
541~726-3759 Phone
Job/Journal Number
COM2009-01 ]98
COM2009-01198
COM2009-0] ]98
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
Description
1st Appliance
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERM]T CHGS
City of Springfield Official Receipt
Development Services Department
Public Works Department
2200900000000000926
Date: 08/18/2009
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
KR ONLINE MARTIN On,line
CASTLEM
AN
Payment Total:
Page I of I ~
\l:25:16AM
Amount Due
79.00
3,95
9.48
$92.43
Amount Paid
$92.43
$92.43
81l8/2009