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Home My WebLink AboutPermit Mechanical 2009-8-18 Mechanical Authorization To Begin Work E-mailedTo:ed@commair.biz Check on status of permit By Phone: 541-726-3753 or Email: permitcenter@ci,springfield,of.llS D New Construction o Addition/alteration/replacement o I or 2 family dwelling DMUlti.ramily D Commercial DACCeSSOryBUilding Job Address: 638 65TH ST City/State/ZIP: SPRINGFIELD, OR 97478 Suile/bldg.lapt.no.: Project Name: Smith CrossStreet/directions tojobsite: T.mp/p"<<I.,,, \l1)L;'b~ \,b ~l)'\\~ ~~~~~~~~:::~;:~i~ibESCRigTr6NLOFdWORK&~~~~~:'<_~'~~~J.~~ Install ductless split system Frank Smith Phone: 541-726-9128 Fax: Email: CCBlic.no,: []0075 Business Name: COMMERCIAL AIR INC Contact: Address: 1665 IRVING RD I City/State/ZIP: EUGENE, OR 974022479 I Phone: 541-461-482] I Email: I Metro lie. no,; Fa~: 541-461-6104 ~..""'''''''''~''''''~''' ,... ,-" ......, "......, y,y~......, .....n ........1'..."......... Y......... 'v "...1/....., ....1...... ...<;;!tx!!C:.~9:: 1-... ...1-.... r\~...~....... I h:J:... --..-- -.---,---- --~ .- - ---.;.0_. _..'_n} Notification Center, Those rules are set forth Upon review and approYi\I,bYlyou!J.!ocal,j/JrisdictiOOi\YOur: permit,will be) 952 001 Ill.....r\nv'-'~-O\JI-UVIUllIlUuLlI vt\n . .. e.mailed or faxed withiQPOe.bus"iJ1ess day... with instructions on how to I b h . I I cti lJ<llI, TOll maY oOlaln copies 01 me ru es Y sc e ueyour nspe n. , , callmg the center, (Note: the telephone NOTE: This AuthorizatioFilifd"illi'gMWork ~~PlrQWitij';j1:1'8&,d~W)f .Notification penn Ills noto.talne., Center is 1-800-332-2344). 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 I Dcscriplion I Qty, l!:ieatJDgft'~liDg.~~~e~~Y"c~ I Hell! Pump 1~lin.:4n_~iIi;};(O~~~->~.~. I Firs! Appliance Fee 1 Subtotal I State surcharge (12% ofpennit total) I Techllology iee (5% of permit I total) ! ~~~~R;~~E 69600-BMC-09-00081 8118/2009 3:15 pm Approval Code: 000984 Ea, Total $4.80 SII2.321 ~Q. S/18/DQ NOTICE: THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. '-$>0/' 6^- 0~tlX~ Y'~ ~~ This Authorization To Begin Work must be posted atthe job site until replaced by a Permit _~~ ~O , o/~' CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2009-01144 ISSUED: 08/06/2009 APPLIED: 08/0612009 EXPIRES: 02/1812010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 638 65TH ST ASSESSOR'S PARCEL NO,: 1702341300419 Springfield TYPE OF WORK: Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: 3 circuits for air conditioning units in residence and installing ductless heat pnmp and air handler Owner: SMITH FRANKLIN J & CHRISTINE Address: 638 N 65TH ST SPRINGFIELD OR 97478 Phone Number: 541-726-9128 I CONTRACTOR ~NFORMATION I Contractor Type Electrical Mechanical Contractor BURRELL BROS ENTERPRISES INC COMMERCIAL AIR INC License 136446 110075 , Expiration Date 08/20/2009 12/1812009 Phone 541-747-2724 541-461-4821 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: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occnpant Load: nla Street Improvements: I DEVELOPMENT INFORMATION I ATTENTION: Oregon law reqUires you 10 F ty d S tb fli~!Iow'rules adopted by the OreQ~n Iltilit\!., t' ron ar e a.c, 0" 'C t Th I vectlav WS . . ' ,NotifIcatIon en er. ose ru es ar . St: loqn S~de 1 Setback: in OAR 952-001-0010 through oAfq~j~~\',b"rees Rqd: SIde 2 Setback: gp90, You may obtain copies of tI!cI';'ffi<!:Pi5ge Rqd: Rearyard Setbac 'calling the center, (Note: the ter{<pyrc1'IJ overage: Solar Setbacks: number for the Oregon UWity.Notification , ",,,,,,,, ,~ ,-uvv'vTpuhi:ic IMPROVEMErJ~"T"ICE: , " I d PEF\NIJI SH,AJJ, EXPIRE IF THE WORK AUTHORrLtD'11t-l'D'EW"tHIS PERMIT IS NOT COMMEr-JbeU1WA~M\lJl1.NDONED FOR ' ANY 180 DAY PERIOD. REQUIRED PARKING Total: Handicapped: Compact: Storm Sewer Available: Special Instrnction: Notes: Paee I of 3 Status Iss u ed 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726_3769 Inspection Line I V alu~tion DescriDtion I Description Type of Construction $ Per Sq Ft or multiplier ~quare Footage or Bid Amount Total Value of Project ,F,ee~ Pa.irll Fee Description + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 12% State Surcharge + 5% Technology Fee 1st Appliance Heat Pump Amount Paid $8,04 $3,35 $55.00 $12,00 , $11.52 $4,80 $79,00 $17.00 Total Amount Paid $190,71 I Plan Reviews I Date Paid 8/6/09 8/6/09 8/6/09 8/6/09 8/19/09 8/19/09 8/19/09 8/19/09 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01144 ISSUED: 08/0612009 APPLIED: 08/06/2009 EXPIRES: 02/1812010 VALUE: Value nate Calculated Receipt Number 1200900000000000886 1200900000000000886 1200900000000000886 1200900000000000886 1200900000000000943 1200900000000000943 1200900000000000943 1200900000000000943 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 Reouirerl TnSI?ec~i.ons I Rough Electric: Prior to Cover Final Electric: When all electrical work is complete, Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete, Paee 2 of 3 --'~~.!n!!~,gl J~\o'- - -it ~' ",-, , " >''''',,,. CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO:COM2009-01l44 ISSUED: 08/06/2009 APPLIED: 08/06/2009" EXPIRES: 02/18/2010 'VALUE: Status' , Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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 address 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 Page 3 of 3 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-01144 COM2009-0] ]44 COM2009-0] ]44 COM2009-0] ]44 Payments: Type of Payment ONLINE CHGS cReceintl RECEIPT #: D,escription ] sl Appliance Heat Pump + 5% Technology Fee + 12% Slale Surcharge Paid By ONLINE PERM]T CHGS City of Springfield Official Receipt Development Services Department Public Works Department 1200900000000000943 Date: 08/19/2009 Item Total: Check Number Authorization Received By Batch Number Number How Received KR ONLINECOMMERC Online IALA]R Payment Total: Page 1 of 1 8:12:38AM Amount Due 79,00. 17,00 4,80 11,52 $112,32 Amount 'Paid $112,32 $112,32 8119/2009