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HomeMy WebLinkAboutPermit Mechanical 2009-8-20 City of Springfield . Mechanical Authorization To Begin Work ~>mailed To: bcthan:y@jamesheating.com 69600-BM'C-09-00082 8/19/2009 3:22 pm Approval Code: 096015 Check on status of permit By Phone: 541M726-3753 or Email: permitcenler@ci.springfield.or.us / ~'b ~~ 'tI (Jo I D NewConstructioo o Addition/alteration/replacement 010r2familYdwelling DMulti-farnily D Commercial DACCeS~OryB\Jilding I Job Address: 390 BLACKSTONE ST I City/Stafe/ZIP: SPRINGfJELD, OR 97477 I SuiteJbldg./apt.no.: I -Project Name: Hartman I C,""S",,,t1di,,,ti,,", toj~b,it" I T"m,p!p"'''"'' \"I:R)Z;:>"'~~ m"CC) 1-""'''C:l0'~ ~ .'~"~'""::'_'4i<~iII'JtYN'IiY. ~2:""~~a;~?:Jii:f'-:'~ ;DESCRIP..-TION[OF,LW'ORKiZ.!;.~i~~:&~~;:'~0R install'airconditioner I Name: carynunsay I Ph"" 541-~!JJliIGE: F,,, 541,686-4820 I Em,il: b"h,t>lliJ&,~&~MH' SHALL EXPIRE IF THE WORK 1jffJJ,,'5;..:J'!JAUJif.t0R IZE (iblJ NruoRf~ro~EIitMErllil S~N 0lTIi':.&d~~JI\'! I CCB'" "G6MMENCED OR IS ABANDONED FOR I Bu,in.., N'A'l'Wl1tooEfh'liYpf'l~I@!)' I Contact: I Address: liS LAWRENCE ST City/State/ZIP: EUGENE, OR 974012221 Phone: 541-461-210] Fax: 541-686-4820 Emuil: I Metro lie. no.: City lie. no.: Upon review and approval by your local jurisdiction, your permit will be a-mailed or faxed within Ol1e busi~ess day, with instructions on how to schedule your Inspection. NOTE: This Authorization To Begin Work expires within 180 days if a permit is not obtained. The local building departme~t 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 Description Qty, Ea. I' Total Appliance Fee Subtotal .$79.00 $9.481 $3.951 $92,431 Statesurcharge(12%ofpennic total) Technology fee (5% of permit lotal) I TOTAL PERMIT FEE e,q-,to lo- K.\L 8\~\~ ATTENTION: Oregon law requires you to follow rules adopte,d by the Oregon Utility ~otification 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 pregon Utility Notification Center is 1-800-332-2344). ~t'~ ~ SryQ- \j,.-\ This Authorization To Begin Work must be posted at the job site untilreplaced by a Permit Status Iss u ed CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01212 ISSUED: 08/20/2009 APPLIED: 08120/2009 EXPIRES: 02120/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 390 BLACKSTONE ST ASSESSOR'S PARCEL NO,: 1703233407700 Springfield TYPE OF WORK: Mechanical Only TYPE OF USE:' New Residential . PROJECT DESCRIPTION: Install air conditioner in residence Owner: HARTMAN JACK Address: 390 BLACKSTONE CT SPRINGFIELD OR 97477 .,1 'CONTRACTOR INFORMA~WN I Contractor Type Mechanical Contractor CHITTIM ENTERPRISES I INC License 47396 Expiration Date 03/24120 II Phone 541-461-2101 BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedro'oms: # 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: ATTENTION: ~f13~b\{~!i~g~I!€i~~lWyou 10 follow rules a&qJn!c.OJY,\lle Oregon Utility NotificW!bn Cerli>SF.UPM~!-I'!!!t's are set forth :" e:,f. ::: ::: I S:/, ~ ::".......::;:. '2:.:--. ::: :..:~ . I DEVELOPMENT INFORMMlUill'l 'tu may obtain copies of the rules by NOTICE. , calling the center, (NREQI!l~DIP.ARKING F Tf.ll~ Pi=RMIT SHALL EXPIRE IF THE WO~ I D' number for the Oregon. Utility Notification ' ronty;am:S~fbacl{, er ay 1st: Center is 1-80d-8~a '2344\, ' Side 1 ~etbWc13IZED UNDER THIS PERMIT IS N Street Trees Rqd: Han~icappM: Side 2 (S"tbW1f:NCED OR IS ABANDONED FOR Paved Drive Rqd: Compact: Reary~r.Il)S~t!>lIcB;W PERIOD, % of Lot Coverage: ' Solar Setbacks: IPUBLlC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: . Dow.nspoutsmrains: Notes: I V aluatio~ Descriotion I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee I of 2 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Fee Description + 12% State Snrcharge , + 5% Technology Fee 1st Appliance Amount Paid $9.48 $3,95 $79,00 Total Amount Paid $92.43 Total Value of Project Fees Paid I Date Paid I Plan Reviews I 8/20/09 8/20/09 8/20/09 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01212 ISSUED: 08/20/2009 APPLIED: 08/20/2009 EXPIRES: 02/20/2010 VALUE: Receipt Number 1200900000000000948 1200900000000000948 1200900000000000948 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. ' Reouired Insnections I '" ~,,_, I I I 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 he made of any structure without permission of the Community Services Division, Building Safety, I further certify that only contractors and employees who are in compliaoce with ORS 701.005 wiWbe used on this project, I further agree to ensnre that all required iospections 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 , Paee 2 of2 Date 225 Fifth Street Springfield, Oregon 97477 541-,726-3759 Phone Job/Journal Number COM2009-01212 COM2009-01212 COM2009-01212 Payments: Type of Payment ONLINE CHGS cReceintl City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 1200900000000000948 Date: 08/20/2009 Description 1 st Appliance + 5% Technology Fee + 12% State Surcharge Paid By ONLINE PERMIT CHGS ~eceived By KR Page I of I Item Total: Check Number Authorization Batch Number Number How Received " ONLINE CHITTIM Online ENTERPRI SES Payment Total: 8:33: 13AM Amount Due 79,00 3,95 9.48 $92.43 Amount Paid $92.43 $92.43 812012009