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