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Home My WebLink AboutPermit Mechanical 2009-8-27 ~ q ___ I)IY- City of Springfield ...,,.._.P...,,RIH,Q,P1,,,B&:D,,: ',~!'.~ "'.. -c. ~. :.' .j j~ T. ~ .."'..-.. , , .' ., . ".' '. =.., ,. -_.....,--=..-,,--,.,,/'j..._---:.~ Mechanical Authorization To Begin Work E-mailedTo:c-hheating@comcast.net 69600-BMC-09-00097 812712009 8:30 am Apprm:al Code: 503755 Check on status of permit B}' Phone: 541-726.3753 or Email: pennitcenler@ci.springfield.or.us '-.,'\0;8f}'; 2-'fi'~:-~;TYPE_-OF.lWORK . ,'i,.~"''":--4--. $C.;' a,' '>, ~;. FE!, SCHEDUlE,:' 10 ' 0.2 fwnily dw,lIiog D M"hi-fwni'y Dcommercial DACCeSSOryBUilding I QI)', r 'I .. To'" I I $17,001 i $79.001 '$~6,O~ I, $11.52 D NewConstruction I',. o Addition/alteration/replacement CA TEGORY. 61':CONSTRlJCfION.'. i"' '::,', ,; " JOB SITE'iNF.ORMA1ToN;ANI/LoCA nON .-- ~ Job Address: 2265 $HADYLANE DR City/State/ZIP: SPRINGFIELD, OR 97477 i'. -~ .. ~', Suiltlbldg.lllpl.no.: S4.80 Project NlIffiC: 5112.321 Cross Stn~etltlirccrions to job site: south off of ha)'den bridge 1 To. m'p/""", 00,: \ ~f'l-:;A" I I ", (Y"f.Y:;O 1~~'~i,:~"':1..._ ,...'~~.,::;':~~~~DES<;:~.!pj.!9N:.oF:",^,()~TSt~~~'~":.-ii-~-f:~"-~'::"':~'~'~ replaceath nndhlp I" - ,,::.,f::';SITE_C_ONTACT~ :~~5: .'f'< I Name: Charles Osgood Phone: 541-988-5674 Fax: 541-747-7026 Email:c-hhealillg@comCaSl.nel "':~i~':~~ .._I; CO-NTRAC-tCrR<4~~ ~.'-'.)^'~ _ CCB lie. no.: 168942 Business Name: CHARLES ISAAC OSGOOD Contact: Address: PO BOX 70564 City/State/ZIP: EUGENE, OR 97401 Phone: 541.988-5674 Fax: 541-747.7026 Email: c.heating@comcasl.net MetTolie.no.: City lie. 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 Authorization To Begin Work expires within 180 days If a pennit is not obtained. /. .0) ::y i\. '\..Y '" 'V '0 \SJ~d' 10: \I-" ~ '\>-~ ~ The local building department may determine that an Authorization To Bagin Work is null and void if it does not meet applicable land use laws and local ordinances This Authorization To Begin Work must be posted at the job s!te until replaced by a Permit ~GDcr ~ O\2.JoL (\0, ~/o~ Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01262 ISSUED: 08/27/2009 APPLIED: 08/27/2009 EXPIRES: 02/27/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 54 I - 726-3 769 I nspection Line SITE ADDRESS: 2265 SHADYLANE DR ASSESSOR'S PARCEL NO.: 1703271100300 SPRINGFIETYPE OF WORK: Heating System TYPE OF USE: Residential PROJECT DESCRiPTION: Replace Air handler and heat pump Owner: MCCLUSKY DIANE J Address: 2265 SHADY LANE DR SPRINGFIELD OR 97477 Owner: THOMAS BRANDON A Address: 2265 SHADY LANE DR SPRINGFIELD OR 97477 Contractor Type Mechanical I CONTRACTOR INFORMATION 1 I~\~' rP'(1uire~ you to Contractor ATTE~:l!;icehSeregoExpir~t!,?J1,.g\lte.ilit\Phone CHARLES ISAAC OSGOOD 1o\Iow t168942dopte~"'~o1l'~!W~PQ,~Oset 1011541-988-5674 BUILDING INFORMAT.JON";01'.'OO1O thr~ui~~ ~~~e\J~~~~U~y . 0090. You may obtam ~ }~, the telephone # of Stones: calling the center. (~bOf'~IWt',lnti1ication Height of StructVfSmber tor the Oregc~~lF,~~~~!~9?r: Type of Heat: Center IS 1-80Sq3Ff2nd Floor: Water Type: Sq Ft Basement: Range Type: Sq Ft GaragelCarport Energy Path: Sq Ft Other: Sprinkled Building: nla Occupant Load: # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: I DEVELOPMENT INFORMATION 1 REQUIRED PARKING Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: P.TT~' rTOf\!: Ore['0n law requires you to 4.-,1'....,., _.-~.._ ................... .-l ;'U ......... r\................... 11<;1:+.. I PUBLIC IMPROVEMENTS I Noti::(.ation Center, Tt;use rulE:s are set lorih in o~n 9:;2-001-0J10 through OAR 952-001- OOS~},d~~!'.I~l!rPJ",tain copies'61 the rules by C-,,;~~ th~ ~"-'o, ""ate' the telephone Downspouts/Drains:" , number lor the Oregon Utility Notification Center is 1-800-332-2344), Street Improvements: Storm Sewer Available:/GE" S . II . "u I peC13 nstruchon: . I HIS PERMIT SHALL EXPIRE IF T:~E \, v' , Notes: AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Page] of2 ' Status Issued CITY VI' ~rK1r;j(jl'lJ<,LD Building/Combination Permit PERMIT NO:COM2009-01262 ISSUED: 08/27/2009 APPLIED: 08/27/2009 EXPIRES: 02/27/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descriotion I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project Fees Paid 1 Fee Description + 12% State Surcharge + 5% Technology Fee 1st Appliance Heat Pump Amount Paid Date Paid Receipt Number $II.52 $4.80 $79.00 $17.00 8/27/09 8/27/09 8/27/09 8/27/09 3200900000000000608 3200900000000000608 3200900000000000608 3200900000000000608 Total Amount Paid $112.32 I Plan Reviews 1 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 Reouired Insrll'cv;nnS ~ I..II~ 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 nsed 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 Paee 2 of 2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-0 J 262 ,COM2009-0 1262 COM2009-0 1262 COM2009-0 1262 Payments: Type of Payment ONLINE CHGS cReceintl RECEIPT #: Description 1st Appliance Heat Pump + 5% Technology Fee + 12% State Surcharge Paid By ONLINE PERMIT CHGS ",_}~<!Fl,~"B.~~",...,."" ',',..". ..,," -. :.-. ,~-_. ~"'"--~--'~ 3200900000000000608 City of Springfield Official Receipt Development Services Department Public Works Department Date: 08/27/2009 Item Total: Check Number Authorization Received By Batch Number Number How Received NJM , Page I of I ONLINE CHARLES Online OSGOOD Payment Total: 8:40:48AM Amount Due 79,00 17,00 4,80 11.52 $112.32 Amount Paid $112,32 $112.32 8/27/2009