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HomeMy WebLinkAboutPermit Mechanical 2009-9-14 First Appliance Fee I I ~~'tC)fANICA:LlpERi\HIIFE~i~~1:;.',i[~.:.~ 1:" SubtOla] Sl31e surcharge (12%ofpermil lotal) Techno]ogy fee (5% of penn it 101al) TOTAL PERMIT FEE City of Springfield Mechanical Authorization To Begin Work E-mailcdTo:jeff@climatecontrol~mc.com Check on status of permit By Phone: 541-726-3753 or Email: permitcenter@ci.springfield.or.us I D New Construction o AdditiorJalteratiorJrep]acemenl Description Heat Pump 10 I "",:",'Iy '.wOll'o, tJ Molti-f=i1y D Co~o,,',1 DAcceSSOIY Bui]ding I Job Address: 3638 OREGON AVE I City/State/Zip: SPRINGFIEl.,D,:OR 97478 I Suite/bldg.lapt,no.: I ProjectName:IT-9352 1 em" S"""di~"tiO" to job "!" 32 I TaJ: map/parcel no.: Cq -13:53 Inslall new lennox heat pump sy~tem , Name:leffCasley I Phone: 541-501-2010 I Email: jeff@cllIDateco..iittnl.mc.com ..1..1 I ...r Fax: 54]-736-3468 69600-BMC-09-00 126 9/14/2009 11:26 am Approval Code: 014918 Total $4.801 SII2.321 ~ qlltflD1 ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001- 0090. You may obtain copies of the rules by calling the center. (Note: the telephone number for the Oregon Utility Notification Center is 1-800-332-2344). I CCBbc.no' P.695~4,~IDI7~; 1~:lnr-... '1":: Ir 1"Ht VVUHK I Busme5sName:1MARTINCASTLEMANtCC f~1I0 rClIlVlI1 I~ I\JU I . l.r'l\I11lllf--l\lI_=~' ~r: KJ ,;:;~:'E-~~-D fOH I Contact: 1~,f\rV iQn r"l^\I nr-nl'"l \I UI\lC I ' ~." , ~'..v3 Address: 6308 DST . I City/State/ZIP: SPRINGFIELD,: OR 97478' I Phon~: 541-501-?0IO Fax: 541-736-3468 I Email: I Metro lie. no.: Citylii:.oo.: '~ # \J$J A:W f>.... . Upon review and approval by your local jurisdiction, your permit will be e~mailed or faxed within one' business day, with instructions on ~ow to schedule your inspection. NOTE: This Authorization To Begin Work expires within 180 days ita permit is not obtained. 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 This Authorization To Begin Work must be posted at the job site until replaced,by a Permit ~ C\.\~tjC\ ~i&~ L)J _~~r~~!ilI~~J?:""M~':~ll'" ,:,",;, '" .;,<; .i,'" 'C'~ Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2009-01353 ISSUED: 09/14/2009 APPLIED: 09/1412009 EXPIRES: 03/14/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769Inspection Line SITE ADDRESS: 3638 OREGON AVE ASSESSOR'S PARCEL NO.: 1702314205600 Springfield TYPE OF WORK: Heating System TVPE OF USE: New PROJECT DESCRIPTION: Install new lennox heat pump system in residence Residential Owner: MILLERlRA YMOND J & SUSAN A Address: 3638 OREGON AVE SPRINGFIELD OR 97478 I CONTRACTOR INFORMA TION I Contractor Type Mechanical Contractor MARTIN CASTLEMAN LLC License 169547 Expiration Date 04/07/2010 Phone 541-736-3438 BUlLDII\'G INFORMATION I # of Units: # of Stories: Lot Size: Primary Occupancy Group: Height of Structure Sq Ft 1st Floor: Secondary Occupancy Group: Type of Heat: . Sq Ft 2nd Floor: Primary Constructionl!Type Water Type: ATTENTION: OS'lJlll1RlIse\ll'f!1ltires you to Secondary Construction. Type: Range Type: follow rules adc~qEli:1 ~aiiageZ€a!]lortjtility ItVlH.n... - # of Bedrooms' ' HALL XPIRE IF T~~th: Notification Cent'Sq FllOther:les are set forth rHIS PERMIT S E . ' B 'ld' . in OAR n7~.001-CQ'&"" -tlU'-:iil,\R 952.001- AIITHORI7Fn II~mFR THIS PERMI 9~~ UI mg, nnan v~,~ mOH nht"';nP~:n';~ nfthn ,..I no h" COMMENCED OR IS ABA'1IUDlJ.viill<i'PMENT INFORMATI0NJthe center. (Noie: the telephone' ANY 180 DAY PERIOD.' , ,. ",)" ,or the Oregon Rli:Q:uiR>'Ei~f\I\.<RKING Center Is 1-800-332-'2344), Frontyard Setback: Overlay Dist: Total: Side 1 Setback: # Street Trees Rqd: Handicapped: Side 2 Setback: Paved Drive Rqd: Compact: Rearyard Setback: % of Lot Coverage: Solar Setbacks: I PUBLIC I~PROVEMENTS I, .. \ Street Improvements: Sidewalk Type: Storm Sewer Available: DownspoutsiDrains: Special Instruction: Notes: I Valuation Descrintion I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pa2e I of2 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2009-01353 ISSUED: 09/14/2009 APPLIED: 09/14/2009 EXPIRES: 03/14/2010 VALUE: 225 Fiftb Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fe~s Paid I $11.52 $4.80 $79.00 $17.00 9/14/09 9/14/09 9/14/09 9/14/09 Receipt Number 2200900000000001039 2200900000000001039 2200900000000001039 2200900000000001039 Fee Description + 12% State Surcbarge + 5% Technology Fee 1st Appliance Heat Pump Amount Paid Date Paid Total Amount Paid $112.32 I 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 Reouired Insneetions I Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. By signature, I state and agree, tbat I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I furtber certify that any and all work performed sball be done in accordance with the Ordinances of the City of Springfield and the Laws of tbe State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of tbe Community Services Division, Building Safety. I further certify that oitly contractors and employees who are in compliance with ORS 701.005 will be used on this project. I furtber 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 tbe 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, Oregoi1:97477 ' 541-726-3759 Phone. Job/Journal Number COM2009-01353 COM2009-0 1353 COM2009-0\353 COM2009-01353 Payments: Type or Payment ONLINE CHGS cReceint 1 RECEIPT #: D~sc'ription' '.'.lsi Appliance ,Heat Pump " ;',+.5% T~chnology Fee + 12% State Su~charge Paid By ONLINE PERMIT CHGS . .. '2200900000000001039 Received By KR Page I of I Check Number Batch NUl1)ber City of Springfield Official Receipt Development Services Department Public Works Department Date: 09/14/2009 1:07:42PM Item Total: Authorization Number How Received Amount Due 79.00 17,00 .4.80 11.52 $112.32 Amount Paid $112.32. ONLINE MARTIN Online CASTLEM AN Payment Total: $1l2.32 9/14/2009