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
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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).
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I Busme5sName:1MARTINCASTLEMANtCC f~1I0 rClIlVlI1 I~ I\JU I
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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.:
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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
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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