The URL can be used to link to this page

Home My WebLink AboutPermit Mechanical 2010-1-5 (; IV' /1 L"~;ti,_i~M .::;::~8' f>~ 'f.c2;..~1 - --'-'~"':" OREGON City Of Springfield 225 FifthS! Springfield, OR 97477 Phone: 541-726-3753 Email: perrnitcenler@ci.springfield.or.us Residential Mechanical Authorization To Begin Work 69600-BMC-10-00002 Approval Code: 530745 1/5/2010 11:23 am E-mailedTo:c-hheating@comcast.net , :,..1 I Description , Qty. I Ea. Total j IH~~{iiJ9j~,OQt[nglAtpp-lh1Hces;{'i>-i~~.._'1.'f/~;?;~f,'~':,'-l~,.t;~~~:~~~;+' ::~, <::1 I Heat Pump $17,00 --L $17:00 I I 0 New Construction IKl Addition/alteration/replacement ;~"';CAtEG()RY'()F:C()NSTR(jCtJ()N.;1l;7'-'ii'"",,::-:,,~' .. -".L...'...... _m ... "'" .'~' ...... ...... ..'_ '.; '~~_'_~'''_'' ~'_C'~ ".~ IlKl1 or 2 family dwelling 0 Multi-family 0 Commercial 0 Accessory I[ ;: S~:J()B.SjJEnN"ORMATioNtAN[Ni()CA'iI()N;1ii~+-r"""';.'f"l I Job Address: 6649 G 5T I CityJStatelZIP: SPRINGFIELD, OR 97478 I Suite/bldg./apt.no.: I Project Name: I C'o" SU..Ud;,.ct;on' to job ,;t.. 68th" off of th",ton ,d I Tax map/parcel no.: 1702352200800 I First Appliance Fee IMe~h'anical' P~r~jfF'~e~' I Subtotal I State sJrcharge (12% of permit total) I Technology fee (5% of permit total) I TOTAL PERMiT FEE $96.00 $11.52 . $4.80 I $112.32 I C \ 0- \ I \L~. \ I ~S' lID replace a/h and add healpump I Name: Charles OSQood I Phone: 541-988-5674 Fax: 541-747--7026 I Email: I. i 4t!~ ~.:i",J 'J.., ." .~ "~i~'::~j~CONtRACf6'R~;:~;<.~"#l~~~~~tij;~;~~ .. . . i~{jllt,t.:' .. ...~..'. ._~ ~~. I . Tlllr pcO~nlT ~I-l~q'l n't~1V\~41f THE WORK I . - ... PERMII I::> NU I Bu,;n... N'm.. Ctltl'fHl'AAtli:tl'tlillDER THIS __._ I Con"ct. COMMENCED OR I~ ~BANUUI~cU fuf. I Add'.,,, PO BOXAAb't 180 UAY t'ct'lIUU. I City/State/ZIP: EUGENE, OR 97401 I Phone: 5419885674 Fax: 5417477026 I Email: c-heating@comcast.net I Metro lic. no.: City Iic. no.: ATTEN'TlON:Oregon law requIres you to lollDW rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 thrDugh OAR 952-001. 0090. You may obtain copies of the rules by calling the center. (Note: the telephone number for the Oregon Utility NotlficaUon Center is 1-800-332-2344). . ..... .....w. ..~. ","'., Upon review and approval by your local Jurisdiction, your permit will be e.malled or faxed within one business day, with instructions on howto schedule you rinspectlon. ~o \; SQ..'Q- ~ NOTE: This Authorization To Begin Work expires within 180 days if II permit is not obtained. The local building department may determine that an Authorlzallon To Begin Work Is null and :..." f) void If It does not meet appltcable land use laws and local ordinances. ~~- t. ~~.\V 'V '6 "r.' Inspections Phone: 541.726.3769 This Authorization To Begin Work must be posted atthe job site until replaced by a permit Status . Issued 225 Fifth Street, Springtield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-000t7 ISSUED: o lf05/201 0 APPLIED: Olf05/2010 EXPIRES: 07/05/2010 VALUE: SITE ADDRESS: 6849 G ST ASSESSOR'S PARCEL NO.: 17023522U0800 Springfield TYPE OF WORK: Heatin.g System TYPE OF USE: New PROJECT DESCRIPTION: Replace air handler and heat pnmp in residence. Residential Owner: BALLIET RONALD L & JUDY M Address: 6849 G ST SPRINGFIELD OR 97478 I CONTRACTOR INFORMATION I Contractor Type Mechanical Contractor CHARLES ISAAC OSGOOD License 168942 Expiration Date 03/07/20 I 0 Phone 541-988-5674 BUILDING INFORMATION I # of Units: Primary Occnpancy Group: Secondary Occupancy Grnup: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Heigh/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: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a I DEV,ELOPMENT INFORMATION I REQUIRED PARKING Frontyard Setback: Overlay Dist: Total: Side I Setback: # Street Trees Rqd: Handicap-ped: Side 2 Setbac~IOTICE: Paved Drive Rqd: ATTENTION: Oregon ~rres you to R d S """b ,,,,", >tlI"'!\~C follow rules adopted by the Oregon Utility earyar etTFff0 PERMIT SHALL EXPIRE IF Tn'" VI"", overage:. Notification Center. Those rules are set forth Solar Setback~UTHORIZED UNDER THIS PERMIT IS NOT. In n~R 9"~-n1l1-qo.1Qlhrou\lh OAR 952-001. COMMENCED OR IS ABAN~~ru~d21~PROVEMENTS ...090. You may obtain copies 01 the rUles DY ANY 180 DAY PERIOD. . , . I calling the center. (Note: the telephone Street Improvements: numlii9i"for'Witi;lOregon Utility NotificatiOn Storm Sewer Available: Do,9.1'me"t~'drfP.~2-2344). Special Instruction: Notes: ." .~ ,.,,,1...., to"~, ,,V a~..uation Descriotion I Description Type of Construction $ Per Sq Ft or mnltiplier Square Footage or Bid Amount Value Date Calculated Paee I of 2 Status Iss u ed 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line ';rotal Value of Project Fees Paid I Fee Description + 12% State Surcharge. + 5% Technology Fee 1st Appliance Heat Pump Amount Paid $11.52 $4.80 $79.00 $17.00 Total Amount Paid $112.32 I. Plan Reviews , Date Paid 1/5/10 1/5110 1/5/10 1/5/10 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00017 ISSUED: 01/05/2010 APPLIED:. 01/05/2010 EXPIRES: 07/05/2010 VALUE: Receipt Number 1201000000000000007 1201000000000000007 1201000000000000007 1201000000000000007 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. ~ell..~~i1'~d 1 ~sne~ti.~?~ I Rougb Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. By signature, I state and agree, that I have carefnlly 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 thc City of Springtield 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 used 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 01' Contractors Signature ".. '..",.. ., , } Paee 2 of2 Date 225 Fifth Street Springfield, Oregon 97477 541- 726-3759 Phone Job/Journal Number COM2010-00017 COM20 I 0-000 17 COM20 I 0-000 17 COM20 I O~OOO 17 Payments: Type of Payment ONLINE CHGS cReceintl RECEIPT#: Description 15t Appliance Heat Pump + 12% State Surcharge + 5% Technology Fee Paid By ONLINE PERMIT CHGS City of Springfield Official Receipt Development Services Department Public-Works Department 1201000000000000007 Date: 01/05/2010 .,'. '.".r \"\ Item Total: Check Number Authorization Received By Batch Number Number How Receiyed KR ONLINE CHARLES Online ISAAC OSGOOD Payment Total: .(. ~. U,." ;<.... Page I of 1 I :27:27PM Amount Due 79.00 17.00 11.52 4.80 $112.32 Amount Pftid $112.32 $112.32 115/20 I 0