HomeMy WebLinkAboutPermit Plumbing 2010-1-7
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City Of Springfield
225 Fifth St
Springfield, OR 97477
Phone: 541-726-3753
Email: permitcenter@ci.springfield.or.us
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D New Construction
IKI Addition/alteration/replacement
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[R] 1 or 2 family dwelling D Multi-family D Commercial D Accessory
ir;~:'c~::L .;;:;;'~" JOB.SITE!INFORMATjON1AN[)1i!ocAfioNIi:rt';c':i'\';";:;~
I Job Address: 390 BLACKSTONE ST
I CitylStatefZIP: SPRINGFIELD, OR 97477
I Suitefbldg.lapt.no.:
I Project Name: Hartman
I c,o," S'"."d;",t;ons to Job s;'e,
I Tax map/parcel no.: 1703233407700
Install gas w~ter heater
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I Name: cary ramsav
I Phone: 541-461-2101
I Erna!l:
Fax: 541-686-4820
I Plumb lie. no.: 20-371 PB CCB lie. no.: 47396
I Business Name: JAMES HEATING & AIR CONDITIONING
I Contact:
I Address: 115 LAWRENCE ST
I City/State/ZIP: EUGENE, OR 97440
I Phone: 5414612101 Fax:
I Email:
I Metro lie. no.: City Iic. no.:
Upon review and approval by your local Jurisdiction, YOllr permit will, be.. e-malled.. or faxed
within one bllsiness day, with instructions on how to schedule your Inl.pection.
NOTE: This Authorization To Begin Work expires within 180 days If a permit is not obtained.
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The local bllildlng'dePirtment"' 'fnay determine that an ~~~~iITflr"Bt:uIrn.WdIt(
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AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 ,DAY PERIOD. ~Q('
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Residential Plumbing Authorization To Begin Work
69600-BPB-10-00001
Approval Code: 072583 1/6/2010 2:59 pm
E~mailed To: bethany@jamesheating.com
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Please check all that apply: D Reclaimed wastewater
D Med gas/vacuum system or D Chemical drainage waste
health care facility and vent systems
D Vacuum drainage waste and D Multi-purpose Fire sprinkler
vent system system
D Commercial booster pump D Water service with inside
D Addition" of a new motor load diameter or nominal pipe size
Installation of multi-purpose of 2" or more except 2"
fire sprinkler systems systems designed/stamped
by licensed'qregon engineer
D Wastewater pretreatment
system
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I
I Description
Eo,
Qty,
I Water heater
$19.00
$19.00
.'
I Balance of permit fees
$39.00
I Subtotal
I State surcharge (12% of permit
total)
I Technology fee (5% of permit total)
I TOTAL PERMIT FEE
$58.00 I
$6.96
$2.90
$67.86
OLJ.t5~ fee cf-
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ATTENT10N: Oregon law requires you to
follow roles adopted by the Oregon UIIIItY
Notification Center. Those rules are set forth
In OAR 952-OO1-ll01 0 through OAR 952-001.
0090. You may obtain copies 01 the rules by
calling the center. (Note: the telephone
I\UI1Iber for the Oregon Utility Notificallon
Center II '-800-332-2344).
Inspections Phone: 541-726-3769
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: COM2009-01212
ISSUED: 08/20/2009
APPLIED: 08/20/2009
EXPIRES: OS/24/2010
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: Heating System
TYPE OF USE: New
PROJECT DESCRIPTION: Install heat pump and air conditioner in residence & replace water heater
Residential
Owner: HARTMAN JACK
Address: 390 BLACKSTONE CT
SPRINGFIELD OR 97477
I C?NTRACWR INFORMATION I
Contractor Type
Electrical
Mechanical
Plumbing
Contractor
TURNBO CARTER ELECTRIC INC
CHITTIM ENTERPRISES IINC
CHITTIM ENTERPRISES IINC
License
156308
47396
47369
Expiration Date
07/1412011
03124/20 II
03/24/2011
Phone
541-729-8409
541-461-2101
(541) 461-2101
I, B,UlLDlNG INFORMATION I
# of Units:
Primary Occupancy Group:
Sccundary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Typc:
Range Type:
Energy Patb:
Sprinkled Building:
Lot Size:
Sq Ft 1 st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garagc/Carport
Sq Ft Other:
Occupant Load:
nla
I DE~ELOPMENT INFORMATION I
REQUIRED PARKING'
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
MnTIr'I:- ....,...,.I:"rn~on^n Ic.w rAqIJlrM ~119
THIS PERMIT SHALL EXPIRE IH IItlBOODImPROVEMENTS\lllow rules adopted by the Oregon Utility
. IIIITI.lf1DI7ED UNDER THIS PEFllvlll\) NU I ,Jbtificat,ion Center. Those rules aresetforth
SII eet Improvehle'llts~ In OA~~~.'tilmf}through OAR 952-001-
Storm SeS.9}1Y.t~~JD OR IS ABANDONED FO.~.. ,_ 0090. )'jt,y"m'j~~'M1H~ies oflhe rules by
SpeciallnJ\Til;ib~~ iJAY PERIOD. ", calling the center. "(Nille:.lhe telephone
number for the Oregon Utility NotIficaUon
Center 18 1-800-332-2344).
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
Notes:
Pa2e 1 of 3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I V aluation D~scriDtion I
Description
Type of Construction
$ ('er Sq Ft
or multiplier
Square Footage
or Bid Amount
Total Value of Project
Fe~s Pa,i~ I
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
+ 12% State Surcharge
+ 5'Y. Technology Fee
Add, Alter, Extend Circ
+ 12% State Snrcharge
+ 5% Technology Fee
Fixture
MinimumlAdjnstment Plnmbing
Amount Paid
Date Paid
$9.48
$3.95
$79.00
$6.96
$2.90
$58.00
$6.96
$2.90
$19.00
$39.00" ','
;- ...
8/20/09
8120109
8/20/09
9/10/09
9/10/09
9/10/09
117110
117110
117/10
117/10
Total Amount Paid
$228.15 ..,
I Plan Reviews I
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-0]212
ISSUED: 08/20/2009
APPLIED: 08/20/2009
EXPIRES: OS/24/20]0
VALUE:
Value
Date Calculated
Receipt Number
1200900000000000948
1200900000000000948
1200900000000000948
3200900000000000644
3200900000000000644
3200900000000000644
1201000000000000017
1201000000000000017
1201000000000000017
1201000000000000017
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 Relluired II'soeclinn" .
" I.I.~I,./T~
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Rongh Electric: Prior to Cover
Final Electric: When all electrical work is complete,
Page 2 of 3
CITY OF SPRINGt<lJ<.LD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2009-01212
ISSUED: 08/20/2009
APPLIED: 08/20/2009
EXPIRES: OS/24/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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 descrihed herein, and'
that NO OCCUPANCY will be made of any structnre 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,t~e property, and the approved set of plans will remain on the site at all
times during construction. ,;,
Owner or Contractors Signature Date
::-,t .' o'
Paee 3 of 3
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-0 1212
COM2009-01212
COM2009-0 1212
COM2009-01212
Payments:
Type of Payment
ONLINE CHGS
cRcccintl
RECEIPT #:
1201000000000000017
Description
Fixture
Minimum/Adjustment Plumbing
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
ONLINE PERMIT CHGS
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 01/07/2010
8:33:51AM
Amount Due
19,00
39,00
6,96
2,90
$67.86
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
KR
Page I of 1
Amount Paid
ONLINECHITTIM/J Online
AMES
HEATING
Payment Total:
$67.86
$67.86
11712010