HomeMy WebLinkAboutPermit Mechanical 2010-1-7
SPRINGFIELD
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City Of Springfield
225 Fifth 5t
Springfield, OR 97477
Phone: 541-726-3753
Email: permilcenter@cLspringfield.or.us
I 0 New Construction IRJ Addition/alterationfreplacemenl
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I [g] 1 or 2 family dwelling 0 Multi-family 0 Commercial 0 Accessory
,<JOB,SftEiNF6RniiAIIONYlN5'L6cATI6N~i=-~~:~r:-~
I Job Address; 5335 DAISY 8T
I City/State/ZIP: SPRINGFIELD, OR 97478
I Suitelbldg.lapt.no.: 122
I Project Name: Lawrence
I c.o.. St"e.di.ections to job site,
I Tax map/parcel no.: 1702330001300
install heatpump
Name: cary ram.sav
Phone: 541-461-2101
Fax: 541-686-4820
Email:
ceB lie. no.: 47396
I Business Name: CHITTIM ENTERPRISES liNG
I Contact: h.
I Address: 115 LAWRENCE ST
I City/State/ZIP: EUGENE, OR 97401-2221
I Phone: 54146121~;nTIf':i:. Fax: 5416864820
I Emei' THIS PERMIT SHALL EXPIRE IF THE WORK
I Metm Hc. no., AUTHORIZED UNDECltylil:lIG,,pERMIT IS NOT
Upon ."Iow .n' 1;~~:\I\~I:Iw.;.tl,t.UJ;inJdihtl(M;J,w.\I-LlJ,Il\IJ:l.Illr,\Jt1'm.".' " 1m'
within !.IIle business dMf\,~lt1 ~5reft'frAr 'J9'fY'i,O,&le your inspection.
NOTE: ThIs Authorization To Begin War\!. expires within 180 days If a permit Is not obtained.
The local building department may determine that an Authorization To Begin Work is null and
voldlfltdoesnotmeetappllcablelanduselawsIlndlOca1ordlnanCes.
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Residential Mechanical Authorization To Begin Work
69600-BMC-10-00009
Approval Code: 097772 1/6/2010 3:07 pm
E.mailed To: bethany@jamesheating.com
I Description I Qty. Ea.
I First Appliance Fee l I
IMechariica_lieerll}i(F,[~~~~f~':>>:t:t:f.~\~?"\-7~ft~i;i
I Subtotal
I State surcharge (12% of permit
total)
I Technology fee (5% of permit total)
I TOTAL PERMIT FEE
Total
:i
$79.00
$79.00
$9.48
$3,95 I
$92.43 I
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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 iS1-l100-3a2-2344).
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Inspections Phone: 541-726-3769
This Authorization To Begin Wor.k.'~.ust be i:>o~ted at the job site until replaced by a Permit
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01339
ISSUED: 09/1012009
APPLIED: 09/10/2009
EXPIRES: 07/0612010
VALUE:
,"
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Status
Issued
225 Fifth Street,Springtield, OR
541-726-3753 Phone
541-726-3676 Fax
,541-726-3769 Inspection Line
SITE ADDRESS: 5335 DAISY ST 122
ASSESSOR'S PARCEL NO.: 1702330001300
SPRINGFIETYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Install heat pnmp in residence.
Owner: LA WRENCE JACK & LYDIA
Address: 5335 DAISY ST SPACE 122
SPRINGFIELD OR 97478
.1 C?NT~CTOR INFORMATION I
Contractor Type
Electrical
Mechanical
, Contractor
TURNBO CARTER ELECTRIC INC
CHITTlM ENTERPRISES I INC
License
156308
47396
Expiration Date
07/14/2011
03/24/2011
Phone
541- 72 9-8409
541-461-2101
I BUILDING INFORMA TION ~
# of Units:
Primary Occnpancy Group:
Secondary Occupancy Gronp:
Primary Construction Type
Secondary Construction Type:
# of Bed rooms:
# of Stories:
Height 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 GaragelCarport
Sq Ft Other:
Occupant Load:
nla
,-,
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Total:
Handicapped:
Compact:
ATTENTION: Oregon law requires you to
follow rules_ adopte~ by the Oregon Ut!I~y'
NU IIlJl:. l~III""""'~IVII ....._...II~""I. IIII,J...... I....IV... WI I" ........ 1"'11.1'
THIS PERMIT SHALL EXPll>eU~if\ilwe~~VEMENT AR 952-001-001~thro~gh OAR 952-001-
Street Improvemen,t'IORIZEDUNDER THIS PERMIT IS Nu1 . ~ 90., YS\I1Jw.\Yko!J1,(l.IJj copies of the rules by
MU I r FOR' calling llie ceh(e'r. (Note: the telephone
Storm Sewer A-.(JliJw)~fNCED OR IS ABANDONED numbtDdo1tl~dllr.il!lOOlkltility Notification
Special InstructfWW 180 DAY PERIOD. ' Center is 1-800-332-2344).
Front yard Setback:
Side 1 Setback: ,.
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd: .
Paved Drive Rqd:
% of Lot Coverage:
Notes:
, ..
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t./,. ,."
. P"2e 1 of 3
-f:'"
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I VaIuation Descriotion I
OeSCril)tion
$ Per Sq Ft
or multiplier'
Square Footage
or Bid Amount
Type of Construction
Total Value of Project
Fees Paid I
Fee Description
+ ]2'10 State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance.
Amount Paid
Date Paid
$6.96
$2.90
$58.00
.. $9.48
$3.95
$79.00
9/10/09
9/10/09
9/10/09
1/7110
117110
1/7110
Total Amnunt Paid
$160.29
I Plan Reviews I
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01339
ISSUED: 09/10/2009
APPLIED: 09/10/2009
EXPIRES: 07/06/2010
VALUE:
Value
Date Calculated
Receipt Number
2200900000000001031
2200900000000001031
2200900000000001031
1201000000000000018
1201000000000000018
1201000000000000018
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 7:00a.m. will be made the following
work day.
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RCOIiircd 'Insoections I
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Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Pa2e 2 of 3
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I
Status
, 'JI'.
Issued
: ~ i
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
J"
CITY OF SrKll~GFIELD
. Building/Combination Permit
PERMIT NO: COM2009-01339
ISSUED: 09/10/2009
APPLIED: 09/10/2009
EXPIRES: 07/06/2010
VALUE:
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 Commnnity 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 or Contractors Signature
't: ~
Pa2e 3 of3
Date
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-01339
COM2009-0 1339
COM2009-01]]9
Payments:
Type of Payment
ONLINE CHGS
1
cReccinll
RECEIPT #:
Description
I st Appliance
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
ONLlNE,PERMIT GIGS
City of Springfield Official Receipt
Development Services Department
Pub.Iie Works Department
1201000000000000018
8:35:23AM
Date: 01/07/2010
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
79,00
9.48
3.95
$92.43
Amount Paid
KR
ONLINE CHITTIM Online
ENTERPRI
SES
$92.43
Payment Total:
$92.43
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