HomeMy WebLinkAboutPermit Mechanical 2010-3-12
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'r.. . OREGON
City Of Springfield
225 Fifth 5t
Springfield. OR 97477
Phone: 541-726-3753
Email: permilcenter@cLspringfield.or.us
. Residential Mechanical Authorization To Begin Work
69600-BMC-10-00049
Approval Code: 080060 3/12/2010 11:49 am
E-mailedTo:jeff@climatecontrol-mc.com
.. - -- - .. .- - - -
: - 'TYPE OF WORK ,
o New Construction (R] Addition/alteration/replacement
. . - CATEGORY OF CONSTRUCTION
.,
IKI 1 or 2 family dwelling 0 Multi-family o Commercial o Accessory
'JOB SITE.INFORMATION AND LOCATION. .'
I
Job Address: 2609 5TH 5T
CltyfStatelZlP: SPRINGFIELD, OR 97477
SultefbldgJaplno.:
Project Name: rr-1039
Cross Street/directions to job site: Hayden bridge
Tax map/parcel no.: 1703233409900
..... . . '. . .DESCRIPTION OF WORK. , c-
:
Install one new milsubishi Ductless Heal pump
I:. . . .'-:' . ":';. . SITE CONTACT, , ~'" ,
I. .,
Name: Jeff Caslev
Phone: 541-501-2010 Fax: 541-736-3468
Email:
'. ,. CONTRACTOR'- ,
cca lie. no.: 169547
Business Name: MARTIN CASTLEMAN LLC
Contact:
Address: 6308 D ST
City/State/ZIP: SPRINGFIELD, OR 97478
Phone: 5415012010 Fax: 5417363468
Email:
Metro lie. no.: City He. no.:
Upon review and approval by your local jurisdiction, your permit will be e.malled or fall.ed
within one business day, with InstT1Jctjons on how to schedule your Inspection.
NOTE: TIlls Authorization To Begin Wor1t expires within 180 daYlllf a permit III nol obtained.
TIle local building department may determine that an Authorization To Begin Work Is null and
void If It does nol meet applicable land u50laWl and local ordinances .
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-. FEE SCHEDULE ..
,
Description Qty. E.. Total
Minimum Fees . -C- '.
First Appliance Fee I I I $79.00
Mechanical permit Fees .
Subtotal $79.00
State surcharge (12% of permit $9.48
totan
Technology.fee (5% of permit total) $3.95
TOTAL PERMIT FEE $92.43
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Inspections Phone: 541-726-3769
This Authorization To Begin Work must be posted at the job site until replaced by a Permit
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM20IO-003I7
ISSUED: 03/12/2010.
APPLIED: 03/12/2010
EXPIRES: 09/12/2010
VALUE:
225 Fifth Street, Springfield, OR
541- 726-3 753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2609 5TH ST
ASSESSOR'S PARCEL NO.: 1703233409900
Springfield TYPE OF WORK: Heating System
.I.:i~t
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Install ductless heat pump
Owner: WIDMER AMY LYNNE
Address: 2609 5TH ST
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Contractor License
MARTIN CASTLEMAN LLC 169547
BUILDING INFORMATION I
Expiration Date
04/07/2010
Phone
541-736-3438
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# 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 Garage/Carport
Sq Ft Other:
Occupant Load:
D/a
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Haodicapped:
Compact:
......... .......,,~'-'" K.,H ,r..;;..."'......
follow rules adopted by t.l1e (lPr.IJ,B ~I ROVEMENTS
Street Improt!,iitillS.~!ion Center. Those rules are set forth I', u dCESidewalk Type:
'" vAff952-001-001 0 through OAR 952-001- THIS PERMIT SHAll EXPIRE IF THE WORK
Storm SewerQ(l,\lljI~l(ll.I; may obtain copies of the rules by .-\UTHOR~~lY~~.Jl'1EWr#nrPERMIT IS NOT
SpeciallnstrudiilH!ng the center. (Note: the telephone
number for the Oregon Utility Notification COMMENCED OR IS ABANDONED FOR
Notes: Center is 1-600-332-2344). ANY 180 DAY PERIOD.
I Valuation Description ~
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier.
Square Footage
or Bid Amount
Value
Date Calculated
.,~,;.~\
, .('; I" ~ i~~ .-;'
.,:.,
Paee I 01'2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM20I0-00317
ISSUED: 03/12/2010
APPLIED: 03/12/2010
EXPIRES: 09/12/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees Paid. _
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Amount Paid, ,
Date Paid
Receipt Number
,C
$9.48"::'::'
$3.95 \);
$79.00
3!l2/10
3/12/10
3/12/10
1201000000000000228
1201000000000000228
1201000000000000228
Tota' Amount Paid
$92.43
I Plan Reviews ,
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 InsDect~
Rough Mechanica': Prior to Cover
Final Mechanical: When all mechanical work is complete.
By signature, I state and agree, that I have carefully.cxamined,the completed application and do hereby certify that all
information hereon is true and correct, and 1 further'{ertity t~at any and all work performed shall be done in accordance with
the Ordinallces of the City of Sprillglield and the Laws of the State IIf Oregon pertaining to the work described hereill, and
that NO OCCUPANCY will be made of any structlll;e witbout permission of the Commullity Services Division, Building Safety.
I further certify that only COli tractors and employees who are in compliance with ORS 701.005 will be used 011 this project.
I further agree to ensllre that all reqllired illspections are reqllested at the proper time, that eacb 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 remaill 011 the site at all
times during construction.
Owner or COli tractors Signature
Date
Pal1e20f2
...~ ~-': I , . ~ ~ \': I .i .
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
aj:QY;~
wr. -
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
1201000000000000228
Date: 03/12/2010
12:50:19PM
Job/Journal Number
COM20 1 0-00317
COM20 I 0-00317
COM20 I 0-00317
Payments:
Type of Payment
ONLINE CHGS
cReceiotl
Description
1st Appliance
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
79.00
9.48
3.95
$92.43
Amount Paid
njm
ONLINE castleman Online
Payment Total:
$92.43
$92.43
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