HomeMy WebLinkAboutPermit Mechanical 2010-4-29
City Of Springfield
225 Fifth St.
Springfield, OR 97477
Phone: 541~726-3753
Email: permilcenler@ci.springfield.or.us
[XJ Addition/alteration/replacement
. C~ IEGORV. OF'c6NSTRUCTlON,~"
o Multi-family 0 Commercial
o Accessory
. JOB SITE INFORMA TIONAND LotA liON'
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Job Address: 2152 DEBRA DR
City/State/ZIP: SPRINGFIELD, OR 97477
Suite/bldg.lapt.no.:
Project Name: Southard
Cross Street/directions to job site:
Tax mapfparcel no,:
1703261401320
install ductless split
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.7, ~SIIE CONTACT'
Name: cary ramsav
Phone: 541-461-2101
Fax: 541-686-4820
Email:
,..'~" 1'~". . .?Zlz*'#:?:i~1 ~C(fNTRAC~TOR ~"-'"
cee lie. no.: 47396
Business Name: CHITTIM ENTERPRISES liNe
Contact:
Address: 115 LAWRENCE 5T
CityfState/ZIP: EUGENE. OR 97401-2221
Phone: 5414612101
Fax: 5416864820
Email:
Metro lie. no.:
City lie. no.:
Upon review and approval by your local Jurisdiction, your pennit will be e-mailed or faxed
within one business day, with instructions on how to schedule your inspection.
NOTE: This Aut~orizatjon To Begin Wor1< expires wllhin 180 days If a permit Is not obtained.
The local building department may determine that an Authorization To Begin Work is ~ull and
void if it does not meet applicable land use laws and local ordinances.
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Residential Mechanical Authorization To Begin Work
69600-BMC-10-00078
Approval Code: 011484 4/29/2010 2:20 pm
E-mailedTo:bethany@jamesheating.com
Ii ~'r"~ :_~s'" "i" ~ .~.,., FFEE SCHEDULE-'l' -- 'F . ':~'J
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Description I aly. E.. Total
I{e~t!~.9{g9?lirlg:Appli~.nc.e~.;~, i.- "-,, 'r '," ,': '.:c'",.: .S:
0\+..>
Heat Pump 1 $17,00 $17.00
Air handling unit 1 $1700 $17,00
,Mt~j~:~~~Fee5 ':. I, ,.; - .. ",: .:c' . .,,- ,,'f, f,1'-
First Appliance Fee $79.00
fiJlec~anl~al;&er61i!;P~e~ : ,<~~,>,,'s:'..:: 1,..... .. ., ."",i
Subtotal $113.00
State surcharge (12% of permit $13.56
total)
Technology fee (5% of permit total) $5.65
TOTAL PERMITFEE $132.21
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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: COM2010-00536
ISSUED: 04/29/2010
APPLIED: 04/29/2010
EXPIRES: 10/29/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2152 DEBRA DR
ASSESSOR'S PARCEL NO.: 1703261401320
Springfield TYPE OF WORK: Heating System
"
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TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Install ductless split
Owner: SOUTHARD MICHAEL D & G A
Address: 2152 DEBRA DRIYE
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Contractor License
CHITTIM ENTERPRISES I INC 47396
BUILDING INFORMATION ~
Expiration Date
03/24/20 II
Phone
541-461-2101
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
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 Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEYELOPMEN'T INFORMATION .
REQUIRED PARKING
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
I PUBLIC IMPROYEMENTS I
Street Improvements:
Sidewalk Type:
Storm Sewer Available: I q 'res you to '
'_"JTCMTIr.\M: Oregon aw re UI ... ,i '
Spec,,,,, n",mcMn. 't db the Oregon Ulility ,..,'
follow rules adop e Y " ,
Hotification Center. Those rules are set forth
Note In OAR 952-QQ1.QQ1~ through OAR 95~~01. NOTICE: .- ORK
lilng the center. (Note: the telep~ = IS 'PERMIT IS NOT
n~~ber for the. Oregon Utility Nolifi luation Descri' RIZED UNDER TH ED FOR
Center IS 1-800-332-2344). ~Jl.~~ENGED OR IS ABANDON
Description Type of Construction $ perls.ql~t S !>.Ill. ~R~'Y PERIOD'Yalue Date Calculated
or mu t~p.ler 0 ljIitl 9t\blJlrH
.. ~'I'
Downspouts/Drains:
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Pa2e I of 2
CITY OF SPRINGFIELD
Building/Combination Permit
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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PERMIT NO: COM2010-00536
ISSUED: 04/29/2010
APPLIED: 04/29/2010
EXPIRES: 10/2912010
VALUE:
Status
Iss u ed
i'"'."
Total Value of Project
l Fees Paid ~
Fee'Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Air Handling Unit Up to 10,000
Heat Pump
Amount Paid;',
$13.56"Iii
$5.65 .",,,.
$79.00.,
$17.00
$17.00
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Date Paid
, '4/29/10
4/29/10
4/29/10
4/29/10
4/29/10
Receipt Number
3201000000000000175
3201000000000000175
3201000000000000175
3201000000000000175
3201000000000000175
Total Amount Paid
$132.21
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.
Reouired Insnections ~
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work:'iscoiJ!l'l,ete.
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By signature, I state aud 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 Community Services Division, Building Safety.
I further certify that ouly contractors and employees who are in compliance with ORS 701.005 will be used on this project.
I further agree to eusure 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, .
Date
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Paee 2 of2
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225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Iif~"
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
3201000000000000175
Date: 04/29/2010
2:44:32PM
Job/Journal Number
COM20 I 0-00536
COM2010-00536
COM20 I 0-00536
COM20 I 0-00536
COM20 10-00536
Payments:
Type of Payment
ONLINE CHGS
cReceintl
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
79,00
17,00
17,00
13,56
5,65
$132.21
Description
15t Appliance
Air Handling Unit Up to 10,000
Heat Pump
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
ONLINE PERMIT CHGS
Amount Paid
NJM
ONLINE CHITTIM Online
Payment Total:
$132,21
$132.21
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