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Home My WebLink AboutPermit Mechanical 2010-7-12 o New Construction IRl Addition/alteration/replacement . {)/O'728 Residential Mechanical Authorization To Begin Work 69600-BMC-10-00182 Approval Code: 222632 7/12/2010 8:01 pm E-mailedTo:alpineheatingandair@yahoo.com -;:~j;\ "~FEES:CHEDU@:~Y;;; ~:;: Qty. Description City Of Springfield 225 Fifth St Springfield, OR 97477 Phone: 541-726-3753 Email: permitcenter@ci.springfield.or.us CAJf:G9RYO'FCONSTRUC'iiIQN,' [R] 1 or 2 family dwelling 0 Multl-famify 0 Commercial 0 Accessory Minimu!)'fF.ees. ""j; .- ., ;;?CC, JOB,SITE INEPRMA"(foN:'AND LOCATioN;," ".." ,'" 11 First Appliance Fee Mechillli.cal~e~Oi!t:'F:~e~:. Subtotal State surcharge (12% of permit total Technology fee (5% of permit total) TOTAL PERMIT FEE $79.00 $9.48 Job Address: 4289 COLE WAY City/State/ZIP:.SPRINGFIElD, OR 97478 Suite/bldg.lapt.no.: $3.95 $92.43 Project Name: Cross Street/directions to job site: Tax map/parcel no.: 1802052409600 remove and replace heat pump "" , '..'<' , "siliE;<<ONtACT Name: John Baldwin Phone: 541.844-9223 Fax: Emall: ~. . -- ,,,'0 CCB Iic. no.: 188753 Business Name: ANDREW THOMAS HATCH Contact: Phone: 541.912-0003 Fax: 541-933-2059 .~ ...~~ \\ W O' '" ,i\) ~;: ~ ~ Address: PO BOX 251 City/State/ZIP: CRESWELL, OR 97426 Email: hatchfam4@yahoo.com Metro Iic. no.: City Iic. 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 Authorization To Begin Work expires within 160 days if a permit is not obtained. W/J/20/0 7-;:J -10 The local building department may determine that an Authorization void jf it does not meet applicable land us~ laws and local ordinances. -- ()() r; d';! /7~ To B~gin Work is null and Inspections Phone: 541,726-3769 This Authorization To Begin Work must be posted at the job site until replaced by' a Permit ,,:c.r.'!~ / ,< ,; CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00928 ISSUED: 07/13/2010 APPLIED: 07/13/2010 EXPIRES: 01/13/2011 VALUE: .,":t:'~h' -..'--., Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 54 I -726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 4289 COLE WAY ASSESSOR'S PARCEL NO,: 1802052409600 Springfi:ld TYPE OF WORK: Heating System ,':. J. i ..;J": .i.j i!; TYPE OF USE: New Residential PROJECT DESCRIPTION: Remove and repla~fh'eat pump , ,"'.'.' Owner: 'BALDWIN JOHN R Address: 4289 COLE WAY SPRINGFIELD OR 97478 I CONTRACTOR INFORMATION ~ Contractor Type Mechanical Contractor ;',''';< ',:"'~" , .,.,.:,i" l'l- -." Ii ANDREW THOMAS HATCH ", License 188753 Expiration Date Il/2012011 Phone 54 I -91 2-0003 BuiLDINC<INF()RMA TION ~ # of Units: Primary Occupancy Gronp: 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 Build,ing:' ,I... . , 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 DEVELOPMENTINFORMA TION . Frontyard Sethack: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Sethacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: u, Street Improvements: I PUBLIC IMPROVEMENTS. ",:,:~ j < ~ ?i: ' I. ,tel' '-" . Sidewalk Type: Storm Sewer Available: Special Instruction: 'f~jJ'.::.J:".l; ,,' ";;::~.~~:' ''(1;;, " ATTENTIO~P~~~~~~~lP~~i..?~:r"s \,cu to follow rules adopted by tho Oregon Utility Notification Center, Those rules are set forth Notes: N in OAR 952-001-0010 through OAR 952-001- OnCE: 0090, You may obtain cOIJies of the rules b I HI::; PERMIT SH ,1,_, c,,:;,.g the center, (Note: the telephone UTi10RIZED UN ALL EXPIRE IF T~atuation Descripttonn~er for the Oregon Utility Notification "1;\!IH'~E OER THIS PERMIT~ NnT ,Center is 1-800-332-2344), " .L 0 OR IS ARil~lt:lnNEO er Sq Ft I Square Footage DeSCriptIOn 0'1 f'Tvpe of,Construclton I I-i I' I' , B'd A Value Date Calculated - , ,'thlUU, or mu lip ler or I mount ". ,~.h;~::~,~ii ! '..~~ ~ v .r;;,::~(;:' . ,,':"~'f Paee I of2 r Status "" ~" T Issued ,~;~.,~ ,.:~,-..~.; ~,.=,....,:\ ,"I' ,,;._' :.1;\ ~ 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project U'ees Paid ~ ,1=, Fee Description + 12% State Surcharge + 5% Technology Fee 1st Appliance Amount Paid' '" ..' Date Paid $9.48,,', ,,, >~\ $3;~5 $79.00 !'<" ';~,,-, 7/13/10 . 7113/10 7/13/10 Total Amount Paid $92.43 Plan Reviews ~ "lJ" ,~;'i', CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM201O-00928 ISSUED: 07/1312010 APPLIED: 07/13/2010 EXPIRES: 01/13/2011 VALUE: Receipt Number 3201000000000000428 3201000000000000428 3201000000000000428 To Request an inspection call the 24 hour ~~~~r4inip,t 726-3769. All inspections requ'ested before 7:00 a.m. will be made the same working day, ihspections'requested after 7:00 a.m. will be made the following work day. I Reouired InsDections ~ Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. ' , By signature, I state and agree, that I have carefully examined the:Fompleted 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 iiie:'Laws ofthe State of Oregon pertaining to the work described hereio, 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. .',.hf.... ;'d.."~i<~?<'"' Owner or Contractors Signature ""._~... ".....~..~, "......~. '....,. , , ,~/~F'_;o~ ,'., )~~:i . , ':;;~' ~ , ' Pa2e 2 of2 : ;.,:; t l: ,,:-..,j,1 Date 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 3201000000000000428 Date: 07/13/2010 8:01 :39AM Job/Journal Number COM2010-00928 COM2010-00928 COM20 1 0-00928 Payments: Type of Payment ONLINE CHGS cReceintl Description 1 sl Appliance + 12% State Surcharge + 5% Technology Fee Paid By ONLINE PERMIT CHGS Check Number R~~.!y'_ed:I}Y_, ',' ~atc"~ ~u~ber ;~?J:~.:' \*".~':: "":.:. 'ONLINE ',- ~', .t.~., "'~ \. . ;." J :: i'i):,m{ll "," ,']f ,~~ i',. . ',.: Y~t.:':.', \.t.:,:::.::~" ~ "_ :-n;l1\ ';,P:\.",: ',.---.- - , _J,c"'.,. -1-'-., , "" '- ,..,.....', : ,\;~;~rr! )i" Page I of I Item Total: Authorization Number How Received Amount Due 79,00 9.48 3,95 $92.43 Amount Paid andrew Online hatch Payment Total: $92.43 $92.43 7113/20 I 0