HomeMy WebLinkAboutPermit Mechanical 2007-7-18
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2007-01067
ISSUED: 07/18/2007
APPLIED: 07/18/2007
EXPIRES: 01/18/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 4524 GLACIER ST
ASSESSOR'S PARCEL NO.: 1802051203800
Springfield
TYPE OF WORK: Heating System
TYPE OF USE: Alteration
Residential
PROJECT DESCRIPTION: Intall heat pump and air handler
Owner: HAWORTH JOSHUA W
Address: 4524 GLACIER ST
SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION.
Contractor Type
Mechanical
Contractor
CHITTIM ENTERPRISES I INC
License
47396
Expiration Date
03/08/2009
Phone
541-461-2101
BUILDING INFORMATION I
# 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:
n/a
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Sidewalk Type:
Storm Sewer Available: Do~nspouts/Drains:
Special InstructioA~ Ore on law requires you to "-> . -
ATTENT10 . do ~d by the Oregon UtiUty
Note~~~~i~a~~~~b:nt~'1~~~~;:~~e~:~:~:~~ NOnCE: __ _ . ur: \^,now
111 v,...rdJ",L g~ I opies onne n ....... .t, 1 HI~ r"nlvlIl "H~ll rnrm[ If T. -
0090. Yo~~~~~~ (~ote: the tel~pllOJ\gluation DescrijiiQ)IZED UNDER THIS PERMIT IS NOT
call1~2r for the Oregon Utility Nottfi~",.. f;MMENCED OR IS ABANDONED FOR
Descri~~:': Cem%d~I~~~t~). $ perlt~ql~t .rd~l~~ PERIOD. Value Date Calculated
or mu Ip ler I Xlftount
Pal!e 1 of 2
Status
Issued
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: cOM2007-01067
ISSUED: 07/18/2007
APPLIED: 07/18/2007
EXPIRES: 01/18/2008
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 I
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Air Handling Unit Up to 10,000
Heat Pump
Minimum/Adjustment Mechanical
Amount Paid
Date Paid
Receipt Number
$20.00
$5.00
$2.50
$4.00
$9.00
$14.00
$27.00
7/18/07
7/18/07
7/18/07
7/18/07
7/18/07
7/18/07
7/18/07
2200700000000001156
2200700000000001156
2200700000000001156
2200700000000001156
2200700000000001156
2200700000000001156
2200700000000001156
Total Amount Paid
$81.50
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 Insoections I
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 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 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
Date
Pal!e 2 of 2
~ity of Springfield
Mechanical Authorization To Begin Work
E-mailedTo:bethany@jamesheating.com
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
o New construction
I Description
IHeaij.n!gI~o~!iD~~~pliances .
I Furnace- up to 100,000 BTU
I Furnace - above 100,000 BTU
I Electric Furnace
I Duct alterations and additions
Gas heater units/ in-wall, in-
duct, suspended, etc/
Vent, flue, liner for above
I Air Conditioner
I Heat Pump
I Air Handler
[K] Addition/alteration/replacement
[K] 1 or 2 family dwelling
o Multi-family
o Accessory Building
IJOb no.: 22545 IJob address: 4524 GLACIER ST
I City/State/ZIP: SPRINGFIELD, OR 97478-7501
I Suite/bldg./apt.no.:
I Project name: Haworth
Cross street/directions to job site:
I Subdivision:
I Tax map/parcel no.: 1802051203800
I Water heater
I Gas fireplacelinsertlstove
I Gas log/log lighter
I I Gas clothes dryer
I Gas stove/range
I Pool or spa heater, kiln
I Wood/pellet stove/insert
I Wood fireplace
Chimney/linerlflue/vent w/o
I Lot no.:
install heatpump and air handler
I Name: James Heating and AC
jPhone: (541)461-2101
Email: bethany@jamesheating.com
IFax:
I Range hood
I Clothes dryer exhaust
Single-duct exhaust (bathrooms,
toilet compartments, utility
rooms)
I Attic/crawlspace fans
I CCB lie. no.: 47396
I Business Name: CHITTIM ENTERPRISES I INC
I Contact: Bethany Rigel
I Address: 115 LAWRENCE ST
I City/State/ZIP: EUGENE, OR 974012221
I Phone: (541)4612101 I Fax: (541 )6864820
I Email: bethany@jamesheating.com
I Metro lie. no.: I City lie. no.:
Receipt # EC514185
7/18/20071l:30:55AM
$14.00
$9.00
$14001
$9.001
I
I
I
I
I
I
I
I
I
I
I upto first 4 outlets(enter Qty=l)
each additional outlet
I
I
I
I
I
" City Of Springfield
$10 Issuance Fee
Subtotal $23.00 I
Minimum fee used instead of Subtotal $50.00
State Surcharge (8% ofpermil fee) $4.00
City Of Springfield fees" $27.50 I
TOTAL PERMIT FEE $81.50 I
10% Local Admin Fee; 5% Local Technology Fee;
Upon review and approval by your local jurisdiction, your
permit 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 180
days if a permit is not obtained.
The local building department may determine that an
Authorization To Begin Work is null and void if it does not
meet applicable land use laws and local ordinances.
This Authorization To Begin Work must be posted at the job site until replaced by a Permit.
225 Fifth Street
Springfield, Oregon 97477
541:726-3759 Phone
Job/Journal Number
COM2007-01067
COM2007-01067
COM2007-01067
COM2007-01067
COM2007-01067
COM2007-01067
COM2007-0 1 067
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
2200700000000001156
Description
Air Handling Unit Up to 10,000
Heat Pump
Minimum/Adjustment Mechanical
~Mechanical Issuance Fee~
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 07/18/2007
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Paid By
ONLINE PERMIT CHGS
ddk
Page 1 of 1
ONLINE Chittim Online
Enterprises
Payment Total:
12:18:30PM
Amount Due
9.00
14.00
27.00
20.00
2.50
4.00
5.00
$81.50
Amount Paid
$81.50
$8 I.50
7/18/2007