HomeMy WebLinkAboutPermit Electrical 2008-3-18 (2)
~{ ~
~~}~
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-00374
ISSUED: 03/18/2008
APPLIED: 03/18/2008
EXPIRES: 09/1812008
VALUE:
SITE ADDRESS: 2421 Maia Lp
ASSESSOR'S PARCEL NO.: 1703251408800
Springfield TYPE OF WORK: Electrical Work Only
PROJECT DESCRIPTION: Replace coil, install heat pump
Owner: BRUNKOW HENRY E & JANICE F
Address: 2421 MAlA LOOP
SPRINGFIELD OR 97477
TYPE OF USE: New
Residential
Phone Number: 541-513-1085
I CONTRACTOR INFORMATION I
Contractor License
HOME COMFORT HEATING & AIR CONDI 84164
HOME COMFORT HEATING & AIR 84164
BUILDING INFORMATION I
Contractor Type
Electrical
Mechanical
# 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
Expiration Date
06/2512011
06/2512011
Phone
(541) 345-2838
541-345-2838
n/a
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
I DEVELOPMENT INFORMATION I
I PUBLIC IMPROVEMENTS I
AI I E:~Mrl(!h~~aw requirlj~ \"('\U t{'I
follow rljJft{iA\.rrJ1~~~itnf- Or&gol L :11['/
Notification Certter':i11ose rules ale s!..~t Lt(h
In OAR 952-001-001 0 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 is 1-800-332-2344).
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANOor\iE~ r loll
ANY 180 DAY PERIClt
Pae:e 1 of 3
REQUIRED PARKING
Total:
Handicapped:
Compact:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Description ~
Description
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Type of Construction
Total Value of Project
Fees Paid I
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 10% Administrative Fee
+ 12% State Surcharge
+ 12% State Surcharge
+ 5% Technology Fee
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Heat Pump
Minimum/Adjustment Mechanical
Amount Paid
Date Paid
$20.00
$5.00
$5.60
$6.00
$6.72
$2.50
$2.80
$48.00
$8.00
$14.00
$36.00
3/18/08
3/18/08
3/18/08
3/18/08
3/18/08
3/18/08
3/18/08
3/18/08
3/18/08
3/18/08
3/18/08
Total Amount Paid
$154.62
I Plan Reviews I
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00374
ISSUED: 03/18/2008
APPLIED: 03/18/2008
EXPIRES: 09/18/2008
VALUE:
Value
Date Calculated
Receipt Number
2200800000000000333
2200800000000000333
3200800000000000170
2200800000000000333
3200800000000000170
2200800000000000333
3200800000000000170
3200800000000000170
3200800000000000170
2200800000000000333
2200800000000000333
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 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.
Pal!:e 2 of 3
CITY OF SPRINGFIELD -
Status
Issued
Building/Combination Permit
PERMIT NO: COM2008-00374
ISSUED: 03/18/2008
APPLIED: 03/18/2008
EXPIRES: 09/18/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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
Pa2e 3 of 3
City of Springfield
Mechanical Authorization To Begin Work
E-mailedTo:jenniferm@ehomecomfort.com
Receipt # EC527303
3/18/20082:01:21 PM
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@cLspringfield.or.us
TYPE OF WORJ<)J:
lliJ AdditIOn/alteration/replacement
o New construction
I ~ ~"" CATEGORv,::O~.cbNSiRUdTioNUif!:'i.
< 1 IV' ,'v ""c;:'~ 'I"'IIIIIIII~'<<' II I' ,~ ~ <<- " ,
[i] I or 2 famIly dwelling 0 Multi-fa/TIlly D Accessory Building
1"',, "I,
<<" \ "',
,p'JO'S"SITE INI?ORMATIONAND:LOCATION""
11,'1 ""1', ','"
I Job no.: MH261785 I Job address: 2421 MAlA LP
I City/State/ZIP: SPRINGFIELD, OR 97477-6549
I SUlte/bldg /apt.no :
I Project name: Brunkow
III \ I
Cross street/directions to job site.
22nd Street Left on Mala Loop
From Mohawk/19th Marcola Road East Right on
I SubdIVISIOn:
I Tax map/parcel no.:
I
I Lot no.:
1703251408800
DESCRIP,:'rION';O'F::WORK,
II 'III ' I, <I (, t W
'''t
Replace coil Install heat pump
I
, ,,;::.~ir~.~ONT~CT:
11',
1<' '~ 1, ~'i '
I Name. janIce Brunkow
I Phone: (541) 513-1085 I Fax:
IEmall:
I I ': /", ': '. CONTRACTOR ,,: 0'1')
,,,,j,, I
ICCB he. no.: 84164
I Busmess Name: HOME COMFORT HEATING & AIR CONDITIO
I Contact: jennIfer Myers
!Address: PO BOX 24205
I City/State/ZIP. EUGENE, OR 97402
I Phone: (541)3452838 I Fax (541)3023069
I Emall JennIfenn@ehomecomfort com
I Metro he. no.: I City he. no.:
Upon revIew and approval by your local Jurrsdlctlon, your
permit WIll be e-malled or faxed WIthIn one bUSIness day,
WIth instructIons on how to schedule your inspectIon
NOTE ThIs Authorrzatlon To Begin Work expires within 180
days If a permit IS not obtained
The local bUIlding department may determine that an
Authorrzatlon To BegIn Work IS null and VOid If It does not
meet applicable land use laws and local ordinances
I 0'1
I DescnptlOn
Ii':ffe,a~il]w~qoling appliances" """
I Furnace- up to 100,000 BTU
I Furnace - above 100,000 BTU
I Electnc Furnace
I Duct alteratIons and additions
I Gas heater UnIts/ In-wall, in-
duct, suspended. etc/
I Vent, flue, liner for above
I AIr CondItioner
I Heat Pump
I Air Handler
I Other. fueNMrning appliances
'" ',>h :1'"1111 "0' i" ,,-
I I Water heater
I I Gas fireplace/InserVstove
":1 I Gas log/ log lIghter
I Gas clothes dryer
I Gas stove/range
I Pool or spa heater, kiln
I Wood/pellet stove/Insert
I Wood fireplace
I Chlmney/IIner/fIue/vent w/o
apphance
I E~:~'h~o~'mental exbaust AND ventilation "",
Ilhl II' 1,1,< I ~ ,1 l>'f II' I,,~ /x
I Range hood
I Clothes dryer exhaust
Single-duct exhaust (bathrooms,
tOilet compartments, utlhty
rooms)
Attic/crawlspace fans
IIFu'elpipi~~'
I I upto first 4 outlets(enter Qty=l)
I I each addItIOnal outlet
I I",. MECHAN'jCAL"P'ERMIT FEES '" ,
I IF"" Subtotal " ," $1400
I I Minimum fee used Instead of Subtotal $5000
I State Surcharge (12% of pennlt fee) $6 00
I City Of Springfield fees * $27 50
I TOTAL PERMIT FEE I $83 50 I
* City Of Spnngfield 10% Local Admin Fee, 5% Local Technology Fee,
$10 Issuance Fee
I,"
Ea,
Total
$1400
$1400
'>;
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
COM2008-00374
COM2008-00374
COM2008-00374
COM2008-00374
COM2008-00374
COM2008-00374
Payments:
Type of Payment
ONLINE CHGS
cReceml1
RECEIPT #:
2200800000000000333
Description
Heat Pump
Mlmmum/AdJustment Mechamcal
~Mechamcal Issuance Fee~
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Admmlstratlve Fee
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 03/1812008
Item Total:
Check Number AuthorizatIOn
Received By Batch Number Number How Received
Paid By
ONLINE PERMIT CHGS
ddk
Page 1 of I
ONLINE HOME Onlme
COMFORT
HEA TING
& AIR
Payment Total:
3:11:09PM
Amount Due
1400
3600
2000
250
600
500
$83.50
Amount Paid
$83 50
$83.50
3/18/2008