HomeMy WebLinkAboutPermit Mechanical 2008-6-2
\tt i) {,
I I rOv;ifll
to r" q
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-00765
ISSUED: 06/02/2008
APPLIED: 06/02/2008
EXPIRES: 06/02/2008
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726~3676 Fax
541~ 726-3769 Inspection Line
SITE ADDRESS: 360 S 72ND ST
ASSESSOR'S PARCEL NO.: 1702353405702
Springfield TYPE OF WORK: Heating System
TYPE OF USE:
PROJECT DESCRIPTION: Replace HIP & AIR
Owner: FITZGERALD KELLY S & KELLY A
Address: 8080 S C ST
SPRINGFIELD OR 97478
Phone Number: 744-4459
I CONTRACTOR INFORMATION .
Contractor Type
Mechanical
Contractor
HOME COMFORT HEATING & AIR
License
84164
Expiration Date
06/25/2011
Phone
541-345-2838
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.
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:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTSiTTENTION. Oregon law requires you to
'00 r !low rules adopted by the Oregon Utility
Street Improv~~&3NOON'v'a'v' S IH3d A'v'O 08 L AN'v' Notifica$.iY.(j~kfflY.Plnose rules are set forth
Storm SJJJNASJah~8d SI I HO 030N3I!VVVOJ in OAR ~~?vR2100HJB~~{rPs~gh OAR 952-001-
Special HlMflM:~I1/'J :1/3 HI H30ND 03ZIHO/'ln 0090.. YOu m~ c%laln copies of the rules by
HldX3 11\fHS Ill/lJH3 . i t calling the center. (Note: the telephone
Nt. . d S/I-' number for the Oregon Utility Notification
o es. '3IJ!lr:!, Center is 1-800-332-2344).
I V aluation DescriPtio~
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pal!:e 1 of 2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00765
ISSUED: 06/02/2008
APPLIED: 06/02/2008
EXPIRES: 06/02/2008
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
+ 12% State Surcharge
+ 5% Technology Fee
Air Handling Unit Up to 10,000
Heat Pump
Minimum/Adjustment Mechanical
Amount Paid
Date Paid
Receipt Number
$20.00
$5.00
$6.00
$2.50
$9.00
$14.00
$27.00
6/2/08
6/2/08
612/08
6/2/08
6/2/08
6/2/08
6/2/08
2200800000000000797
2200800000000000797
2200800000000000797
2200800000000000797
2200800000000000797
2200800000000000797
2200800000000000797
Total Amount Paid
$83.50
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 Insoection.1.l
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
Pa2e 2 of 2
City of Springfield
Mechanical Authorization To Begin Work
E-maded To: jenmferm@ehomecomfort.com
Receipt # EC531254
6/2/20088:34:46 AM
Check on status of permIt
By Phone: (541)726-3753 or Emad: permitcenter@ci.springfield.or.us
md",11 ^%V, M~.l\>>;'Vf"5i?*\+}~(':4k F:EE1ISCHE'f)'tftE ~
,,1 "1,41111,1" t"= ,~
I Descnptlon I Qty
Ir;Heating/cooJi/li'~pplillfc~"i ,,'
@, ~0,'M~1J,i nm{" <1~ldtt~ v-w;J:, ^. '"' ~c{@1{f19Ah I (!wi'"\,
I Furnace- up to 100,000 BTU
I Furnace - above 100,000 BTU
I ElectrIC Furnace
I Duct alteratIOns and addItIOns
I Gas heater UnIts/ m-wall, 10-
duct, suspended. etc/
I Vent, flue, I mer for above
1 AIr CondItIOner
Heat Pump
AIr Handler
"Other fuefffu'J!Ii'dl'g1"appliances "
""'!>>l'1,,,}'J.l'i!,/'(0'<1 !, < , '<:U~ < ,", ,'"
I' ',I I I~ I
o New constructIon
[X] AddItIon/alteratIOn/replacement
Ea.
Total
"" '" >< ~ ",,'11,<, "/0()" 't"I ' " '" ""'N"""~I >>>>"~I,~", I;] I, < I -qc ~""'''JIW' '@74; 1'0,1 '""~
, ~ " '+'#J\%!\;r~g~t~~~RY 'OF ICC?"'~~B!!,g,m)N lWMtflft\I(Sl71\lI~',,\,
[i] I or 2 famIly dwellmg
o MultI-famIly
o Accessory BUIldmg
j; 4'j@0'llmnN:}" {I~ ~4Jo , ~"'!"'mIJ~'Wli "$'1<1 / ~""''' "">!f~~..
JRef)~',;r'~',I'tFORMA1:tQtt~!W&!::OcATION,)'PM.fliIJ.; /
Job no RR384489 I Job address 360 S 72ND ST
1 City/State/ZIP. SPRINGFIELD, OR 97478-7423
I SUlte/bldg./apt no
I Project name' FItzgerald
Cross street/directIOns to Job site'
I
1
$14001
$14001
I
$1400
$1400
Upon review and approval by your local JUrisdiction, your
permit Will be e-malled or faxed within one bUSiness day,
wIth instructions on how to schedule your inspection
I
I
I
I
I
* CIty Of Spnngfield
$10 Issuance Fee
Water heater
I Gas fireplace/msert/stove
I Gas log/log lIghter
I Gas clothes dryer
I Gas stovefrange
1 Pool or spa heater, kIln
I Wood/pellet stove/msert
I Wood fireplace
I Chlmney/lmer/flue/vent w/o
applIance
I Enviro'ilrttelltaltexbaustAND"v~ntilatlon ~,~
Li',<fi' O_@"'I""" ~~#Jl<'III~W%%ll~ ""<<t," > "'1-,:t@f'1t',,^'t\"H ,
I Range hood I
I Clothes dryer exhaust I
Smgle-duct exhaust (bathrooms,
tOIlet compartments, utIlIty
rooms)
I Attlc/crawlspace fans
"r}:~'ei 'PiPing
~" )\!S;W;?Jh*?~~ ~
I upto first 4 outlets(enter Qty=l)
I each addItIOnal outlet
, "* ~~01"~rM'ECHA~}~~l::t~~RivIlT;FEES:'\:'I;'rf'li'"'~~t~1 ''',1 I
Subtotal I $28 00
Mmlmum fee used mstead of Subtotal I $5000 I
State Surcharge (12% ofperrmt fee) I $600 I
CIty Of Spnngfield fees *1 $2750 I
TOTAL PERMIT FEE I $83 50 I
10% Local Admm Fee, 5% Local Technology Fee,
)'1 I~
I SubdIvIsIon
I Tax map/parcel no
I
1 Lot no
]702353405702
J' DESP~I?J~~q,N OF W08~!Slif'llt 8 ~
Replace heat pump and alrhandler
I Name Kelly FItzgerald
I Phone (541 )744-4459
I EmaJl
I
!Fax'
~ :;rCONTRACTOR
~ ",y \'"' ~ i ~
I CCB he. no' 84164
I Busmess Name HOME COMFORT HEATING & AIR CONDITIO
I Contact. JennIfer Myers
IAddress PO BOX 24205
I CJty/State/Zrp EUGENE, OR 97402
I Phone' (541 )3452838 1 Fax' (541)3023069
lEma". Jenmferm@ehomecomfort com
I Metro he no. 1 City he no
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
COM.~tT77K" - (X)7(p5
RCPT#' ~rl. c)~ - '1<1/
DATE PROCESSEO:#,/ (p./Ot?
PROCESSED W-.~', '\A . ~
r y:~
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
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2008-00765
COM2008-00765
COM2008-00765
COM2008-00765
COM2008-00765
COM2008-00765
COM2008-00765
Payments:
Type of Payment
ONLINE CHGS
cRecemtl
RECEIPT #:
2200800000000000797
Date: 06/02/2008
DescriptIOn
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% AdmmlstratlVe Fee
AIr Handhng Ulllt Up to 10,000
Heat Pump
Mllllmum/ Adjustment Mechaiucal
-Mechalllcal Issuance Fee-
PaId By
ONLINE PERMIT CHGS
Item Total:
Check Number AuthOrizatIOn
ReceIved By Batch Number Number How Received
nJm
ONLINE
home Onlme
comfort
Payment Total:
Page I of 1
9:05:45AM
Amount Due
250
600
500
900
1400
2700
2000
$83.50
Amount Paid
$83 50
$83.50
6/2/2008