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Home My WebLink AboutPermit Mechanical 2007-06-15Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2007-00825ISSUED: 0611512007APPLIED: 0610712007 EXPIRESz 1211512007 VALUE: SITE ADDRESS: 5759 PERIDOT WAY ASSESSOR'S PARCEL NO.: 1802030004400 PROJECT DESCRIPTION: Install airconditioner, Springfield TYPE OF WORK: Heating System TYPE OF USE: Alteration Residential Owner: Address: Contractor Type Electrical Mechanical DIRK E. & SIVERTS 5759 PERIDOT SPRINGFIELD OR 97478 Phone Number: (54f )543-4109 Contractor OREGON ELECTRIC SERVICE HOME COMFORT HEATING & AIR License r61518 84t64 Expiration Date 09t2812008 06t2512007 Phone 54r-343-168r 541-34s-2838 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: oh of Lot Coverage: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load:nla REQUIRED PARKING Total: Handicapped: Compact: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Sidewalk Type: Downspouts/Drains: NOTICE: THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 1BO DAY PERIOD DEVELOPMENT INFO] PUBLIC IMPROVEMENTS Page I of3 cuN I KAU r uK rNr ts!!.1!!l!l I,UrLUrN(, !Nl Ut(lvrA r rUN I Status Issued 225 Fifth Street, Springfield' OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37 69 Inspection Line SP Building/Combination Permit PERMIT NO: COM2007-00825ISSUED: 0611512007APPLIED: 0610712007 EXPIRES: 1211512007 VALUE: Description Tvpe of Construction Fee Description -Mechanical Issuance Fee- + l0o/o Administrative Fee + 57o Technology Fee + 87o State Surcharge Boiler/Comp Up To 100,000 btu Minimum/Adjustment Mechanical + l0oh Administrative Fee + 57o Technology Fee + 87o State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Total Amount Paid Total Value of Project Date Paid 617107 617107 6/7 t07 6t7t07 6t7t07 6t7 t07 6/15t07 6n5t07 6n5t07 6ltsl07 6n5/07 Value Date Calculated Receipt Number 120070000000000072r 1200700000000000721 1200700000000000721 1200700000000000721 1200700000000000721 1200700000000000721 2200700000000000968 2200700000000000968 2200700000000000968 2200700000000000968 2200700000000000968 $ Per Sq Ft or multiplier Square Footage or Bid Amount Amount Paid $10.00 $4.50 $2.25 $3.60 $12,00 $33.00 $4.60 $2.30 $3.68 $43.00 $3.00 $121.93 tr'pps Peid Plan Reviews 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. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. red Insnecfions Paee 2 of3 I Valuation Description I Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-7 26-37 69 Inspection Line CTTY Building/C ombination Permit PERMIT NO: COM2007-00825ISSUED: 0611512007 APPLIEDz 0610712007 EXPIRESz 1211512007 VALUE: 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 wilt 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 Page 3 of3 225 Fifth-Street Springfield, Oregon 97 477 541-726-3759 Phone C:'v of Springfield Official Receipt ^ relopment Services Department Public Works Department RECEIPT#: 2200700000000000968 Date: 0611512007 l:12:02PM Job/Journal Number coM2007-00825 coM2007-00825 coM2007-00825 coM2007-00825 coM2007-00825 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 5%o Technology Fee + 8% State Surcharge + lUYo Administrative Fee Amount Due 43.00 3.00 2.30 3.68 4.60 Item Total:s56S8 Payments: Type of Payment Paid By Check Number Received By Batch Number Authorization Number How Received Amount Paid Check OREGON ELECTRIC SERVICE IIh 20894 By Mail Payment Total: $s6.5 8 -$56-ss-- cReceint I Page I of I 61t512007 F Status Issued 225Rifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2007-00825ISSUED: 0610712007 APPLIEDz 06107/2007 EXPIRES: 0610712007 VALUE: SITE ADDRESS: 5759 PERIDOT WAY ASSESSOR'SPARCELNO.: 1802030004400 PROJECTDESCRIPTION: Installairconditioner. Springfield TYPE OF WORK: Mechanical Only TYPE OF USE: Alteration Residential PhoneNumber: (541)543-4109Owner: Address: Contractor Type Mechanical DIRK E. & SIVERTS 5759 PERIDOT SPRJNGFIELD OR 97478 Contractor HOME COMFORT HEATING & AIR License 84164 Expiration Date 06t2st2007 Phone 541-345-2838 )RMATION # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: StreetJmpruvements:egon law requires you Storm Sewer Available: Special Instruction: # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: o/o of Lot Coverage: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: nla inC NOTICE: THIS PEE[i AUTHOR IZE Sidewalk Type: Downspouts/Drains: Note: tlre telePhone number for the Centet regon O DAY PERIODis 1 '800-332 2344'). $ Per Sq Ft or multiplier Square Footage or Bid AmountDescription Tvpe of Construction Paee I of 2 Value Date Calculated uuN IKAU ruK lNru$\!l!l!!..1 rules are set forth gh oAR 952-001- Notes:obtain coples of the rules bY lrr.Y t.t,(rr.vlLt\ I lt\ ryJ F Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2007-00825ISSUED: 0610712007 APPLIEDz 0610712007 EXPIRESz 0610712007 VALUE: Fee Description -Mechanical Issuance Fee- + l0oh Administrative Fee + 57o Technology Fee + 87o State Surcharge Boiler/Comp Up To 100,000 btu Minimum/Adjustment Mechanical Total Amount Paid Amount Paid Total Value of Project Date Paid Receipt Number 1200700000000000721 1200700000000000721 120070000000000072r 1200700000000000721 1200700000000000721 1200700000000000721 $10.00 $4.50 $2.25 $3.60 $12.00 $33.00 617107 6t7t07 6t7t07 617107 6/7 t07 6t7 t07 $6s.3s Fees Pa Plan Reviews To Request an inspection call the24 hour recording at 726-3769. All inspections requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Reouired Insnect By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safefy. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature Page 2 of 2 Date ffit City of Springfield Upon review and approval by your local jurisdiction, your pemlt will be e-malled or faxed within one busino$ day, with instructions on how to schedule your inspectlon. NOTE: This Authorization To Begin Work expires within 180 days if a permit is not obtained. The local building department may dotermine that an Authorization To Begin Work is null and void if it does not meet applicable land use laws and local ordinances. Mechanical Authorization To Begin Wor,- E-mailed To: christinab@ehomecomfort.com Check on status of Permit By Phone : (541)726-37 53 or Emait : permitcenter@ci.sprin gfi eld'or.us Receint # 8C512252 617t2007 8:08:58 AM l0% Local Admin Fee; 5%Fee; $l 0 Issuance Fee I rrE vr T New construction Ix I Addition/alteratior/replacement El t orz family dwelling l-l n,tutti-ramity l-l A...rrory Building Job no.: RR364475 Jobaddress: 5759 PERIDOTWAY City/State/ZIP: SPRINGFIELD, OR 97478-None Suite/bldg./apt. no.: ProJect name: EFFIE SIVERTS Cross strteVdirections to job site: OFF OF 57TH PLACE & MT. VERNON Subdivision:Lot no, Tax map/parcel no.: 1802030004400 Name: EFFIE Phone: (541) 543-4109 Fax: Email: CCB lic. no.: 84164 Business Name: HOME COMFORT HEATING & AIR CONDITIO Contact: CHRIS Address: PO BOX 24205 City/State/ZIP: EUGENE, OR 97402 Phone: (541)3452838 Fax: (541)3023069 Email: christinab@ehomecomfort.com Metro lic. no.:City lic. no.: Description Qty.Ea,Total Furnace- up to 100,000 BTU Fumace - above I 00,000 BTU Electric Furnace not offered onlrne at this jurisdiction Duct alterations and additions Gas heater units/ in-wall, in- duct. suspended. etc/ Vent, flue, liner for above Arr Conditioner 1 s12.00 $ I 2.00 Heat Pump Air Handler not offered online at this jurisdiction Water heater Gas fi replace/insert/stove Gas log/ log lighter Gas clothes dryer Gas stove/range Pool or spa heater, kiln Wood/pellet stove/insert Wood fireplace Chimney/liner/fl ue/vent ilo aooliance Range hood Clothes dryer exhaust Single-duct exhaust (bathrooms, toilet compartments, util ity rooms) Attic/crawlspace fans upto first 4 outlets(enter Qty=l ) each additional outlet Subtotal $r2 00 Minimum fee used rnstead of Subtotal $4s.00 State Surcharge (8% ofpermit fee)$3.60 City Of Springfield fees *$ r 6.75 TOTAL Pf,RMIT FEE $6s.3 5 This Authorization To Begin Work must be posted at the job site until replaced by a Permit. CATEGORT OF CONSTRUCTION JOB SITE INFORMATION AND LOCATION DESCRIPT]ON OFWORK INSTALL AIR CONDITIONER SITE CONTACT CONTRACTOR FEE SCHEDULE Heating/cooling appliances Other fuel burning appliances Environmental exhaust AND ventilation Fuel piping MECHANICAL PERM]T FEES 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Citv of Springfield Official Receipt D ,opment Services Department Pubtic Works Department RECEIPT #: 120070000000000072r Date: 0610712007 10:17:51AM Job/Journa! Number coM2007-00825 coM2007-00825 coM2007-00825 coM2007-0082s coM2007-00825 coM2007-00825 Description Boiler/Comp Up To 100,000 btu -Mechanical Issuance Fee- M inimum/Adj ustment Mechanical + 5oZ Technology Fee + 8% State Surcharge + l0o/o Administrative Fee Amount Due 12.00 10.00 33.00 2.25 3.60 4.50 Item Total:$65.35 Payments: Type ofPayment Paid By ffiber Received By Batch Number Authorization Number How Received Amount Paid ONLINE CHGS ONLINE PERMIT CHGS ddk ONLINE Home Online Comfort Heating & Air $6s.35 Payment Total:$65.35 cReceintl Page I of I 61712007 09/11/06 UoN 10:50 FAI 5417263089 CITY OF SPRINGFIELD 215 FIFTH STREET . SPRtNcPllLD, OR 97a77 o. PH:(3{t)72,6,3751 r pAXl (sar[2c36S9 ELECTRICAL Cily Job Numbcr 3.coMPI;:S-TS:{E!-;SdI/EDALF^BELOW 5 1,. X e*.59s_-rq.gtlirfi qngti'or trzr.yltfiiaffif f er rl we I II n g u ni t. JOB Service lncluded 1000 sq, ft, or less Each additional 500 sq. ft, or portion thcrcof Each Manufact'd Homc or Modular Dwelllng Servlce or Fecdcr 09u"- a /c $50,00 2. C0MTR4C?OX ${ST4I,LATTONO-NiL Ercctricar c*t *0REG0N EtE0IRi0 $EfrV{bE '-:_ ,. . - .. :.' i .l Srrvlges or lTeedtn - Installrtiorr, Alterrtlons or Relocorion r @ ool L Permltr ere noo-trrnrferable rnd erpire lf work ls not rtarled withln lE0 days of lssuance or lf work ls Suspended for 180 dryr. Address P0. Box 2237 Phon. 3A3:_I_68/ B 200 Amps or lcss 201 Amps trc 400 Amps 401 Amps to 600 Amps 601 Amps ro I 000 Amps Ovcr 1000 Amps./Volts Rcconncct Only Each Additional Circuit or with aFRtNOrleo zoN ': ; ,i. INTT'IALS DATE souRcE Datc (-- l4 - O) $ 63.00 ,s 7s.00 ,S 125,00 $ 163.00 $375,00 I $ 43,00 I $ r.oo (e "o IRstalkdon 50.00 50.00 25.00 45.00 City $ 50.00 Supcrvisor Liccnse Numbcr /3 *l.S c. 11 fgno+*',siffi .iiolJffi *ii,; :l' r'-,:ii,'. l Instellation, Alteratlon or Relocatlon 200 Amps or lcss $ 50.00 201 Amps to 400 Amps $ 69.00 401 Amps to 600 Amps f 100.00 Expirarion oatc 9 -&FNCI.C{: orep,:n r:_1w r.r1.rl of Supcrv isi ng Elcctrician Over 600 Amps or 1000 Volts see "B" above. frro+tiicri'rcore.:, ' , "- ':i1,rl;.;- ti:.,, '. Consf. Contr. Numbcr S Owners Name rn( Ioilow ruleia New Alteration or Extensloo Per Panel Onc Circuit q(q \ OWNER TION The installation is bcing made on propcrty I own which is not intended for sale, lcase or rent. Owncrs Signature: Inspectioo Requert: 126-31 69 Servico or'Fxder Permit Pump or irrigation $ Sign/outline Lighting - I Limited Encrgy/Rcsidential _ $ Limited Energr/Commcrcial _ S Minlmum Electrlc Permit Iospectlon Fec is 545.00 ,i' 4, SUBWTN,,OSAEQW ..; : '.: .!.. ...r- .:1_i.- i r-3.. . ..,1:.r' '!- _'. ! .: I 8% State Surcharge 10% Adminlstrative Fcc 5% Technology Fce TOTAL Sharcd DrivdT:/B uildi ng Forms/Eloctric!l P€r c City 5c+3 lrol * Surcharges . L+(€ t'o -6r---qaE- Erffi--(r SY:L(p EXPIBE IF THE WORK- ,,S PERMIT IS NOT .1..;,..JNFD FOR 1 ..c.i,r .I.il:tni;ii, ; r;i init Applicrtion t-06.doc ....::..;. ':, s 106.00 s 19.00 Expiration Da.r- I O - I - O-) /r" lS I ca