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Home My WebLink AboutPermit Mechanical 2007-06-01F 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: COM2007-00789ISSUED: 0610112007APPLIED: 0513112007EXPIRES: 1210112007 VALUE: SITE ADDRESS: 880 S 45TH PL ASSESSOR'S PARCEL NO.: 1802051207100 Springfield PROJECT DESCRIPTION: Replace gas furnace and install air conditioner. TYPE OF WORK: Heating System TYPE OF USE: Alteration Residential Owner: Address: Contractor Type Mechanical Contractor HOME COMFORT HEATING & AIR VANDORN WILLIAM C & MARGIE L 880 S 45TH PL SPRINGFIELD OR 97478 License 84164 Expiration Date 06t2s12007 Phone 541-345-2838 ]TOR INFORMATION # 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: Street Improvements: Storm Sewer Available: Special Instruction: Notes: # 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 Sidewalk Type: Downspouts/Drains REQUIRED PARKING Total: Handicapped: Compact: $ Per Sq Ft or multiplier Square Footage or Bid Amount DEVELOPMENT INFORMATION PUBLIC IMPROVEMENTS Description TvPe of Construction Page I of 2 Value Date Calculated lh" .I'UIL['T1\U I1\,T 1JILIYIA I IL'l\ I Valuation Description I Status 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: COM2007-00789ISSUED: 0610112007APPLIED: 05/3112007EXPIRES: 1210112007 VALUE: Fee Description -Mechanical Issuance Fee- + l0oh Administrative Fee + 57o Technology Fee + 87o State Surcharge Boiler/Comp Up To 100,000 btu Furnace - Unit Heater Minimum/Adjustment Mechanical Total Amount Paid Amount Paid Total Value of Project Date Paid 6/U07 6n107 6fit07 6n107 6nt07 6nt07 6nt07 Receipt Number 2200700000000000875 2200700000000000875 2200700000000000875 2200700000000000875 220070000000000087s 2200700000000000875 220070000000000087s $10.00 $4.50 $2.25 $3.60 $12.00 $12.00 $21.00 $65.3s Fees Paid Plan Reviews To Request an inspection call the24 hour recording at 726-3769' All u.11. *rilt be made the same working day, inspections requested after work day. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete' inspections requested before 7:00 7:00 a.m. will be made the following By signature, I state and agree, that I havetarefully examined the completed apolication and do hereby certify that all information hereon is true and correct, and I furthlr certify that any ura uu rrorx pe.ro.med shall be done in accordance with the ordinances of the city of springfield and the Laws of ihe statelf oregon pertaining to the work described herein' and that NO OCCUPANCy will be made of any structure without permission or tn. com-unity Services Division' Building safety' I further certify that onry contractors uno .rnptry".s who are io "r,,.fri-"u with oRS 70r.6os witt be used on this project' I further agree to ensure that arl required inrp.'.tiin, are requesteo riirr. p.oper time, tha-t each address is readable from the street, that the p.r*it ,nro is locaied at the front of the propertv, onJirr.'apiroved set of plans will remain on the site at all times during construction' Owner or Contractors Signature Pase2 of 2 Date FSP Building/Combination Permit PERMIT NO: COM2007 -00789ISSUED: 0612212007APPLIED: 05/3112007EXPIRES: 1212212007 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-7 26-37 69 Inspection Line Description Type of Construction Fee Description -Mechanical Issuance Fee- + l0oh Administrative Fee + 57o Technology Fee + 87o State Surcharge Boiler/Comp Up To 100,000 btu Furnace - Unit Heater Minimum/Adj ustment Mechanical + l0oh Administrative Fee + 5olo Technology Fee + 8olo State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Total Amount Paid Total Value of Project Date Paid Value Date Calculated Receipt Number 220070000000000087s 2200700000000000875 2200700000000000875 2200700000000000875 2200700000000000875 2200700000000000875 220070000000000087s 1200700000000000810 1200700000000000810 1200700000000000810 I 200700000000000810 1200700000000000810 $ Per Sq Ft or multiplier Square Footage or Bid Amount Amount Paid $r0.00 $4.50 $2.25 $3.60 $12.00 $12.00 s21.00 $4.60 $2.30 $3.68 $43.00 $3.00 6nt07 6n107 6ty07 6ty07 6tu07 6nt07 6n107 6t22t07 6t22107 6t22/07 6t22t07 6t22t07 $r21.93 Fppc Pni.l 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. Rpnrrired Insneefions Page 2 of3 I Valuation Descriotion ] 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 -00789ISSUED: 0612212007APPLIED: 05/3112007EXPIRES: 1212212007 VALUE: Description Tvpe of Construction Fee Description -Mechanical Issuance Fee- + l0oh Administrative Fee + 57o Technology Fee + 87o State Surcharge Boiler/Comp Up To 100,000 btu Furnace - Unit Heater 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 6nt07 6nt07 6n/07 6tu07 61U07 6nt07 6nt07 6t22t07 6t22t07 6t22t07 6t22t07 6t22t07 Value Date Calculated Receipt Number 220070000000000087s 220070000000000087s 2200700000000000875 2200700000000000875 220070000000000087s 2200700000000000875 220070000000000087s 1200700000000000810 1200700000000000810 1200700000000000810 1200700000000000810 1200700000000000810 $ Per Sq Ft or multiplier Square Footage or Bid Amount Amount Paid $10.00 $4.50 $2.25 $3.60 $12.00 $12.00 $21.00 $4.60 $2.30 $3.68 $43.00 $3.00 $121.93 ['ees Pe 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. Renrrired Insnecf Page 2 of3 Yaluation Descrintion I 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 -00789ISSUED: 0612212007APPLIED: 05/3112007EXPIRES: 1212212007 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 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 Page 3 of3 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone C"v of Springfield Official Receipt ^.. - ',elopment Services Department Public Works Department RECEIPT #: 1200700000000000810 Date: 0612212007 l:31:33PM Job/Journal Number coM2007-00789 coM2007-00789 coM2007-00789 coM2007-00789 coM2007-00789 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 5%o Technology Fee + 8% State Surcharge + l0Vo Administrative Fee Amount Due 43.00 3.00 2.30 3.68 4.60 Item Total:$s6.58 Payments: Type of Payment Paid By UheckNumber Authorizatron Received By Batch Number Number How Received Amount Paid Check OREGON ELECTRIC SERVICE NJM 209t7 By Mail $56.58 Payment Total: $56.58 cReceint I Page I of 1 6t22t2007 0S/LL/06 UON t0:b0 FA-X 841726J68g LECAL DESCRIPTION:aos llol i rD JOB DESCRIPTION; {_ /J lL Permltr rrc ble rnd erplre lf work lrnot ctartcd wlthln tg0 days of lssuaoce or lf work lsSurpcndcd for tg0 drys. 2.CO NTRACIO R D,TyTALLATION OT,T.IX Elcctrical Addrcss Ciry Contrac0R PO CITY OF SPRINGFIELD @ oor aFttNo"tELD :zoN ( | (5.I)72GJ6r9 , ,, :r,, r INTIALS ':.:... p41g SOURCE 1 Date G -cl/ - o 3,,CaMFi$rc48-r.searo Vige1mw . :. ,j,.: r,:....l:il.tlew$1fr.gntiiii;-$;.sri6rr*rffi "i,i[y.f errtwetlngunit. Service lnctuded 1000 sq. ft. or lesspacr adaitionai-ioo rq. n, o, $106.00 Portion thcrmf S 19.00 Modular Dwclllng Service orreeder $5o.oo B. se"rriL or lreetlers - iostrit.tt&,,,,ltt.iriio* or Retocorion: Phon. S:Aa-_L6.9/ Supcrvisor Liccnsc Numbcr /_q +q, rs Expirarion Datc I o^t-1 Constr. Contr. Number I /5 I Expiration Datc q -oa Sign of Supcrv ising Elcctrician d.uw 200 Amps or tcss 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to l0O0 Amps Ovcr 1000 Arnps/Volts Reconnect Only Onc Circuit Each Additional Circuit or with Service or Poeder permit Pump or inigation Sign/Outline Lighting Li m ited Encrgy/Rcsidenti al Limited Energy/Commercial - .S 63.00 s 7s,00 t l25.OO $ 163 .00 ,s375,00 $ 50,00 $ 5o,oo $ 50.00 $ 25.00 $ 4s.00 S u rcha rges &O Sb s& ,ffi - - -c. r*raijoaryr$r.vit.eaorsqeij-.r.:,,...,,,.. rj _. Instellation, Allerafion or Relocatlon 200 Amps or lcss S 50.00 Ol;f O9,q.n.ps or 1000 Volts sec .,8" above,n. ,Ei.e++-tir"gi,ijsulti;;,, ,;.. , ,1i,;...:lr;; l ri , ,ri, _t ,._ , , New Alteration or Extenslon per panel | $43.00 q(3 * t 1l't s3.00 -ol ,?.'-r-:: _ " " ::;. - fr:i\- -.^.jji _.:.1,1,, ..:i.E. . Mlitellr u eoui.,qsc r*ce,"foeOei oA.t iiOru cp>Eac h I n statlsd o n Owners Nam Address Ciry Phone OWNER INSTALLATION i Ttrc ln$attdtlofh tdng iradt 6n ftoiiirty t ciwtr.wtrictr is nolipended for sale, lcase or r.int; : Owncn Signature: Minlmum Electrlc Permit Inspectlon Fee is $45,00 + . 4, SUBTOTAT, OR.ABOW : i.., :, .i.. .4. .. . . "--." 7_ - . :i .i 8% State Surcharge 5% Tcchnology Fcc TOTAI{ Shrrcd Driv{T:}tsuilding Formr/Eloctricrl Per]nit Application t.06.doc OR 9?477 r.PH:(s{t)72Gt753 City Job Number calling the center. (Note he telePhone rty Noti{ication 2341\. aLAr \.q] Qo i\-30 ER THIS ANY 180 DAY PERIOD Inspection Rcquestt 726-37 69 City of Springfield Upon review and approval by your local jurlsdiction, your permit will be e-mailed or faxed within one business day with instructlons on how to schedulo 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. IVrvchanical Authorization To Begin Work E-mailed To: christinab@ehomecomfort.com Check on status of permit By Phone: (541\726-37 53 or Email : permitcenter@ci.sprin gfield.or.us Receipt # EC511995 513112007 2:4lz24PM ogy $l 0 Issuance Fee T New constnrction lXl edaition/alteratior/replacemenr E] t o, z family dwelling f urt,i-ru.lty J-l A...rrory Building Job no.r RR362479 Job address: 880 S 45TH PL City/State/ZIP: SPRINGFIELD, OR 97478-2602 Suite/bldg./apt. no.: Project name: VAN DORN Cross strret/directions to job site: Subdivision:Lot no.: Tax map/parcel no.: 1802051207100 Name: MARGIE VAN DORN Phone: (541) 5104242 Frx: 510-4242 f,mail: CCB lic. no.: 84164 Business Name: HOME COMFORT HEATING & AIR CONDITIO Contact: CHRIS Address: PO BOX 24205 City/StateZIP: EUGENE, OR 97402 Phone: (541)3452838 Fax: (541)3023069 Email: christinab@ehomecomfort.com Metro lic, no.:City lic. no.: Description Qty.Ea.Total Fumace- up to 100,000 BTU Furnace - above 100,000 BTU not otlered online at this jurisdiction Duct alterations and additions Gas heater units/ in-wall, in- duct, suspended, etc/ I $r 2.00 s12.00 Vent, flue, liner for above Air Conditioner I $r 2.00 $12.00 Heat Pump not offered onIne at thisjurrsdictionAir Handler Water heater Gas fi replace/inserVstove Gas log/ log lighter Cas clothes dryer Gas stove/range Pool or spa heater, kiln Wood/pellet stove/insert Wood fireplace Chrmney/l iner/fl ue/vent w/o appliance Range hood Clothes dryer exlaust Single-duct exlraust (bathrooms, toilel compartments, utility rooms) upto first 4 outlets(enter Qty=l ) Attic/crawlspace fans each additional outlet MECHANICI Subtotal $24.00 Minimum lee used instead of Subtotal $45.00 State $3 60 $ I 6.75 ,ERMIT F]iETOTAL This Authorization To Begin Work must be posted at the job site until replaced by a Permit. smrll TYPE OF WORK CATEGORY OF CONSTRUCTION JOB SITE INFORMATION AND LOCATION DESCRIPTION OF WORK REPLACE GAS FURNACE .INSTALLAIR CONDITIONER SITE CONTACT CONTRACTOR FEE SCHEDULE Heating/cooling appliances Electric Fumace Other fuel burning appliances I nvironmental exhaust arr^ D ven ti lation Fuel piping ciw of s 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 phone Cif. of Springfield Official ReceiptD lopment Services Department Public Works Department RECEIPT #:2200700000000000875 Date: 06101/2007 B:04:2eANtJob/Journal Number coM2007_00789 coM2007_00789 coM2007_0078s coM2007-00789 coM2007_0078s coM2007-00789 coM2007-00789 Description Boiler/Comp Up To 100,000 btu Furnace - Unit Heater Min imum/Adj ustment Mechanical -Mechanical Issuance Fee_ + 5olo Technology Fee + 8% State Surcharge + l0% Administrative Fee Amount Due 12.00 12.00 21.00 10.00 ))s 3.60 4.50 -6y.5r Item Total: Type of payment Paid By ONLINE CHGS ONLINE PERMIT CHGS Received By Batch Number ddk ONLINE Number How Received Home Comfort Heating Online Payment Total: Amount Paid $65.35 $6535 cReceintl Page I of I 61v2007