HomeMy WebLinkAboutPermit Mechanical 2009-3-3
Cjty of Springfield
, Mechanical Anthorization To Begin Work
E-mailedTo:bethp@ehomecomfort.com
Re~eipt # F:C547586
3/3/20098:17:17 AM
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Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springlield.or.us
I 0 New construction
IKJ Addition/alteration/replacement
I Description
I [X] I or 2 fal}1ily dwelling
,0 Multi-fainily
D A(;c~ssory Building
I Furnace- up to 100,000 BTU
I Furnace - above 100,000 BTU
I. Electric Furnace
I Duct alterations and additions
'1 Gas heater unitsl in-wall, in-
duct. susoended, elel
I Vent, nue, liner for above
I Air Conditioner
I Heal-Pump
I Air Handler
I
I
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I
I
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117,001
1
IJobno.: MI-1266198 IJobl~ddress: 2698 GARSON LN
I City/StatcrL.:lp: SPRINGFIELD, OR 97477-4302
I Suite/bldg./upt.no.:
I Project name: Chuck Mason
Cross street/directions to job site: Turn RIGHT onto MOHAWK BLVD,Turn LEFT
}nto OLYMPIC ST.TurnRIGHT onTum 'RIGHT onto GARSON LN ,to 28TH ST.
117,00
I Subdivision:
ITax map/parcclno.: 1703361109901
ILot no.:
Walerheater
I Gas fireplace/insertJstove
I Gas log/lug lighter
I Gas clothes dryer
I Gas stove/range
I Pool or spa heater,. kiln
I Wood/pellet stove/insert
I Wood fireplace
I_~~h~~~n~ef;in;:;;~~;e;;;~n~ 1.3~ ,req,Uil, eS,~~t:~~~I, ., ~ I
1.~~Jpl~!1~~~!~~f'JM~~c~!tyft!lW~t~o;'!fYl~':~;~~~6tffMrth'\.ii"';;, r I
I ""IU" ,~.. T-hlllSe IUI~O }"'- - ~ I
~~;~~~~9-,'\;nn Genter. .. I""'I!\Q Qt;?~O J~
J~1~~~'q'1049@1-001U\lilU~,~~:::, ihp. rules by I
I .&e':duc~a~sttPJ:tl1rl:iliJm!' -,vt"._- Ie hon:ll I
t.Q.~\Jmpahf!;',"i;. ;tiJitver (Ilote: the le Pf' at.J;n
roonl'SR\\inQ loeLiC<1 n . ,n I ;\lotl \c
1 AttiFiu~"llplkJ?a~r\l",^ 1
Weare installing a heat ptim-p
I Name: [3eth Pettijohn
I Phone: (541) 345-2838 Ext: 316
I Email: bClhp@ehomecomlbn.C{lln
I Fu: (541) 302.3069
ICCD lie, no.: 84164
I Business Name; 1-IOME COMFORT HEATING & AIR CONDITIO
ICon'ae': Bet1j.rl"!it<'~~f:' -"~\f1'" I~ 'THE WORK
IAdd"''' PO ~*,~2st:R!J\\T SH/l.LL ~~,~ 'PEPMIT IS NO \
I CilY/S,",'/ZIP:~X~?:9~!i=<'\lj{F'f34~NUtK I!'.f~ "~~I1:fl FOR
I Phon" (541)34!~~?;~~;~~~6.1r.FD OR I:' if'Flfx\lh~I)3023069
IEmail: b..hp@ihq.n....G!".fq~.~qmY PERIUU.
I i"\l'i' I
Metro lie. no.: City lie. no.:
NOTE: This Authorization To Begin Work expires within 180
days if a permit is not obtained.
I upt~first4outlets(enterQty=l) I l
I each additional outlet .
ItiW"'rf,.%:~~~~MECHJ(NICAL"PERMfi~fEESiY,~'~X~:r~':>~;,1
."~j9t>'.-L,,,,...,.,,:..,,;,e~"~_"0^~'_~"~'.""-""~~'~""'"" ,,, ""-"~"""it"d\'",~~ """,'}1',
I Subtotal $17,00 I
I City Of Springfield First Appliance fee $79.00 I
I State Sun:harge (12% of per mil feej $11.52 I
I City or Springfield fees" $4.80 I
I TOTAI.PIW.MITFEEI $112,321
* City or Springfield fees: 5% Technology Fee
~C\-'2..Cj L\ KQ. 3\3\D1
,
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.
The local building departme'nt may cjetermine that an
Authorization To Begin Work is null and void if it does not
. meet applicable land use la'fs and local ordinances.
,
1
i
This Authorization To Begin Work must be posted at the job site until replaced by a Permit
.j .
I
_~!Jt~,~~~!~:_Ri~:~~I~~'~~'ll.
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00294
ISSUED: 03/03/2009
APPLIED: 03/03/2009
EXPIRES: 09/03/2009
VALUE:
Status Issued I
I
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541'726-3676 Fax
541-726-3769 Inspection Line
, ,
SITE ADDRESS: 2698 GARSON LN
ASSESSOR'S PARCEL NO.: 1703361109901
Springtield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Installing Heat Pump
Owner: MILLER TERRY L
Address: 2698 GARSON LN
SPRINGFIELD OR 97477
Owner: CONRAD WILMA K
Address: 2698 GARSON LN
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION .
Contractor Type
Mecbanical
,Contractor
HOME COMFORT HEATING & AIR
License
84164
Expiration Date
06/25/2011
Phone
541-345-2838
BUILDING INFORMATION I
# of Units:
Primary Occnpancy Group:
Secondary Occupancy Group:
Primary Constru'ction T~pe
Secondary Construction Type:
# of Bedrooms:
# of Stories: '
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
LotSize:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
nla
I DEVELOPMENT INFORMATION I
, , , REOUIRED~RKING
. : _ ' ATTENTION: Oregon law requires yUln.o
Frontyard!~e}lfda:E. ' IRE IF THE ~Kiy Dist: follow rules adoptedl1o\"1li1e Oregon Utility
Side I Setb?fhs PERMIT SHALL EXP PERMIT ,gt ~ifet Trees Rqd: Notitication Center. THanOUlllppe<fi3 set forth
Side 2 Setback}HORlZEO UNDER THIS , nfilved Drive Rqd: in OAR 952-001-0010aJoffipamPAR 952-001-
Rearyard ~~\~~*ENCED OR IS ABANDONED FUJI. of Lot Coverage: 0090. You may obtain copies of the rules by
Solar Setbacks:1I1!1 0 D^V PERIOD. ' calling the center. (Note: the tele~hone
. "~IV 1 R 1"\1 _.._'-~-<n"ho nro.(1nr.1 til11ty Notification
I PUBLIC IMPROVEMENTS I ,. Center is 1-800-332-2344).
Street Improvements:
Storm Sewer Available:
Special Instrnction:
Sidewalk Type:
Downspouts/Drains:
Notes:
Paee t of2
Status
Issued
225 Fifth Street, Springfield, OR
541-726"3753 Phone I
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descriotion I
Description
Type ~f Construction
, $ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Total Value of Project
Fees Pa,id I
, ,
Amount Paid
Date Paid
Fee Description
+ 12% State Surcharge:
+ 5% Technology Fee
1st Appliance
Heat Pump
$11.52
$4.80
$79;00
$17.00
3/3/09
3/3109
3/3/09
3/3/09
Total Amount Paid
$112.32
I Plan Reyiews I
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-06294
ISSUED: 03/03/2009
APPLIED: 03/03/2009
EXPIRES: 09/03/2009
VALUE:
Value '
Date Calcnlated
Receipt Number
3200900000000000137
3200900000000000137
3200900000000000137
3200900000000000137
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.
Relluired In~nec.ti~n~ I
,
Rough Mechanic~l: ~rior to Cover
,
Final Mechanical:" When all mechanical work is complete.
By signature, I state and agree, that I h,ave carefully examined the completed application'and do bereby certify that all
information hereon is true and correct, and I further certify that any and all work perfornied shall be done in accordance with
the Ordinances of the City of Springfield and the Laws 01' the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any strnctnre 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 tbis 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 ca~d is located it 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
Paee 2 of 2
, Date
,
225 Fifth Street
Sprin~field, Oregon 97477
541-726-3759 Phone '
Job/Journal Number
COM2009-00294
COM2009-00294
COM2009-00294
COM2009-00294
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
Descf_iption
15t Appliance
Heat Pump
+ 5% Technology Fee
+ 12% State Surcharge
Paid By , ,
ONLINE PERMIT CHGS
.!
GP~I~Gr:rJaLO:
3200900000000000137
City of Springfield Official Receipt
Development Services Department
Public Works Dcpartmcnt
Date: 03/03/2009
9:02:16AM
"
Amount Due
79,00
17.00
4,80
11.52
$112.32
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
KR
ONLINE
Paee I of I
Amount Paid
Home In Person
Comfort
Heating
Payment Total:
$112,32
$112.32
3/3/2009