HomeMy WebLinkAboutPermit Mechanical 2009-3-10
City of Springfield
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Mechanical Authorization To Begin Work
E-mailedT~:bethp@ehomecomfort.com
Receipt # RC548001
3/10/200912:29:45 PM
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Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springlield.or.us
IWaterlieater
I Gas firepiace/insert/slo've
I Gas log! log lighter
I Gas clothes dryer
I Gas slove/range
I Pool or spa heater, kiln
I Wood/pellet slovc/insen' I'
I Wood fireplace
I Chi~ney/lii1erll1ue/venl \v/o I
. aopllance
1!_!;~~!M~ki~'ft'J~!ici~~!\>!ii~'rilq!)lr~$.:YP.~;:p" '[,I
I R""~i,~q\IJ rules adopte9 by mB\.fregulI ':':~~;h I
I Clot~~t9fYSI2~*l!nusCenter. IJn.ose ru._~\: ~ ~:,c n~v~ ~~~.-~ I
I Sinffli!}1.Ct~[llII.H{l#thhbfusl\'" llIlU~'::1H ~,.. ...._u_ ,. - I
loil<;\FI?fJ""I'15jjsrt\lJllWobtai 1 caples )\ the rul..s by
ro01\,'s-).' . L.. {ld",+,..,' tplAnh( ne
^ttic/cfa~iWJtJ fH~ v....,....', \'.- -I~ Notific6~tion I
D New construction
lliJ Addition/alteration/replacement
I [K] ] or 2 family dwelling
o Multi-fami"IY
o Ac~essory Building
!Job no.: RR394394 jJob a4dress: 317 SF ST
I City/State/ZIP: SPR]NGFIELD, em 97477-5435
I Suite/bldg./apt.no.:
I Project name: Rick and Pat I'Jenson
Cross streethJirectionsto job site: P]ONEER Plum RIGHT onto S F Sl (Portions
.mpaved).KWY W becomes S 2ND STTurn LEFT onto S D ST Turn R]GHT onlO S 4TH
ST. End at 317 S F St Springfield, OR 97477-5435
r
I Subdivision:
I Tax map/parcel no.: ] 703353402~OO
ILot no.:
Rep]acing gas furnace ( No Heal)
[Name: Beth Peltijohl\lnTIr.i:~ I
!Phone: (541)345'2~jf';n.nlT s'1/l!l'l'P:W'R'I%IIl"'t~r: \~K I
IE~'~;~' belhp@e~o:n.\'\n$I:t1~~@)JNDEI:!:rI.l!S'p~R~~!T Ie: ~IQL,_I
1~,;,:~",~::L.sDf~11{N€Er~MA'Nb"0NE\))tIt'nR~~4ik'i:~41
ICCS lie. nn., 84164 V1 RADAY PERI:)~. I
J Business Nllme: Hd'M'~ COMi;'6RT HEATING & AIR CONDITIO . I
I Contact: Beth Pettijohn I
IAddress: PO BOX 24205 I
I Cit~'/Stllte/ZIP: EUGENE, OR 97402 I
I Phone: (541 )3452838cxt316 I Fill.: {541 )3023069 I
I ~m<lil: bcthp@ehomecomfort.com I
I Metro lie. no.: I City lie. no.: I
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.
NOTE: This Auth~rization To'Begin Work expires within 180
days if a permit is not obtain~d.
The local building department may determine that an
Authorization To Begin Work is null,and void if it does not
meet applicable land use la~sand local ordinances.
I Description Qty.
1:(t~aY.~~~~2Jiurap~n,~~~~s~~i/,~' >>,f) ;'~~~.~."
I Furnace- up to lOO,OOOBTU $]7,00
furnace - abo've ] 00,000 BTU
E]ectric Furnace
Duct alteration~ and additions
I Gas heaterunits/iri-wall, in-
dUel. suspended. ete/
I Vent, flue, liner for <lbove
I Air Conditiom.:r
I HQat Pump
I Air Hand]er
I upto first 4 oUllets(~nter Qty=])
I each additional outlet
Subtotal I
City Of Springfield First AppJiance fee
State Surcharge (12% of permit fee)
City OrSpringlk]d fees "'.1
I TOTAL PERJ\lIT rEE
'" City Of Springfield fees: 5% TechnologyTee
Cq-~u
~
$17 00 I
I
I
I
I
I
I
I
$17.001
$79.001
$1l.521
$4.801
$112.32 I
~\\otCS1
This Authorization To Begin Work must be posted at the job site until replaced by -a Permi!
J
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00326
ISSUED: 03/10/2009
APPLIED: 03/1012009
EXPIRES: 09/10/2009
VALUE:
225 Fifth Street, Springlield, OR
541-726-3753 Phone '
541-726-3676 Fax
541-726-3769 Inspection Line
SiTE ADDRESS: 317 S F ST
ASSESSOR'S PARCEL NO.: 1703353402900
Springlield TYPE OF WORK: Heating System
TYPE OF USE: New
PROJECT DESCRIPTION: Replacing gas furnace (No Heat Situation)
Residential
Owner:
Address:
HENSON RICK & PAT GRIGGS-HENSON
317SFST
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION.I
Contractor Type .
Mechanical
Contractor
. HOME COMFORT HEATING & AIR
. License
84164
Expiration Date
06/25/2011
Phone
541-345-2838
. BUILDING INFORMATION'
# of Units:
Primary Occupancy Gronp:
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 Bnilding:
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'
REQUIRED PARKING
Front yard Setback: Overlay Dist: Total:
Side I Setbavk: lCE' iHE ~R\(t Trees Rqd: Handicapped:
Side 2 Setb~ck\T . T SHALL EXPIRE If ~NI!flDrive Rqd: Compact:
Rearyard seiilh'loJJ?ERM\ U"DER THIS PERMIT (>,of Lot Coverage: .
Solar Setbacl{s:THORIZE,D W S ABANDONED F n . ATTENTION: Oregon law requires youto
'.':. .,,,-..rt:n OR \ . fnllnw ."Ip" ~rlonted bv the Oreqon Utility
VVY""~'8-0 DAY PERIUu. I PUBLIC IMPROVEMENTS'IJlification Center. Those rules are sellorlll
AN \ .., OAR 952-00t-00l 0 through OAR 952-001-
Street Improvements: 0090, ~i.ll.'Wal~ If:ypen copies of the rules by
calli",-'] t.he.cente~~. ote: the telephone
Storm Sewer Available: 'uownsuouf.oiI [ nsu I N t'f' t
number lor In!; 1:11 \oJ 1\ ti ity 0 1 Ica ion
Special Instruction: Center is 1-800-332-2344).
Notes:
1 Valuation Descrintion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee I of 2
Status
Issued
CITY OF SPRINGFIELD
. ,Building/Combination Permit
PERMIT NO: COM2009-00326
ISSUED: 03/10/2009
APPLIED: 03/1012009
EXPIRES: 09/10/2009
VALUE:
225 Fifth Street, Springlield, OR
541-726-3753 Phone
541-726,3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees Paid'
Fee Description
+ 12% State Surcharge'
+ 5% Technology Fee
1st Appliance
Fnrnace - up to 100,000 btn
Amount Paid
Date Paid
Receipt Nnmber
$11.52
$4;80
$79.00
$17.00
3/1 0/09
3/10/09
3/10/09
3/10/09
2200900000000000247
2200900000000000247
2200900000000000247
2200900000000000247
Total Amonnt Paid
$112.32
I Plan Reviews 1
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.
l..l~tf"ired Insnections,'
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
By signature, I state and agree, that I have carefnlly examined the completed application and do hereby certify that all
information. hereon is tr~e and correct, and I further certify that any and all work performed shall be done in accordance with
the Ordinances of the City of Springlield and the Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will he made of any strncture 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 arc' 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
Pa~e 2 on
225 Fifth Street
Springfield, Oregon 97477
541-72'6-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2009-00326
COM2009-00326
COM2009-00326
COM2009-00326
Payments:
Type of Payment
ONLINE GIGS
cReceinll
RECEIPT #:
2200900000000000247
Date: 03/1012009
Description
I st Appliance
Furnace - up to 100,000.btu
+ 5% Technology Fee
+ 12.% State Surcharge
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
KR
ONLINE
Home Online
Comfol)
Heat
Payment Total:
Page I of I
I :26:48PM
Amount Due
79.00
17.00
4.80
11.52
$112.32
Amount Paid
$112.32
$112.32
3/1 0/2009