HomeMy WebLinkAboutPermit Mechanical 2009-3-11
City of Springfield
Mechanical Authorization To Begin Work
E-mailedTo:bethp@ehomecomfort.com
Receipt # EC54R053 , 1;0
3/11/2009 10:06:52 AM I'?
~ <.\'
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
10 New construction
lliJ Addition/alteration/replacement
10 I or 2 fami:y dwelling
o Multi-family
D Accessory Building
I Job no.: RR394294 I Job address: 604 T ST
I City/StatelZlP: SPRINGFIELD, OR 97477-2323
. I Suile/bldg.laptno.:
I Project name: h:remy Starr
Cross street/directions to job site: Turn RIGHT onto GOODPASTURE LOOP.Turn
-~eck Ot~S~'
.EFT onto LAKESIDE DR.
'I Subdivision:
ITax map/parcel no.: \7032624043]3
ILot no.:
Replacing an dectric furnace
I Nllme: Beth Pettijohn I
I Phone: (541) 345,2838 E,,: 316 I Fn~: (54lJ.ljl~-39~1'I nn I HII-I I
I - ' JCIUJJ I;. _';3 ..' j
tmall: "~~lhP~..c~o~ec~:~~rt.co.m" ,--, ~ ,~} 3C%JJ8f\:]l^J~~f),~,;co,^ +_'~,
,,\;', ~'" ,,~vh"'1:JO:t'U:lii~R"l~"c~-'^P ,''-' "7"U'''''''''l!;
, '. .'7:#"'4 ".. ""'^"1:I3ar~ri'?J::I:I:J~lll:'t\"" hfJ
he, no,: 8416410N SI1IV'H:I:ld 'jIH~ __.' ~ Ib\l:JJJ S1111 I
I B";",,, Name HoM~OMraHWI~,I;dNl.lIi~ 1:<'J14t\'i1d- :_~ J 110 U I
I Contact: Beth Pettijohn . ~ I
IAddress: PO BOX 24205 I
I City/State/ZIP: EUGENE, OR 97402 I
I Phone: '(54 I )3452838ext.316 I r:1X: (541 )3023069 I
I Email: belhp@ehomecomfon.com I
1!\'Ietro lie: no.: ICity lic. 110.: I
Upon review and approval by your local jurisdiction, your
permit will be a-mailed or faxed within one business day,
with instructions on how to schedule your inspection,
I Desc.ript!on
Total
1 Furnace. up to 100,000 BTU
I Furnace. above 100,000 BTU
I Electric Furnace
I Duet allerations and additions
I Gas he~ter units/ in.wall, in-
duel. suspended, ete/
I Vent, nUl', liner for above.
I Air Conditioner
I Heat Pump
I Air Handler
, $17,00
I
I
117,001
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
IWalerheater
.I Gas fireplace/insen/stove
I Gas log/log Iigh.tcr
I Gascloth.:s dryer
I Gas slOvc/range
I Pool or spa heater, kiln
I Wood/pellet sLuvelinsert
Wood fireplace
O,ftJnl';iIIHd;ilwi7i.e'w-WIb'Jon aw requI 'es you t )
a~llhntti rule$ ~rlnntt:lrl, ~ \I tho I"'o:' ,'"".'"'t:' IJ~a: ..
I :It.nv;ro'n^,,'iji1tl1i'';iha.li':I'',A'Nfi'''~ 'tilat;O: '''':i-"~'7 - '.~",;:r;~":,,' }:j ,;y~,;;'>" I
:, '''''}':\'''~''.~-' ~;;'l:)"....,,~ e:l.~~d,m~d \ (~If!~<Arp,C:Qt'ft;'\f"th-,}i~ "",,'
I ID.Jg1!\1liUv52-001-001 0 thlrouqh Oi,R 952.Q! 1. I
I ~l1\l1'~~dr\oglt,lilifiW oDtaln qopies of he rules ]V I
I SirtgJ<LU'tlHI'IH1,i{~.j~l'Cbm;,N )Ie: me t llephonE I
tdill:llWli1l>lnfuJp~hl\'I(!)regOlI Utility 1\ otificatio 1
rooms) r-"''''t....r ,'e of nJ'( ...!l!l.!::L~..._- ")
.,-""~- ... 1 ..IV" -..Jo.)j;::'~"v'1 T
I Allie/crawlspace failS . I
I ~::~ :~:ti~o~:t,I::;:,~terQtY"I) I I I I
~.:;"',f-''7~,:~:MECHANICAJ.SP"ERMiTi''IiES''''~~~J<''''';;;''f<<1
I~;tf ;a".~-,. -~,~" ", '""+--~,~_ ~,_~~w,,"'/ '_'_ ,,;.to1il' JIf;;<;!:"~)<0w'3:~h\0,~
I SUbtotalj $17.00 I
I City Of Springfield First AppJiancc ftc $79.00
I State Surcharge (12% ofpenniL feej I $11.52
I City OfSpringtield fees"l $4.80 I
I TOTAL PIUl.,l\lIT FEE I $112_32 I
.'City.orSpringfield fees: 5% "l'echnology Fee
CQ-33o \& 311l\D9
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 epplicable !and use laws and locel ordinances, 6\
fb~Q/
~
This Authorization To Begin Work must be posted at the job site until replaced by a Permit.
. ' " "
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00330
ISSUED: 03/11/2009
APPLIED: 03/11/2009
EXPIRES: 09/11/2009
VALUE:
, 225 Fiftb Street, Springfield, OR
541-726-3753 Pbone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 604 T ST
ASSESSOR'S PARCEL NO.: 1703262404313
Springlield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Replacing an electric furnace
Owner: VINSON BERTHA E
Address: 604 T ST
SPRINGFIELD OR ,97477
I CONTRACTOR INFORMATION I
Contractor Type
Mecbanical
Contractor
HOME COMFORT HEATING & AIR
License
84164
Expiration Date
06/25/2011
Phone
541-345-2838
BUILDING INFORMATION I
# of Uniis:
Primary Occupancy Group:
Secondary Occupancy Group:
Prima ry 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 I st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Otber:
Occupant Load:
n/a
'REQUIRED PARKING
Front yard Setback: Overlay Dist:, Total:
Side 1 Setback: # Street Trees Rqd: Handicapped:
Side 2 Setback: ~aved Drive Rqd: ATTENTION: Orego\1911VJf'ilt~uires you 10
Rearyard Setback: . , , V. of Lot Coverage: follow rules adopled by the Oregon UtiJily
Solar SetItUlTICE. ,'. , ,. Notification Cenler, Those rules are setforth
TI II: rHUlrr EI:.il:.:' :XF'I:-:{ :F m":- \';~fJI ' :".:..:.~. ,;:..~-vv ,-vv IV ""VU8" VMn ",,~-uu ,-
AUTHORIZED UNDER THIS PERI ft1~~~PROVEMENTS I 0090., You may obtain copies of the rules by
Street ImpfllVIMlfh'GED OR IS ABANDONED FOR ' C~\m,'MtJl( TypW. (Note: the telephone
, A~IV 1 An nAY PERIOD number tor tHe Or~gon Utility Notification
Storm Se\Wr' AVlIlla'IIte. . DowOp,Q!U~!lJr~L!J~:J-332-2344).
Special Instruction:
I DEVELOPMENT INFORMATION I
Notes:
Iyaluation Descri9tion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Page t 01'2
-u:;~'
...
Status
Issued
225 Fiftb Street. Springfield, OR
541-726-3753 Pbone
54 J -726-3676 Fax
541-726-3769 Inspection Line
Fee Description
+ 12% State Surcbarge
+ 5% Tecbnology Fee
1st Appliance
Furnace - up to 100,000 btu
Amount Paid
$11.52
$4.80
$79.00
$17.00
Total Amount Paid
$112.32
Total Value of Project
Fees Paid I
I Plan Reviews I
Date Paid
3/11/09
3/11/09
3/11109
3/11/09
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00330
ISSUED: 03/11/2009
APPLIED: 03/11/2009
EXPIRES: 09/11/2009
VALUE:
Receipt Number
1200900000000000177
1200900000000000177
1200900000000000177
1200900000000000177
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.
I R,erplir~d l,~..s,,"ecti.~ns I
Rough Mechanical: Prior to Cover'
Final Mechanical: When all meclull1ical work is complete.
By signature, I state and agree, that I bave carefully examined tbe completed application and do bereby certify that all
information bereon is true and correct, and I furtber certify that any and all work performed sball be done in accordance with
tbe Ordinances of tbe City of Springfield and tbe Laws of lbe State of Oregon pertaining to lbe work described berein, and
tbat NO OCCUPANCY will be made of any structure witbont permission of tbe Community Services Division, Building Safety.
I furtber certify tbat only contractors and employees wbo are in compliance with ORS 701.005 will be used on tbis project.
t furtber agree to ensure tbat all required inspections are requested at tbe proper time, tbat eacb address is readable from the
street, tbat tbe permit card is located at tbeJront of tbe property, and tbe approved set of plans will remain on lbe site at all
times during construction.
Ow:ner or Contractors Signature.
Page 2 of2
Date
225 Fifth Street
Springfield, Oregon 97477
541--726-3759 Phone
Job/Journal Number
COM2009-00330
COM2009-00330
COM2009-00330
COM2009-00330
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
Description
I st Appliance
Furnace - up to 100,000 btu
+ 5% Technology Fee
+ 12';',Stale Surcharge
Paid By
ONLINE PERMIT CHGS
1200900000000000177
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 03/] 1/2009
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
KR
ONLINE
Page I of 1
Home Online
Comfort
Heat
Payment Total:
10:56:25AM
Amount Due
79,00
17,00
4,80
.11.52
$112.32
Amount Paid
$112,32
$112.32
3/11/2009