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Home My WebLink AboutPermit Mechanical 2009-4-28 City of Springfield Mechanical Authorization To Begin Work E-mailedTo:air.smallbusiness@comcast.net Receipt # EC550792 t,t\,? 4/28/2009 II :09:38 PM ta.' j C Check on status of permit By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us .:~:t~~ht,t:;:.~~~0 I D New constructio~ [K] Addition/alteration/replacement ,~C~T@O@OF)co~~'i:~l@lJqfi'" /0 J or 2 family dwelling D Multi-ramily ~ Accessory Building ! I 1::~:;~~;~<,t,.~'.ifi~7~;~~qB'S!:rEiNF,"q,t~M~TIQtl:~:[~~O~C;:A~q~~~;~!~~~&~/ I Job no.: 102 I Job address: 2930 WAYSIDE LP I I City/StlltCJZIP: SPRINGFIELD, OR 97477-1330 I I SuiteJbldg./apl.nu.: I I Project ImRIe: Borcher I Cross stred/directions to job site: Harlowrd Subdivision: ITax map/parcel no.: 1703224104500 ILot no.: install heat pump system with duct work. I~ I Name: Tom Burcher I Phone: (541) 988-0148 I Enlllil: bclynda79@uoLcom IFa" I CCB lie. no.: ] 50959 I Business Name: DISCOUNT HVAC INC \ Contact: Ken Southard or Sales/Michael Clement IAddrcss: PO BOX] 437 fCit)'/StatcrLlP: VENETA, OR 97487]437 IPhune: (541).1310800 IFax: (54])4310807 I Email: air.smallbusiness@comcast.net I J\lctro lit'. no,: I City lie. no,: 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 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. -""~~'__NF' . ,',_ . f~E:SCHgDUlE IUcsniption l Qty. lircrtjnwcooling"uppli;IIICcit;i!':~i'4ij:"f_ -::}~'.~~ F . .. c'""""._',,, c.".."......,..- ..~~,..~"1'..~.-'-__--. . , I Furnacc- up to I no,ooo BTU I I Furnace - above 100,000 BTU I J Eleclric Furnace I f Duct alterations and additions I I Gas heaterunits/in-wall, in- duel. suspended, etel I Vent, flue, ]inerfor above I Air Conditioner I Heat Pump I Air Handler $9,00 1 I I $9001 I I I $11.001 $17.001 I 1 1 I $17,00 $17.00 I Water heater I.Gas fireplace/insert/stove I Gas log! log lighter I Gas clothes dryer I Gas stovelrange I Pool or spa heater, kiln I Wood/pel]et stove/insert I Wood fireplace I Chimney/]inerlnue/vent wlo appliance 1,:t~.it~~~ifi~f;}~b~~~f~~<'R vcn!I~~jW~1 i:;,L}~'" I Range hood I Clothes dl)'erexhaust Single-duct exhaust (bathrooms, loi]etcompartments, utility rooms) Atticlcra\vlspace fans 'I I I ,;1 I I I I upto first 4 outlets( enter Qty=]) I each additional otltlel Subtotal I CityOfSpringfle]d first App]iance fee Stole Surcharge (]2% of permit fee) 1 City OfSpringfieJd fees. 1 I TO'IAL PERMIT rim I . City Of Springfield fees: 5% Technology Fee $43.00 I $19,00 I $14.641 $6.10 I $142,74 I Corf)'72c;7fl- CO 575 tV IV) 'l~ ,;2 if' ,- () c: This Authorization To Begin Work must be posted at the job site until replaced by a Permit. Sta tus Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00575 ISSUED: 04/29/2009 APPLIED: 04/2912009 EXPIRES: 10/29/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2930 Wayside Lp ASSESSOR'S PARCEL NO.: 1703224104500 , Springlield TYPE OF WORK: Mechanical Only TYPE OF USE: New Residential PROJECT DESCRIPTION: Heat pump and dnct work Owner: OWNER UNKNOWN Address: 344 A ST SPRINGFIELD OR 97477 I CONTRACTOR INFORMA nON I Contractor Type Mechanical Contractor DISCOUNT HV AC INC License 150959 Expiration Date 04/02/2010 Phone 541-431_0800 . BUILDING ~NFORM~TWN I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Coustruction 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 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOP~ENT INFORMA nON I Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: #'Street Trees Rqd: Pav~d Drive Rqd: , % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: Street Improvements: SMrlT'I:"t:, Storm ewer, AvaIlable: SpeciaI"II,'stI'u-qil)uUT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT Notes: COMMENCED OR IS ABANDONED FOR 111\1\/ -I nr'l t"'\ ^\, nr-nl"'"\. ... . -.... ~'" . .... ......~. I PUBLIC IMPROVEM,I\Mf:S'[ION: Oregon law requires youto . TOIIUW ,ules A(1opted ~ the Oregon Utility Notification c~If!~~a'\<'MrPf8Ies are set forth in OAR 952-0rDo0fn1~J\lW/I)JM{hR 952-001- 0090, You may obtain copies ofihe rules by calling the center, (Note: the telephone number for the Oregon Utility Notification Center is 1.800-332-2344). I Valuation Descrintion I Description Type of Construction $ Pel' Sq Ft or mnltiplier Sqnare Footage or Bid Amonnt Value Date Calculated Paee I of 2 . Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00575' ISSUED: 04/29/2009 APPLIED: 04/2912009 EXPIRES: 10/2912009 VALUE: 225 Fifth Street, Springtield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees Paid I Fee Description + 12% State Surcharge + 5'V. Technology Fee 1st Appliance Air Handling Unit Up to 10,000 Heat Pump . Miscellaneous Mechanical Amount Paid Date Paid Receipt Number $14,64 $6,10 $79.00 $17.00 $17,00 $9,00 4/29/09 4/29/09 4/29/09 ' 4/29/09 4/29/09 4/29/09 3200900000000000281 3200900000000000281 3200900000000000281 3200900000000000281 3200900000000000281 3200900000000000281 Total Amount Paid $142.74 I Plan Reviews I 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 I~eollired Insnections I Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. By signature, I state and agree, tbat 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 ofany structure without permission orthe Community Services Division, Building Safety, 1 further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project, 1 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 Paee 2 01'2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2009-00575 COM2009-00575 COM2009-00575 COM2009-00575 COM2009-00575 COM2009-00575 Payments: Type of Payment ONLINE CHGS cReceintl RECEIPT #: 3200900000000000281 Date: 04/29/2009 Description Heat Pump Miscellaneous Mechanical Air Handling Unit Up to 10,000 I st Appliance + 5% Technology Fee + 12% State Surcharge Paid By ONLINE PERMIT CHGS Item Total: Check Number Authorization Received By Batch Number Number How Received ONLINE discount In Person hvac Payment Total: nJm Page I of I 7:36:09AM Amount Due' 17,00 9,00 17.00 79,00 6,10 14,64 $142,74 Amount Paid $142,74 $142.74 4/29/2009