HomeMy WebLinkAboutPermit Mechanical 2009-5-1
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Mechanical Authorization To Begin Work
E-mailedTo:bethp@ehomecomfort.com
Receipt # EC550978 S ~7
5/1/20099:30:49 AM ~I
G
City of Springfield
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
I [X] 1 or 2 fumily dwelling 0 Multi-family D A~("essol)' Building
1 JOB SjTE_INF6RMATI6NI\ND.'~9~ATioN
IJob no.: RR396394 IJob address: 3872 VITUS LN
I Cily/Stlllc/ZII': SPRINGFIELD, OR 97477-1806
I Suitc/bldg.lllpt.no.:
I Project O:lme: AI Hamlin
Cross street/directions to job site: Turn LEFT onto MOHAWK BLVD,Turn RIGHT
)nto MARCOLA RO,Turn LEFT onto VI'J'US LN (Portions unpaved).Eml III 3872 Vitus Ln
~pringfie
0'.....
I
. .>~.."I
I
'I
1
1
1
I
1
Total I
I
1
1
1
1
I
I
I Air Conditioner I
1 He" Pump [. 1 $17,0.0.1 $17.0.0.1
I AirH,ndlcr 2 $17.0.0. $34.0.0.1
j,q~hJr.fueU~.urnillgJp~~_!llnCLi~::~~;,:;,'~,;:Jj,~~2t-::~. ~;:f?,~'1.; . I
I Water heater I
I G.15 fireplace/insert/stove I
I Gas log/log lighter I
Gas clothes dryer
I Gas stove/range I
I Pool or spa healer, kiln
Wood/pellet stove/insen
I Wood fireplace
I Chimney/linerlllue/vent wlo
llppliance
I En~_i&~mentale~,tt:~us.tANp"v.f~~hitio~'~., ,,~~~;~<-,.., ':
! Range hood
I Clothes dryer exhaust
I Single-duct exhaust (bathrooms,
toilet companmenls, utility
rooms)
I ^lIic/cnlwlspaccfans
1,',~'~cIJl~p!.n~~ .
I upto first 4 outlets(emerQty=l) I
! each additional outle! I
]:f:':0~~f~;;,::":v~.:-~-- JM~_f.H~Ni~~Q;~_~R,!JIIT~F.~~~..~~:~~!,~;t"JiP':!:' ;;1
I Subtotal $51.00 !
1 City Of Springfield First Appliance fee $79.00 I
1 State Surcharge (]2% of penn it fee) $]5.601
I City Of Springfield fees .1 $6.50 1
I TOTAL PERMIT liEE I $152.10 J
. City Of Springfield fees: 5% Technology Fee
, F.~ES~8EDUL~ .')..r,....
I Description Qty. Ell,
1- '1IeatIii_~cooli~g'upp.IJ~_~~e~_'h"f.L~
I Furnace- up to ]00,000 BTU
I Furnace * above 100,000 BTU
I Electric Furnace
I Duct altenltions and additions
I Gasheaterunits/in-wal1,il1*
duct,susoended,clc/
I Vent, nue, liner for above
;.or", ~
": rrPE:ol;,~oRK~~);:':_.~-~
~ Addition/alterationlreplacement
j 0 New t:Ollstruction
C!\T~G9RY OF'C'ONST~UCTI6N'. ,
I Subdivision: I Lot no.:
I Ta.\ map/parcclllo.: 1702300000601
1.~"-i~~'~.-~iI:,,,"-~~: -~, - "1f))ESCRf~TI~.~-',~5F;W9~~~.?'~.',{:;-':t~~;;>~\..
We are installing two air handlers and a heat pump
I'
._~r~):f;::~;,1;;:~F-F".S.IT~::<?~Nt~CT ';
"
I Name: Beth Pettijohn
I Phone: (541) 345-2838 Ext: 316 I Fax: (541) 302-3069
I Emllil: bcthp@ehomccornCort.com
".:",..q~;~,_~'.C'~NTRt-cfQ~'
Ices lie. no.: 84164
\ Business Name: HOME COMFORT HEATING & AIR CONDITIO
I Contact: Iklh Pettijohn
I/\ddress: PO BOX 24205
ICit}'/StalrrI..IP: EUGENE, OR 97402
I Phone: (541 )3452838e:-.:t.316 I Fax: (541 )3023069
I Emllil: bethp@ehomecomfOrl.com
1,\lelro lie. no.: ICit}'lic. no.:
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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,
Co/n 2(j?)Cj
0-01 - CJf
(JOSC1S
/7 /'Y'V
This Authorization To Begin Work must be posted at the job site until replaced by a Permit
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2009-00595
COM2009-00595
COM2009-00595
COM2009-00595
COM2009-00595
Payments:
Type of Payment
ONLINE CHGS
cReceil1tl
RECEIPT #:
1200900000000000328
Date: 05/01/2009
Description
1st Appliance
Air Handling Unit Up to 10,000
Heat Pump
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
Item Total:
t.:heck Number Authorization
Received By Batch Number Number HowiReceived
njm
ONLINE
home Online
comfort
Payment Total:
Page I of 1
9:56:43AM
Amount Due
79,00
34.00
17,00
650
15,60
$152.10
Amount Paid
$152,10
$152.10
5/112009
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 3872 VITUS LN
ASSESSOR'S PARCEL NO.: 1702300000601
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00595
ISSUED: 05/01/2009
APPLIED: 05/01/2009
EXPIRES: ] ]/0]/2009
VALUE:
Springfield TYPE OF WORK: Mechanical Only
PROJECT DESCRIPTION: Heat Pump & two air handlers
Owner: HAMLIN ALFRED
Address: 3872 VITUS LN
SPRINGFIELD OR 97477
TYPE OF USE: New
Residential
I CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Contractor
HOME COMFORT HEATING & AIR
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary CoustJ"Uction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heai:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
License
84164
Expiration Date
06/25/20 II
Phone
541-345-2838
n/a
Lot Size:
Sq Ftlst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
I DEVELOPMENT INFORMATION I
Fmntyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
I PUBLIC IMPROVEMENTS J
Street Improvements:
Storm Sewer AvailahINOTlCE:
Special Instruction: THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
Notes: COMMENCED OR IS ABANDONED FOR
l'.fllV 1 ~~ :,",'1 :--:;:IC~
( Valuation Descriotion I
Description
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Date Calculated
Type of Coustruction
Pal!e 1 of 2
REQUIRED PARKING
Total:
Handicapped:
Compact:
ATTENTION: Or9~0n law requires youto
follow rules "dop\ed by the Oregon UlIlity
.... . _ or..... _~.... ...01,.....(' o:tro c:ot f('lrt,h
1'1 uu 11'-".\"""", ...........-..
in OAR 952-001-0010 through OAR 952-001-
00"'i Yn,' mQ,y obtain copies of the rules by
~~W,~'gaiklJ,!Wier. (Note:the tele~hone
TlIP.lI,iYosponls1DRtiiis:"Jn Utility NotifIcation
Center is 1-800-332-2344).
Value
Status
Issued
225 Firth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Air Handling Unit Up to 10,000
Heat Pump
Amount Paid
$15.60
$6.50
$79.00
$34.00
$17.00
Total Amount Paid
$152.10
Total Value of Project
Fees Paid'
Plan Reviews I
Date Paid
5/1/09
5/1/09
5/1/09
5/1/09
5/1/09
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00595
ISSUED: 05/01/2009
APPLIED: 05/01/2009
EXPIRES: 11/01/2009
VALUE:
Receipt Number
1200900000000000328
1200900000000000328
1200900000000000328
1200900000000000328
1200900000000000328
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 Reouired Tnsnections ,
,11 ,.(,1i.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
By signatnre, 1 state and agree, that 1 have carefully examined the completed application and do hereby certify that all
informatiOJ~ hereon is true and correct, ~nd I further certify that any and all ,,"'ork 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 descrihed herein, and
that NO OCCUPANCY will be made of any structure without permission of the 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.
I fnrther agree to ensure that all required inspections are requested at the proper time, that each address is readahle from the
street, that the permit card is located at the front of the property, and the approved set of plaus will remain on the site at all
times during construction.
Owner or Contractors Signature
Pa2e 2 01'2
Date