HomeMy WebLinkAboutPermit Mechanical 2009-5-1
City of Springfield
Mechanical Authorization To Begin Work
E-mailedTo:bethp@ehomecomfort.com
Receipt # EC'i51fl04
5/1/200912:44:19 PM
:_~~
a:- .'
Check on status of permit
By Phone: (541)726-3753 or Em.ii: permitcenter@ci.springfield.or.us
10 New construction
-:,:~:. '" itrrfE 'OF~~9~~'~;:'~': .'~:~;l~=J::<
[X] Addition/alteration/replacement
-". ,.,~'~-"c~,-"
-""'~r_,-'
"< ~. .,' ~;. ~: CAfE'Gg-RY:9~.~QNSt~Q9jl~~~~i:~~fL~t.~:~.'~'~:: v;'",
I [K] 1 or 2 family dwelling D Multi-family 0 Accessory Building
1 ;~. ',:' ""'jq6 sliE)NF,ORM~T10[~D:~ClC~I!ci.~' ><,~;::;;~
I Job no.: RR396494 I Job llddress: 3823 S E 5T
I CiI)"/Stlltf.'rl.lp: SPRINGFIELD, OR 97478-6441
I Suite/bldg./apt.no.:
Il'rojectname: Jerry Lynch
Cross street/directions to job site: Turn LEFT onto S 40TH PI. Turn RIGHT onlo S E
5T.End at 3823 S E 51 Springfield, OR 97478-644]
I Subdivision:
jTllX map/parcel no.: 1702314403500
I " ' f<~oDE~(RIPTi6N (l,,:WORi<:
WeureinswllingaelectriclllfllUcc
I tot no,:
''''_~'.!~~l\'';;'
':~;jJt'?il}?'i~I~' ~~h(;4,~!!~~~<?o~t~cY2-~~r-}.~U~~~.o ,:~:'-:~'~i~,~~~~~n,1
I Name: Beth Pettijohn
I Phone: (541) 345-2838 Ext: 316
I Email: bcthp@ehomecomfort.com
I"'ax: (541) 302-3069
ICCBlie. no.: 84164
lOusiness Name: HOME COMFORT HEATING & A]R CONDITIO
I Contllct: Beth Pettijohn
IAddress: PO BOX 24205
ICily/Stater!.IP: EUGENE, OR 97402
I Phone: (541 )3452838ext.3]6
I Email: bethp@ehomccomfort.com
Ii\letro lie. no.:
1 F"" (54] )3023069
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.
." 1~~;'iP:;~:;!" 'i~;i:;;:"FEE~CJ-i'6t~,L~'I;'~'"
I;H~~~illgle~~liii~:~~J}:I~;jf~~~_'~ J'~'.~~i:,
I Furnaec- up to 100,000 BTU
I Furnace - above 100,000 BTU
I Electric Furnace
Duct alterations lmd lldditions
Gas heater unitsl in-wall. in-
duct. suspended. etel
! Vcnt.llue, lim..r for above
I Air Conditioner
I Heat Pump
~;i~;:;;:;~u!ni~g"pjiIl~~eS,1:,~: -~,,:,:::" _..
I Water heater
I Gas fireplucclinsertlstovc
Gas Iqg/ log lighter
I Gas clothes dryer
I Gas stove/range
I Pool or spa heater, kiln
I Wood/pellct stove/insert
Wood fircplllce
Chimney/linerlllue/vcnt w/o I
aooliance
I. ~p~ironl1l~ntlll'e~b,a.u'~t AND' ,:en.~I~tion'.,-
I Range hood
I Clothes dl)'crcxhaust
Single-duct exhaust (bathrooms,
toilet compmlments, utility
rooms)
Attic/crawlspace fans
\1;)Y
rA,1
()
$]7,00
, ':':','.1
Total I
:1
1
I
$]7,001
I
I
1
1
1
1
I
I
I
1
1
I
1
I
1
I
~ . -'""- I
., ,J,. ,
I
I
I
1
. ,~..I
.<'.c:-"~
';,1
> ,
1
1
1
-,
I upto first 4 outlets( enter Qty= I)
I each additional outlet
1~;J:i::;~;:~~~:~M~~gH~-N'ICA~~f1,-~R~~t;FEJ~~:t!'.?,.
I Subtotal
I City Of SpringJicld First Appliance fee
1 State Surcharge (12% of Pt'rmit fee)
I City OfSpringl1c]d fees * I
L TOTAL PERl\IIT "'EE
.. City Of Springfield fees: 5% Technology Fee
Co7Ylwo9 - ()J~O~
;:5 -0/..-- CCl /7;?--)
This Authorization To Begin Work must be posted at the job site until replaced by a Permit
1
. I
, -.'1
..~..
$17.00 I
$79.00 I
$11.52 I
$480 I
$] 12.32 I
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-00602
COM2009-00602
COM2009-00602
COM2009-00602
Payments:
Type of Payment
ONLINE CHGS
cRcceintl
RECEIPT #:
Description
Furnace - Unit Heater
1st Appliance
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
City of Springfield Official Receipt
Development Services Department
Public Works Department
3200900000000000298
'i
Date: 05/01/2009
Item' Total:
(;heck Number Authorization
Received By Batch Number Number How:Received
NJM ONLINE HOME Online
COMFORT
Payment Total:
Page 1 of 1
2:03:40PM
Amount Oue
17,00
79,00
4,80
11,52
$112.32
Amount Paid
$112.32
$] 12.32
5/1/2009
Status
Issued
CITY OF SPRINGFIELD
Building/C6mbination Permit
PERMIT NO: GOM2009-00602
ISSUED: 05/01/2009
APPLIED: 05/0112009
EXPIRES: 11101/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 3823 S E ST
ASSESSOR'S PARCEL NO.: 1702314403500,
Springlield TYPE OF WORK: Electrical Work Only
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Electric furnace installation
Owner: LYNCH JAMES D & ROBERT AM
Address: PO BOX 757
SPRINGFIELD OR 97477
I CO~TRACWR ,INFORMATION I
Contractor Type
Electrical
Contractor License
HOME COMFORT HEATING & AIR CONDI 84164
BUILDING INFORMATION'
Expiration Date
06125/20Il
Phone
(541) 345-2838
# of Units:
Primary Occupancy Group:
Secondary Occupaucy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
"
Lot Siie:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
'Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
OccupilUt Load:
u/a
I DEVELOPMENT INFORMATION I
Front yard Sethack:
Side 1 Setback:
Side 2 Setback:
Rearyard Sethack:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
, Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
. Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
SidewalkType:
Storm Sewer Available:
Special Instruction:
, DOWl!sp,outs/DraitlS1S you to
ATTENTION: UI8!,jO,' 1~.. . --,,- - . ,
follow rules adopted by the Oregon Utility
Notification Center. Those ru~e~:~e ;5e~_fg~~~
in OAR 952-001-0010 throu9
.,nTI('C, '1" H OMA VA" ~a" nhtain copies of the rules by
,. - -- ,. ALL EXPIR' '/- I:-~ ..... .F:.. -- -- t (Note' me ""'''f'''U''~
T~IS PFR~~i6 ~~DER THIS ~NamlitfOhll0~scri~fi?I~~l/ro~ f:; ~;~gon Uiility Notification
,ITHO AND[)NEU rUh Center IS 1-800-332-2344).
",n~\}IENGFO OR IS. AB $"perSq Ft Square Footage .
Type,otConstructlOn . . , Value Date Calculated
. "'I u,'.\l IC\1lvi..r; or multlpher or Bid Amount
Notes:
Description
Page 1 of 2
Sta tus
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
F~esP.~id I
Fee Description
+ 12% State Surcharge
+ 12% State Surcharge
;I- 5% Technology Fee
+ 5% Technology Fee
1st Appliance
Add"Alter, Extend Circ
Furnace - Unit Heater
Minimum/Adjustment Electrical
Amount Paid
$6.96
$11.52
$2.90
$4.80
$79.00
$55.00
$17.00
$3.00
Total Amount Paid
$180.18
I Plan Reviews I
Date Paid
5/1/09
5/1/09
5/1/09
5/1/09
5/1/09
5/1/09
5/1/09
5/1/09
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00602
ISSUED: 05/01/2009
APPLIED: 05/01/2009
EXPIRES: 11/01/2009
VALUE:
ReceiptNumber
3200900000000000297
3200900000000000298
32~0900000000000297
3200900000000000298
3200900000000000298
3200900000000000297
3200900000000000298
3200900000000000297
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. wil! be made the following
work day.
I Renuired.,lns.vections I
Rough Electric: Prior to Cover
:Final Electric: When all electrical \vork is complete.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
By signature, I state and agree, that 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 doue 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 of any structure 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 he used ~n this project.
I further agree to ensnre 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 oCthe property, and the approved set of plans will remain on the site at all
times during constructi~n. '
Owner or Contractors Signature
Pa2e 2 of2
Date
City of Springfield
Electrical Authorization To Begiu Work
E-mailedTo:bethp@ehomecomfort.com
Receipt # EC551007 \) i
511/200912:57:23 PM 'IV
~~
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
ID Newconstructiul1
o Addition/alteration/replacement
I w I or 2 family dwelling
o Multi-family
D Commercial/Industrial
11,000 sq ft. or less [4]
) Ea. addl 500 sq. It. or portion
1~~~=>>1~~:i~~~u~;@9"~}li[~f~f12~MA!f9~2~.~gl~9g!~!!O~~~1~1~~~'~~
I Job no.: RR396494 I Job address: 3823 S EST I,
I City/StaterLIP: SPRINGFIELD, OR 97478-6441 . I
I Suite/bldg./apt.no.: I
Project name: Jerry Lynch I
Cross street/directions to job site: Turn LEFT onto S 40TH PL.Turn RIGHT onlO S E
rTEnd at 3823 S E Sl Spr;ngfield, OR 97478-6441
I Subdivision: I Lot no;:
map/pan'c1l1o.: 1702314403500
We are installing an electric fumace
I-Limited energy, residential
(with above SQ. ft,)
I-Limited energy, multifamily
residential (with above SQ, f1.)
I-Limited energy, commercial not offered online at this jurisdiction
(wIth above sa ft.)
I. - Stand-alone Iimik:d energy,
residential
I - Stand-alone limited energy,
multi-familv
- Stand~alone limited energy,
commercial
:~r~~~l2Et~r@~I[~aJ~~)i.on~~i~~~~!>lg~'rcl~a,tl?t:j~~I
1200 omps or kss [21 . \
201 amps to 400 amps [2] I
1401 amps to 599 amps [2J I
I Namc: Beth Pettijohn
I Phonc: (541) 345-2838 Ext: 316
Email: bethp@chomecomfl.lrt.com
I Fax: (541) 302-3069
200 amps or kss 12]
) 201 amps to 400 amps [2]
1401 amps to 599 amps [21
IlPl~~;~~Elry;liii~~i~~J~V'''.:1l~~?~ft~~1!}L~~~~te~s~OD1~perjp~n~.'i}~;,;~~~':;;oJI
I A. Fee for branch circuits with
service or feeder fee, each
branch circUlt
I B. Fee for branch circuits
without service or feeder fcc,
first branch circuit f21
I eoch addl branch
$55.00
$55.001
I
lEI. lie. no.: C357 I CCB lic. no.: 84164
Business Namc: HOME COMFORT HEATING & AIR CONDITIONING INC
I Contact: Beth Pettijohn
IAddress: PO UOX 24205
I Cit)"/StateIZIP: EUGENE OR 97402
I Phon" (541 )3452838 IF", (541)3023069
I Email: bethp@ehomecomfort.com
!Mctro lie. no.: ICity lie. no.:
1 Supervising electrician's lie. no.: 5 I 39S
I Supervising electrician's name: JAMES M CARTER
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.
1 Service reconnect only [2]
Each manufactured or modular
dwelling, service and/or feeder
f21
Pump ~r irrigation circle [2]
I Sign or outline lighting [2]
I Signal circuit(s) or limited-
energy panel, alteTlltion,or
extension
The local building department may determine that an
Authorization To Begin Work is null and void If it does not
meet applicahle land use laws and local ordi~~ .
~ ~!\,,?,,-,
'S>~.cA
6' (V
~~
I
I
I
I
l TOTALI'EI~1\1ITFEE
... City or Springfield fees: 5% Technology Fee
(Defallll 'nllmbel' ojinspections allowed) .
COrn~? - tJ"O~ tJ;)..
0.5-1 ":'"0'1 /Jr>1
Svb!Dlal
Minimum fee used instead ofSublotal
Slate Surcharge (12% of permit tee)
City or Springfield fees.
$55.00 I
$58,00 I
$6,96' I
$2.90 I
$67.861
NOTE: This Authorization To Begin Work expires within 180
days if a pennit is not obtained.
This Authorization To Begin Work must be posted at the job site until replaced by a Permi!
225 Fifth Street
Springfield, Oregon 97477
54]-726-3759 Phone
~<.,:_P,~R~NQS:,II!.LD- ,... ! ,_,,_
!' ...
1IIIi:-:
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2009-00602
COM2009-00602
COM2009-00602
COM2009-00602
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
3200900000000000297,
Date: 05/01/2009
Description
Add, Alter, Extend Circ
MinimurriJAdjustment Electrical
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
ONLINE
njm
Home In Person
Com fan
Payment Total:
Page I of I
1:39:IOPM
Amount Due
55,00
3,00
2.90
6,96
$67.86
Amount Paid
$67,86
$67.86
5/1 /2009
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00602
ISSUED: 05/01/2009
APPLIED: 05/01/2009
EXPIRES: 11/01/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 3823 S E ST
. ASSESSOR'S PARCEL NO.: 1702314403500
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Electric furnace installation
Owner:
Address:
LYNCH JAMES D & ROBERTA M
PO BOX 757
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION ~
Contractor Type
Electrical
Contractor License
HOME COMFORT HEATING & AIR CONDI 84164
BUILDING INFOR~A nON I
Expiration Date
06/25/201I
Phone
(541) 345-2838
# of Units:
Primary Occupancy Group:
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 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 DEVELOPMENT INFORMATION I
. REQUIRED, PARKING
Front yard Sethack:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Sethacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:'
. Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Sidewalk Type: .
DownspoutslDrains:
ATTENTION: Oregon law requires you to
follow rules adopted by the Oregon Utility
Notification Center, Those rules are set forth
MnTlr.F' . _ __ . in OAR 952-001-0010 through ~~,H95~~~0~,~
SHALL EXPIKtI" ,-:",,,,,,1: ''''-'J. lUU""lYUU1~"'W",w~''''-'-'----,
THIS PERMIT I ~7'~ '0 '."'IT .. o"'ling the center. (Note: the teiephone
AUTHORIZED .UNDER THIS PF llY.aluatIon DescnDtlO~.",nber for the Oregon Utility Notification
. . rOMi\nENGED OR IS ~':\~ANDON~~e~~K Ft S uareFootak.,enter is 1-800-332-2344). .
DescriptIOn .n ~Type oM;:onstruchon 't.q,. q B'd A Value Date Calculated
1 . , " . , ..",...c.. . or mu Ip IeI' or I mount .
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Page 1 of 2
Status
Iss u ed
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
Total Valne of Project
Fees Paid I
Fee D~scription
+ 12% State Surcharge
+ 12% State Surcharge
+ 5% Technology Fee
+ 5% Technology Fee
1st Appliance
Add, Alter, Exteud Circ
Furnace - Unit Heater
Minimum/Adjnstment Electrical
Amount Paid
Date Paid
$6.96
$11.52
$2.90
$4.80'
$79.00
$55.00
$17.00
$3.00
5/1/09
5/1/09
5/1/09
5/1/09
5/1/09
5/1/09
5/1/09
5/1/09
Total Amount Paid
$180.18
I Plan Reviews I,
CITY OF SPKHH,d'lELD
Building/Combination Permit
PERMIT NO: COM2009-00602
ISSUED: 05/01/2009
APPLIED: 05/01/2009
EXPIRES: ll/0l/2009
VALUE:
Receipt Number
3200900000000000297
3200900000000000298
3200900000000000297
3200900000000000298
3200900000000000298
3200900000000000297
3200900000000000298
3200900000000000297
.'
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
~~~ .
I Reouired Insoections'
IIIII I I f r 1
Rongh Electric: Prior to Cover
Final Electric: When all electrical work is complete. .
Rough Mechanical: Prior to Cover
Fiual Mechanical: When alfmechanical work is complete.
By signature, 1 state aud agree, that I have carefully examined the completed application and do herehy certify that all
information hereon is true and correct, and 1 further certifY that any and all work performed shall he 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 O,CCUPANCY will be made of any structure 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 he used 011 this project.
I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the
street, thaI the permit card is'located at the front of the property, alld the approved set of plans will remain 011 the site at all
times during construction.
Owner or Contractors Signature
Page 2 of 2
Date