HomeMy WebLinkAboutPermit Mechanical 2009-5-7
Receipt # RC55\308 ]A.
5/7/20099:02:01 AM i\)Y
o
,~ity of Springfield
Mechanical Anthorization To Begin Work
E-mailedTo:bethp@ehomecomfort.com
Check on status of permit
By Phone, (541)726'3753 or [mail: permitcenter@ci.springfield.or.ns
I D New construction
jKJ Addition/alteration/n:pJacement
I [K] ] or 2 family dwelling
D Multi-family
D Accessory Building
IJob no.: RR396694 IJob address: 544 S 51ST PL
I City/StafelZIP: SPRINGFIELD, OR 97478-6737
ISuite/bldg./apt.no.:
I Project name: Rebecca Hazen
Cross street/directions to job site: Turn RIGHT onto MAIN ST/OR-126BKTum
_.EFT onlo-5 51 Sl PL,Turn RIGI-IT to stay on S 51 S1' PL.End at 544 S 51st-Pl Springfield.
)1{ 97478-6737
I Subdivision:
ITax map/parcel 110.: J 702333302015
ILot no,:
We are installing a heat pump and two air handlers
I Name: Beth Pettijohn
I Phone: (54l )345-2838 Ext: 316
I Email: bethp@ehomecomfol1.com
I Fax: (541) 302-3069
~.':;';?-~""~' :
I CCB t;:>~~1)Zi~t:
I Businoss NIiM~ IRbMMJclMlib\itl1uu/rJiliik!!iIRft:<b"tlrMIUHK
ICon""t}\l,M I>l:hljaIln't:lJ UNUI:R THI~ PERMII I~ NUT
IAddres,,{jIdlB'd'*~41m:D OR IS ABANDONED FOR
I Cily/Stlltili.lY, 168di\A1DIPi11iblD D.
Phone: (541)3452838exl,3J6 . I Fax: (54])30230~9
I Email: bethp@chumccomfort.com
I Mdm lit'. no.: J City lie. no.:
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.
NOTE: This Authorization To Begin Work. expires within 180
days if a permit is not obtained.
The local building department may determin~ that an
Authorization To Begin Work is null and void if it does not
meet applicable Jand use laws and local ordinances.
""-~
!.6]
I
I
IO{'scription
Qly_
Ea.
~ 'I
I
I Furnacc- up (0 100,000 BTU
I Furnace. above] 00,000 BTU
I Electric Furnace
I Duct alterations and additions
I Gas heater units/ in~wall, in-
duct. susnended. etc/
I Vent, Ilue, liner for above
I Air Conditioner
j Heat Pump 1 I $17.001 $17.00
I Air Hand1er 2 $]7.00 $34.00
I,Otlier>'juert>urnin'g'!'a"p-"'p' fiance.';:g1;'~~i~l'.J;7L;*>.f;:~~~1f~~~~7',,1};i-"'{.i
,. ,.. _,,,,,,;,-:,,_,,.,~~',..,'__;-... .~" .,__....,. " ","'..;~~,,?,,,,,-""FJ.;:-~,,,,:G'r~ _ '" ":"~'""''''''W:t'-2t:q;'.li:'..'';.3. ~ ;7_ '''''''..,,'9
I Water heater
i Gas fireplace/insert(stove
I Gas log! log lighter
I Gas clothes dryer
I Gas stove/range
I Pool or spa heater, kiln
I Wood/pellet stove/insert
I Wood fireplace
I Chimiley/liner/l1ue/vent w/o
I Range hood
I Clothes drya exhaust
I Single-duct exhaust (bathrooms,
toilel compartmenls, uti)ity
rooms)
I Attic/crawlspace fans
,,'.
I upto first 4 outlels( enter Qty= 1)
I each add"itional outlet'
I SUQ!utaIL'o:J'_ $51.00 I
I ^TTi="I;]~prgp~ngJjElmpir's'i'i\pp\\!h~!-"~I}~...,'.:. $7900 I
I f~;'-\\' ....I.StaT~(\l"Ch~J:gd)~.VO fiKfe~Jl1fee}~i l U~ll'.J. $J5.60 I
L .'-1'.',,":: .,;'~' _ i""'~.....~';"Cit)'$fl'5priflgt1ett:LJiX:f~lseltullll $6.50
II\lUU11Vl.nlU' " :-:: .-;, -'[O:r~\i..P...ERMJ'NtEjE n~L-UU1- $152.10 I
11\,ltY.0fS'ptrngt1efd rdif5%~"~~~norogy rm the rules by
O~hYOU may, obtain COpI~S \
'~a'lir~(Jlh\ii~. (Nbl<f:jJ}3 telf~~'Q CA
number for the OregoI~ot.. ,4(10
Center is 1-800-332-2344).
This Authorization To Begin Work must be posted at the job site until replaced by a Permit
{Ir.
,~&P,iRINGIlIEll D,;'~.
L '
f, ~
Status
Issued
, CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00621
ISSUED: 05/07/2009
APPLIED: 05/07/2009
EXPIRES: I i/07/2009
VALUE:
.
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 544 S 51ST PL
ASSESSOR'S PARCEL NO.: 1702333302015
Springlleld TYPE OF WORK: Heating System
TYPE OF USE: New
PROJECT DESCRIPTION: Installing a heat pnmp and two air handlers
Residential
Owner:
Address:
HAZEN REBECCA L
3432 5TH AVE S
GREAT FALLS MT 59405
I, CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Contractor
HOME COMFORT HEATING & AIR
License
84164
Expiration Date
06125/201\
Phone
541-345-2838
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occnpancy Gronp:
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 Fl Basement:
Sq Ft Garage/Carport
Sq Fl Other:
Occupant Load:
nla
I DEVELOPMENT INFORMATION I
. REQUIRED PARKING
Frontyard Setback: Overlay Dist:
Side 1 Setbac~OTlCE: # Street Trees Rqd:
Side 2 SetbacN-HS PERMIT SHALL EXPIRE F ~~};ed Drive Rqd:
Rearyard Setbacl{:, . I TH VoV\\~BJ) Coverage:
Solar SelbacliW I HORIZED UNDER THIS PERMIT IS NOT ATTENTION. Oregon law requires youto
rnMMr:~lrr:n no IC ADA^,r"""", ~f"\n _ . _,__,_rl '''' tf,p Oreaon Utility
ANY 180 DAY PERIOD. - I PUBLii-: IMPROVEMENT~_;';i~i~~tib~c~~t~r. Those rules t~e ~;~-b~~~
, OAR ""? 001-.(l01 0 through 0
Street Improvements: In Sme-walli ~,y'pe:l copies of the rules by
. 0090,. Yo~ ma~_':.''''It.If"\te. the telephone
Storm Sewer Available: calilllrywns/>Onts/DrnlUslJtTt Notification
Special Instruction: ' number for the Oregon II Y
Center is 1_800-332-2344).
TotaI: -,--
Handicapped:
Compact:
Notes:
I Valuation DescriDtion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pa2e 1 of2
_~..~IiI-I!'l.'~"~ .1oQ? ,.....,..... '.".....
~,i-' . ....
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iii: .'.
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" . ,~," . .""
,_,.,', _,', " ", ~'.' C.,"
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00621
ISSUED: 05/07/2009
APPLIED: 05/07/2009
EXPIRES: 11/07/2009
VALUE:
225 Fifth Street, Springfield, 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% Technology Fee
1st Appliance
Air Handling Unit Up to 10,000
Heat Pump
Amount Paid
Date Paid
$15.60
$6.50
$79.00
$17.00
$34.00
517109
517109
517109
517109
517109
Receipt Number
1200900000000000359
1200900000000000359
1200900000000000359
1200900000000000359
1200900000000000359
Total Amount Paid
$152.10
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 Re/l~~,ire~ Insnection~ I
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 done in accordance with
the Ordinances of the City of Spri~gfield 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 ofthe Community Services Division, Building Safety.
I further certify that only contractors and employees who are in compliance with.ORS 701.005 will he used on 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, that the permit card is located at the front of the property, and the approved set of" plans will remain Oil tbe site at all
times during construction.
Owner or Contractors Signature
Date
Paee 2 01"2
225 Fifth Street
Springfield, Oregon 97477
54P726-3759 Phone
Job/JournaJ Number
COM2009-00621
COM2009-0062I
COM2009-0062I
COM2009-0062I
COM2009-0062I
Payments:
Type of Payment
ONLINE CHGS
cRcceintl
RECEIPT #:
"_,"..tNQ.FI.... DfiJ ,,-' ..... ....
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-...
...t.i _
~..,..,....;.:' ",. ,,' .....',...
City of Springfield Official Reccipt
Development Services Department
Public Works Department
1200900000000000359
Date: 05/07/2009
Description
I st Appliance
Air Handling Unit Upto 10,000
Heat Pump
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
Item TotaJ:
Check Number Authorization
Received By Batch Number Number How Received
KR
ONLINE
Home Online
Comfort
Heating
Payment Total:
Page 1 of 1
9:21 :33AM
Amount Due
79.00
17.00
34.00
6.50
15.60
$152.10
Amount Paid
$152.10
$152.10
51712009