HomeMy WebLinkAboutPermit Mechanical 2009-6-2
City of Springfield
Mechanical Authorization To Begin Work
E-maiIedTo:bethp@ehomecomfort.com
Receipt # EC552830 1\ G
6/212009 ] :41 :34 PM (J / t'\
C/' .
Check on status of permit
By Phone: (541)726-3753 or EmaiI: permitcenter@ci.springfield.or.ns
o New construction [K] Addition/alterationlr~placement I
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I [i] 1 or 2 family dwelling D Multi.family 0 Accessory Building
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IJOb no.: RR398594 IJob address: 396 49TH ST
I City/StatelZIP: SPRINGFIELD, OR 97478~6063
ISuite~ldg.lapl.no;:
I Project name: Shirley May
Cross streeUdirections tojab she: Turn LEFT onto E ST. Turn RIGHT onto 49TH ST
End at 396 49t.h 51 Springfield, OR 97478-6063
Description I Qty. I Ea. I Total ~
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~II!~n~Stt~!m_t~PRt~~~~~
- - -
Furnace- up to 100.000 BTU
I Furnace - above 100,000 BTU
I Electric Fumace
I Duct alterations and additions
I Gas heater units/in-wall, in-
duct. suspended. etc/
I Vent, flue, liner for above
I Air Conditioner
I Heat Pump
Handler
$17,00
$17.00
$17.00
$17.00
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
Wood/pellet stove/insert
Wood fireplace
Chimney/liner/flue/vent w/o
a{>J?liance "
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1-;:~;:~~::~-~"'",'~"'-"Wh~'~;0_~'~~,""I<C4-"""~~*,WlT~,.j;)?W~~~'*l
I Clothes dryer exhaust
I Single-duct eXhaust (bathrooms,
toilet companments, utility
rooms)
1 AttiClcrawlspace fans
I Subdivision:
ITax map/parcel no.: 1702324100234
ILot no.:
We are installing a air handler and a heat pump
I
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I Email: bethp@ehomecomfon.com I
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I CeB lie. no.: 84164
I Business !'lame: HOME COMFORT HEATING & AIR CONDITIO
I Contact: Beth Pettijohn
jAddress: PO BOX 24205
I City/StatefZIP: EUGENE, OR 97402
I Phone: (541)3452838ext.316
I Email: bethp@ehomecomfort.com
I Metro lie. no.:
I Name: Beth Pettijohn
I Phone: (54]) 345-2838 Ext: 316
I Fax: (541) 302-3069
I Fax: (541)3023069
upto first 4 outlets(enter Qty=l)
I each additional outlet
I City lie. no.:
City OfSpringfield"FirstAPPliance feel
State Surcharge (12% of permit fee) I
City'OfSpringfield fees'" I
I TOTAL PERMIT FEE
'" City Of Springfield fees: 5% Technology Fee
$34.00 I
$79.00 I
$1356 I
$5.65 I
$132.21 I
Upon review and approval by your local jurisdiction, your
permit will be e-mailed or faxed within qne business day,
with instructions on how to schedule your inspection.
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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.
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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: COM2009-00770
ISSUED: 06/02/2009
APPLIED: 06/02/2009
EXPIRES: 12/02/2009
VALUE:
225 Fifth Street, Springfield, O~
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 396 49TH ST
ASSESSOR'S PARCEL NO.: 1702324100234
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Heat pump & air handler
Owner: MA Y SHIRLEY A
Address: 396 N 49TH
SPRINGFIELD OR 97477
I CONTRACTOR I~FORMA TlON ,
Contractor Type
Mechanical
Contractor
HOME COMFORT HEATING & AIR
. License
84164
Expiration Date
06/25/201 I
Phone
54 I -345-2838
BUILDING INFORMA nON I
# 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 GaragelCarport
Sq Ft Other:
Occupant Load:
nla
I DEVELOPMENT INFORMA nON I
REQUIRED PARKING
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% oCLot Coverage:
Total:
Handicapped:
Compact:
_ '_... ............."i..oc:: \/()II to
I PUBLIC IMPRovIiMi~l;S'.' '~'~d~;;te-dbY the Oi'''\~:~ ~t;~tv.
. N(lT!("E' " , '.f''' , t';r Th~s'HLlI' ," ,.,' 1
Street Improvements:' , Notl.lcatlOn CenSidewalkType: ' : I-
. THIS P'=RMIT SHALL . in OAR 952-001-uu I ~ ' "". . .,
Storm Sewer $\Y~il~tle:IZE EXPIRE IF THE WORK 0090. You may DowiispoutsfDrains:'. '
Special Instruction: K 0 UNDER THIS PERMIT IS NOT calling the center. (,. '
/ r,UIVIMENCED OR IS ABANDONED FOR number ior tho 01"., _d
Notes: ANY 180 DAY PERIOD. Center is [-L__ _h_ --' .j'
l,valuation DescdDtio~ ,I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee I 01"2
"
Ii
L
I
J
Status
Issued
225 Fifth 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"o 10,000
Heat Pump
Amount Paid
$13.56
$5.65
$79.00
$17.00
$17.00
Total Amount Paid
$132.21
Total Value of Project
Fees, Pa it! I
I Plan Reviews I
Date Paid
6/2/09
6/2/09
6/~/09
6/2/09
,6/2109
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00770
ISSUED: 06/02/2009
APPLIED: 06/02/2009 .
EXPIRES: 12/02/2009 ,
VALUE: '
Receipt Number
3200900000000000410
3200900000000000410
3200900000000000410
3200900000000000410
3200900000000000410
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.
Re'l uiret! Insnections 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 th'e 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 coutractors and employees who are in compliance with ORS 701.005 will be used on this project.
I furt~er 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 durillgconstruction.
Owner or Contractors Signature
Paee 2 of 2
Date
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-00770
COM2009-00770
COM2009-00770
COM2009-00770
COM2009-00770 '
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #;
City of Springfield Official Receipt
Development Services Department
Public Works Department
3200900000000000410
Date: 06/02/2009
Description
I st Appliance
Air Handling Unit Up to 10,000
Heat Pump
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
NJM
ONLINE HOME Online
COMFORT
Payment Total:
Page I of I
2:IS:22PM
Amount Due
79.00
17.00
17.00
5.65
13.56
$132.21
Amount Paid
$132.2]
$132.21
6/2/2009