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Home My WebLink AboutPermit Mechanical 2009-6-5 City of Springfield Mechanical Authorization To Begin Work E-mailedTo:hethp@ehomecomfort.com Receipt # EC553] ] 9 6/5/2009 10:] 4:35 AM ^'~'\ 11\/ l ~ Check on status of permit By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us I ," TYPE OFWORK . :"-]2 10 New construction IKJ Addition/alteration/replacement CATJGO~~ol.C6NSTR~f:JjoN :~;~_ '7J j 0 I or 2 family dwelling DMulti-family o Accessory Building I"" ','- ';J()BSITEINF6R~ATI()NANDl6cAiION, IJob no.: RR399194 IJobl1ddress: 862 G ST ICily/Slate/ZIP: SPRINGFIELD, OR 97477-405] I Suitc/bldg.fllpt.no.: I Project nume: Charles Lucier Cross street/directions to job site: Turn LEFT onto CENTENNIAL BLVD. Turn RIGHT onto 5TH ST.Tum LEFT onto G ST I Sobdh'ision: ITax map/parcel no.: I tot no.: I I .'- '-1 _~ 'i~ 170335[207300 .';. 'DESC.RIPTi6N6FWORK~'::-;-.'V" ". We are installing a air handler and a heat pump I. SI:r_~CO~N!A.CT. ":'"''1~_"v'>J.~0.' :.' "". '. ,- "^~ I Name: Beth Pettijohn Phone: (541) 345-2838 EXL 316 I Email: bethp@ehomecomfon.com I'. '" c;' . I Fa" (541) 302-3069 gONTMC,T9R'.3#, ~+. ~ '* ~," '! - ..,... ICCR lie. no.: 84]64 I Business Nllmc: HOME COMFORT HEATING & AIR CONDITIO I Conlnet: Beth Penijohn ]Addrcss: PO BOX 24205 IOtylStatelZIP: EUGENE, OR 97402 I Phone: (54! )3452838exL3!6 I Email: bethp@chomccomfon.com Il\tt'tro lie. no.: I.'.". (54 [)3023069 ICiI)'lie, no.: Upon review and approval by your local jurisdiction, your permit will be e-mailed or fa)(ed within one business day, with instructions on how to schedule your Inspection. NOTE: This Authorization To Begin Work expires within 180 days if a pennit 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. 'II .'. FEE_ SCHEDULE ;;'i . ;1 Totul I I I I I I I I I $17.001 $17.001 .,~ -~'I ' M- ~."'_- I I I I I I I Description l'l!c_~!.ingle~.iing IIp<:')~La,ncCs ,r _:'.~ I Furnace- up to 100,000 BTU I Furnace - nbo\'e 100,000 BTU I Electric Furnace Duct alterations and additions Gas heater units/ in-wall. in- duel. susocnded. ctc! I Vent. flue, liner for above I I A-ir Conditioner I I He" Pump 11 $t7.00 I Air Hand[er I 11 $17.001 I.gth~t !~eJ' ~~r~rilng)Y)piiu~_?es.;;:~':-''5:.t ~;~ -:j~;;~ t~ ~~ 1 Water heater I Gas fireplace/insert/stov.e I Gas log/log lighter I Gas clothes dryer I Gas stove/range I Pool or spa heater, kiln I Wood/pellet stovc/inscn I Wood fireplace I Chimney/liner/tlue/vent w/o aooliancc I,_~~v~,..:unmi~-!al e~ha.ust-AND-\'enUlati~n' .1 Range hood I Clothes dryer exhaust I Single-duct exhnusl (bathrooms, toilet compartments, ulllity rooms) . I Attic/cmwlspacefans 1~~~J'J~ipi.n~!~ .'~~ : -,.~ . '<, -,,,=" -' I upto first 4 oUllels(enter Qty=]) I' I each additional outlet ,~~CH",~NrCAt.:PERMIT FEE.S. I Subtotal I I Ciry Of Springfield FirstAppliance fee I State Surcharge (12% of per mil fee) I I City or Springfield fees ., I TOTAL PI<;Rl\IJT FEE . City Of Springfield fees: 5% Technology Fee Qty. J ~~:."?:,, '=:. ~ . < Ell. f~\~ .>,~...... '~I I I ",- 'I . "~ $34.00 I $79.00 [ $13.56 $5.651 $132.21 . (};;n 2ro 7.- ~ -5- CJ9 (Jo?97 /J /YC...- 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: COM2009-00797 ISSUED: 06/05/2009 APPLIED: 06/05/2009 EXPIRES: 12/05/2009 VALUE: 225 Fifth Street, Springfield, OR 54 J -726-3753 Phone 54]-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 862 G ST ASSESSOR'S PARCEL NO.: 1703351207300 Springfield TYPE OF WORK: Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: Heat Pump &'Air Handler Owner: LUCIER CHARLES V Address: 862 G ST SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type. Mechanical Contractor HOME COMFORT HEATING & AIR License 84]64 Expiration Date 06/25120 I I Phone 54 I -345-2838 BUILDING INFORMATION 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 1 st 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 Overlay Dist: Total: # Street Trees Rqd: Handicapped: Paved Drive Rqd: Compact: % of Lot Coveragfi,:fTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Front yard Setback: Side] Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: 1i'r.\~'C Storm Sewer Available.: E: Special InstructiOii::IS PERMIT SH AUTHORIZED U ALL EXPIRE IF THE WORK Notes: eO^71'EN NDER THIS PERMIT IS .' 1/, h CEO OR IS A NOir "". . _ RMln(",~~ ___ .... . C'U U!1)' fJERIOD ._~ . . ." I Valuation DescriDtion I '''' """....L1Vll ul;;;lllt::l. IIIU~t: IUIl,;;i:l all;; :::it:::lIUJ 1I1 I PUBLIC ]MPROVEMEN,1\S'1152_001_001 0 through OAR 952-001- 0090.. You mSi&e\'v!iiIrTyp'e'!'S of the rules by callmg the center. (I\IOle: the telephone number for Po.wiispouts/Drains:Jotification Center is 1-8'00-332-2344). Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pagelof2 -T~..-,. '.....:. ~JmI. . " "~. . ~' J' H.......,.......-..".._...'. --.! . Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2009-00797 ISSUED: 06/05/2009 APPLIED: 06/05/2009 EXPIRES: 12/05/2009 VALUE: 225 Fifth Street, Springfield, OR 54]-726-3753 Phone 54]-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees Paid I Fee DescriPtion + ]2% State Surcharge . + 5% Technology Fee 1st Appliance Air Handling Unit Up to 10,000 Heat Pump Amount Paid Date Paid Receipt Number $13.56 $5.65 $79.00 $17.00 $]7.00 6/5/09 6/5/09 6/5/09 6/5/09 6/5/09 3200900000000000425 3200900000000000425 3200900000000000425 3200900000000000425 3200900000000000425 Total Amount Paid $132.2 ] I Plan Reviews , 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 Reollired Insnections I By signature, ] state and agree, that] 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 thc work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. ] further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further 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 plans will remain on the site at all times during construction. Owner or Contractors Signature Date Page 2 of 2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone "._~j:O"..'_..IW). C~'... ....... --; City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2009-00797 COM2009-00797 COM2009-00797 COM2009-00797 COM2009-00797 Payments: Type of Payment ONLINE CHGS cRcceintl RECEIPT #: 3200900000000000425 Date: 06/05/2009 Description Air Handling Unit Up to 10,000 I st Appliance 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 ]O:38:35AM Amount Due 17.00 79.00 17.00 5.65 13.56 $132.2 I Amount Paid . $132.21 $132.21 6/5/2009