HomeMy WebLinkAboutPermit Mechanical 2009-6-9
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pty of Springfield
Mechanical Authorization To Begin Work
E.mailed To: bethp@ehomecomfort.com
R~ceipt # RC553365
6/9120094:08:39 PM
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Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
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~ '"~".~rr?(OF:WORK OJ. '>' ~';:.'"
IX] Addition/alteration/replacement
I 0 New construction
I:' '~~ATEGORY oFcc;i"fSTRuerlQ.N"- :"",::'
I [i] 1 or 2 family dwdling 0 Multi-family 0 Accessory Building
JOS'SITE'iNFORMATioN.AND,L.9:CATION:
I.Job no.: RR399494 I Job address: 3923 S F ST
I City/Shlle/ZIP: SPRINGFIELD, OR" 97478-6550
I Suite/bldg.lllpt.no.:
I Project nllllle: Dixie Devila
Cross sfreet/directiuns to job site: Turn LEFT onto S 40TH Pl,Turn RIGHT unlO S f
ST.End at 3923 S F 51 Springfield, OR 97478-6550
I Subdivision:
jTa:\ map/parcel no.:
I
I Lot no.:
1802061103600
DESCRIPj'lON:OJ' WciRK""~'
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We are inslalling a heal pump and two air handlers
I
, <~!E,CPNIACT ','
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I Name: Beth Pettijohn
I Phone: (541)345-2838Ext:3]6 I Fax: (54])302-3069
I Ema;!, bethp@ehomecol\'lo~;cqt1'Tln.N' Oreoon law requires you to
I " 'fiinowruletC9!jJ[t<\c.t<?~iJ!ie&qr!iflP1"!iW,l!my, t";,
ICCB lie. no.: 84]64 Notification Center. I n.ose r~le~ ?~~ n~,...t::~ ~~~Il
I Business Name: HONm G(fM~qmlE~Jl]NQJ~_~lIt:C~.NrfthR:~~'o"";;~o~jhy
I .. UU:::1U. lUUlIlCl.y J....,......., _::.\'"".~--
Conlnet: Belh PettlJolin ~.1:-:;;;; thz ::~~,?r {"Into' .t.hP. tp.I~~ho~e
IAdd,.,>: 1'0 BOX 2420", ,~hor 1m thp. Oreoon Utllitv Notification
IOtY/Statc/ZIP, EUGENE:OR 97'lgenter is 1-800-332-2344).
Phone: (54] )345283Sext.316 IFax: (541 )3023069
I Email: bcthp@ehomccomfon.com
!Metro lie. no.: 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 detennine that an
Authorization To Begin Work is null and void if it does not
meet applicab.le land use laws and local ordinances.
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"FEE SCHEDU"LE:, .
Qly,
Ea.
'.'-1-:..
2
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I
I
$17.001
$17,001
,
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I :~::;~::~;::~ttn'g:aPI)iiF~f~~ '~~~:~~
I I Fumllce- up to ]00,000 BTU
I I. Furnace - above ]00,000 BTU
:1 I E]ectric Furnace
I I Duel alterations and additions
GllS heater units/in-wall, in-
I duct. slIsoended.etc/
I Vent, Oue, liner for above
1
.;.
Lv II D I D'=l
This Authorization To Begin Work must be posted at the job site until replaced by a Permit.
Air Conditioner
Heat Pump
I
I
'I
Airllandler
I~O!~,~L:fuel:~:~!~ing~p~l!aitc~"-~jo~ ,,~. --
I Water heater
I Gas fireplace/insert/stove
Gas log! log lighter
I Gas clothes dryer
I Gas stove/range
r Pool or spa hculcr, kiln
Wood/pellet stove/insert
I Wood fireplace
I Chimney/linerlflue/vent 1,0,'/0
aDDliullce
1;~n,,"iriHimenwl ex~a~St.t~N~.ve-~'!~hjtion.
I Range hood
I C]olhes dryer exhaust
I Single-duct exhaust (bathrooms,
toilet companments, utility
rooms)
I Attic/crawlspace fans
F~:u~l-pipi~lr'" '. . ;"~0;,
uplO first 4 outlets{emer QIY"']) J
each ndditional oUllet
M~~HANIC~L'PERMITFE~S
':,1
I
1
I
II
II
j Slatl' Surcharf;tc (]2% ofPt'rmit fee) I
I City Of Sprin~neld fees.
I TOTAL PERJ\IIT FEE
. City OfSpringficld fees: 5% Technology Fce
. Subtotal I
City Of Springfield FirstAppliance fee
CCf-<&31
IC~
NOTICE:
THiS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
"'NY 180 DAY PERiOD,
Tolal
I
I
I
I
1
$17,001
$34,001
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J
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I
I
I
'I
I
I
I
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,....-.
$51.00 I'
$79,00 I
$15,60 I
$6,50 I
$152,10 I
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CITY OF SPRINtJl'mLD'
Building/Combination Permit
, PERMIT NO: COM2009-00831
ISSUED: 06/10/2009
APPLIED: 06/10/2009
EXPIRES: 12/10/2009
VALUE:
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
54]-726-3676 Fax
54]-726-3769 Inspection Line
SITE ADDRESS: 3923 S F ST
ASSESSOR'S PARCEL NO.: 180206] ]03600
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
PROJECT DESCRIPTION: Installing a heat pump and two air handlers
Residential
Owner: DEVITA DIXIE L
Address: 3923 S F ST
SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Contractor
HOME COMFORT HEATING & AIR
License
84164
Expiration Date
06/25/2011
Phone
541-345-2838
I BUILDING INFORM~ TION I
ATTENTION'
# of Units: follow I ' Oreg(#~I;StorJe~:,
. ru e . '......... leu J/res \In
Primary Occupancy Group: Notification ~ adoPte(He~g~\tJlt,lf88wr~I, to
Secondary Occupancy Group'1 OAR 952 ooenter, T17ype.o~Heat: Utility
- 1 0010" ' "" 'lie setto th
Primary Construction Type 0090, You ma - ,Waterj:IiY.JI,'\ii 952-0 r
Secondary Construction Type: calling the y obtaICRiiiJge)if~pe:,e rut Ob1-
cenler ("~'_ " es y
# of Bedrooms: , 'nUmber for th 0' Elnergyt~a!!!,:aDho
e reg'S~ ""k'l d'B 'Id' ne
, Center' 1 prill e" UI III~:
IS .80n..~~1) ";...".::-:"'l.,.Q[i'0n
Lot Size:
Sq Ft ]st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq FtGaragelCarport
Sq Ft Other:
Occupant Load:
nla,
I DEVELOPMENT INFORMATION'
Front yard Setback:
Side] Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer Available:
Special Instruction:
NOTICE:
I PUBLIC IMPROVEMENT,~ I~ PERMIT SHALL EXPIRE IF '
, , ,HOI1JZI=DJlMI1[:D THE WORK
COMME~D bRYJ'il~:THIS PERMIT IS NOT
ANY 180qym''jII~Am~~MDONED FOR
Notes:
I Valuation DescriDtion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Page I of 2
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.....,........,......'"" ,j
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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 Vnit Vp 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 I
I Plan Reviews I
Date Paid
6/1 0/09
6/10/09
6/1 0/09
6/10/09
6/10/09
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2009-00831
ISSUED: 06/10/2009
APPLIED: 06/10/2009
EXPIRES: 12110/2009
VALUE:
Receipt Number
1200900000000000649
1200900000000000649
1200900000000000649
1200900000000000649
1200900000000000649
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 Insnections I
Rough Mechaoical: 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 aria 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 Stale of Oregon pertaining to the work described herein, and
that NO OCCVP ANCY 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 be used 011 this project.
I further agree to ensure that all required inspections are requested at the proper time, that each address is read;lble 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 sile at all
times during constructiol1~
Owner or Contractors Signature
Paee 2 01'2
Date
22S Fifth Street
Springfield, Oregon 97477
541:726-3759 Phone
Job/Journal Number
COM2009.0083 I
COM2009-0083!
COM2009-0083I
COM2009-00831
COM2009.0083I
Payments:
Type of Payment
ONLINE CHGS
cRcceint 1
~-
RECEIPT #:
1200900000000000649
Description
15t Appliance
Air Handling Unit Up to 10,000
Heat Pump
+ 5% Technology Fee
+ 12% State Surcharge
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 06/10/2009
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Paid By
ONLINE PERMIT CHGS
KR
Page I of I
ONLINE HOME Online
COMFORT
HEATING
Payment Total:
9:02:45AM
~ Amount Due
79,00
34,00
17,00
6,50.
15,60
$152,10
Amount Paid
$152,10
$152,)0
6/1 0/2009