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HomeMy WebLinkAboutPermit Mechanical 2009-6-9 .. I{,'b\ IA,/ C pty of Springfield Mechanical Authorization To Begin Work E.mailed To: bethp@ehomecomfort.com R~ceipt # RC553365 6/9120094:08:39 PM ~ Ii. Check on status of permit By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us 1-, ~ '"~".~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""~' ~, .._ -~",. ____.u ..... "j ~",-~*,~~~ We are inslalling a heal pump and two air handlers I , <~!E,CPNIACT ',' ~.,~, . 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. .'~ . ::<;t,': . =-<- "FEE SCHEDU"LE:, . Qly, Ea. '.'-1-:.. 2 I I I $17.001 $17,001 , ~.~. . ,< "'I 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 " -I I I J " " I I I 'I I I I I I I I ",'I ,....-. $51.00 I' $79,00 I $15,60 I $6,50 I $152,10 I y~. 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 . , '-WIcTA'~'1!!"'~' . ,..'.. .....,........,......'"" ,j i ~; I: I' .' 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