HomeMy WebLinkAboutPermit Mechanical 2009-7-14
City of Springfield
Mechanical Authorization To Begin Work
E-mailcdTo:bethp@ehomccomfort.com
Check on status of permit
By Phone: 541-726-3753 or Email: permitcenter@ci.springfield.oLus
I D New C01l5trm;!ion
o Addition/alteration/replacement
10 ] 0<2 r~,i1y dwon'",
DMUlti-family
DcommerCiaJ
D Ac~e~sory Buildi!l!;
Job Address: 1074 DONDEA $T
City/State/ZIP: SPRfNGFIELO, OR 97478
SuitelbldgJapt.no.:
Project Name: Randy Manford
Cross Streef/directions to job si~e: Enter next roundabout and take IsI exit onto
JASPER RD,Tun~LEFT onto
1~~_;;:;~';~ii~4-1lf~~TloNm9wW~~"1~y,,,-~~,~?!,7,
We are installing a heat pump and aair handler
I Nllme; Ran~y Munford
I Phone: 541-74]-6997 Fax:
I Email:
I,',
I CCB lie. no.: 84164
Business Name: HOME COMFORT HEATING & AIR CONDITIONING INC
I Contact:
I Address: PO BOX 24205
I Ot)'lStatelZJP: EUGENE, OR 97402
I Phone: 54]-345-2838 Fax:
I Emllil:
I MetroliC.no.: City lic. no.:
Upon review and approval by your local jurisdiction, your permit will be
e-malled or faxed within on~ business day, with instructions on how to
schedule your fnspection.
NOTE: This Authorization To Begin Work expires within 180 days if a
penn it 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
Pump
First Appliance fee
Cq/1ro"i
69600-BMC-09-00030
7/14/2009 2:091lm
Approval Code: 014582
II
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Qty,
I': ]1
'dt<!r.~~.:";
Ea.
I $790'1,
~" ;>i?~~o;;1
5]].521,
$<l.~OI
SJ1u2l
Subtotal
I State surcharge (12% orpennit
total)
Technology fee (5% of penn it
total)
TOTAL PERMIT FEE
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This Authorization To Begin Work must be posted at the job site until replaced by a Permit
Cb--n 2 do '7
7-1'-/- of;
(J/0..:2 r;
jJ;-/V
CITY OF SPRINlil!lJ<.;LD .
Building/Combination Permit
,
Status
Issued
PERMIT NO: C(JM2009-01028
ISSUED: 07/1412009
APPLIED: 07!t412009
EXPIRES: 01:/14/2010
VALUE: '
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1074 DONDEA ST
ASSESSOR'S PARCEL NO.: 1802061308500
Springfield TYPE OF WORK: Mechanical Only
I'
TYPE OF USE: New,' Residential
PROJECT DESCRIPTION: H/P & A/H illstall
Owner:
Address:
MANFORD RANDOLPH S
1074 DONDEA
SPRINGFIELD OR 97477
Phone Number: 541-741-6997
,I, CONTRACTOR INFORMA nON ,
Contractor Type
Mechanical
Contractor
HOME COMFORT HEATING & AIR
License
84164
Expiration Date
06/25/2011
Phone
541-345-2838
r BUILDING INFORMATION'
# 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 I~t Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
'Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
~DEVELOPMENT INFORMATION I
Frontyard Sethack:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
,REQUIRED PARKING
Total:
;Handicapped:
Compact:
"
Notes: NOTICE:
I PUBLIC IMP~OVEMENTS I
Sidewalk Type:, ,
ATTENTION: Oregon iaw reqUires you to
follow rulePQ.,-"g~P9tits/pijains:regon Utility
Notification Center. Those rules are set torth
in OAR 952-001-0010 through OAR 952-001-
0090. You may obtain copies of the rules by
calling the center, (Note: the telephone
',fll0 .tt'\IVIII "HALL t)(PIKt IF T;';:: ';;~;-;I( :::'::'10er lOr me ur"yulI UlIlIlY "UlIlI~ctllU"
AUTHORIZED UNDER THIS PERMrl ~a,lu~ion Descrintion I Center is 1-800-332-2344).
GOMfVIENGED OR IS ABANDONED EnR '
. HI\/ 180 0 ." .,~.. '- . $~Per Sq Ft Square Footage
DescrIptIOn Type ohConstructlOn I' I' B'd A Value
- - . or mu tip ler or I mount
Date Calculated
Street Improvements:
Storm Sewer Available:
Special Instruction:
Paee I of 2
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2009-01028
ISSUED: 07/14/2009
APPLIED: 07/14/2009
EXPIRES: 01/14/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
F....s Paid I
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Heat Pump
Amount Paid
Date Paid
Receipt Number
$11.52
$4.80
$79.00
$17.00
7/14/09
7/14/09
7/14/09
7/14/09
3200900000000000530
3200900000000000530
3200900000000000530
3200900000000000530
Total Amount Paid
$112.32
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/lnired Tnsn~ctions I
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
By signature, I state and agree, that I have carefnlly 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 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 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 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 during construction.
Owner or Contractors Signatnre
Date
Paee 2 of 2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-0 I 028
COM2009-0 I 028
COM2009-0 I 028
COM2009-0 I 028
Payments:
Type of Payment
ONLINE CHGS
cRcccintl
RECEIPT #:
Description
I si Appliance
Heat Pump
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
aLA. ~;(l~'-,,~~,' ..,
Iri:,..'.. .
City of Springfield Official Receipt
Development Services Department
Public Works Department
3200900000000000530
Date: 07/14/2009
Item Total:
(;heck Number Authorization
Received By Batch Number Number How Received
njm
home Online
comfort
Payment Total:
ONLINE
Page I of I
2:27:12PM
Amount Due
79,00
17.00
4,80
11,52
$112.32
Amount Paid
$112,32
$] 12.32
7/14/2009