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Home My WebLink AboutPermit Mechanical 2009-8-4 / Mechanical Authorization To Begin Work E-mailedTo:bethp@ehomecomfort.com 69600-BMC-09-00055 C\ City of Springfield 1~~"~~!~~t;;:~t<=-~ ~, 8/312009 4:20 pm Approval Code: 003656 Check on status of permit By Phone: 541-726-3753 or Email: pcrmitcenter@ci.springfield.or.us 10 t m 2 r,mity dwdh'g D M"h'-r.nity D Commm',1 DACCeSSOl)'Bllilding 1~~~.si'EE~ifcHEDUTIE~,;,:;;;-"'7 !DesCriPtiOIl .n Qty. I Ea. I Total lj:ic1,lting'/~ootiQg:~ppf,~ncesi'-?:,.:fu;,~ .,,;.t:; ;f:P'l"~~~"7..; ~~~",~~"~-,A;: IHeatPump ._,~ 1..._~~.~,'O~l 517.001, , ~;: , ~,,~=:; ''''~J"."'''4>.:o:...--:,r 'j First Appliance Fe!: -". .... ".j _.'HI...."~ , _-C,"_ ;: ~;;~o~' I Sublotal ~9;~;~'1 IState surcharge (12% of pen nil ~11.521 total) ITeCh110'0gYfee(5%OfPcrmit !" 54.801., total) I TOTAL PERMIT FEE $112.321, I D NewConstruction o Addition/alteration/replacement I Job AlIdress: 335 67TH ST I City/Stille/ZIP: SPRINGFIELD, OR 97478 I Suite/bldg.lalll.no.: I Project Name: Donna Wilson I CrossStreel/direelioDs to job site: Tum LEFf onlo B ST.Tum RIGHT onto 67TH ST. . I Tn"p!p"'''"" \f]N7~~4-\ ()~) 1!~~~4s~i:;:';.:tk~~~~ESCRip.TiONrOF..WdRK~~~~t~~~*'~1:~',,~{~~~~;fi-f:l: We are inslalling aair hand1erand a heal pump Cq -II 00 ~e- Bj4lO1 Name: Donna Wilson Phone: 541-747-7915 Fax: Email: Phone: 541-345-2838 Fax: ATTENTION: pregon law requires youto follow rules adopted by the Oregon Utlilty Notification Cehter. Those rules are set forth in OAR 952-001-0010 through OAR 952-001- 0090. You may Dbtain copies of the rules by calling the center. (Note: the telephone number for the Oregon Utility Notification Center is 1-800-332-2344). CCB';'nd';~~: r~rMIT :U^I_~ r:;VPlRr:: IF THE WORK B.,;,,,, N"m",,~q'f~I(Il'lj9IFrI'9~ 1\\~'tm~DfJl"R'tiM1J'q S NOT Con',," '6~.~;i~;~~I~-i~ no 'S...l\RA~ln.DNFD FOR Address: PO B;,,~:,~vo~ ~r ~l.'! ~~olnn City/Stale/ZIP: EUGENE, OR 97402 I Em..il: Metro lie. no.: 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 withii1180 days if a penn it is not obtained. . '<l:14 ~ \j~ s>V cY\ fJ~~~ ~ 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 This Authorization To Begin Work must be posted at the job site until replaced by a permii Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line CITY OF SPRINGFIELD Building/Combination Permit , PERMIT NO: C:OM2009-01122 ISSUED: 08/0412009 APPLIED: 08/03/2009 EXPIRES: 02/04/2010 VALUE: SITE ADDRESS: 335 67TH ST ASSESSOR'S PARCEL NO.: 1702344105000 Springfield TYPE OF WORK: Heating System TYPE OF USE: New PROJECT DESCRIPTION: Installing heat pump and air handler in residence Owner: WILSON DONNA Address: 335 N 67TH ST SPRINGFIELD OR 97478 Residential Phone!Number: 541-747-7915 I CONTRACTOR INFORMATION ,I Contractor Type Mechanical Contractor HOME COMFORT HEATING & AIR License 84164 Expiration Date 06/25120 II Phone 541-345-2838 BUILDING INFORMATION. Lot Siie: Sq Ft ~st Floor: Sq Ft 2,nd Floor: Sq Ft Basement: Sq Ft ~arage/Carport Sq Ft Other: . t Alio::T'-NTIO'b"'M,,,,,JAwd'.eqUlres you 0 ,,,a I ,ccupanT LOa . Utilit ,_,,_... ...Io~ ~rlnnted bv the Oregon Y NOTICE: I DEVELOPMENT INFORMATIl,JNI,)ation Center!' T~~~~ r~~e~:~~ ;;~-001: THIS PERMIT SHALL EXPIRE j- I ilL. "'V"" IIlv"K952-001-001CRE\\'}\fREDtPARKIN&\1 ITf-jr!R IT IS~OT 0090. You may obtam cb'~", VI II~ ,~.o_ J Frontyard~etlJacl{:IZED UNDER THIS PERM verl.y Dist: II" the center.1(i>taln: the telephone Side 1 Setlfaf~:1MENCED OR IS ABANDONED FO Street Trees Rqd: ncuam'~2r for the OreIJandj~~ppJ'd?tlflcatlDn Side 2 Setlil!\:,k: 180 DAY PERIOD. Paved Drive Rqd: Center is 1-Qo~p;jct:<:344). Rearyard Setback: % of Lot Coverage, Solar. Setbacks: # 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: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Notes: I Valuation Descdotion I Description $ Per Sq Ft or multiplier Square Footage or Bid Amount Date Calculated Type of Construction Pal!e I of2 Sidewalk Type: DownspoutslDrains: Value ....:~~~~9,~~~~k 'it j,. Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Pbone 541-726-3676 Fax 541-726-3769 Inspection Line Fee Description + 12% State Surcharge + 5% Technology Fee 1st Appliance Heat Pump Amount Paid $1l.52 $4.80 $79.00 $17.00 Total Amount Paid $1l2.32 Total Value of Project Fees P~idJ I Plan Reviews I Date Paid 8/4/09 8/4/09 8/4/09 8/4/09 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01122 ISSUED: 08/04/2009 APPLIED: 08/03/2009 EXPIRES: 02/04/2010 VALUE: Receipt Number 120~900000000000872 1200900000000000872 1209900000000000872 1200900000000000872 To Request an inspection call the 24 hour recording at 726-3769. All inspections ~'equested 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 Rennired Tnsnections 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 shail 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 nsed 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 Signature Pal!e 2 of 2 Date 22-5 Fifth Street Springfield, Oregon 97477 5~1-726-3759 Phone Job/Journal Number COM2009-01122 COM2009-01122 COM2009-01122 COM2009-0 1122 Payments: Type of Payment ONLINE CHGS cReceintl RECEIPT #: Description 1 st Appliance Heat Pump + 5% Technology Fee + 12% State Surcharge Paid By ONLINE PERMIT CHGS , r , CitY of Springfield Official Receipt Development Services Department Public Works Department " 1200900000000000872 Date: 08;(J4/2009 8:14:09AM Item Total: Check Number Authorization Received By Batch Number Number How,Received Amount Due 79,00 17,00 4,80 11.52 $112.32 Amount Paid KR ONLINE HOME Online COMFORT HEAT . Paym~nt Total: $112.32 $112.32 Page 1 of I 8/4/2009