HomeMy WebLinkAboutPermit Mechanical 2009-8-12
69600-BMC-09-00070
8/12/2009 3:59 pm
Approval Code: 012464
City of Springfield
Mechanical Authorization To Begin Work
E-mailed ':ro: betbp@ehomecomfort~com
Check on status of permit
By Phone: 541-726-3753 or Email: permitcenter@ci.springfield.or.us
I Description
o Addition/alteration/replacement
D NewConSITOCliol1
I First Appliunce Fee ,
1~~~H~ANl~A!t~J.:Jt1\tIT FEES~_
I Subtotal
!StalesurCharge(12%OfPennil
total)
I Technology fee (5% ofpermil
total)
!TOTAL PERMIT FEE
I
$79.001
~~':. -I
$79.001
$9.481
$3.951:
s92,.01
10'" 2 '=;Iy dw,'h", D Mol';.',,"ily D Co,","",;,1
DAc,;essorYBuiJding
:r'f'~
- .'
I Job Address: 6066 ORCHID LN
I City/State/ZIP: SPRINGFiELD, OR 97478
I Suitelbldg./apf.nQ.:
I Project Name: Melvin Walters
I Cross Street/directions to job site: Tom RIGHT onto S 60TH ST.Tu~ LEFT onto
ORCHID LN.
..~ 8!13/D<1
t9-11l3
I Tn.p/p""lno, \f(f.;t1:-0,?-:;A. rT)\tb<t?
1~~'~.~.:t~:-j~\~i5ES<:RI~TION~OFrWORK~~~~~.f:ril~~~~~
Weareinslallingaaircondilioner
I
I
I
Nalne: Mclvin Walters
Phone: 541-746-3026
Fax:
Email: I\lnTIt"J:.
'" .~?~~~r~~~~17~3~r~~~orir;fm~~~~\~~~I~~~
CCBlic.no/\~I~;:~~:=;-F: I:-~~~[;; JbJ:i~r;;'i\-ulil'-'- i~-1~UI
Business Nl}JrI,e; tI9r~~If.<:9~~b'~T1:t~V~u,&..... ~Rr7UND! t;l"!!. N,9,...INC .
I ............"......I'jVL..L.I 01, 10 t'\U"I~~C-I..,L.U ;-uFl
Contact: A~l\' ~ on ,., "\1 ....:-r,.{J'"
I ...."vuunlILIILJ
Address: PO BOX 24205 .
I City/State/ZIP: EUGENE, OR 97402
I Phone: 541-345-2838 Fax:
I Email:
I Metrolic.no.:
;'
ATTENTION: Oregon law requires you to
follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth
in OAR 952-001-0010 through OAR 952.001-
0090. You may obtain copies of the rules by
calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center is 1-800-332-2344).
Citylic. 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.
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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
This Authorization To Begin Work must be posted at the job site until replaced by a Permit:.
Status
Issued
CITY VI' ."lr KlI''i\..1' IJ<.,LD
Building/C?mbination Permit
PERMIT NO: GOM2009-01173
ISSUED: 08/13/2009
APPLIED: 08/13/2009
EXPIRES: 02/13/2010
, VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 6066 ORCHID LN
ASSESSOR'S PARCEL NO.: 1802033400158
Springlield TYPE OF WORK: Mechanical Only
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Installing air conditioner in residence
Owner: W AL TERS MELVIN & PATSY
Address: 6066 ORCHID LN
SPRINGFIELD OR 97478
Phone Numher: 541-746-3026
I CONTRACTOR INFORMATION I
Contractor Typ.e
Mechanical
Contractor
HOME COMFORT HEATING & AIR
License
84164
Expiration Date
"
06/25/2011
Phone
541-345-2838
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 ~asement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupa,nt Load:
n/a
:: REQUIRED PARKING
Front yard Setback: Overlay Dist: . Total:
Side I Setback: # Street Trees Rqd: ' . :~andicaR~ed:
Side 2IS€trraCW:. Paved Drive Rqd: ATTENTION: Oregon" ('W '''pnl t. es you to
.u1'....~.follow rules adopted lJyYWe ~Cregon Utility
Reary-a~~~~"'WfIT SHALL EXPIRE IF THE WOR~ of Lot Coverage: Notification Center. Those rules are set forth
Solar ~'[J~\'-f~~IZED UNDER THIS PERMIT IS NOT in OAR 952-001-001 0 tl:trough OAR 952-001-
COMMENCED OR IS ABANDONED ~;PUBL1C 1MPROVEMENTSi'J8U. YOU may o"'c,....""~.es OJ "", [01'" uy
ANY 180 DAY PERIOD.' . I calling the center. (Note:.the telephone
Street'fmprovements: . numlSidew'ajlO(fyp€:~on Uti illy Notification
Center is 1-800-332-2344).
Storm Sewer Available: Downspouts/Drai.ns:
Special Instruction:
I DEVELOPM~NT INFORMATION I
Notes:
I Valuation DescriDtion I
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Valuell
Date Calculated
Paee 1 01'2
Status
Issued
CITX OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: C'OM2009-01 173
ISSUED: 08/13/2009
APPLIED: 08/13/2009
EXPIRES: Oi/13/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees Pairl .
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1 st Appliance
Amount Paid
Date Paid
$9.48
$3.95
$79.00
8/13/09
8113/09
.8/13/09
Receipt Number
12009000000000009]7
1200900000000000917
1200900000000000917
Total Amount Paid
$92.43
I Plan Reviews I
To Request an inspection call the 24 hour recording at 726-3769. All il)spections requested before 7:00
a.m. will be made the same working day, inspections requested after 7:00 a.m. willibe made the following
work day.
I Reouirerllnspections 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 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 descrihed herein, and
that NO OCCUPANCY will be made of any structure without permission of the Community Servi~es Division, Bui]ding 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 Signature
Date
Pa2e 2 of 2
225 I:ifth Street
Springfield, Oregon 97477
541-726-3759 Phone
,
,
Job/Journal Number
COM2009-01173
COM2009-0 1173
COM2009-0 1173
Payments:
Type of Payment
ONLINE CHGS
cReceinll
RECEIPT #:
Description
1st Appliance
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
ar.:Q~
Wii:
City of Spr~ngfield Official Receipt
Development Services Department
Public Works Departmcnt
1200900000000000917
Date: 08/13/2009
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
KR
ONLINE HOME Online
COMFORT
HEAT &
AIR
Payment Total:
.,
Page I of I
8:33: 14AM
Amount Due
79.00
3.95
9.48
. $92.43
Amount Paid
$92.43
$92.43
8/13/2009