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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. '# . 'It.~~ ,,\. ~ kJ' 'oft ~c9\ ~.~~ ~~ 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