HomeMy WebLinkAboutPermit Mechanical 2009-8-18
69600-BMC-09-00080
Mechanical Authorization To Begin Work
E-mailed To; bcthp@eho~ccomfol1.coln
Check on status of permit
By Phone: 541-726-3753 or Email: permilcenter@ci,springtield.oLus
o New Construction
o Addition/alleration/replacement
o I 01' 2 family dwelling 0 Multi-family 0 Commercial
o AccessOlY Building
Job Address: 401 S 47TH 5T
City/State/ZIP: SPRINGFIELD, OR 97478
Suitelbldg.lapt,no,:
I Project Name: Robert Stockdale
I Cross St,reetldireCnons to job site: Turn LEFTonto MAIN ST/OR-126 BR,Turn
RIGHT onto S 47TH 5T,
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We are installing two air handlers and a heat pllmp
I Name: Robert Stockdale
I Phone: 541.746-8948 Fax:
1 Em"iI NOnC.E: 1
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I CC."',M,,84il'H~nRm:n 11~lni=R T~Ie::: P'i=RMIT Ie::: MOT I
I Business Namer~q~,~~~t'lfffRJq~ ~~n:mfI'JAlrnR '1
l COO,"'' A~IY 1 An nAY pi=RIOn 1
r Address: PO BOX 24205 . I
I Cit)'/Stllte/ZIP: EUGENE, OR 97402 I
I Phone: 541-345-2838 Fax: I
I Em";" I
Metro lie. no.: City lie, DO.: I
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,
8/18/2009 US pm
ApprovaJ Code: 007923
Description
Qty.
Heat Pump
Airhandlillgunit
IFirstAP~li~lC,~,F,ee _ _ '. to '_ .1_,_..,1 _, $79.00,1,
~~~~~;~)G~jjE~I{iilfT; f.Ef~~1; ~r ~~_;;~?;~ ~>~:;~ ~:;~:~~I'
IStalcsurChargC(12%OJ'pennit $]3,561
total)
Technolo!,'Y fee (5% of penn it $5,651
total)
TOTAL PERMIT FEE SI32.21(
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ATTENTION: Oregon law requires you to
follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth
in OAR 952,001-001 0 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),
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NOTE: This Authorization To Begin Work expires within 180 days if a
pennit 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
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Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01199
ISSUED: 08/18/2009
APPLIED: 08/1812009
EXPIRES: 02/1812010
VALUE:
225 Fifth Street, Springfield, OR
54]-726-3753 Phone
54]-726-3676 Fax
54]-726-3769 Inspection Line
SITE ADDRESS: 40] S 47TH ST
ASSESSOR'S PARCEL NO.: ]702324307000
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
PROJECT DESCRIPTION: Installing 2 air handlers and a heat pump in residenc."
Residential
Owner: STOCKDALL ROBERT & BARBARA
Address: 40] S 47TH ST
SPRINGFIELD OR 97478
Phone Number: 54]-746-8948
I CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Contractor
HOME COMFORT HEATING & AIR
License
84]64
Expiration Date
06/25/20]]
Phone
54] -345-2838
.BUILDlNG INFORM~TION 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 ]st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
nla
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Frontyard Setback: Overlay Dist: , Total:
S~de] Setback: NOTICE: # Street ~rees Rq.d: ATTENTION: Oreg~n"~Q.,di~WJlt'ed~ you to
S.de 2 Setback, Tf:lIS PERMIT SHA Paved DrIVe Rqd" follow rules adopted b?'lIPJ'elegon Utility
Rearyard Setba5lKOT LL EXPIRE IF T''''!!f\l>!<1JffKlverage, Notification Center, Those rules are set forth
Solar Setbacks: HORIZED UNDER THIS PERMIT IS NOT in OAR 952,001-0010 through OAR 952,001-
rnrlJlllflCl\lf'rl"'\ ,........,..... h....- -
ANY 180 DAY P~RI~D,LMlm"EIcooRovEMENTS r;~iin';~h'~'~~~t~'t'iN~~:":h~'t~I;~h~;euy
Street Improvements: nurrSiii'eJr.ililt-yp.r:egon Utility Notification
C'enter IS 1-800-332-2344),
Storm Sewer Available: DownspoutslDrains:
Special Instruction:
Notes:
I. Valuation DescriDtionl
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee ] of 2
Status
Issued
225 Fifth Street, Springfield, OR
541-726.3753 Phone
541-726.3676 Fax
541-726.3769 Inspection Line
Total Valne of Project
~es Paid"
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Air Handling Unit Up to 10,000
Heat Pump
Amount Paid
$13.56
$5.65
$79.00
$17.00
$17.00
Total Amount Paid
$132.21
I Plan Reviews I
Date Paid
8/18/09
8/18/09
8/18/09
8/18/09
8/18/09
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01l99
ISSUED: 08/18/2009
APPLIED: 08/1812009
EXPIRES: 02/1812010
VALUE:
Receipt Number
1200900000000000942
1200900000000000942
1200900000000000942
1200900000000000942
1200900000000000942
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. wilI' be made the following
work day.
I Reouired Insne~tions ,
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 bereon 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 nf 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 Divisinn, 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 Signature
Paee 2 01'2
Date
225 Fifth Street
Springfield, Oregon 97477
54t-726-3759 Phone
Job/Journal Number
COM2009-0 1199
COM2009-0 1199
COM2009-0 1199
COM2009-01199
COM2009-01199
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
1200900000000000942
Description
1st 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 Departmeut
Date: 08/18/2009
Item Total:
Check Number Authorization
Received By Batch Number Number How"Received
Paid By
ONLINE PERMIT CHGS
KR
Page 1 of 1
ONLINE HOME Online
COMFORT
HEATING
&AIR
Payment Total:
1:34:04PM
Amount Due
79,00
17,00
17,00
5,65
13,56
$132,21
Amount Paid
$132,21
$132,21
8/1 8/2009