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Home My WebLink AboutPermit Mechanical 2009-8-31 City of Springfield Mechanical Authorization To Begin Work E-mailedTo:bethp@ehomecomfort.com Check on stalus of permit By Phone: 541-726-3753 or Email: permitcenter@ci.springfield.or.us I 0 NelV Construction o Addition/alteration/replacement 10 1 oc 2 focn;ly dwdl;., o MlJltiofamily o Commercial o Accessory Building I Job Address: 695 S 44TH 51' I City/State/ZIP: SPRINGFIELD, OR 97478 I SuiteJbldg.fapt.no.: I Project Name; John Nilsen 1 Cross Street/direCtions to job site: Turn LEFT onto DAISY ST.Tum RJOHT onto S 44TH ST. I Tn"I,,,,,,., \WLP~~ OOlo-CO 1~;;.~"'.~=tt~DES9-"i[~,'i'io[,oiiiw6Rk~~~~~~:~~ We are inslalling 3 air hand1ers and a heat pump(ductless) Name: John Nilsen Phollc: 541-726-9876 Fax: Email: CCB Iii:. no.: 84164 lJusiness Name: HOME COMFORT HEATING & AIR CONDITIONING INC Contact: Address: PO BOX 24205 City/Slate/ZIP: EUGENE, OR 97402 Phone: 54]-345-2838 Fax: Email: 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 within 180 days if a permit 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 . I Description Heiltiug/rooling'l1pplianfcsTY Heat Pump Air handling unit t~.\d-1LP 69600-BMC-09-00100 8/31/2009 10:52 am Approval Code: 018518 .1. Qty 0,~;,;1;,j'~'} :- ,~~ First Appliance Fe~ Subtotal State surcharge (12% of penn it total) Technology fee (5% of per mil lotal) TOTAL PERMIT FEE Ea. ,.~:.~:! ;1 SJ7.001 5]7.00 """',",J'll -,,,,,._..,...-. -, - - --, J . Total , >~I 517.00) 0;>~ P\ ~.\9 rlQ--- ~'t:>", ~ This Authorization To Begin Work must be posted at the job site until replaced by a Permit .~ ~~ ,\0.(0 r~. ~'. r:o- '-9 I ' UorY1l{JD~ - 0' l. 7it:> J'/.2 110 c, n/Y\..., $130,00 I $]5.601 56.501 $152.101 Status Iss u ed CITY VI' ~nuNGFIELD Building/Combination Permit PERMIT NO: COM2009-01276 ISSUED: 08/31/2009 APPLIED: 08/31/2009 EXPIRES: 02/28/2010 VALUE: 225 Fifth Street, Springfield. OR . 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 695 S 44TH ST ASSESSOR'S PARCEL NO,: 1802052100600 Springfield TYPE OF WORK: Mechanical Only TYPE OF USE: New Residential , PROJECT DESCRIPTION: Air Handlers & Heat Pump Owner: NILSEN JOHN H & VIRGINIA B Address: 695 S 44TH ST SPRINGFIELD OR 97478 Phone Number: 541-726-9876 I CONTRACTOR INFORMATION I Contractor Type 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 Construetion Type Secondary Construetion 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 Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 0:;......,,,.., n/a I DEVELOPMENT INFORMATION I REQUIRED PARKING Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: 0/0 of Lot Coverage: Total: Handicapped: Compact: I PUBLIC IMPROV~EJ'I!'j:,S I " , N: Oreqon law requires you t follow rules adlSidewalktTrype:.eg Ut'Jo . N ". ~._~ ~y 'c VI on Ilty otlflcatlon Cent^" ThMO -,,' _ ...._ in OAR 952-001 DownspoutslDralOs:3et forth -0010 through OAR 952-001- 0090,. You may obtain copies of the rules b calling the center, (Note: the teiephone y NOnCE" number for the Oregon Utility Notification . renteI' IC' -lor,,, ,.,........ "-_ . o. I HI::; PERMIT SHALL L . I - - -- -- nJ' AUTHORIZED UNDE EXPIRE rMlilfiatioorDescriDtion COMMENC R THIS PEklVIIT IS ~lpT . . ^NY - ED DR IS A8!lNDONS-Fer-S!l F Square Footage DescnptlOn~ 1 [fIYpe,of,GonstructlOn cU rll"'"'l' B'd A u , r n:HIUV. or IoU tIp ler or I mount Street Improvements: Storm Bewer Available: Special Instruction: Notes: Value Date Calculated Pa2e I of2 Status Issued 225 Fifth Street, Springfield, OR 54]-726-3753 Phone 54] -726-3676 'Fax 54]-726-3769 Inspection Line Fee Description + 12% State Surcharge + 5% Technology Fee 1st Appliance Air Handling Unit Up to ]0,000 Heat Pump Total Amount Paid Amount Paid $]5.60 $6,50 $79,00 $34.00 $] 7.00 $]52,]0 Total Value of Project F~~s. Paid I I Plan Reviews I Date Paid 8131109 8131109 8131109 8131109 8131/09 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01276 ISSUED: 08/31/2009 APPLIED: 08/31/2009 EXPIRES: 02/28/2010 VALUE: Receipt Number 2200900000000000983 2200900000000000983 2200900000000000983 2200900000000000983 2200900000000000983 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 Relluired fosneetions I By signature, ] state and agree, that] have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and] 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, ] further certify that only contractors and employees who are in compliance wit~ 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 of2 Date 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2009-01276 COM2009-01276 COM2009-01276 COM2009-0 1276 COM2009-01276 Payments: Type of Payment ONLINE CHGS cReccintl RECEIPT #: Date: 08/3112009 2200900000000000983 Description 1st Appliance Heat Pump Air Handling Unit Up to 10,000 + 5% Technology Fee + 12% State Surcharge Paid By ONLINE PERMIT CHGS Item Total: Check Number Authorization Received By Batch Number Number How Received njm ONLINE home Online comfort Payment Total: Page 1 of 1 \:02:27PM Amount Due 79,00 17,00 34,00 6,50 15.60 $152.IU Amount Paid $152.10 $152.10 8/31/2009