HomeMy WebLinkAboutPermit 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