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HomeMy WebLinkAboutPermit Mechanical 2009-9-28 City uf Springfield Mechanical Authurization To. Begin Wurk [-mailed 1'0: bethp@chomc€omforf.com Check on status of per~it By Phone: 541.726-3753 or Email: permitcenter@ci.springfield.or.us 1.0 NewConstruction o :"ddition/alterationlreplacement I Description 1!!~l1t!ngjcooiirig'ilpp.I,~!!(~~; IHeatPump 1~~~d$l::r 10;C"tEGORY'OF:CONStRtiCti6Nllll.~",,~,,*"9>i\~fh:~ /0 I ",2f""]]ydwo]];", OM,lt;.'",,]]y 0 Comm'",;,1 OA"""O'8,lIdi" , I Firsl Appliance Fcc $%.00 $11.52 Job Address: 1298W QUINALT5T City/StateJZIP: SPRlNGFIELD, OR 97477 I Subtotal Istate surchargc (12% of penn it lotal) ITechII010gYfCC(5%ofPcrrnit total) I TOTAL PERMIT FEE SuiteJbldg.lapt.no.: Project Name: Tracy Mullins Cross Street/directions to job site: Turn RIGHT,onto TAMARACK ST,Tum LEFT onto W QUINAL T ST Tn m.p!p'''') "'.: \ 1. O~\~ c::x:::>,cIl.- 11fi~{b~~~~Dg~q8tP<TIQN't9ElW6"RR~}~~I,~tf:.~t/~r!:f We are installing a air handler and a heat pwnp Name: Tracy Mullins Phone: 541-741.6757 Fax: Email: CCBlic, no.: 84164 Business Name: HOME COMFORT HEATING & AIR CONDlTlONING INC Contact: Address: PO BOX 24205 City/State/ZIP: EUGENE, OR 97402 Phone: 541-345-2838 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. ~~~~ ~ 0' \9(0 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 I~hejob site l!ntil replaced by a Permit '6tJ-n u}lJ 7 ~ ()/ ~ 5- 9/)-4Q7 /l/'iL . J..'lJ (; ~., 69600-BMC-09-00\35 9/2812009 7,06 am Approval Code: 028027 $4.80 $112.32 'I$J~ ~ ~.tY\ ~~ ~~ _~IlI}~~Ii'II!:':~J. i~"~-' ~V';: - . "~"'~:~'?_;'_:'i~">~_'i'; Status Issued CITY OF SPRINGFIELD BuIlding/Combination Permit PERMIT NO: COM2009-01435 ISSUED: 09/28/2009 AI'PLIED: 09/28/2009 EXPIRES: 03/28/2010 VALUE: . 225 Fifth Street, Springfield, OR 541-726-3753 Phune 541-726-3676 Fax .541-726-3769Iuspectiun Line SITE ADDRESS: 1298 W QUINAL T ST ASSESSOR'S PARCEL NO.: 1703273200102 Springfield TYPE OF WORK: He',ting System TYPE OF USE: New Residential PROJECT DESCRIPTION: Heat pump & air handler Owner: MULLINS TRACY M Address: 1298 W QUINALT ST SPRINGFIELD OR 97477 Phune Number: 541-741-6757 Contractor Type Electrical Mechanical I CONTRACTOR INFORMATION ,. Contractor License HOME COMFORT HEATING & AIR CONDI 84164 HOME COMFORT HEATING & AIR 84164 BUILDING INFORMATION I Expiration Date 06/25/2011 06/25/20 II Phone (541) 345-2838 541-345-2838 # uf Units: Primary Occupancy Gruup: Secundary Occupancy Group: Primary Cunstructiun Type Secundary Cunstructiun Type: # uf Bedruums: # uf Sturies: Height uf Structure Type uf Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lut Si~e: Sq Ft 1st Fluur: Sq Ft 2nd Fluur: Sq .Ft Basement: Sq Ft Garage/Carpurt Sq Ft Other: Occupant Luad: n/a , DEVELOPMENT INFORMATION . Fruntyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Sular Sethacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: .. % uf Lut Cuverage: REQUIRED PARKING Tutal: Handicapped: " Cumpact: I PUBLIC IMPROVEMENTS I Street Impruvements: Sidewalk Type: Sturm Sewer Available: Special Instruct}:>r,:ENTION: 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). " Duwnspuuts/Drains: Nutes: NOTICE: THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS pERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Page 1 uf 3 -, Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phune 541-726-3676 Fax 541-726-3769 Inspectiun Line CITY OF SPRI~ljl'lELD . Building/C9mbination Permit PERMIT NO: COM2009-01435 ISSUED: 09/28/2009 ,APPLIED: 09/28/2009 EXPIRES: 03/28/2010 VALUE: I V aluation Descri~~irin I Descriptiun $ Per Sq Ft ur multiplier Tvpe uf Cunstructiun Square Fuutage ur Bid Amuunt Value Date Calculated Tutal Value uf Pruject fPf{' f'!ii<l , Fee Descriptiun + 12% State Surcharge + 12% State Surcharge + 5% Technulugy Fee + 5% Technulugy Fee 1st Appliance Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Heat Pump Amuuut Paid $7.32. $11.52 $3.05 $4.80 $79.00 $55.00 $6.00 $17.00 Tutal Amuunt Paid $183.69 I Plan Reviews I Date Paid Receipt Number 9/28109 9/28/09 9/28/09 '9/28/09 9/28/09 9/28/09 9/28/09 9/28/09 3200900000000000671 3200900000000000672 3200900000000000671 3200900000000000672 3200900000000000672 3200900000000000671 3200900000000000671 3200900000000000672 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. ~lIirp<ll.lw'p~tio~ Ruugh Electric: Priur to. Cuver Fiual Electric: When all electrical wurk is cumplete. Ruugh Mechanical: Priur to. Cuver Fiual Mechanical: When all mechanical wurk is cumplete. Pa2e 2 uf 3 Status Iss u ed CITY OF SPRINtJJ11I'-LD Building/Combination Permit PERMIT NO: (WM2009-01435 ISSUED: 09/28/2009 APPLIED: 09/28/2009 EXPIRES: 03/28/2010 VALUE: . 225 Fifth Street, Springfield, OR 541-726-3753 Phuue 541-726-3676 Fax 541-726-3769 Inspectiun Line By signature, I state and agree, that I have carefully examiued the cumpleted applicatiun and do. h'ereby certify that all infurmation hereun is true and currect, and I further certify that any and all wurk perfurmed shall be dune in accurdance with the Ordinances ufthe City uf Springfield and the Laws uf the State uf Oregun pertaining to. the wurk described herein, alld that NO OCCUPANCY will be made uf any structure withuut permissiull uf the Cummunity Services Divisiun, Building Safety. I further certify that unly cuntracturs and empluyees who. are iu cumpliance with ORS 701.005 will he used un this pruject. I further agree to. ensure that all required inspectiuns are requested at the pruper time, that each address is readable frum the street, that the permit card is lucated at the frunt uf the pruperty, and the appruved set uf plaus will remain un the site at all times during construction. Owuer ur Cuntracturs Signature Date . Page 3 uf 3 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-01435 COM2009-01435 COM2009-01435 COM2009-01435 Payments: Type of Payment ONLINE CHGS cReceintl RECEIPT #: Description \ 15t Appliance Heat Pump ,+ 5% Technology Fee + 12% State Surcharge Paid By ONLINE PERMIT CHGS 3200900000000000672 City of Springfield Official Receipt Development Services Department Public Works Department Date: 09/28/2009 7:33:07AM Amount Due 79,00 17.00 4.80 11.52 $112.32 Item Total: Check Number Authorization Received By Batch Number Number How, Received NJM Page I of I Amount Paid ONLINE HOME Online COMFORT Payment Tutal: $112,32 $112.32 ( 9/28/2009