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
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IHeatPump
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, 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
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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.
~~~~
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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
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69600-BMC-09-00\35
9/2812009 7,06 am
Approval Code: 028027
$4.80
$112.32
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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