HomeMy WebLinkAboutPermit Mechanical 2009-12-7
c.
Cq.173~
City Of Springfield
225 Fifth SI
Springfield, OR 97477
Phone; 541-726-3753
Ernail: permitcen.ler@ci,springfield,or,us
Residential Mechanical Authorization To Begin Work
69600-BMC-09-00204
Approval Code: 004483 12/4/2009 3:55 pm
E.mailed'To: bethp@ehomecomfort,com
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/ SPRINGFIELD......
I 0 New Construction IRJ Additionfalteralionlreplacement
Il:v!~~~;~F,!!'~~f.~cA'itGORY/OFTcON~mTjC.Tf6~i~~~ii~~<;
[Rl1 or 2 family dwelling D MullHamily 0 Commercial 0 Accessory
,. / "'ii:OBiSltEill;iFORNI.b;T16N'AND;16cAti6~;f,,1, ~~f~~
I Job Address: 165 44TH ST
I CltylState/Z1P: SPRINGFIELD, OR 97478
I Suitelbldg./apt.no.:
I D~scriptjOn J Oty. I Ea.. Total
18~ati~{ilg~'o!i_ngrA~pJi~~ces;:~:_~ii,~Jt,~:~'i:T7~;~~~,~:i~t_~;t,~1
I Heat Pump 1 $17.00 $17.00 I
I First Appliance Fee
Project Name: Jinks Cunningham
Subtotal
I State surcharge (12% of permit
total)
I Technology fee (5% of permit total)
I TOTAL PERMIT FEE
$96.00
$11.52
Cross Street/directions to job site: Turn LEFT onto MAIN ST/OR-126 BR.Turn
LEFT onto 44TH ST. .
$4.80 I
$112.32 I
I Tax map/parcel no.:
1702323101300 .
GY~l13Y
~ ILl/leA
We are installing a air handler and a heat pump
I Name: Jinks Cunninaham
I Phone: 541-746c4932
I Email:
Fax:
I r'OI'~-
I Business NaYl ~&~ tlF T T G Oil'
I Cont"" AI/THOR/7Fn IINf1FR THIS PERMIT IS NOT
Add,..., POOOr?~MtNCED OR IS ABANDONED FOR
c;tyJSIa'elzl.Al'~\(~~ ~g,FDAYoP ER I 0 D.
CCB hc. no. 84164
RTENTlON: Oregon law requires you to
fonow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth .
" OAR 952..co1-OO10 through OAR 952-001.
0090. You may obtain copies of the rules by
caJl/ng the Genter. (Note: the telephone
...... for the Oregon Utility NotlfIoalIon
0Inter 11101011 .2-2344).
Ipho~e:5413452838
I Email:
I ~etro Iic. no.:
Fax:
City lie. no.:
Upon review and approval by your local jurisdiction, your permit will be ,e.mailed or faxcd
within Imc.buslnessday; with instrucllonson howto schedufc your 'Inspectton.
NOTE: This Authorilalion To Begin Work cxplres within 180 days if a permit!s not obtained.
The local building department may dctcrmine that an Authori:atlon To Begin Work is null
void If It does not mect applicable I.and use laws and localordlna nees.
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Inspections Phone: 541.726-3769
This.Authorization To Begin Work must be posted at the job site until replaced by a .Permit
j~
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO; COM2009-0I734
ISSUED: 12/07/2009
APPLIED; 12/04/2009
EXPIRES; 06/07/2010
VALUE;
225 Fifth Street, Springtield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 165 44TH ST
ASSESSOR'S PARCEL NO.: 1702323101300
Springtield TYPE OF WORK: Heating System
TYPE OF USE: New
PROJECT DESCRIPTION: Installing an air handler and heat pump in residence.
Residential
Owner: CUNNINGHAM WILLIAM L & S L
Address: 165 44TH ST
SPRINGFIELD OR 97478
Phone Number: 541-746-4932
I CONTRACTOR INFORMA~ION I
Contractor Type
Mechanical
Contractor
HOME COMFORT HEATING & AIR
License
84164
Expiration Date
06/25/2011
Phone
541-345-2838
BUILDING I~FORMA TION I
# of-Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structnr~
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
.~'j
,I. DEVELOPMENT INFORMATION I.
",.". \.'
REQUIRED PARKING
Front yard Setback: Overlay Dist: Total:
Side 1 Setback; ICE.#'Street Trees Rqd: ATTENTION: Oregon'1l1wV~ you to
Side 2 SetbacIN,OT. . IRE IF T~Wl!ln'l(jve Rqd: follow rules adopted 6V'lllli'Oreaon Utility
Rearyard Setlf~~1O PERMIT SHALL EX? S PERMlf1SflWlfCoverage: Notification Center. Those rules ~ eetfortll
Solar Setback~UTHORIZED UNDER THl NED FOR InOAR952.oo1.oo10throughOAR~
vUIVIIV-'~~~::: 3R I~ /)Qfil\1nn . *0. ~eYfRay8bte:_" ........~.""..,J~.Gn_~g7Q;.".
ANY 180 DAY PERIOD. . . IPliBLIC IMPROVEMENTS I calling: center. (Note:.lhe telephone
Street Improvements: ,,' lIUIlf.faa~~ :~::llDIIIoIt
Storm Sewer Available:. Downspouts/Drains: .
Special Instruction: ,.". ~j
Notes:
I VaJuatio~ De~criDtion ,
Descri~tion
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amonnt
Value
Date Calculated
Pa2e 1 of 2
Status
Issued
CITY OF I'lrKINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-0]734
ISSUED: ]2/07/2009
APPLIED: 12/04/2009
EXPIRES: 06/07/2010
VALUE:
225 Fifth Street, Springfield, 01{
541-726-3753 Phonc
541-726-3676 Fax
541-726-3769 Inspection Line
" .
Total Value of Project
Fees Pa\d I
Fee Description
+ 120;', State Surcharge
+ 51Yo Technology Fee
1st Appliance
Heat Pump
Amount Paid
Date Paid
Receipt Number
$11.52
$4.80
$79.00
$17.00
12/7/09
12/7/09
12/7/09
12/7/09
1200900000000001306
1200900000000001306
1200900000000001306
1200900000000001306
Total Amount Paid
$112.32
I Plan Reviews I
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 Reouired In~nections I
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
informatiun hereon is true and correct, and I further certify that an)' and all work performed shall be done in accordance with
the Ordinances of the City of SIJringficld and the Laws of the State of Oregon pertaining to the work described herein, and
thut NO OCCUPANCY will be made of any structure without permission urthe Community Services Division, Building Safety.
I further certify that only contractors and employees \\'110 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 re1!dable from the
street, that the permit card is locatcd 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
Date
Paee 2 of2
225"Fifth Street
Springfield, Oregon 97477
54h726-3759 Phone
Job/Journal Number
COM2009-0 1734
COM2009-0 1734
COM2009-0 1734
COM2009-0 1734
Payments:
Type of Payment
ONLINE CHGS
cRcceintl
. RECEIPT #;
Description
1st Appliance
H~at Pump
+ 5% Technology Fee
+ 12% StateSurcharge
Paid By
ONLINE PERMIT CHGS
City of Springfield Official Receipt
Development Services Department
Public Works Department
1200900000000001306
Date: 12/07/2009
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
KR
ONLINE HOME Online
COMFORT
HEATING
Payment Total:
I!,!l
~'"
,
Page I of I
9:06:56AM
Amount Due
79,00
17,00
4,80
11.52
$112.32
Amount Paid
$112.32
$112.32
12/7/2009