HomeMy WebLinkAboutPermit Mechanical 2010-3-18
Clty Of Springfield
225 Fifth 5t
Springfield, OR 97477
Phone: 541-726-3753
EmaiJ: permitcenter@ci.springfield.or.us
i. \~4~
'~' .
,;.. T .-1-
b~"! .J!:tJ
..,--'-:,f~t-~ OREGON
ll"'~~'Il'T~"1!l'ii~Ii"~=' ~',."""= '~~
".i> . ~'::';~^Oi~~{i.,:~If.~'0Z'i;',,~,~ :~;s41YPEiO~~W_ORK::'r.\{<'-_,-.;:,r).g:;;.~:~'!\: _ - /i J!1flt:'-,,,, "
0 New Construction ~ Addition/alteration/replacement ,
~~~I~],ili'~~~c:AfEG'QRY 6F,1G'QN~'fRtJC;tI6N~~~r~,jg1!;:l,tk'lif;,~
~ 1 or 2 family dwelling 0 Multi-famify 0 Commercial 0 Accessory
tfit~~1~1~1M:~f!.~'~~1ijoB:srtEdNF:oRMATi(:>"trANDJfr()CAflo'NJ[i;^~;.@l~)f;~~
Job Addruss: 2187 11TH ST
CityJStatelZlP: SPRINGFIELD, OR 97477
Sulte/bldg./apt.no.:
Project Name: Jim Curtis
Cross Street/directions to Job site: Turn RIGHT onto T ST.Turn LEFT onto-11TH
ST.
Tax map/parcel no.: 1703261106200
C""'~%' '~F;~nv'C -. ,. ,'_.' -')jj''''~''' ~1Jt~
~~~f,~~., il ooti;l':f' - -,~ ~O~SC:RIP,-nQ~f9F:~WOR~~~~~~-..~;~.::' '~j~f1~~~ ~~
We are installing a range vent
il~l'~ '!))'~it'iiIl!l-IP~~~\li'--" " ""1," "'lil~ir"!"~~~~~
l-W'~ ~~k'-'i~f'~i(,~.,,:h":i:~i -.\~;. '*~JTEC9_~T~~T@ij];~~1.~t,"".ll~.W~1~;;j'~ ,;;,:..;; .' -"')~
Name: Jim Curtis
Phone: 541-485-2740 Fax:
Emall:
~1:ik~'\t~'~~'V:l!gil~'::'C()N:tRACTOR"'"'!""~~IIl~.ir~'~~
"'...., ,~, "".. ~,.,l "',;<1 _sf.,. ,.. .' _ ~ ......._..... __,. .. ~Akkl ,.,.", . .'2{,,", \'L'l\''-' .I',~1',1:.;l' ~
THIS PERMIT SHM!l:'eMP1flE'IFTHE WORK
Bu.lo.'5 N.m., H<PlUW'*'liliifiN:JNOIi/il< IbHSrR&i1iiMlf15 NU I
Contact: rr ORI::i I run
Address: PO BOX m~J IOU U/"II , .
CityJStatelZlP: EUGENE,OR 97402
..,-. ..
Phone: 5413452838 Fax:
..
Emall:
Metro IIc. no.: City IIc, no.:
Upon review and approval by your local Jurisdiction, your pennlt will be e-malled or faxed
Within one buslne!ilJ day, with Instructions on how to schedule your Inspection.
NOTE: This Authorization To Begin Work expires within 180 day. If a pennlt 15 not obtained.
The local building department may detennlne that an Authorization To Begin Work i. null and
void if It does nol meet appllcablu land use laws and local ordinances.
00-337
Residential Mechanical Authorization To Begin Work
69600-BMC-10-00054
Approval Code: 018421 3/18/2010 9:39 am
E-mailedTo:bethp@ehomecomfort.com
",-",5"~~~"1!""~~".- c' --, c-';<!i1illB"':~"T'''T'''<,"''~
~~t;';t.~t~J*;!~~"~,'''ifl;:!;l~<::Ji!;,OUl.i;Pi3r'i!..:~.'~Lj.fQl1(P,1~~ :t~,~
Description I Oty. I E.. Total
M_i~fi!luiJf,F:f.!l'is':tj1fr~li~~1!tttft;~,et:~~~~J't:~lK~M~.t.~~~lE?i~~1~5:~~~~
First Appliance Fe. I I I $79.00
Mech~ani,c~{;~lfrmit:F.ees_:tfNY~it:.~~,1:.~t;.",,1~~"'~r,~1i&fJ;'f~rl~~~ .t~
Subtotal $79,00
Slate surcharge (12% of permit $9.48
total)
Technology fee (5% of permit total) $3,95
TOTAL PERMIT FEE $92.43
ClO-331) ~
3\ \<3
AnENTlON: 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).
.
_.~~
tv' ~
\9
\.P~\D
"0'/ /OV-
~Lo\
~
Inspections Phone: 541,726-3769
Thi,s Authorization To Begin Work must be posted at the job site until replaced by a Permit
"!.r
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00337
ISSUED: 03/18/2010
APPLIED: 03/18/2010
EXPIRES: 09/1812010
VALUE:
SITE ADDRESS: 2187 lITH ST
ASSESSOR'S PARCEL NO.: 1703261106200
Springfield TYPE OF WORK: Mechanical Only
PROJECT DESCRIPTION: Installing a range vent in residence.
Owner: CURTIS JAMES E & PAULA J COOK
Address: 2187 11TH ST
SPRINGFIELD OR 97477
TYPE OF USE: New
Residential
I CONTRACTOR INFORMATION ~
Contractor Type
Mechanical
Contractor
HOME COMFORT HEATING & AIR
License
84164
Expiration Date
06/25/20 II
Phone
541-345-2838
BUILDING INFORMATION ~
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled BUilding:
DEVELOPMENTINFOR
NOTICE:
THIS PERMIT SHAll EXPIRE IF THE WORK
Front yard ~'tW'~!lJRIZED UNDER THIS PERMIT I&'fftffy Dist:
S~de I Setht~;JJMENCED OR IS ABANDONED FrlbStreet ~rees Rqd:
S.de 2 Setb~,c . vPaved Dnve Rqd:
Rearyard Sill cl?O DAY PERIOD. % of Lot Coverage:
Solar Setbacks:
I PUBLIC,'IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
~ '.~
Notes:
I Valuation Description I
Description
$ Per Sq Ft
or multiplier
Square Footage
, or Bid Amount
Date Calculated
Type of Construction
Page I 01'2
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
ATTENTION: Or~M~ fAW't~,qu,lre8 you to
follow ~81b8 ado~'tl'Bo/\hIl'el'6gon Utility
n en .
-001-0010 through OAR 952-001-
0090. You may obtain colJijj~M~lifulWlijING
calling the center. (No~tfl'I' telephone
number for the Oregon i;.l'i~~
Center is 1-800 - ~-_.
Sidewalk Type:
DownspoutsiDrains:
Value
"
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00337
ISSUED: 03/18/2010
APPLIED: 03/18/2010
EXPIRES: 09/18/2010
VALVE:
Status
Issued
fC">'. -, <..
. 't."'~~ .~i-t, }(. '
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
"
Total Valne of Project
Fees PaiIU
Fee Description
+ 12% State Snrcharge
+ 5% Technology Fee
1st Appliance
Amount Paid
Date Paid
Receipt Nnmber
$9:48
$3,95
$79.00
3/18/10
3/18/10
3/18/10
1201000000000000244
1201000000000000244
1201000000000000244
Total Amonnt Paid
$92.43
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 Reauired Insoections ~
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
By signatnre, I state and agree, that 1 have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and I 'further certify that any and all work performed shall be done in accordance with
the Ordinances of the City of Springlield 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 Divisiou, Building Safety.
I further certify that only contractors and employees who 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 readable from the
street, that tbe permit card is located at tbe front of the property, and the approved set of plans will remain on the site at all
times during construction.
r..;:'-';'f '-,
'r'~~".; ,~
Owner or Contractors Signature
",","
Date
Pa2e 2 of 2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
1201000000000000244
Date: 03/18/2010
9:49:24AM
Job/Journal Number
COM2010-00337
COM2010-00337
COM20J 0-00337
Payments:
Type of Payment
ONLINE CHGS
cl{c:ccintl
Description
1st Appliance
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
79.00
9.48
3.95
$92.43
Amount Paid
KR
ONLINE
home Online
comfort
heating
Payment Total:
$92.43
$92.43
.,:,i~~~~:
',.f
)'), r
, ~:;~lt ~~~,~
. " '~~.'
:~';l,
Page 1 of 1
3/18/2010