HomeMy WebLinkAboutPermit Mechanical 2010-4-15
o New Construction
[K] Additionfalteralion/replacement
C I() - 4to9.
Residential Mechanical Authorization TO Begin Work
69600-BMC-10-00071
Approval Code: 015214 4/15/2010 9:55 am
E-mailedTo:bethp@ehomecomfort.com
City Of Springfield
225 Fifth St.
Springfield, OR 97477
Phone: 541-726-3753
Email: .permitcenler@ci.springfield.or.us
!Z]1 or 2 family dwelling
D Multi-family 0 Commercial
o Accessory
Description
He~~0!i~g/~c?"9tiD9.Applia~~.e~, L~~"+if~2">
Heat Pump
Minim'un:(j:~e's
First Appliance Fee
~echaf1!4~r Permit Fees ~,
$1700
rii"~~',J:'i:n 1~OBSliE'IN~.6RMA TlON AND.l:6cA !ION' :F'
$79.00
Job Address: 956 A ST
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CityfStatelZIP: SPRINGFIELD. OR 97477
Subtotal
Slate surcharge (12% of permit
total
Technology fee (5% of permit total)
$96.00
$11.52
Suitefbldg./apt.no. :
Project Name: Jody Himber
Cross Street/directions to job site: Turn RIGHT onto PiONEER PKWY W.Turn
LEFT onto A ST.
TOTAL PERMIT FEE
$4.80
$112.32
Tax map/parcel no.:
1703354203500
We are installing a air handler and a heat pump
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'SITE'CONTACT ::~."
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Name: Jodv Himber
Phone: 541-607-9319
Fax:
Email:
c, :-:,:..t'~":CQNTRACTOR
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cce Iic. no.: 84164
Business Name: HOME COMFORT HEATING & AIR CONDITiONING INC
Contact:
Address: PO BOX 24205
City/State/ZIP: EUGENE, OR 97402
.,
Phone: 5413452838
Fax:
Email:
Metro lie. no,:
City IIc. no.:
Com20/0 -
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Upon review and approval by your local jurisdiction, your permit will be a-malled or faxed
within one business day, with instructions on how to schedule your inspection.
NOTE: This Authori.;>:ation To Begin Wor1<; expires within 160 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.
Inspections Phone: 541-726-3769
This Authorization To Begin Work must be posted at the job site until replaced by a Permit
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM201O-00469
ISSUED: 10/15/2010
APPLIED: 04/15/2010
EXPIRES: 04/15/2011
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 956 A ST
ASSESSOR'S PARCEL NO.: 1703354203500
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Install Heat Pnmp & Air Handler
Owner: HIMBER JODY E
Address: 956 A ST
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION ~
Contractor Type
Mechanical
Contractor
HOME COMFORT HEATING & AIR INC
License
84164
Expiration Date
06/25/2011
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 Structnre
. .Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
SqFt 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION ~
REQUIRED PARKlNG
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist: Total:
# Street Trees Rqd: Handicapped:
Paved Drive Rqd: Compact:
0' f LtC'. ' S "ou to
, ,..;00 0 o;erage. on laW require , Utility
, EN110N: Oreg d b~ tM o~e~~nset \orln
PUBLIC IMPR 'S nter. '0 t~r~ugh- OJ\R 952\- "\~
~-OO~ . oll\"1e ru e,
In O;.,p. 95 ~a'l ob\We"qfIlfi~l!~elephone
0090. 'Iou tet. tNote,.. 'i' iiica\\on
calling tne cen cig1Y~~M\I'tsIDrgfns:
IlIberlort\18, r _800-332-2344),
IIU center IS ~ ,
Ce. IF 1\1\::\N.Gh ,
NOlI j;.. P,LL \:)(\'IR~r 'ySiNGl \"
\11 UND\: Iv ' - I'D;', .,
P,Ul\10RI2~~D OR \S Jl,BJI,ND~~~uation Description ~
COMM\:N 'v p\:RIOD. .
'NY ~ p,n [)n' $ Per Sq Ft
" Tvlll( 01 Construction
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Description
Paee I of 2
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
,;" ':
;qotalNalue of Project
. .,',
[ . Fees Paid ,
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Heat Pump
Amount Paid
Date Paid
$11.52
$4.80
$79.00
$17.00
4/15/10
4/15/10
4/15/10
4/15/10
Total Amount Paid
$112.32 .
1f>lan Reviews ~
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM20IO-00469
ISSUED: 10/15/2010
APPLIED: 04/15/2010
EXPIRES: 04/1512011
VALUE:
Receipt Number
. 3201000000000000153
3201000000000000153
3201000000000000153
3201000000000000153
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.
: ..,
Remiired'lri'sDections ,
,. ,'.' ..~ ~',
Rough Mechanical: Prior to Cover It:,'
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
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 Division, Building Safety.
I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on tbis project.
] 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!he'property,'and the approved set of plans will remain on the site at all
times during construction. 't, ' i . "
Owner or Contractors Signature
. ..- .'\.~,-
;:ti.., 1:....:.
.,:.
Pa~e 2 of2
Date
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Publie Works Department
RECEIPT #:
3201000000000000153
Date: 04/15/2010
IO:09:59AM
Job/Journal Number
COM20 1 0-00469
COM20 1 0-00469
COM20 1 0-00469
COM20 1 0-00469
Payments:
Type of Payment
ONLINE CHGS
cReceintl
Description
1 st Appliance
Heat Pump
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
ONLINE PERMIT CHGS
;.\
Amount Due
79.00
17.00
11.52
4.80
$112.32
Item Total:
Check Number Authorization
Received By Batch Number Number now Received
Amount Paid
njm
$112.32
ONLINE
home In Person
comfort
Payment Total:
$112.32
. .,:
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Pa.ge 1 of 1
4/15/2010