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Home My WebLink AboutPermit Mechanical 2010-4-29 ~ .~' I. .;. City Of Springfield 225 Fifth SI. Springfield. OR 97477 Phone: 541-726-3753 Email: permitcenter@ci.springfield.or.us Residential Mechanical Authorization To Begin Work 69600-BMC-10-00077 Approval Code: 029417 4/29/2010 11:02 am E-mailedTo:bethp@ehomecomfort.com ~::~:7;;>> ~. .'c-f'- . ., T'/:J'EOE.WORK....i: ~'" -~'-'. c __""~,_" o New Construction ~ Addilion/alterationlreplacement -:.;. ....yCATEGORYOF.CONSiBuctl(yN~...~< ,. [Rl1 or 2 family dwelling 0 Murti-family D Commercial D Accessory ..JOB SITE.INFORMA TION'Ar'iO'l.OCA liON .;c,._',. Job Address: 500 58TH ST City/State/ZIP: SPRINGFIELD, OR 97478 Suitelbldg./apt.no.: Project Name: Steve Barret Cross Street/directions to job site: Turn LEFT onto MAIN ST/MCKENZIE HWY/OR-126.Turn LEFT onto 58TH ST, Tax map/parcel no.: 1702331405600 ;~ ~DESCRIP,TI6N:Oc~WORK We are installing two air handlers and a heat pump , . ~. SITECONJ-!'-CT:.., ~;,,';"--! >t. C' Name: Sieve Barret Phone: 541-747-9889 Fax: Email: .... CONTRACTOR' ':: . cce lie. no.: 84164 . filM FORT HEATING & AIR CONDITIONING INC' . .1' Contact: Address: P C;tyIStat.'ZI)\f1lIf3~'80ce 1'f.'(4f2ER 10 D. Phone: 5413452838 Fax: Emall: Metro lie. no.: City lie. no.: " " Upon review and approval by your local Jurisdiction, your permit wlll,~ lie .,e-malled or faxed within one business day, with Instructlons on howtoschedule your Inspection. ,', ~'1 " .1 C,ID- S~~ Description Heatin9i99oifng~Ap'pJi~,n~'esj Heat Pump Air handling unit Minirrlum',Fees First Appliance Fee M~~hanif~I_F~rm.ft. fee's Subtotal Stale surcharge (12% of permit lotal Technology fee (5% of permit total) TOTAL PERMIT FEE $17.00 $17.00 $79.00 ~, \i.',. $113.00 $13,56 $5.65 $132.21 ~~O-@6 ~ 4/LQflo ..1 i.:" ATIENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Nollfication Center. Those rules are set forth In OAR 952-Q01-()010through OAR 952-001- 0090. You may obtain copies of the rules by calling the center. (Note: the telephone number for the Oregon Utility NotilicaUon Center is 1-800-332-2344). '&> ~-0 ~ r:v0 ~ \-0' NOTE: This Authorization To Begin Work expires within 180 daY$lf a permit Is not ~blaJned. The local building department may dlrtermlne that an Authorization To Begin Work Is null and void If It does not meet applicable land use laWl> and local ordinances. ~ \.;\;) O''\. Q ~':j ~~ ~ ~ 1'1<.'. Inspections Phone: 541.726.3769 This Authorization To Begin Work must be posted at the job site until replaced by a Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line '...., .(~~ ',' . SITE ADDRESS: 500 58TH ST ASSESSOR'S PARCEL NO.: 1702331405600 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00S32 ISSUED:, 04/29/2010 APPLIED: 04/29/2010 EXPIRES: 10/29/2010 VALUE: Springfield TYPE OF WORK: Heating System Residential TYPE OF USE: New PROJECT DESCRIPTION: Installing 2 air handlers and one heat pump in residence. Owner: Address: TRUST DATED 7/12/07 500 58TH ST SPRINGFIELD OR 97478 I CONTRACTOR' INFORMATION , Contractor Type Mechanical Contractor License HOME COMFORT HEATING & AIR INC 84164 BUILDING INFORMATION ~ # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Constructio~ Type Secondary Construction Type: # of Bcdrooms: # of Stories: Height of Structure Type of lie~t: Water Type: ::Riiiige TYpe: E'n'~rgy Path: Sprinkled Bnilding: Expiration Date 06/25/2011 Phone 541-345-2838 n/a Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: I DEVELOPMENT INFORMATION I Front yard Setback: Overlay Dist: Side I Setback: # Street Trees Rqd: Side 2 Setback: e. ~~otWive Rqd: Rearyard Se*li}k'C~. S\-l~\.l EXPIRE If 1\-1 IS "Nbf Coverage: Solar Setbac'1'\:I\S PERMIT R l\-11S PERMIT IS , " ' ~OMMENCED OR \S AS PUBLIC IMPROVEMENTS Street Improv,e,(tj'e'nls'?O DAY PERIOD. ' Storm Sewer Available: Special Instruction : Notes: .: I va'u~~iorib~:~ription ~ . ". ~ ,. Description $ Per Sq 'Ft or multiplier Square Footage or Bid Amount Date Calculated Type of Construction Paee I of 2 REQUIRED PARKING Total: Handicapped: ATTENTION: Orego~'lmtJI'e~ulreS you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth 0090. You may obtain copies of the rules bV ~l.il)gthll ~r:rt~r. (Note: the telephone nuiflBllrftlf tlHfOTegon Utility Notification Dow~)I!lMl/;l\l-332-2344). Value Status Issued ',:,:":; CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM20IO-00S32 ISSUED: 04/29/2010 APPLIED: 04/29/2010 EXPIRES: 10/29/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line ':~T~i;'I\~1ii';e'of Project .':Y::. "i 'I~F~es P;id I Fee Description + 12% State Snrcharge + 5% Technology Fee 1st Appliance Air Handling Unit Up to 10,000 Heat Pump Amount Paid Date Paid Receipt Number $13.56 4/29/10 1201000000000000390 $5.65 4/29/10 1201000000000000390 $79.00 4/29/10 1201000000000000390 $17.00 ,4/29/10 1201000000000000390 $17.00 4/29/10 1201000000000000390 Total Amount Paid $132.21 "1 'Pl~n Revi~~s ~ 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. ..._.. ""'.' . " -:'>~h ,..:f ~ It,;;" "! Reouired InsDections I '~f" . Rough Mechanical: Prior to Cover . Final Mechanical: Wheu 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 Springfield 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' co';'pliance 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 the permit card is located at thefronfor'tlie property; and the approved set of plans will remain on the site at all times during construction. ' . I "' .' Owner or Contractors Signature Date <<-.>l!' :;?:,.11;~'~'" !,~~~i~J ..~ j'r;ir; " ""1 . -'j Page 2 of 2 6Lj:;:......~ ...... WI:.~. ..' '6) . .. ,." .. .,,' . ~ '"\ ..-.-..... --,........- City of Springfield Official Receipt Development Services Department Public Works Department 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone RECEIPT #: 1201000000000000390 "" " 1I:10:31AM Date: 04/29/2010 Job/Journal Number COM20 I 0-00532 COM20 I 0-00532 COM20 I 0-00532 COM20 I 0-00532 COM20 I 0-00532 Payments: Type of Payment ONLINE CHGS cReceintl Description 15t Appliance Air Handling Unit Up to 10,000 Heat Pump + 12% State Surcharge + 5% Technology Fee Amount Due 79.00 17.00 17.00 13.56 5.65 $132.21 Paid By ONLINE PERMIT CHGS ,'"... ...,...."..:.CheckNumber R:ec~ived By Batch Number Item Total: Authorization Number How Received Amount Paid $132.2 I KR ONLINE HOME Online COMFORT HEATING & AIR Payment Total: $132.21 : ~ ~" ''1,:-- ,J' , ,.~,' ' -.,'-...-..,.. ......-. ,....... .~- . . "~.~". ....~ ",....., , 8~\;, ;. .' . -,':.'" ':."~;.: ~~~,: H .f; Page I of I 4/29/20 I 0