HomeMy WebLinkAboutPermit Mechanical 2010-5-26
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City Of Springfield
225 Fifth St.
Springfield, OR 97477
Phone: 541-726-3753
Email: permitcenter@ci.springfield.oLuS
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Residential Mechanical Authorization To Begin Work
69600-BMC-1 0-0011 0
Approval Code: 026345 5/26/2010 10:47 am
E.mailed To: bethp@ehomecomfort.com
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00 Addition/alteration/replacement
D New Construction
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,> :,CATEGORV OF.CClNSJRUCTION"?
[Z) 1 or 2 family dwelling
D Multi-family D Commercial
D' Accessory
."~ jPB,SITE'INFORMA TION ANEl',",OC:A TION.: :
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Job Address: 4887 B ST
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CityfStatefZIP: SPRINGFIELD. OR 97478
Suite/bldg.lapt.no.:
Project Name: Molder
Cross Street/directions to job site: Turn RIGHT onto 49TH ST.Tum LEFT onto B
ST.
Tax map/parcel no.:
1702324100213
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. DESCRII:TJON 6FWOR~;.:]~::;r~~:3ic. "';'z.,~~'(;
We are installing two air handlers and a heat purnp
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Name: Denise Molder
Phone: 541-744~1715
Fax:
Email:
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CCB lie. no.: 84164
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Business Name: HOME COMFORT HEATING & AIR CONDITIONING'lNC-'
Contact:
Address: PO BOX 24205
City/State/ZIP: EUGENE, OR 97402
Phone: 5413452838
Fax:
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Email:
Metro Iic. no.:
City IIc. no.:
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Upon review and approval by your local jurisdiction, your permit will be e-mailed or fa:lled
within one business day, with instructions on how to schedule your inspection.
NOTE: This Authorization To Begin Work e:llpires within 180 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 meel applicable land use laws and local ordinances,
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Description
""J H,e'~tihgJCbolihg'Applianc;~~
Heat Pump
Air handling unit
M'lni"!pm,Fees""
First Appliance Fee
M~_c~~nical PermitJ~I~t~~
Subtotal
State surcharge (12% of permit
total
Technology fee (5% of permit total)
TOTAL PERMIT FEE
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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
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$17,00
$17.00
$79.00
$113.00
$13.56
$5,65
$132.21
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM20IO-00680
ISSUED: OS/26/2010
APPLIED: OS/26/2010
EXPIRES: ll/26/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 4887 B ST ",,~pringfield TYPE OF WORK: Heating System
ASSESSOR'S PARCEL NO.: 1702324100213 ,,',~''';, ? ,-
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Install two air handlers and a heat pump
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Owner: MOLDER DAVID L & DENISE M
Address: 4887 B ST
SPRINGFIELD OR 97478
Phone Number: 541-744-17]5
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Mechanical
Contractor License
HOME COMFORT HEATING & AIR INC 84164
HOME COMFORT HEATING"&'AIR'INC 84164
BUILDING INFORMATION I
Expiration Date
06/25/2011
06/25/2011
Phone
(54]) 345-2838
541-345-2838
# 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: '
c' <<'/ ..',.'
Sprinkled Building;
Lot Size:
Sq Ft ] st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVEiOPMENTlNFORMATlON I
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
)
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARK]NG
Total:
Handicapped:
Compact:
Street Improvements:
PUBLIC IMPROVEM : regon law requires you to
"'. ., r~les adopted by the Oregon Utility
, , .::." otllcatlon ~lImeak~ rules are set forth
, ; ;' In OAR 952-001-0010t~fAu,g~ OAR 952-001-
" . 0090.. You mllV"~PcllKtficl"Pies 6f the rules b
calling the center. (Note: the telephone Y
number for the, Oregon Utility Notification
Center IS 1-800-332-2344),
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Storm Sewer Available: ,,. "":" "'''"
Special Instructi<;l.n; ,
NOTllJE: THE WORK
Notes: THIS PERMIT SHALL EXPIRE IFRM1T IS NOT
,\UTHORIZED UNDER THIS PE
COMMENCED OR IS ABANDONED FOR
AI~Y i 80 DAY PERIOD.
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Status' Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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I Valuation Description I
Descrintion
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Tvpe of Construction
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",Total'Value of Project
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Fee Description
+ 12% State Surcharge
+ 12% State Surcharge
+ 5% Technology Fee
+ 5% Technology Fee
1st Appliance
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Air Handling Unit Up to 10,000
Heat Pump
Amount Paid
Date Paid
$7,32
$13.56
$3,05
$5,65
$79.00
$55.00
$6.00.
$17.00 .
$17.00
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5/26/10
5/26/10
5/26/10
. .,5/26/10
5/26/10
5/26/10
5/26/10
5/26/10
5/26/10
Total Amount Paid
$203.58
Plan Reviews I
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00680
ISSUED: OS/26/2010
APPLIED: OS/26/2010
EXPIRES: 11126/2010
VALUE:
Value
Date Calculated
Receipt Number
2201000000000000580
2201000000000000579
2201000000000000580
2201000000000000579
2201000000000000579
2201000000000000580
2201000000000000580
2201000000000000579
2201000000000000579
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To Request an inspection call the 24 hour!:.eiQ!d.mg:~t 726-3769. All inspections requested before 7:00
a.m. will be made the same working day, i"fjfpc~'ctio1isrequested after 7:00 a.m. will be made the following
work day.'"
L..P-e(]lIire~nsnections ~
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
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CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
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PERMIT NO: COM2010-00680
ISSUED: OS/26/2010
APPLIED: OS/26/2010
EXPIRES: 11/26/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
information bereon 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 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 the permit card is located 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
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225 Fifth Street
Springfield, Oregon 97477
541-726-3,759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
2201000000000000580
Date: OS/26/2010
(:(2:06PM
Job/Journal Number
COM20 10-00680
COM20 I 0-00680
COM20 1 0-00680
COM20 1 0-00680
Payments:
Type of Payment
ONLINE CHGS
cReceintl
Description
Add, Alter, Extend Clrc
Add, Alter, Extend Clrc Ea Add
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
ONLINE PERMIT CHGS
Amount Due
55.00
6.00
7.32
3.05
$71.37
Item Total:
Check Number Authorization
Re,~eived ~y Batch Number Number How Received
Amount Paid
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$71.37
. . ONLINE HOME Online
COMFORT
Payment Total:
$71.37
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