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HomeMy WebLinkAboutPermit Mechanical 2010-5-26 .. t'): City Of Springfield 225 Fifth St. Springfield, OR 97477 Phone: 541-726-3753 Email: permitcenter@ci.springfield.oLuS c/O. 03() 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 '.,.. 1 .,. 00 Addition/alteration/replacement D New Construction ;'''-('-' ,> :,CATEGORV OF.CClNSJRUCTION"? [Z) 1 or 2 family dwelling D Multi-family D Commercial D' Accessory ."~ jPB,SITE'INFORMA TION ANEl',",OC:A TION.: : i;;; Job Address: 4887 B ST .1 ",; 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 'P. . DESCRII:TJON 6FWOR~;.:]~::;r~~:3ic. "';'z.,~~'(; We are installing two air handlers and a heat purnp ,:; " :2.:_-t',~~~;;'$iTE'C0~J.~~I~'~;;J:~~~~i~!::_ f-' -,.~ ~~, Name: Denise Molder Phone: 541-744~1715 Fax: Email: Ci.:.:.__'", .,c.oNfRAQWR CCB lie. no.: 84164 . ~ r,;,"; ., Business Name: HOME COMFORT HEATING & AIR CONDITIONING'lNC-' Contact: Address: PO BOX 24205 City/State/ZIP: EUGENE, OR 97402 Phone: 5413452838 Fax: ,. . Email: Metro Iic. no.: City IIc. no.: ~ ,~':':1:' - 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, &n12010 -- CXfo60 5"'5<&-/0 nfY'l \ '~'~'I .,7;"" 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 ! ~ ' A., ., .~ .' #- \. -,,~ 0' ~ \sif:/; ~~\\) ~)"v ~ \\-~ J- '1" Inspections Phone: 541-726.3769 This Authorization To Begin Work must be posted at the job site until replaced by a Permit ;,; - "'< ~ $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 i '_.., ~. 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), .;"i' . 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. !~':.;~~'- ,~) ;~~ ,,;'; !;P~~l .I\I(..ri'5;: ........- :.""''''' 1..-",-,-,_. ~,-'.O;f:' ;-:~rlJi .",", ' Page I of 3 L',' '.~ Status' Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line ,,-,,' I Valuation Description I Descrintion $ Per Sq Ft or multiplier Square Footage or Bid Amount Tvpe of Construction ~ .1.-", _. ,". ;'; ,; " . ' :.' i' ...., ",Total'Value of Project .~ 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 , '. 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 t'~)h' ~: ~;,... 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 . iJ(> 'r"''''o',, P 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. "' C ,\ ~n.' Paee20f3 , ~.,.~~. '~;.l~fti. ~\'F~~'r_~lr" '\'~,'" CITY OF SPRINGFIELD Building/Combination Permit Status Issued H~,."t~r\, ".lV'Y :,"':~ . '!<~'~1:'~~U; ,: ~g; ., :>~'i.'f , "' " 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 ~ '. - . ~,,~~.:J ,'~:-',~l '''''':.~:''':~ "...;:,...;,.~~~ t~'; . ','-.", I. ,~;;;;L2'; 'l; ';-:;.j' ',", ; '.:\~~,: r .": __";:1 . r, . 1 1 ~:::. , ~'d;"~3r . . , " . ';>j'.:>e~' ..';.::"" "';:J;~"T!\".', ,'. ~"'1':7, . o:,:~~t .,.,< ~.i~~,? _r;\c.' :q,"'~-' .',. \ ~ p'a2e 3 of 3 ; ,'. , ~I' 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 NJM ." '(" $71.37 . . ONLINE HOME Online COMFORT Payment Total: $71.37 "t I.t' ,}; >'.:1 ~. .; ,,:':.1\'] ~';;'~.~'.;' . " "..' .~.."-, ..,-"-,,... tl;;:) ..;. t Page I of I 5/26/20 J 0