HomeMy WebLinkAboutPermit Mechanical 2010-6-4
SPRINGFIELD,'
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c City Of Springfield , '.
.1225 Fifth 51
Springfield, OR 97477
Phone: 541-726-3753
Email: permilcenter@ci.springfield.or.us
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Residential Mechanical Authorization To Begin Work
69600-BMC-10-00119
Approval Code: 004579 6/4/2010. 8:28 am
E-mailedTo:bethp@ehomecomfort.com
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o New Construction
I:R1 Addition/alteration/replacement
i CATEGORY OF.C.0.NSTRUCTION ''->:'' .- -"':'.' 0 I
001 or 2 family dwelling 0 Multi-family D Commercial 0 ~J:essory j i .
r. ';;;':di7" ,,:V .JOB.SITE INFORMATION'ANDtOCATI6N~j",,0ff'::-i-I'''' ·
Job Address: 4982 JASPER RD
CilylState/Z1P: SPRINGFIELD, OR 97478
Suite/bldg.lapt.no.:
Project Name: Darrell & Jaydine Knight
Cross Street/directions to job site: Turn RIGHT onto 42ND ST.Enter next
roundabout and take 3rd exit onto J
Tax map/parcel no.:
1802050000201
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We are installing two air handlers and a heat pump
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Name: Darrell Kniaht
Phone: 541-726-9324
Fax:
Emall:
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CCB Iic. no.: 84164
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Business Name: HOME COMFORT HEATING & AIR CONDITIONING INC'
Contact:
Address: PO BOX 24205
City/State/ZIP: EUGENE. OR 97402
Phone: 5413452838
Fax:
Email:
Metro lic. no.:
City Iic. no.:
Upon review and approval by your local jurisdiction, your pennit' will b~' e-mailed or faxed
within one business day, with instructions on how to schedule your inspection.
NOTE: This Authorization To Begin Work expires within 180 days if a permit is not obtained.
The local building department may determine that an Authorization To Begin Work is null
void if it does not meet applicable land use laws and local ordinances.
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Description aly. Ea. Total
Hea-tinQiCooling. Appliarfces " ::.y,:r" -'.'- ",,;"'1'f,' I
Heat Pump 1 $17.00 $17.00
Air handling unit 1 $17.00 $17.00
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First Appliance Fee $79.00
!VIecti~~ical:J:'9rmTt:F-ees " , / , ' .,. .:'..~/"
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Subtotal $113,00
State surcharge (12% of permil $1356
total)
Technology fee (5% of permit total) $5.65
TOTAL PERMIT FEE $132.21
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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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225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00716
ISSUED: 06/04/2010
APPLIED: 06/04/2010
EXPIRES: 12/04/2010
VALUE:
Status
Issued
SITE ADDRESS: 4982 JASPER RD
ASSESSOR'S PARCEL NO.: 1802050000201
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
PROJECT DESCRIPTION: Installation of two air handlers and a heat pump.
Residential
Owner:
Address:
KNIGHT DARRELL & JA YDINE L
4982 JASPER RD
SPRINGFIELD OR 97478
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I CONTRACTOR INFORMATION ~
Contractor Type
Mechanical
Contractor License
HOME COMFORT HEATING & AIR INC 84164
BUILDING INFORMATION ~
Expiration Date
06/25/201 ]
Phone
54] -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:'
\Vaier Typ~: '
Range Type:
Ellergy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1 st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
nla
I DEVELOPMENT INFORMATION ~
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
#~treet Trees Rqd:
'Pa~ed'iJtiveRqd:,'
".::~!f~ot~?Verage:
REQUIRED PARKING
Total:
_ Handicapped:
Compact: " ,
I PUBLIC IMPROVEMENTS , 0 on law requires you to
1\11~....nll reg ""JlnetQff'non Utility
Street Improvements: follow rules adoPtllm"';e'rui6~Vre set torlh
Storm Sewer Available: Notification center~=~!(VIliliii2"()01.
Speciallnstruction: In OAR 952-001"()0. . s ofthe rules by
NOTICE.' 0090. You may Otbta'"(NcoOt~~the telephone
II' 9 the cen er. . ificati n
Notes:L~IS PERMIT SHAll EXPIRE IF T ~~~~er fqr the. or~~g~~~~~~;. 0
COMMEN'CED ERMITt1S;NUr." , ',', I
ANY 180' OR IS ABANDONED prit)aluation Description I
. DAY PERIOD '
. $ Per Sq"Ft Square Footage
Description Type of Construction Value Date Calculated
or multiplier or Bid Amount
Page 1 of2
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Status
Iss u ed
225 Fifth Street, Springtield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspeetion Line
Total Value of. Project
Fees Paid _'
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Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Air Handling Unit Up to 10,000
Heat Pump
Amount Paid
$13.56
$5.65
$79.00
$17.00
$17.00
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Total Amount Paid
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$132.21', ."'. .,. . ." , '
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1i>1~~R~~iews ~
Date Paid
6/4/10
6/4/10
6/4/10
6/4/10
6/4/10
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00716
ISSUED: 06/04/2010
APPLIED: 06/04/2010
EXPIRES: 12104/2010
VALUE:
Receipt Number
2201000000000000629
2201000000000000629
2201000000000000629
2201000000000000629
2201000000000000629
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.
Reouired InsDe~
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Rough Mechanical: Prior to Cover
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 d9ne in accordance with
the Ordinances of the City of Springtield 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, Buildillg Safety.
I further certify that only contractors and employe~~.,,,:~~!are ,i.~.. compliance with ORS 701.005 will be used on this project.
I further agree to ensure that all required illspectiolls a~e requested at the proper time, that each address is readable from the
street, that the permit card is located at the front of"tli'e;proper'ty,.and the approved set of plans will remain 011 the site at all
times during construction. r;;!,
Owner or Contractors Signature
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Page 2 of 2
Date
225 Fifth Street
Springfield, 6regoit 97477
541-726-3759 Phone
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City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
2201000000000000629
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Date: 06/04/2010
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Job/Journal Number
COM2010-00716
COM20 10-00716
COM20 I 0-00716
COM2010-00716
COM2010-00716
Payments:
Type of Payment
ONLINE CHGS
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cRecciotl
Description
15t Appliance
Heat Pump
Air Handling Unit Up to 10,000
+ 12% State Surcharge
+ 5% Technology Fee
Item Total:
Authorization
Number How Received
Amount Due
79.00
17.00
17.00
13.56
5.65
$132,21 ,
Paid By
ONLINE PERMIT CHGS
, ,.,! Check Number
R.J~Fr'ed~'~y ~! :.:)Jatch IN umber
Amount Paid
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Page I of 1
ONLINE HOME Online
COMFORT
Payment Total:
$132.21
$132,21
6/4/2010