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HomeMy WebLinkAboutPermit Mechanical 2010-6-17 City Of Springfield 225 Fifth St. Springfield, OR 97477 Phone: 541-726-3753 Email: permitcenler@ci.springfield.or.us &0.733 Residential Mechanical Authorization To Begin Work 69600-BMC-10-00138 Approval Code: 017681 6/17/2010 12:21 pm E-mailed To: bethp@ehomecomfortcom , .JOB SlfE INFORMATION AND'LOCATION":... '0 c:;. ~v,ohc:. 'FEE:~'9flEDULE;','4..;;.~ . 47 ....... ....'0. Description Qty. I Ea. I Totar flea~i'rig!Goollng:A;ppna.nc_es 0 0 0 ....... i" . '0';';' ., , " Heal Pump 1 $17.00 $17.00 . Air handling unit 1 $17.00 $17.00 Miriif!1um Fees~- "" " L'; ': co, . " o .~..; 0 First Appliance Fee I $79.00 Me_~~~~h:~l-Permi~;FEtes '0';', .. .:: .~,{ ",':. .... Subtotal $113.00 State surcharge (12% of permit $13.56 lotaP Technology f~e (5% of permit total) $5.65 TOTAL PERMIT FEE $132.21 D New Construction [R] Addilion/alteralion/;eplacement :d::ATE'G(jRY~OF 'CONSTFlJ'9.f1bN';;;~n,;"'~o. 001 or 2 family dwelling D Multi~family D Commercial 0 Accessory Job Address: 430 S 69TH PL City/State/ZIP: SPRINGfiELD, OR 97478 Suite/bldg./apt.no. : Project Name: Lori Coleman Cross Street/directions to job site: Turn LEFT onlo MAIN ST/MCKENZIE HWY/OR-126.Turn RIGHT onto S 69TH PL . ,. Tax map/parcel no.: 1702353301700 We are installing two air handlers and a heat pump h!/SjTE C6~JI\CT: ~'~ f\'~~' ",,', Fax: ". ~~: C0~TRAC,tOR' ~., ~-.. ceB lie. no.: 84164 Business Name: HOME COMFORT HEATING & AIR CONDITIONING INC Contact: Address: PO BOX 24205 Metro lie. no.: City He. no.: ~ ~ ~t\(rJ~ \9:1I ~\O \.9.\1) Y ~~ ~ City/State/ZIP: EUGENE, OR 97402 Phone: 5413452838 Fax: Email: Upon review and approval by your local jurisdiction, your permit will be a-mailed or faxed within one business dilY, with instructions on how to schodule your inspection. NOTE: This Authorization To Begin Work expires within 180 days if a permit is not obtained. The local building department milY determine that an Authorization To B.~~.7.~.~,:,.t~":o.~~ ~F.i..."",.~I~ an~ void if it does not meet applicable Iilnd use laws ilnd local ordinances. ,'0' P"'" .:...,' Con0.0j 0 Co - n~ \0 Oo)~3 f'-h ',<, , ~:~'.. r:t:. Inspections Phone: 541-726,3769 This Authorization To Begin Work must be posted at\he job site until replaced by a Permit ; ..JJ"-' I": .1 , ~:- (:"'~,,: ':::>,' CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00783 ISSUED: 06/17/2010 APPLIED: 06/17/2010 EXPIRES: 12/17/2010 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line ~-~.;.~: .......~.... .~.'" , ;,.I~/ " SITE ADDRESS: 430 S 69TH PL ASSESSOR'S PARCEL NO.: 1702353301700 Springfield TYPE OF WORK: Heating System TYPE OF USE: New PROJECT DESCRIPTION: Installing two air handlers and a heat pump Residential Owner: COLEMAN LORI L Address: 430 S 69TH PL SPRINGFIELD OR 97478 Phone Number: 541-741-0806 _ !.'...., Contractor Type Electrical I CO'NTRACTOR INFORMATION , Contractor License HOME COMFORT HEATING & AIR INC 84164 BUILDING INFORMATION I Expiration Date 06/25/2011 Phone (541) 345-2838 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: '.~"',l'" ,,,.~ .,"- .. ,. . Heighfof Structure '1'91>e or'Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMENT INFORMATION I REQUIRED PARKING Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Total: ATTENTION: Oregon la't'l.rIlIl~IIIlPEW!u to follow rules adopted by tI!lRtfiliftlQon Utility Notification Oenter. Those rules are, set forth in OAR 952-001-0010 through OAR 952-001. 0090. You ma obtain co ies of the rules I PUBLIC IMPROVEMENTS~alling the center. (Note:. the te ~p o~e JrTlber for the Oregon Ulilrty Notification Slae\Val~::rype:lO-332-2344) . Overlay Dist: '" # Street Trees Rqd: Paved ,Drive Rqd: , ' '" ' % of Lot Corerage: ".:"',.l....f I .," Street Improvements: Storm Sewer Available: Special Instruction: Downspouts/Drains: Notes: ',QTICE: \FTHeWl:),R~:' t'HIS PERMIT SHALL EXP~E ";, 'QT"" AUTHORIZE I Ut I' "'" . -. . COMMENCED OR IS ABANpV~~n~~ Description I ANY 180 DAY PERIOD. ' , $ Per Sq Ft Square Footage Type of ConstructIOn I' I' B'd A or mu tip lef Of I mount Value Date Calculated Description Paee 1 ~f 3 '.: :\'" CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00783 ISSUED: 06/17/2010 APPLIED: 06/17/2010 EXPIRES: 12/17/2010 VALUE: Status Iss u ed .' n..: ,",' 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 'I :rotalYalue of Project ::.:,,1: .i: .~ nf" Fee Description + 12% State Surcharge + 12% State Surcharge + 5% Technology Fee + 5% Technology Fee 1st Appliance Add, Alter, Extend Circ Add, Alter, Extend Clrc Ea Add Air Handling Unit Up to 10,000 Heat Pump Amount Paid Date Paid Receipt Number $7.32 $13.56 $3.05 $5.65 $79.00 $55.00 $6.00 $17.00. " f.~~' . $17,00 i . ' '"! " , . . ,. . ~ t, 6/17/10 6/17/10 6/17/10 6/17/10 .6117110 6/17/10 6/17110 6/17/10 6/17110 3201000000000000309 3201000000000000312 3201000000000000309 3201000000000000312 3201000000000000312 3201000000000000309 3201000000000000309 3201000000000000312 3201000000000000312 Total Amount Paid $203.58 I Plan Reviews ~ ;t ,l~{.:,'d';':iqw, . : " . To Request an inspection call the 24 hour r3!s.9,rt!lniu1t, n(j-3769. All inspections requested before 7:00 a.m. will be made the same working day, i~lli~ct:ii,~;r.equested after 7:00 a.m. will be made the following work day. .\, .. ., ~eClllirerUnsnections I Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is c~mplete: .. '.' , I. ".'t . ,,',' ,;;; ~'" .' . !;,{~JJ1;: '~th;~,f;,P.il;.;' "", ~. L' .!~;~i:!~~~' 1', {h~:~ " ,')f ,. Paee 2 of 3 '. '~!ir; , , Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 1. ." "'" i~ o. . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00783 ISSUED: 06/1712010 APPLIED: 06/17/2010 EXPIRES: 12/1712010 VALUE: 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 fnrther 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 structnre withont permission of the Community Services Division, Buildiug 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,~equested,at the proper time, that each address is readable from the street, that the permit card is located at the front of,lh'i':p''OP'eHy, and the approved set of plans will remain on the site at all , ",bot, ....... ,.:, '~-' ,. times during construction. '~~':r'~ f'~' .',,'-' .. . .. .~~.+~~'~' Owner or Contractors Signature ~~':'f; . :/, '~';; ",'" , " . '( 11 'E 'f; i \ r' It, ,~ . {\ '. ". (.:;.\)~~/ "i~q:,'.~~.)!' . t -. ::{~~':1" ',.:;:1. Paee 3 of3 ~.;::l~ " :;;,~'.~., ~ Date 225 Fifth Street Springfield, Or'egon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 3201000000000000312 Date: 06/17/2010 I:S2:I3PM Job/Journal Number COM20 I 0-00783 COM20 I 0-00783 COM2010-00783 COM201O-00783 COM20 1 0-00783 Payments: Type of Payment ONLINE CHGS cReceintl Description 1st Appliance Air Handling Unit Up to 10,000 Heat Pump + 12% State Surcharge + 5% Technology Fee Paid By ONLINE PERMIT CHGS . Check Number Received By Batch Number NJM , f<~) ~ ~ ;'1'" . ,U ., -.~.",,,,,*- .-, Page 1 of 1 Item Total: Authorization Number How Received Amount Due 79.00 17.00 17.00 13.56 5.65 $132.21 Amount Paid ONLINE HOME Online COMFORT Payment Total: : $132.21 $132.21 6117/2010