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
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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":...
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Description Qty. I Ea. I Totar
flea~i'rig!Goollng:A;ppna.nc_es 0 0 0 ....... i" . '0';';' .,
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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
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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
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ceB lie. no.: 84164
Business Name: HOME COMFORT HEATING & AIR CONDITIONING INC
Contact:
Address: PO BOX 24205
Metro lie. no.:
City He. no.:
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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'
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Inspections Phone: 541-726,3769
This Authorization To Begin Work must be posted at\he job site until replaced by a Permit
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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
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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
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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:
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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
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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
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225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
'I :rotalYalue 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 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.
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$17,00 i . '
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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 ~
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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. .\, ..
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~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:
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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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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
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times during construction. '~~':r'~ f'~' .',,'-' .. . ..
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Owner or Contractors Signature
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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
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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