HomeMy WebLinkAboutPermit Mechanical 2007-6-1 (3)
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~ITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2007-00788
ISSUED: 06/01/2007
APPLIED: 05/31/2007
EXPIRES: 12/01/2007
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2093 DONNELLY DR
ASSESSOR'S PARCEL NO.: 1703271303600
Springfield
TYPE OF WORK: Heating System
TYPE OF USE: Alteration
Residential
PROJECT DESCRIPTION: Install heat pump
Owner: KIVELA JERRY A & CHRISTINA L
Address: 2093 DONNELLY DR
SPRINGFIELD OR 97477
I ....v" I RACTOR INFORMATION I
Contractor Type
Mechanical
Contractor
HOME COMFORT HEATING & AIR
License
84164
Expiration Date
06/25/2007
Phone
541-345-2838
BUILDING INFORMATION I
# 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:
Sprinkled Building:
Lot Size:
Sq Ft I st 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
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspouts/Drnins:
Notes:
I Valuation Descriotion I
Description
Tvpe of Construction
. $ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee I of2
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fee Description
-Mechanical Issuance Fe.....
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Air Handling Unit Up to 10,000
Heat Pump
Minimum/Adjustment Mechanical
'Total Amount Paid
.
Total Value of Project
~
Amount Paid
$10.00
$4.50
$2.25
$3.60
$8.00
$12.00
$25.00
$65.35
I Plan Reviews I
Date Paid
6/1/07
6/1/07
6/1/07
6/1/07
6/1/07
6/1/07
6/1/07
.CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-00788
ISSUED: 06/01/2007
APPLIED: 05/31/2007
EXPIRES: 12/01/2007
VALUE:
Receipt Number
2200700000000000876
2200700000000000876
2200700000000000876
2200700000000000876
2200700000000000876
2200700000000000876
2200700000000000876
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.
~ns.n~~tions.1
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
By signature, 1 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 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.
1 further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. 1
further agree to ensure that all required inspections are requested at the proper time, that each address is rendable 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
Page 2 of2
Date
City of Springfield
_hanical Authorization To Begin wor"
E-mailed.To:christinab@ehomecomfort.com
Receipt # EC51199\
5/31/20071:54:42 PM
~
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
TYPE OF WORK
I 0 New construction
lKJ Addition/alteration/replacement
CATEGORY OF CONSTRUCTION
I [i] I or 2 family dwelling
D Multi-family
o Accessory Building
I JOB SITE INFORMATION AND LOCATION
IJob no.: RR362277 IJob add",,: 2093 DONNELLY DR
IClly/StatefZlP: SPRINGFiELD, OR 97477-1995
I SuilrJbldgJapl.no.:
I Project name: BARKER/RIVELA
Cross street/directions to job sUe:
ISubdivision:
ITaJ. map/parcel no.;
I Lot no.:
1703271303600
DESCRIPTION OF WORK
I
INSTALL HEAT PUMP
SITE CONTACT
I Name: RICHARD
I Phono: (541 )744-3940
I Email:
I
I Fax: 744-3940
CONTRACTOR
IceD lie. no.: 84164
I Business Name: HOME COMFORT HEATING & AIR CONDITIO
I Contact: CHRIS
IAdd"'" PO BOX 24205
I CllylStatefZlP: EUGENE, OR 97402
I Phone: (541 )3452838 I Fax: (541 )3023069
I Email: chrislinab@ehomecomfort.com
I Mtlro lie. no.: I City lie. no',:
Upon review and approval by your local jurisdiction, your
penntt will be o-malled or faxed within ono buslnes8 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 and void If It does not
meet applicable land use laws and local ordinances.
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not offered online at this jurisdiction I
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$12,001
not offered online at this jurisdiction I
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FEE SCHEDULE
Q.y.
Description
Heatingl~ling appliances
Furnace. up to 100,000 BTU
Furnace. above 100,000 BTU
Ea.
Electric Furnace
Duct alterations and additions
Gas heater units/ in-wall, in-
duct susoended. etel
Vent. nue, liner for above
Air Conditioner
Heat Pump
Air Handler
Olher fuel burning appliances
Water heater
Gas fireplace/insert/slove
Gas logllog lighter
Gas clothes dryer
$12,00
Gas stove/range
Pool or spa heater. kiln
Wood/pellet stove/insert
Wood fireplace
I Chimneyllinertnuelvent w/o
I aooliance
I I Environmental elhaust AND ventilation
I I Range hood
I Clothes dryer exhaust
I I Single-duct exhaust (bathrooms,
I toilet compartments. utility
rooms)
I I Attic/crawlspace fans
I I Fuel piping
I I upto first 4 outlets(enter Qty='I)
'. I each additional outlet
1 I MECHANICAL PERMIT FEES
I:
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. City Of Springfield
$10 Issuance Fee
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SUbto..11 $12,00 I
, Minimum fee used instead of Subtotal $45.00 I
State SurchaTJte (8% ofpennil reel I $3.60 I
Ci!,:OrS~rin~rieldrees;j $16.75 I
TOTAL PERMIT FI:I: I $65,35 I
10% Local Admin Fee; 5% Local Technology Fee;
This Authorization To Begin Work must be posted at the job site until replaced by a Permit.
225 Fifth Street
Spri9gfleld, Oregon 97477
541-726-3759 Phone
..~
.;~
Wit
CiIw'f Springfield Official Receipt
~opment Services Department
Public Works Department
Job/Journal Number
COM2007-00788
COM2007-00788
COM2007-00788
COM2007-00788
COM2007-00788
COM2007-00788
COM2007-00788
Payments:
Type of Payment
RECEIPT #:
2200700000000000876
Date: 06/0112007
Description
Air Handling Unit Up to 10,000
Heat Pump
Minimum/Adjustment Mechanical
-Mechanical Issuance Fee-
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
ONLINE CHGS ONLINE PERMIT CHGS
cReceintl
ddk
ONLINE
Home Online
Comfort
Heating
Payment Tolal:
Page I of I
8:05:07AM
Amount Due
8.00
12.00
25.00
10.00
2.25
3.60
4.50
$65.35
Amount Paid
$65.35
$65.35
6/112007