HomeMy WebLinkAboutPermit Mechanical 2008-4-2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00450
ISSUED: 04/02/2008
APPLIED: 04/01/2008
EXPIRES: 10/02/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 6893 FORSYTHIA ST
ASSESSOR'S PARCEL NO.: 1802022205300
Springfield TYPE OF WORK: Heating System
TYPE OF USE: Alteration
Residential
PROJECT DESCRIPTION: Replace heat pump and air handler
Owner: JOHNSON ROBERT D & PATRICIA
Address: 6893 FORSYTHIA ST
SPRINGFIELD OR 97478
Phone Number: 541-747-7170
I CONTRACTOR INFORMA TION ,
Contractor Type
Mechanical
Contractor
COMFORT FLOW
License
460
BUILDING INFORMATION'
Expiration Date
06/27/2009
Phone
541-726-0100
# 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 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements: requ\reS \,OU,\? Sidewalk Type:
ON. oregon law 0 gon Utl'l\'! NOT~CE
Storm Sewer AVjl.if:l1B~rn . ted by the re settortb u bownspoutsillrains:
Special Instructf8AOW ru'escad~~r. ThOSe rUles:~ 952-001- THIS PERMIT SHALL EXPIRE IF THE WORK
Notilicatlo~ o~~_oo~othrOu,gh OUhe rules by AUTHORIZED UNDER THIS PERMIT IS NOT
Notes: ~Q~~~ ~;u ~aJp~~~~int~~r~~.~~~~~~i~~~~~n ~~~~gN~E9 OR '~!BANDONED FOR
cal\\Il'd l\ Oregoll U\.\.\} - .;" o,\) rEnlulJ.
b r lor the 31?..-"2.3.4't1' I
num e center is 1-800- rValuation Description
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pae:e 1 of2
Status
Iss u ed
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00450
ISSUED: 04/02/2008
APPLIED: 04/0112008
EXPIRES: 10/02/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees Paid.
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Air Handling Unit Up to 10,000
Heat Pump
Minimum/Adjustment Mechanical
Amount Paid
Date Paid
$20.00
$5.00
$6.00
$2.50
$9.00
$14.00
$27.00
4/2/08
4/2/08
4/2/08
4/2/08
4/2/08
4/2/08
4/2/08
Receipt Number
3200800000000000202
3200800000000000202
3200800000000000202
3200800000000000202
3200800000000000202
3200800000000000202
3200800000000000202
Total Amount Paid
$83.50
I Plan Reviews I
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 Insoections I
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 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
Pae:e 2 of 2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2008-00450
COM2008-00450
COM2008-00450
COM2008-00450
COM2008-00450
COM2008-00450
COM2008-00450
Payments:
Type of Payment
ONLINE CHGS
cRecemt I
RECEIPT #:
3200800000000000202
Date: 04/02/2008
DescrIptIOn
AIr Handlmg UllIt Up to 10,000
Heat Pump
MInimum! Adjustment Mechalllcal
-Mechalllcal Issuance Fee-
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% AdmmlstratlVe Fee
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number AuthorizatIOn
ReceIved By Batch Number Number How Received
nJm
ONLINE comfort flow Onlme
Payment Total:
Page I of 1
7:32:05AM
Amount Due
900
1400
27 00
2000
250
600
500
$83.50
Amount Paid
$83 50
$83.50
4/2/2008
City of Springfield
Mechanical Authorization To Begin Work
E-mailedTo:kelly@comforttlow.com
Receipt # .EC528033
4/1/20081:29:10 PM
Check on status of permit
By Phone: (541)726-3753 or EmaJl: permltcenter@ci.springfield.or.us
,':, < ' 1)1
TYPE'OF WORK'i'
I
FEE SCHEDULE
I I 41 r ~
I Qty,
, ~ ~I
"I,i
o New construction
I1U AdditIOn/alteratIOn/replacement
I DescnptlOn
Il~,eating/c6oling allP!il;lnces
I Furnace- up to ]00,000 BTU
I Furnace - above 100,000 BTU
I Electnc Furnace
I Duct alteratIOns and additIOns
I Gas heater umts/ In-wall, in-
duct, suspended, etc/
I Vent, flue, liner for above
I Air Conditioner
I Heat Pump
AIr Handler
Other fuel bUf'!mg appliances,',
Ea,
Total
~ < , I
~' i
I" " , ~~''';/,,"G~!~~ORY'Oj:::CON~:r:lRUCTioN:
[X] I or 2 family dwelling 0 Multt-farmly 0 Accessory BUilding
III'
:0 i j
t:",:"";)08, SITE INFORMATION AND LOCATION:
I, < I' , I"J'", I, <
I Job no.. I Job address' 6893 FORSYTHIA ST
I City/State/ZIP: SPRINGFIELD, OR 97478-4719
1 SUlte/bldg /apt.no,:
1 Project name: JOHNSON, P
Cross street/directIOns to Job Site,
$1400
$900
$1400
$900
, ,
" ,
, :"
, SITE CONTACT,,:'
,T,
Water heater
I Gas fireplace/Insert/stove
I Gas log/log lighter
I Gas clothes dryer
I Gas stove/range
I Pool or spa heater, kiln
I Wood/pellet stove/Insert
I Wood fireplace
I Chlmney/linerlflue/vent w/o
appliance
1 ~nvir6~mental exhaust AND venhlatJo'!
I Range hood
I Clothes dryer exhaust
Single-duct exhaust (bathrooms,
toilet compartments, utility
rooms)
I Attic/crawlspace fans
1 Fuel pipi~g ,
I upto first 4 outlets( enter Qty= I)
I each additIOnal outlet
1 MECHANICAL,PERMIT FEES :; ,',
I Subtotal $23 00
I MinImum fee used Instead of Subtotal $50 00
I State Surcharge (12% of permit fee) $600
I CIty Of Spnngfield fees * $27 50
I TOTAL PERMIT FEE $83 50
* CIty Of Spnngfield 10% Local Admin Fee, 5% Local Technology Fee,
$10 Issuance Fee
1 SubdivIsIOn
I Tax map/parcel no,:
ILot no:
1802022205300
, DESCRIPTION' OF WORK
, L 11'111
REPLACE HEAT PUMP AND AIR HANDLER
1 Name, PATRICIA
I Phone: (541)747-7170 IFax:
IEma11
\ CONTRACTOR
I CCB Iic no, 460
I Busmess Name COMFORT FLOW HEATING CO
1 Contact Kelly
I Address, 1951 DON Sl
IClty/State/ZIP: SPRINGFIELD, OR 97477]993
I Phone, (541)7260]00 IFax: (541)7264799
I Emarl: kelly@comfortflow com
1 Metro Iic. no, I City hc, no :
Upon review and approval by your local JUriSdiction, your
permit Will be e-malled or faxed Within one bUSiness day,
With instructions on how to schedule your inSpection,
NOTE ThiS AuthOrizatIOn To Begin Work expIres wlthm 180
days If a permit IS not obtained
The local bUlldmg 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,
COM: ,~.- lIJ i.f@
: RCPT#:3'2.rTV g'"'- ~O~
. DATEPR~\I7.J:~,~
, PROCESSED BY: ,/lI';~
ThiS AuthOrization To Begin Work must be posted at th;j'cl;"'~~t;untll ~PI~'~~'U;"~'P~'~~'lt'
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