HomeMy WebLinkAboutPermit Mechanical 2009-1-16
"
Status
Issued
CITY OF SPRlNGl'lJ<;LU
Building/Combination Permit
PERMIT NO: COM2009-00073
ISSUED: . 01116/2009
APPLIED: 0l/16/2009
EXPIRES: 07/16/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 5949 LILAC LN
ASSESSOR'S PARCEL NO.: 1802032304200
Springfield TYPE OF WORK: Heating System
TYPE OF USE: . New
Residential
PROJECT DESCRIPTION: Install heat pump (package unit)
Owner:
Address:
HOLMES GINA
5949 LILAC LANE
SPRINGFIELD OR 97478'
I CONTRACTOR INFORMATION ,I
Contractor Type
Mechanical
Contractor
COMFORT FLOW
License
460
, BUILDING INFORMATION I
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 Siie:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
S9 Ft. Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION 1
Frontyard Setback:
Side I 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:
Sidewalk Type:
Downspouts/Drains:
Storm Sewer Available: '
Special Instruction:
ATTENTION: Oregon law requIres you to
ICE follow rules adopted by the Oregon Utility
NOT : Notification Center. Those rules are set forth
\;/.111:: P~RMIT !>HAII FXPIRE IF THE WORK In QAfl O<:?_M'-Mil'\th''''''gh n^" nr:'l "".
AUTHORIZED UNDER THIS PERMIT IS fJ.~-; ,. I 0090. You may obtain copies of the rules by
COMMENCED OR IS ABANDorJ,c,M~~ll\tlOn DescrmtlOn calling the center. (Note: the telephone
number for the Oregon Utility Notification
Square Footage Cente~J-800"332-f)jME I l't d
or Bid Amount e a cu a e
, $ Per Sq Ft
or multiplier
Notes:
, ANY 180 DAY PERIOD.
Description Tvpe of Construction
Page 1 01'2
Status
Iss u ed
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00073
ISSUED: 01116/2009
APPLIED: 01/1612009
EXPIRES: 07/1612009
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 I
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
.lst Appliance
Amount Paid
Date Paid
Receipt,Number
$9.48
$3,95
$79;00
1116/09
1/16109
1/16/09
2200900000000000061
2200900000000000061
2200900000000000061
Total Amount Paid
$92.43
I Plan Reviews ~
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.
R~/l,~!~ed 1 n~?ection,~ 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 accordauce with
the Ordiuances 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 ofthe 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
Page 2 of2
City of Springfield
Mechanical Anthorization To Begin Work
E-mailedTo:keIly@comfortflow.com
Receipt # RC545211
1/16/20098:37:21 AM
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
o New construction
[K]. Addition/alteration/replacement
I [K] 1 or 2 family dwelling
o Multi-family
o Accessory Building
I Furnace- up to 100,000 BTU
I Furnace - above 100,000 8TU
I Electric Furnace
Duct alterations and additions
Gas heater unitS/ in~wall, in-
duct susocnded, etel
I Vent, flue, liner for above
I Air Conditioner
I Heat Pump
I Air Handler
I
I
I
I
I
I
I
$17,001
IJObno.: 843685 IJobaddress: 5949 LILACLN
City/StlllelZIP: SPRINGFIELD, OR 9~478-6987 .
'Suite/bldg.lapt.no. :
I Project name: CAROLYN CONSTRUCTION
Cross strteUdirections to job site: .
I Subdivision:
ITax map/pllreel no.: ]802032304200
ILot no.:
I Water heater
I, Gas fi-replace/insert/stove
1 Gas log! log lighter
I Gas clothes dryer
I Gas stove/range
I Pool or spa heater, kiln
I'Wood/pe]let stove/insert
I Wood fireplace
Chimriey/liner/flue/verit W/o
lNSTALL
I Name: CAROLYN CONSTRUCTION
I Phone:. (541) 9]4-0896 I Fax:
I Email:
Upon review and approval by your local jurisdiction, your
permit will be e-mailed or faxed within one business day,
with instructions on how to schedule your inspection,
Range hood I
I CIOlh" d'Y~H~ IIUN; 0 egUII "'~ "'4UII"9.Yuu, ~v
I S;ng'c,duci..Mw!IY111l<!i:will>~~,..~"J Ly ; "" ::. ~", 10 Utility
to;l" "~~;:~oatidlil'Cent Ir. Thos rules are sel forth
moms) Ir. ~~?_nn1.
AII;ofc" .. fa .... .... tAlp r ' , ,rules by
I lfu)i!J:1;p;iigC1liITi\1jl'f~enter.!!'UNote:llhelfeiepi1Qil~
II upto first 4 nulmberQthe pregon .lJlt!li~Y Notification
I I each addit;onal oullel Center I' '-llUU-~'"'~44)
I 1:X~~"~"0f"~1iiiECHANIC'At(ifERMiT;FEES~~;?lil:"~~..
11""~J~;J~L~L.."c"-suI;;;;;';I."-~$l;':
I I Minimum fee used instead of Subtotal $79.00
I - State Surcharge (]2% of permit fee) $9.48
I City Of Springfield fees * $3.95
I TOTAL PER!\.UT .'EE $92.43
* City Of Springfield fees: 5% Technology Fee
Icc~lic.no.: 4}0. _, .
1 Bosme" Name, ~5:J~tLOW SEAAr~rJF:[ I'" THE IAIORY.
ICont",t: 659 fHIS PERMIT H .,'" .
I ,'1UU"UIiI.lEO UN~':;:; 7111:; PERMIT IS NOT
Address: 1951 IDVf\I'S'I'
I City/Statc!ZIP: \itIR\'IlM~R ~ft7\%"BANDorj[D roll
I Phone: (541)72~ lllU UfU. PfRIO\i>dX: (541)7264799
I Email: kelly@comfortflow.com
I Metro 'lie. no.: I City lie. DO.:
NOTE: This Authorization To Begin Work expires within 180
days if a permit is not obtained. '
The local building'department may determine, that an
Authori:zation To Begin Work Is null and void if it does not
meet applicable land use laws and local ordinances.
COM: .s r::t1=l - ffiY13
RCPT #: ~!ilL'9.:JO\
DATE PROCESSED: lULf.).OCt
PROCESSED BY' @
This Authorization To Begin Work must be posted at the job site until replaced by a Permit.
225 Fifth'Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-00073
COM2009-00073
COM2009-00073
Payments:
Type of Payment
RECEIPT #:
Description
1st Appliance'
+ 5% Technology Fee
+ 12% State Surcharge
ONLINE CHGS ONLINE PERMIT CHGS .
Paid By
cReceint 1
2200900000000000061
City of Springfield Official Receipt
Development' Services Department
Public Works O'epartment
Date: 01/16/2009
9:20:36AM
Amount Due
79.00
3.95
9.48
$92.43
Item Total:
Check Number" Authorization
Received By Batch Number Number How Received
KR
Page I of I
Amount Paid
ONLINE COMFORT Online
FLOW
HEATING
Payment Total:
$92.43
$92.43
1/16/2009