HomeMy WebLinkAboutPermit Mechanical 2009-2-23
City of Springfield
Mechanical Authorization To Begin Work
E-mailedTo:kelly@comfortnow.com ,
Receipt # EC547186
2/23/2009 1 :38:38 PM
Check on status of permit
By Phone: (541}726-3753 or Email: permitcenter@ci.springl1eld.or.us
C Q-;i.S5
ID New construction
[KJ. A?dition/aJterationlreplaceme~t
Qty.
Ea.
I Fumace- up to ]00,000 BTU
I Furnnce . above 100,000 BTU
I Electric Fumace
I Duc(alterations and additions
I GaS heater unitS!.in-wall. in-
duct. suspended. ete!
I Vent,'flue. liner for 'above
Air ConditIOner
I Heat)'ump
I Air Handler
$17.00
$17,001
I
I
I
I
I
I
I
I
I [K] I or 2 family dwelling
o Multi-family
o Accessory Building
IJOb no.: 844'014 IJotJ address: 3833 HAYDEN BRIDGE RD
I City/StateIZIP: SPRINGFIELD, OR 97477-7930
I SlIitelbldg./aptno.:
I Project name: sturges
Cross street/directions to job site:
I Subdivision:
ITax map/parcel no.:
I Lot no;;
I Water heater
I Gas fireplace/insert/stove
I Gas I,og! log lighter
I Gas c'lothes dryer
I Gas s!ove/range
I Pool or spa healer, kiln
I Wood/pellet stove/insert
I Wood fireplace
Chimney/liner/flue/vent w/o
ap'pliance ' . ,
'1:;;IM>.iIi<!lithf.\;/b'lo1iWANb',lehMJ,ltoh"\,l~.i',<:,~,;!A""~.' ,>!.;>'~~l}'oI:'~
_.'-'H;;~";-':;:~;;';::-J:';;':i;':;~e'O.ll~e~e~~t% ,,~~
~~P'-dl" ^ ter +A ...IM~'" rih
~'&~~~~4'~-O(l.l(\llWlI-ih-~".' - 1.
~~~~b\;,~~tj~,~~WftIDn copies 0 the rule by
I monB811ina the center. (lNote: the telephon
I I Attl%lm/lotlJeja;rolhe Oregqm Utility ~otillcall1ln
I 11Fuell>iPilrgtJ6enterIISt;r,Il\)U,;).;l':;':.:l'lt!I~;1I;;~1l".ff1~
I ~-;k:"w0k~.~"*-,..~=""".:'=~''llt.i~::=!h"",.""14,.'''+t'~'",.~,+',,,,,,-''- ~h!W'.
I I ~::~ :~:ti~O::t11::~~:.ter Q~I) I I' I
I 1"'~~A!iI>:~J,.~1jf":MECHANlcAG'PERM1T;F'EEs'ili'"",,~,"',; m>1
~",,_,?i~'lUl' r.P'~'''''''''''''''''-''_''''"~'-~'~,~__""j.-.,~."".-.-:".-"",-"--Y!l.~~~'~,,,_,"'~~
I I Subtotal I $17.00
I I City or Springfield First Appliance fee $79.00
I State Surcharge (]2% of Perm it fee) I $1 1.52
I City OfSpringlield fees +1 $4.80
I TOTAL PERMIT FEE $1 ]2.32 I
+ City Of Springfield fees: 5% Technology Fee
~
c.q - 2..55
2.\23\01
1702194101200
replace gas furnace
I
I Phono: (541r~lilnU6:: I Fax: I
II;::;-r~~. POERRf.~E.[l~,~~~~e'R.E.ff)'i~~~~!"",'LZ'jfj';';~fl
,...~~/1I\'1J..H .. 't.. \'1.l.JNDr:ndrr~m1RMITJ!I!tNOT__~""J"'.
ICCB He, n€OMMENCED OR IS ABANDDNFn J:nR
I Bu,;n." rAfIW q:@!)FIJ1A\.,'l"tl11OO!NGCO
I Contact: KELLY
IAddress: 1951 DON ST
I City/Stater.lIP: SPRINGFIELD, OR 974771993
/Phone: (541)7260100 IFill:: (54])7264799
I El1lail: kelly@comfol1f1ow.com
IMetrolic. no.:
I Name: JANES & JANET
I City lie. no.:
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.
NOTE: This Authorization To Begin Work expires within 180
days if a permit is not obtaine~.
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.
This Authorization To Begin Work must be posted at the job site until replaced by a Permit.
,.
CITY VI' ~rJ:(ll'\it..I'lJ!,LD'
Status
Iss u ed
Building/Combination Permit
PERMIT NO: COM2009-00255
ISSUED: 02/23/2009
APPLIED: 02/23/2009
EXPIRES: 08/23/2009
VALUE:
225 Fifth Street, Springfield, OR
541'726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
SITE ADDRESS: 3833 HAYDEN BRIDGE RD
ASSESSOR'S PARCEL NO,: 1702194101200
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Replace Gas Furnace
Owner: STURGES JAMES S & JANET L
Address: 3833 HAYDEN BRIDGE RD
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Contractor
COMFORT FLOW
License
460
BUILDING INFORMATION 1
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 l.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 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks: NOTICE:
T;'::: r~;:IIVIII ;)nALL EX~-
. AUTHORIZED UNDER TH'II"'-"-ltl1M~MENTS I ATTENTION: Oregon law requIres you to
Street Improvem&iliilMENCED ORIS AS .v I Ln/vII I h) I~UI .fOI/(~Wd~wmr.q@{,l!ed by the Oregon Utility
LlJ.IY ANDONED FOR Notlffcafloii'Cer'ft'Eif. Those rules are set forth
Storm Sewer AvaifalllJ:80 DAY PERIOD. In O/D()MiSf(ll:ii1'OOr1:O~l<<<ough OAR 952-001-
Special Instruction: 0090, You may obtain copies of the rules by
, calling the center. (Note: the telephone
,number for the Oregon Utility Notification
Center is 1-800-332-2344).
Overlay Dist:
# Street Trees Rqd: '
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
Notes:
I Valuation Descriotion I
Description'
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid AmOunt
Value
Date Calculated
Pal!e 1 of2
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726,3769 Inspection Line
Total Value of Project ,
I,' ~~es ~~i~ I
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1 st Appliance
Furnace - up to 100,000 btu
Amount Paid
$11.52
$4.80.
$79.00
$17.00
Total Amount Paid
$112,32
I Plan Reviews ,
Date Paid
2/23/09
2/23/0'9
2/23/09
2/23/09
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2009-00255
ISSUED: 02/23/2009
APPLIED: 02/23/2009
EXPIRES: 08/23/2009
VALUE:
Receipt Number
2200900000000000201
2200900000000000201
2200900000000000201
2200900000000000201
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. .
J ,~~~(I~~"r~~ 1,n~oect,j?n~ I
Rough Mechankal: Prior to Cover
Final Mechanical: When all mechanical work is complete,
By signature, I state and agree, that 1 have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and 1 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 Orego~ 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.
r 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
Paee 2 of2
Date
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2009-00255
COM2009-00255
COM2009-00255
COM2009-00255
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
2200900000000000201
Date: 02/23/2009
Description
I st Appliance
Furnace - up to 1 00,000 bt~
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
KR
ONLINE comfort flow Online
Payment Total:
Page I of I
1:59:09PM
Amount Due
79,00
17,00
4,80
11.52
$112,32
Amount Paid
$112,32
$112.32
2/23/2009