HomeMy WebLinkAboutPermit Mechanical 2009-2-26
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City of Springfield
Mechanical A,nthorization To Begin Work
E"mailed To: kelly@comfortfiow.com
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Receipt # EC547387 t
2/26/20097:12:33 AM l fA(
Check on status of permit
By Phone: (54])726-3753 or Erilail: permitcenter@ci.springfield.or.ns
o New construction
[K] Addi~ion/alterationJreplacemcnt
I Description
I Waterheatcr
I Gas fireplace/insert/stove
rOas log! log lighter'
I Gas clothes dryer
I Gas stov~/range
I Pool or s'pa heater, kiln
I Wood/pellet stove/insert
I Wood fireplace
~Chim1iCY/liili:-r/f1Ue/vent wla .
a Dtianc~' .
;-fnth;rll"m.tittaJ~'xha'u'giP~j'ifi~ve~iifaii(f_~
"'....",._,..""""=.1G'_='~~0h;'""""".~~
I Range ho<KlTENTION: Or gon law "eqUlres ',ou.,~':'. .
I Clothes~koX11aliules aao le.9oy H l:1JUJt:::_~~1 .~~j~:r
I Sing]e.<Mmlll]\liUsl(bulhw6liiII'" ,I IV'" ".~,~. ~ ,~t L..!l
toilet'oiff~l1\l'l'9S'Ei'001-0 10 throu Jh OAR ~ 52-001-
rooms) .1flGA--1t- d --r" . i ~Co ......f thp 'IIIA~ h~
1,~ttiC!Cra~'1'~~~fa~;h'~.'~~,nt t J~0t~..iDH.telel~hone ...'
!i!t~~~W~1~r~~if~~ff~ecrEtdon~Wfllifv.ib'fQ1:nf[t!1I~Q]'1'1
I upto first. oUllet*'6ei'ltetJisI1-aOO-3Q2,2344),!
I each addItional outlet I
1~?3}t;'-:"J!t~~'~~MECHANic'A'"t!~ERMTTiF'EE-S~~~.t~P.:"?~~I
~1fc','_~_,_~==""","''''''c.,w"'",_,,,,,,=,,,,,_,~,,_,,,,,,~ 'or" ~~_~_ ,....,'t'li!...$,~/hfj,.
'1 Subtotal I $17.00 I
1 CitY Of Springfield First Appliance fee I $79.00 1
1 State Surcharge (]2% of permit fee) $] ].52 1
1 City Of Spring field fees ~ 1 $4.80 I
I TOTAL PERMIT FEE J $] ]2.32
~ City Of Springfield fees: 5% Technology Fee
C-O[- ()10 ~ '~'2l~\oq
I Furnaeec up to 100,000 BTU
I Furnace -above 100,000 BTU
j Electric Furnace
I Duct alterations and additions
I Gas heater units! in-wall, in~
duct. suspended. etc!
I Vent, fllle,liner for above
I Air Conditioner
I HeatPlImp
I Air Handler
$17.001
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[K] 1 or2 family dwelling
D Multi-family
D Accessory Building
Job no.: 844020 I Job add res,s: 1533 MARKET ST
I City!StateIZIP: SPRINGFIELD, OR 97477-3339
I Suitelbldg.!apt.no.:
I Project name: LOS CHURCI-i
Cross street/directions to job site:
I Subdivision:
I Tax map!pucel no.,: 1703253308400
I Lot no.:
I Name: LDS CHRUCH
I Phone: (541) 228-6759 I Fax:
I Email: I
1~~tl;'Jj~E'~lSONTW]:5M~~4~~~~ll\:1
ICCB Ik. no.: "!II11IS PERMIT SHALL EXPIHt IF T _. ~v [~~'~ I
IBu';n'''N.mellJllqrI\Wl>Rl!''~-a'W::; I-'tKIVll1 ],"_ VI I
IConi.d: KELlfYnMMFNCED OBIS ABANDUNtU ~UI1 I
IAdd"'S: ]951 !l'i\J'IiS~ RO DAY PERIOD. I
[City/Stater.lIP: SPRINGFIELD, OR 974771993 I
!Phone: (54])7260]00 1'-.>: (54])7264799
I Enmil: kelly@comfortflow.com
I Metro Iic. no.: 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 ita permit is not obtained.
The local building department may detennlne that an
Authorization To Begin Work is null and void if it does not
meet applicable land use laws and loc'al ~rdina!lces.
This Authorization To Begin Work must be posted at the'job site until replaced by a Permit.
$]7001
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Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00270
ISSUED: 02/26/2009
APPLIED: 02/26/2009
EXPIRES: 08/26/2009
. VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
SITE ADDRESS: 1533 MARKET ST
ASSESSOR'S PARCEL NO.: 1703253308400
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New Residential
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PROJECT DESCRIPTION: 'Replace gas furnace
Owner: CHURCH LATTER DAY SAINTS
Address: 50 E NORTH TEMPLE REAL ESTATE DIVISION
SALT LAKE CITY UT 84150
, CONTRACTOR INFORMATION I
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/Carpnrt
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Front yard Setback: Overlay Dist:
Side 1 Setf!~IpJCE: # Street Trees Rqd:
Side 2 se,... : efRMIT SHALL EXPIRE IF THE \,fI.IOO~ Drive Rqd:
Rearyard t:rRIZED UNDER THIS PERMIT Isof1'crfLot Cnverage:
Solar Set . . , I t
r.nMM~Mr.m nR I~ ARAMnnNFn FnR ATTENTION: OreQon law requ res you 0
ANY 180 DAY PERIOD. I PUBLIC \l\o'rI<vvIClvIENTS I follow rules adoptea oy me vregon UUIIlY
Not]f]cat]on Center. Those rules are set forth
in OSfde1V3Ilillt'ypeJ10 through OAR 952-001-
009Q. You may obta,in copies of the rules by
c~m,(I'fl?g'l!t'iI~~~Il\'t~ote: the telephone
number for the Oregon Utility Notification
Center is 1-800-332-2344).
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
I V alu~tion Descriotion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pa2e 1 of 2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00270
~SSUED; 02/26/2009
APPLIED: 02/26/2009
EXPIRES: 08/26/2009
VALUE:
.
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726~3769 Inspection Line
Total Valne of Project
F,ee~ PairJ I
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
. Furnace - up to 100,000 btu
Amount Paid
Date Paid
Receipt Number
$11.52
$4.80
$79.00
$17.00
2/26/09
2/26/09
2/26/09 ,
2/26/09
1200900000000000132
1200900000000000132
1200900000000000132
1200900000000000132
Total Amount Paid
$112.32
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. .
. I ~.eq,~ir~rJl~~!:,~,c~io~,~,,'
Rnugh 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 Oregnn pertaining to the work described herein, and.
that NO OCCUPANCY will be made of any structure withoutpermission 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 readahle from the
street, that the permit card is located at the t'ront of the property, and the approved set of plans will remain on the site at all
times du"dug constructio~.
Owner or Contractors Signature
Date
Pa2e 2 of 2
225 Fifth Street
,
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
1200900000000000132
Date: 02/26/2009
8:20:5IAM
Payments:
Type of Payment. Paid By
ONLINE CHGS ONLINE PERMIT CHGS
Item Total:
Check Number Authorization
Received ~y Batch Number Number How Received
Amount Due
79.00
17.00
4.80
11.52
$112.32
Job/Journal Number
COM2009-00270
C0M2009-00270
COM2009-00270
C0M2009-00270
Description
I st Appliance
Furnace - up to 100,000 btu
+ 5% Technology Fee
+ 12% State Surcharge
Amount Paid
KR
ONLINE
Comfort Online
Flow
Payment Total:
.$112.32
$112.32
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cReceilltl
Page 1 ofl
2/26/2009