HomeMy WebLinkAboutPermit Mechanical 2009-4-2
EC549370 f1\ t;;
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GV\
City of Springfield
Mechanical Authorization To Begin Work
E-mailedTo:kelly@comfortflow.com
Receipt #
4/2120097:]5:30 AM
Check on status of permit
By 'Phone: (541)726-3753 or.Email: permitcenter@cLspringfield.or.us
I 0 Nc\v construction [XJ Addition/alteration/replacement
I~~t:~v~'~~~~~';~>f.:.:; 1;:C;~!E,Gq,.~~',Qf.'~-9-N~TRQ2iIQ~~~;;JT~.s~?~~~i~i~:'~"-~'t;!1
OIl [X] 1 or 2 family dwelling 0 Multi-family D Accessory Building I
IJobno.: 844188 IJobllddrcss: 414 S 69TH PL
I City/State/ZIP: SPRINGFIELD, OR 97478-73] I
I Su ite/b Id g./llpt. no.:
I Project name: FANDREM
Cross street/directions to job site:
I Lot 110.:
REPLACE HEAT PUMP AND AIR HANDLER
,
I Name: DON FANDRE~
I Phone: (541) 746-5181
Il!:mail:
IF""
ICCDh'- no.: 466 TP.12 Di::OM1T !:I-lAll FXPIRE IFTHE WORK
I Du,;ness Nam" C?I~'ffll1F\lZEIHII\!flRl THIS PERMIT IS NOT
ICon'",': KELLYD~mlCt[l00 I!:.ABANDDNEO FOR
IAdd'"'' 1951 DO':\tlY 1 g9,.Ih^:':' D(:OJQD
I City/Stale/ZIP: SPRINGFIELD, OR 974771993
IPhune; (541)7260]00 I."ax: (541)7264799
i Email: kelly@comfortflow.com
I Metro lit-. 110.: I City lie. 110.:
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 obtained.
The local building department may determine that an
Authorization To Begin'Work is null and void if it does not
~eet applicable land use laws and local ordinances.
I Description Qty. Ea.
1:,1 '~ajing{~~o.!i~(a~p]!tc~~"-V~::~'~4:"'i;:~~j{-:;/';"~
I Furnace- up to 100,000 BTU
I Furnace - above 100,000 BTU
I Electric Fumaee
I Duet alterations and additjo~s
'1 Gas heater units/ in-wall, in-
duel. suspended. etc/
I Vent, flue, liner for above
I Air Conditioner
!HeatPump I $17.00'
I Air Hi'uidler .1 $17,00
total
I
I
I
1
1
I
I
$17.001
$17001
. .,
1
I
1
1
I
I
I
1
1
Walcrhcatcr
I Gas fireplace/insert/stove
I Gas log! log lighter
I Gas clothes dryer
I Gas stove/range
I Pool or spa heater, kiln
I Wood/pellet slOve/insert
I Wood fireplace
I Chimncy/liner/fluc/vcnt w/o
appliance
Ij~'hSJ~~:~-~ri~!I:e~~~.~~(~~i9;i~nij!.it!~~~l~ t'~f~:=:(,,'
I Rang, i>AlITENTION: Oregon law r~quires y' IU to
I Clnth,J~KMI!lS_ aaopfJ.9. oy me uregon Jl11ltY.
SinglJ,'ffi,M'll:,.n;fMl..\1tla\.l;f~bl~f. IIIU:::i" IL It::::i dJt: titllUI L11
toilet !l1n@1llfilelltS21l!J(Y1-00' 0 throug 1 OAR 95 ~-001.
~:X>. 'Is:' r.:laY-:t~ ~~ 8~' :,,~: ~~ teg by
I:~~~~:~~c~,~!~t~c~ ,2ar:~d~~~'.,~!~'yf~!,Pl~Qt,n~~. _. ~-, [
'!'~!:!:~~i'll'Jlijl:lerAorilhe'*Oregon4l:Jtlht",'Notlflcal1on '^. .
I "pto ti,,, 4 o",I'~CiiI$l1ltllr=ia 1f800'332f2344). I 1
I each additional ou!lct I I I
Ib4~Z;W:t:~:;f~J?"ft 'ME'CHANICAL~PERMrI"TFEEsY;d~0iT:~fff.J..
.,,;ttL&\~ .'" """ .&."ciJ! Ot;..c",.,'"",,,... ,,'. "c'.'.. .c~" ; _' " '...."""..,.."",'t-,--,.' ,,,__.__,,,,,,,~.'. ""","__ .~,'" ,'-C" .
I Subtotal I $34.00 1
1 City Of Springfield First Appliance fee $79.00 1
.1 Stat~Surch<1rge(l2%ofpennitfee} $13.561
1 City Of Springfield fees'" I $5.65 I
L TOTALPER1\HT FEE $132.21 I
'" City Of Springfield fees: 5% Technology Fee
C Cl - 3 9.3 . I<.e.
412/0Cl
~ ~~ (A
^1J~~
Y\!f:"
This Authorization To Begin Work must be posted at the job site until replaced by a Permit
_8:P.~IN~"IIil&,D.'
"-: r, .
,
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone,
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 414 S 69TH PL
ASSESSOR'S PARCEL NO.: 1702353301500
CITY OF SPRINGFIELD'
Building/Combination Permit
,PERMIT NO: COM2009-00393
ISSUED: 03/25/2009
APPLIED: 03/25/2009
EXPIRES: 10/02/2009
VALUE:
Springlield TYPE OF WORK: HeatingSystem
Residential
PROJECT DESCRIPTION: Electric Furnace/AC Swap
Owner: FANDREM DONALD B & ELAINE
Address: .414 S 69TH PL
SPRINGFIELD' OR 97478
TYPE OF USE: New.
Phone Number: 541-746-5181
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Mechanical
Contractor
GMD ELECTRIC INC
COMFORT FLOW HEATING CO.
License
162191
460
Expiration Date
11119120]0
06127/2009
Phone
541-726-860]
541-726-0100
I, 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 Bnilding:
n/a
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occnpant Load:
I DEVELOPMENT INFORMATION I
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
#,Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
I PUBLIC ~,MP,ROVEMENT,S I
Street Improvements:
Storm Sewer AJ!~CE:
Speciallnstrncff9<<S PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT. IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Notes:
Paee I of 3
REQUIRED PARKING
Total:
Handicapped:
Compact:
/
Sidewalk Type:
A~hVjl~~t900'Wi1s!aw requires you to
follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth
In OAR 952-001-0010 through OAR 952-001-
0090. You may obtain copies of the rules by
calling the center. (Note: 1he telephone
number for the Oregon Utility Notification
Center is 1-800-332-2344).
Status
Issued
225 Fifth Street; Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769Inspectioo Line
I Valuation DescriDtion .1
Description
$ Per Sq Ft
or multiplier
Type of Construction
Square Footage
or Bid Amount
Total Value of Project
Fee.~ Paid I
.
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Air Handling Unit Up to 10,000
Heat Pump
Amouut Paid
$6.96
$2.90
$58.00
$13.56
$5.65
$79.00
$1.7.00
$17.00
Total Amount Paid
$200.07
Plan Reviews I
Date Paid
3/25/09
3/25/09
3/25109
4/2109
412/09
4/2109 .
412/09'
4/2109
CITY OF SPRINvl'u,LD .
Building/Combination Permit
PERMIT NO: COM2009-00393
ISSUED: 03/25/2009
APPLIED: 03/25/2009
EXPIRES: 10/02/2009
VALUE:
Value
Date Calculated
Receipt Nu~ber
2200900000000000295
2200900000000000295
2200900000000000295
2200900000000000321
2200900000000000321
2200900000000000321
2200900000000000321
2200900000000000321
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. Relluired In.~nections I
Rough Electric: Prior to Cover.
Final Electric: When all electrical work is complete.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work'is complete.
Page 2 of 3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00393
ISSUED: 03/25/2009
APPLIED: 03/25/2009
EXPIRES: 10/02/2009
VALUE:
By signatnre, I state and agree, that I have carefnlly 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 structnre withont permission of tile Commnnity Services Division, Boilding Safety.
I further certify that only contractors and employees who arc in compliance with ORS 701.005 will be nsed on this project.
lJurther agree to ensnre that all reqnired inspections arereqnested 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 wili remain on the site at all
times during construction.
Owner or Contractors Signature
Pa2e 3 ofJ
Date
225 Fifth Street
Sprtpgficld, Oregon 97477
541-'726-3759 Phone
Job/Journal Number
COM2009-00393
COM2009-00393
COM2009-00393
COM2009-00393
COM2009-00393
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
ki....~.,.NtF~~.~.O~8,-. ".......
111M:. ..
. ~
. City Of Springfield Official Receipt
Development Services Department
Public Works Department
2200900000000000321
Date: 04/02/2009
Descri[)tion
I st Appliance
Air Handling Unit Up to 10,000
Heat Pump
+ 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 Online
Flow
Heating
Payment Total:
Page I of I
8:32:S3AM
Amount Due
79.00
17.00
17.00
5.65
13.56
$132.21
Amount Paid
$132.21
$132.21
4/2/2009