HomeMy WebLinkAboutPermit Mechanical 2009-4-23
City of Springfield
Mechanical Authorization To Begin Work
E-mailedTo:kelly@comfortflow.com
Receipt # Rf:550443
4/23/200912:45:12 PM
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Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
I Subdivision:
ITax map/parcel no.:
Il.OI DO.:
II
I I Description
I Heating/cooling appliances
II Fumace- up to 100,000 BTU
II Furnace - above 100,000 BTU
I I Elcctric Furnace
I I Duct alterations and additions
I I Gas heater units! in-wall, in-
duel. susDended. etef
I I Vent, flue, liner fOf above
I I Air Conditioner
I Heat Pump
I Air Handler
Olher,fuel hurning appliances
I Water heater
I Gas fireplace/insert/stove
I Gas log/log lighter
I Gas clothes dryer
I Gas stove/range
, Pool or spa heater, kiln
I Wood/pellet stove/insert
Wood fireplace
I Chimneyllinerlflue/vent w/o
aooliance
I Environmental exhaust AND "'entil~tion
I Range hood
I Clothes dryer exhaust
I Single-duct exhaust (bathrooms,
toilet compartments, utility
rooms)
I Attic/crawlspace fans
I Fuel piping
! upto first 4 outlets(enter Qty=l)
I I each additional outlet
II
II Subtotal
II City Of Springfield First Aopliance fee
I Stale Surcharge (12% of permit fee)
I City OfSe~ngfield fees.
I TOTAL PERMIT FEE
. City OfSpringlield fees: 5% Tec~nology Fee
FEE SCHEDULE
TYPE OF WORK
I 0 New construction
[KJ Addition/alteration/replacement
QIy.
I-:a.
Total
CATEGORY OF CONSTRUCTION
[00 lor 2 family dwelling 0 Multi.family 0 Accessory Building
I JOB SITE tNFDRMATlON AND LOCATION
jJobno.: 844451 IJobaddrtss: 730 EST
\City/State/ZIP: SPRINGrIELD, OR 97477-4742
I Suite/b1dg.lapt.no.:
I Project name: robinson
Cross street/directions to job site:
$17.00
$17.00
$17,00
$17,00
I Name: DORAL ROBINSON
I Phone: (54 I) 746-8903
IIo:mail:
I
I Fax:
I
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I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
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$34.00 I
$79,00
$13.56
$5,65
$132,2t
170335t302300
I DESCRtPTlON OF WORK
INSTALL DUCTLESS SYSTEM
SITE CONTACT
CONTRACTOR
I CeB lie. DO.: 460
I Business Name: COMFORT FLOW HEATING CO
I Contact: KELLY DATIl
IAddress: 1951 DON ST
iCity/StateIZIP: SPRINGF1~LD, OR 974771993
Iphone: (541)7260100 IFax: (541)7264799
I Email: kelly@comfortflow.com
I Metro lie. DO.: I City lie. DO.:
MECHANICAL PERMIT FEES
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.
~n, 2.GbC( - COS4-S.
4-::;)3-001
NM
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
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.
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00545
ISSUED: 04/23/2009
APPLIED: 04/23/2009
EXPIRES: 10/23/2009
VALUE:
225 Fifth Strcct, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 730 E ST
ASSESSOR'S PARCEL NO.: 1703351302300
Springfield TYPE OF WORK: Mechanical Only
TYPE OF USE: Alteration
Residential
PROJECT DESCRIPTION: Install ductless system
Owner: ROBINSON DORAL JEAN
Address: 730 E ST
SPRINGFIELD OR 97477
Phone Number: 541-746-8903
I CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Contractor
COMFORT FLOW HEATING CO.
License
460
Expiration Date
06/27/2009
Phone
541-726-0100
BUILDING INFORMATION I
# of Units:
Primal')' 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 GaragelCarport
Sq Ft Other:
Occnpant Load:
nla
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Front yard Setback:
Side I Sethack:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
Street Improvements:
Storm Se\\'cr Available:
Special Instruction:
I PUBLIC IMPROVEMENTS. I quires you to
'l"ENTION: Oregon aw re . .
/", ~i~!nY<i!I~)iJ:Y:Pe:y the Oregon Utt\lty
fol.oW r ,~ - r 1:\Y1S8 rules are set farth
Natlflcatl'b~wlj[\i\ltitsl 'ains:h OAR 952-001-
. OAR 952-00'f'O'U1U II VV;!
~090. Yau may .obtain capies .of the rules by
callin the center. (Nate: the tele~hane
numb~r for the Oregon Utility Natlflcatlon
~__'M 10 1.Rnn-::!32-2344).
Notes: NOTICE:
TUIC: D1:Q~nIT C::l-IlIl' I=\lPIRF IF THE WORK
AUTHORIZED UNDER THIS PERMjil13 1~0T .. I
COMMENCED OR IS ABANDONE~ W~uatlOn DescrmtlOn
ANY 180 DAY PERIOD. $ Per Sq Ft Square Footage
Description Type of Construction
or multiplier or Bid Amount
Value
Date Calculated
Pa~e I 01'2
CITY OF M"Kll'lld'lJ!.LD
Status
Issued
Building/Combination Permit
PERMIT NO: COM2009-00545
ISSUED: 04/23/2009
APPLIED: 04/23/2009
EXPIRES: 10/23/2009
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
1st Appliance
Air Handling Unit Up to 10,000
Heat Pump
Amonnt Paid
Date Paid
Receipt Nnmber
$13.56
$5.65
$79.00
$17.00
$17.00
4/23/09
4/23/09
4/23/09
4/23/09
4/23/09
2200900000000000426
2200900000000000426
2200900000000000426
2200900000000000426
2200900000000000426
Total Amount Paid
$132.21
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.
Reouked Insnections 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 Springtield and the Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any strncture 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 nsed on this project.
I fnrther 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 Signatnre
Date
Pace 2 of2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-00545
COM2009-00545
COM2009-00545
COM2009-00545
COM2009-00545
Payments:
Type of Payment
ONLINE CHGS
eRecciotJ
RECEIPT #:
w;E~
City of Springfield Official Receipt
Development Services Department
Public Works Department
2200900000000000426
1:11:07PM
Date: 04/23/2009
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
17.00
17.00
79.00
5.65
13.56
$132.21
Description
Heat Pump
Air Handling Unit Up to 10,000
I 5t Appliance
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
Amount PlIid
nJm
ONLINE
$132.21
Comfort Online
flow
Payment Total:
$132.21
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4/23/2009