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Home My WebLink AboutPermit Mechanical 2009-5-11 City of Springfield Mechanical Authorization To Begin Work E-mailedTo:kelly@comforlflow.com v\q Re~eipt # ]<:C551497 )P 5/11120091:17:23 PM (j q Check on status of permit By Phone: (541)726_3753 or Email: permitcenler@~i.springfield.or.us 10 New construction jDescriptioll [X] Addition/alteration/replacement I ~ 1 or 2 family dwelling I Furnace. up (0-]00,000 BTU I Furnace. above 100,000 BTU I Electric Furnace I Duct alterations and additions I Gas heater units! in-wall, in- duct. suspended, elc! , Vent, flue, liner for above I AirCondilioncr I Heal Pump I Air Handler o Mulli-family D Accessory Building IJob 110.: 844558 IJob address: 4475 DAISY ST I City/Slate/ZIP: SPRINGFIELD, OR 97478-6657 !SUil.('/bldg.lllPt.no.: SPC 1.14 Project nllme: NICHOLS Cross street/directions to job site: :' .~.-:- -;;~~~' , >,,1 I I I I I I I $17.00 $17001 I ILol no.: I Subdivision: TilX mllp/pllrcel no.: 1702323406500 I Water heater I Gas fireplace/insert/stove I Gas Jog/log lighter I Gas clothes dryer I GasslOvc/range I Pool orspa heater, kiln I Wood/pellet stove!inserl I Wood fircpJnce I Cbimi1ey!linertnue./....~nt w/a appliance INSTALL HEAT PUMP INllme: HANK NICHOLS Iphono: (541)514-9417 IEmail: IF,x: I Range hood Clothes dryer exhaust . Single-ducl exhaust (bathrooms, toiletco'!lpanments, utility rooms) I Attic/crawlspace fans I CCU lie, no,: 460 I Business Name: COMFORT FLOW HEATING CO ICOnhtcl: KELLYDATH jAddrcss: 1951 DON ST ICily/Stllte/ZIP: SPRINGFlEI,D, OR 974771993 Il'hoOO: (541 )72601 00 1 Fa>, (541 )7264799 I Errlail: kelly@com(ortnoll'.cam I Metro lie. no.: 1 City lic. no.: upto first 4outlets(entcr Qty=l) II each add)tionill outlet I Ii Subtotal [ City Of Springfield FirstAppliance fee State Surchnrge (12% of permit ree) I City or Springfield fees +"1 I TOTAL PERMIT FEE + City or Springfield fees: 5% Technology Fee Co/Yl2-o?J ? - () 0 6~7 -0-'//- ()9 /IJ~ 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 meet applicable land use laws and local ordinances. This Authorization To Begin Work must be posted at the job site until replaced by a Permi! [ $1700 I $79.00 I $11.52 I $4.80 I $112.32 I Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00649 ISSUED: 05/1112009 APPLIED: 05/1112009 EXPIRES: 1l/11I2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 4475 DAISY ST SPACE 114 ASSESSOR'S PARCEL NO.: 1702323406500 Springtield TYPE OF WORK: Mechanical Only TYPE OF USE: New Residential PROJECT DESCRIPTION: Install heat pump Owner: NICHOLS HANK THOMAS Address: 4475 DAISY ST SPACE 114 SPRINGFIELD OR 97478 I CONTRACTOR INFORMATION ~ Contractor Type Mechanical Contractor COMFORT FLOW HEATING CO. License 460 Expiration Date 06/2712009 Phone 541-726-0100 ,BUILDING INFORMATION I / /I of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: /I of Bedrooms: /I 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/Carport Sq Ft Other: Occupaut Load: uta I DEVELOPMENT INFORMATION I REQUIRED PARKING Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: /I Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: Street Improvements: ___. ._....., .....__~ ___ I,...,'..^rtl dra~ """ t.n I PUBLIC IMPROVEMENTS~I' ~v~';~i;~ '~dopted by the Oregon Utility Notifical;"'r. Ceoter Those rules are set forth . OAR ,~ltlewalktJ:t.'ype:lrough OAR 952,001- In ;JO~~UU 1- v. <J II 0090 Yn ." -'.' ~ht'-!D' ~."n;os of the rules by ,(v()wnspou s rams:~ calling the center. (Note: the telephone number for the Oregon Utility Notlflcalion Center is 1,800-332,2344), Storm Sewer Available:" Speciallnstructio~!J I !l"E: ALL EXPIRE IF THE WORK THIS PERMIT SH Notes: 'UTHORIZED UNDER THIS PERMIT IS NOT 'mnMFNCED OR IS ABANDONED FOR 'iV 1 SO DAY PER IOU. I I Valuation Descriotion Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee 1 of 2 Status Issued 225 Fifth Street, Springtield, OR 541-726-3753 Phone 541-726,3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees Paid' Fee Description + 12% State Surcharge + 5% Technulogy Fee 1st Appliance Heat Pump Amount Paid $11.52 $4,80 $79,00 $17.00 Total Amount Paid $112.32 I Plan Reviews , Date Paid 5111/09 5/11/09 5(11/09 5111/09 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00649 ISSUED: 05/11/2009 APPLIED: 05/11/2009 EXPIRES: 1111112009 VALUE: Receipt Number 3200900000000000353 3200900000000000353 3200900000000000353 3200900000000000353 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. Reouired Insnections , Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. By signature, 1 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 Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Bnilding Safety. I further certify that unly 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 ad~,ress is readable from the street, that tbe 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 of 2 Date 225 Fifth Strcet Springfield, Oregon 97477 541-726-3759 Phonc Job/Journal Number COM2009,00649 COM2009-00649 COM2009-00649 COM2009,00649 Payments: Type of Paymont ONLINE CHGS cRcccinl1 RECEIPT #: Description Heat Pump I 5t Appliance + 5% Technology Fee + 12% State Surcharge Paid By ONLINE PERMIT CHGS SP.,jN~IQ,~~'J..IIL....D'.. ..". ...... ., . ~.'- ; ~-,... . .... . ~ ' ' 3200900000000000353 City of Springfield Official Rcceipt Developmcnt Services Department Public Works Department Date: 05/11/2009 Item Total: Check Number Authorization Received By Batch Number Number How Received NJM Page I of I ONLINE COMFORT Online FLOW HTG Payment Total: I :53:20PM Amount Due 17.00 79.00 4.80 11.52 $112.32 Amount Paid $112.32 $112.32 5/11/2009