HomeMy WebLinkAboutPermit Mechanical 2009-5-20
City of Springfield
Mechanical Authorization To Begin Work
, E-mailedTo:kelly@comforttlow.com
Receipt # EC552070
5/20120092:50:37 PM
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
o New constrUClion
o Addition/alteration/replacement
[~J] or 2 family dwelling
o Multi-family
D Accessory Building
I Job no.: I Job address: 838 57TH $T
City/StlltefZIP: SPRINGFIELD, OR 97478-6823
I Suite/bldg.lapt.no.:
. Project nltme: ORTEGA
Cross street/directions to job site:
I Subdivision:
Tax'm~p/parceJ'no.: 1702331 [01000
I Lot no.:
INSTALL DUCTLESS SYSTEM. I OUTDOOR
I Name: RENE & CAROLYN ORETGA
Iphone: (541)746-7115 I Fax:
I Emllil:
ICCO Ii<, 00,: 460 A,r Il:N IIUN: uregon law requires you to
I OO"oess N"me: cOMF~~t'f(Qo/'l\F~(I!w.~".;' uy "''',uregon ~~I1lY
I Contact: KELLYDAT~~-n~R"'~'~;'_~;~~~~'''~ ~';r~~J~~~u~;~~n~~~ ~~~II
[Add"'" 1951 DON ST0090. You mav obtain r.n~i~e ~fth"-r~~"~ -h\"
I Clly/St..to/ZIP: SPRINGFID:IlilillIl)} N7a?tl91J1ler, {Note: the telephone'
I Pho"" (541)7460' 00 numoerlor tne fPHlf(5lI1)\ilil\l9p Notification
!Email: kclJy@comfortflo\\',com \.Jt::!lllt::!f I::) I-OUV-vvi:::-~ij4q),
I J\Ietro lie: no.: I Cit}' 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 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.
I Description I Qt}'.
IrJ~@.ti'g(.fO?Wijg~;R;elL<!~'~~;~;~":>'.~~- ~..-
I Furnace- up to 100,000 IrrU
I Fllrnac~ - above 100,000 BTU
I Electric Fumace
I Duct alterations and additions
I Gas heater units/ in-wall, in-
duct, suspended, cte/
I vent, nu~, liner for above
I Air Conditioner
I Heat Pump
I Air Hlmdler
Ea.
$17,00
$17,00
I Water healer
I Gas fireplace/insert/slave
I Gas logllog lighter
! Gas c101hes dryer
I Gas stove/range
I Pool orspu heater, kiln
I Wood/pellet stove/insert
[ Wood fireplace
I Chimnc)'/Iiner/tlue/vcnt w/o
I
I Range hood
\ Clothes dl)'cr exhaust
I Single-duct exhaust (bathrooms,
toilet compartments, utilitY
rooms)
I Alliclcrawlspacefans
I upto first 4 outlets(enter Qty=l)
I each additional outlet
Sub\ota\ I
City OfSpringtield First Appliance fee
State Surcharge (12%'.of permit fee)
CiIV Of Spr. ingfie1d fees *1
I TOTAL PERMIT rEE
..Ciry OfSpringlleld (ees: 5% Technology ree
Cq~10~ KJL ~(ooIOC1
NOTICE:
THIS PERMIT SHALL EXPIRE IF THEWORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD., '
This Authorization To Begin Work must be ~osted at the job site until replaced by a Permit.'
,
l\?')J
,r;0( ,
\i.
Total
I
I
1
I
I
I
1
$17,001
$17001
1
I
I
I
I
[
I
~/I
I
I
I
I
$34,00
$79,00 I
$1356 I
$5,651
$132.21
CITX OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2009-00702
, ISSUED: OS/20/2009
APPLIED: . OS/20/2009
EXPIRES: II/20/2009
VALUE:
225 Fifth Street, Springfield; OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 838 57TH ST
ASSESSOR'S PARCEL NO.: 1702331101000
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
PROJECT DESCRIPTION: Installing dnctless system - I ontdoor nnit and I indoor nnit.
Residential
Owner: ORTEGA RENE'J & CAROLYN E
Address: 838 NORTH 57TH ST
SPRINGFIELD OR 97478
"
I CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Contractor,
COMFORT FLOW HEATING CO.
License
,460
Expiration Date
06/2712009
Phone
541-726-0100
BUILDING I~FORlV!A~~l?~'
# of Units:
Primary Occupancy Group:
Secondary Occupancy Gronp:
Primary Construction Type
Secondary Construction Type:
# of Bcdrooms:
# 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:
Occupant Load:
"
ilIa
I DEVELOPMENT INFORMATION I
ATTENTION: Oregon law requires you to
Frontyard SetbatJ<;:ow rules adopted by the Oreg~;W\9!~1tJ>ist: "
Side I Setback: Notification Center. Those rules ar~ ~Mq\',~ilfees Rqd:
Side 2 Setback: in OAR 952-001-0010 through OAR'lJlYE<b!]rive Rqd:
Rearyard Setbaei<90, You may obtain copies of thlYq'i!!l3!J'llfoverage:
Solar Setbacks: calling the center. ' (Note: the telephone
Mj IlYIhol" f....... th"" f""\......,...,...'" I r...:la... "1_L~.c'_ _-,-. _ _
. REQUIRED PARKING
Total:
" Handicapped:
Compact:
Center is 1-80o-33;fil:JB~lE iMPROVEMENTS I
Street Improvements:
Storm Scwer Availabte:
Special I nstruction:
---
NOTICE: Sidewalk Type:
I THIS PERMW'~"lltI~I!IEWIfllE;:IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
"
Notes:
I Valuation DescriDtion I
Description
Type of Construction
,
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Dale Calculated
Page I of2
.
_.sIi!IlI~~!~FJ!!!!'9~1 ,
t
~
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees Pai~ I
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Air Handling Unit Up to 10,000
Heat Pump
Amount Paid
$13.56 '
$5.65
$79.00
$17.00
$17.00
Total Amount Paid
$132;21
I Plan Reviews I
'Date Paid
5/20/09
5/20/09
5/20/09
5120109
5120/09
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00702
ISSUED: ,05/20/2009
APPLIED: OS/20/2009
EXPIRES: 11/20/2009
VALUE:
Receipt Number
1200900000000000511
1200900000000000511
1200900000000000511
1200900000000000511
1200900000000000511
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 Reouirerllnsnections I
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete,
By signature, 1 state and agree, that 1 have carefully examined tbe completed application and do hereby certify that all
information hereon is true and correct, and Il'urther certil'y that any and all work performed .shall be done in accordance with ..
the Ordinances 01' tbe 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, Building Safety.
1 further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
1 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
22"5, Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
_, .:QF~~ .,'U.,..~i~l, ,
~_..'
-.. - .,
-.." '.
-.,.....,.,.. """'''-''..
City of Springfield Official Receipt
Development Services Department
PuPlic Works Department
RECEIPT #:
1200900000000000511
Date: OS/20/2009
2:57:54PM
Paid By
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
79,00
17,00
17,00
5,65
13,56
$132.21
Job/Journal Number
COM2009-00702
COM2009-00702
COM2009-00702
COM2009-00702
COM2009-00702
Description
I st Appliance
Air Handling Unit Up to 10,000
Heat Pump
+ 5% Technology Fee
+ 12% State Surcharge
Payments:
Type of Payment
Amount Paid
ONLINE CHGS ONLINE PERMIT CHGS
KR
ONLINE COMFORT Online
FLOW
HEATING
Payment Total:
$132,21
$132.21
cReccintl
Page I of I
5/20/2009