HomeMy WebLinkAboutPermit Mechanical 2009-5-26
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'City of Springfield
Mechanical Anthorization To Begin Work
Ecmailed To: kelly@comfortnow.com
Receipt # EC552257 r:L
5/26/20098:09:07 AM ~)p
'. \1'
\l .
Check on sta~us of permit
By Phone: (541)726-3753 or Email: permitcenter@d.springfield.or.ns
I D New construction
[X] Addition/alteration/replacement
10 lor 2 family dwelling 0 Multi-fam-ily' 0 Acc~ssol)' Building
1~-~c:~~~:~:2:~~}~::g~~Q~;~lt~T~F.51.R~AT_!p~NiA~1>j[O~9AT(Q~-~~~~
I Job no.: IJob address: 2451 CLEAR VUE LN
ICily/State/ZIP: SPR1NGFIELD, OR 97477~1345
I Suitt'/bldg./apt.no.:
I Project name: SHUMWAY
Cross street/directions 10 job site:
ISubtlivision:
ITax map/parcel no.: 1703271202000
ILot no.:
I NSTALL DUCTLESS
ONE (I) INDOOR AND ONE (I) OUTDOOR.
I Name: RICK & SHERYL SHUMWAY
IPhono: (541)744-25~OTICE:
I
I
1 Eman, THIS PFHMJT SHAI , FY.PI8F IF THF WJJ8K I
r~~~~:,::~:;~~f~~~~8~:~;~~~~~:~I~~~~;~~~S~~j0"T:;;;~~:
I""",,"', "amo: cq~rr'VRTA\'Pl'I!'I\i^l!i\liRfMh I
IConl'lct: KELLY DATI.j I
IAddress: 195.1 DON ST I
! City/Statcfl.IP: SPRINGFIELD, OR 974771993 I
Il'hono: (541)7260100 IF"" (541)7264799 I
I Email: kelly@comfonflow,eom I
I Metro lie. no.: I City lie. no.: I
I",,,,,
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 Furnacc" up to 100,000 BTU
J Furnaee'- above 100,000 BTU
I Electric Furnace
1 Duct altemtions and additions
I Gas heater lmits/in-\vall, in-
dllct~ sllspended..clcl
I Vent, flue, liner for above
I Air Conditioner
I Heat Pump
I Airl-landler
$17.00
$17.00
I
I
I
1
I
I
1
$17.001
$17.00
[Waterhe<lter
I Qas fireplace/insertlstove
I Gas log/log lighter
I Gaselothes dryer
I Gas stove/range
I Pool or spa healer, kiln
I Wood/pellet.stove/insert
I Wood fireplace
I Chimney/lincrJnuclvent w/o
1 Rmtge hood f":: J l:N liON: IOreclOn I JIM 'o~.., u . . I
I Clothes dryeu~]bl~~~( ~~"e~ a~opted b 'thp A;~ ~~!~~,,(.ll
I Single-duct exl1aliSfW;itlij--6Vn\g,e~ lIer. Tho le rules ;I--......tffft,
toilet compJ/ihi,MI,hhITi'iy2-001_001 0 thr h alre setfor h
cooms) 009n Vn.. :n~'" _.. . _ )ug OA, i 9S?_I1Q. _
I ~tlicICnl\\'lspa~~If1~,.SlO th'~ ~~ ~~~~":.?( pIes of tfte~Uf~s t t
It.t',~S!IP'i;))~tOP.!n.ttei1t5;r!th~{iK~~~~,*:~'~~~~i~~~tI~lgQ.,~,9~n1f'
[.lIPto first 4.'01ltletS(ent~QijYT1.lOr Is 1-Rnn~f~?~;r:.r'""~"~lUT'catjon,
I ,- -<n., I
each additIOnal outlet .
1~~~~~~~~~9}iA'N!q\Ml~g~~iflFI[$-=~~~~~~:11
I Subtotal I $34.00 I
I City Of Springfield FirstAppliancc fee $79.00 I
I . State:Surcharge (12% ofpenmt fee) $13.56 I
I City Of Springfield fees "'"j $5.65 I
L- TOTALPERl\lIT FEE $132.21 I
'" City Of Springfield fees: 5% Technology Fee
QC)"~1~B
KP-
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This Authorization To Begin Work must be posted at the job site until replaced by a Permit.
'fj
Status
Issued
CITY OF SPRINGFIELD
. Building/Combination Permit
PERMIT NO: COM2009-00728
ISSUED: OS/26/2009
APPLIED: OS/26/2009
EXPIRES: 11126/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2451 CLEAR VUE LN
ASSESSOR'S PARCEL NO.: 1703271202000
Springtield TYPE OF WORK: Heating System
TYPE OF USE: New
PROJECT DESCRIPTION: Install ductless system - one indoor and one outdoors
Residential
Owner:
Address:
SHUMWAY RICK & SHERYL
2451 CLEAR VUE LN
SPRINGFIELD OR 97477
-'
I CONTRACTOR.INFORMATlON.1
Contractor Type
Mechanical
Contractor
COMFORT FLOW HEATING CO.
License
460
Expiration Date
06/27/2009
Phone
541-726-0100
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 Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:.
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
nla
REQUIRED PARKING
ATTENTION: Oregon~oWt [~quires you.to
Front yard Setback: Overlay Dist: follow rules adopted '" lr,~ Oregon Utility.
Side I SetbNk!TlCE." # Street Trees Rqd: . . . C t Th annlcllDned:-et forth
. _ ' . Notification en er. , u~c: rUlt:~;~'!;; ~ '
SIde 2 Setb~~\<fS PERMIT SHALL Paved DrIve Rqd: in OAR 952-001-0010 tic;(\'.1'i'f.4't!;:AR 952"001-
Rearyard ~tP:a8tiRIZED EXPIRE IF THE W(l>jfj~ot Coverage: 0090. You may obtain copies of the rules by.
Solar Setbt<bfJ1MENr:m ~~D,~R !HI,S ~ERMIT IS NOT calling the center. (No~~;.t.~e .t~~;p~~,n:_
ANY 180 DAY PERIOD:j"n;ulV~* IMPROVEMENTS I nU[[lutlIC~~;~'rci;1 ~800~332~:h44i:- -.
Street Improvements: Sidewalk Type:
I OEVELOPMENT INFORMATION 1
Storm Sewer Available:
Special Instruction:
Downspouts/Drains:
Notes:
I Valuation Descripti~nJ
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Patie 1 01'2
,.
Status
Iss u ed
CITY OF SPRINGFIELD
'Building/Combination Permit
PERMIT NO: COM2009-00728
ISSUED: . OS/26/2009
APPLIED: OS/26/2009
EXPIRES: 11/26/2009
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
$13.56
$5.65
$79.00
$17.00
$]7.00
Date Paid.
5/26/09 .
5/26/09
5/26109
5/26/09
5/26/09
Receipt Number
Fee Description
, . ~
+ 12% State Surcharge
+ 5% Technology Fee
I st Appliance
Air Handling Unit Up to ]0,000
Heat Pump
Amount Paid
]200900000000000531
]200900000000000531
.1200900000000000531
120090000000000053]
120090000000000053]
Total Amount Paid
$132;21
I Plan Reviews I
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.
R"9IJire~. In~}'~.cti?,!s.
Rough Mechanical: Prior to Cover
Final Mechanical: 'Yhen all mechanical work is complete.
By signature, I state and agree, that I have carefully examined the completed application and do he.'ebycertify that all
information hereon is true and correct, and I fnrther certify that any and all work performed shall be done in accordance with
the Ordinances of the City of Sp.'ingfield 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 ofthe 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 i~spections are requested ~t 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 Signatun/
Date
Paee 2 of2
,
225 Fifth Street
. .
SprJngfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2009-00728
COM2009-00728
COM2009-00728
COM2009-00728
COM2009-00728
Payments:
Type of Pnyment
ONLINE CHGS
cReceintl
RECEIPT #:
1200900000000000531
Date: 05/26/2009
8:58: 19AM
Description
1st Appliance
Air Handling Unit Up to 10,000
Heat Pump
+ 5% Technology Fee
+ 12% State Surcharge
Amount Due
79.00
17.00
17.00
5.65
13.56
$132.21
Paid By
ONLINE PERMIT CHGS
, Item Total:
Check Number Authorization
Received By Batch.Number Number I-low Received
Amount Paid
ONLINE Comfort Online
Flow
Heating Co
Payment Total:
KR
$132.21
$132.21
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