HomeMy WebLinkAboutPermit Mechanical 2009-5-26
Receipt # EC552323 r'\ 'fJ "J
5/26/2009 I2 :35:28 PM ~ /
(j
City of Springfield
Mechanical Authorization To Begin Work
E-mailedTo:kelly@comforttlow.com
Check on status of permit
By Phone: (541)726-3753 or E'inail: permitcenter@ci.springfield.or.us
I 0 New construction
o Addition/alteration/replacement
10 ] or 2 family dwelling
DMulti-family
D Accessol)' Building
I Job no.: I Job address: 975 FAIRVIEW DR
I City/StatcfLIP: SPRINGFIELD, OR 97477-2730
I Suitc/bldg.lapt.no.:
I Projl'ct name: CHURCHILL
Cross street/directions to job site:
I Subdivision:
ITax map/parcel no.: 1703273102100
ILa' no.:.
PIPE TO TANKLESS. INSTALL TANKLESS WATER
DOING THE PLUMBING
I Name: JOHN & PAULA CHURCHILL
\ Phone: '(54l) 747-8945 . I Fax:
IEmail:
I~
I CeB lie. no.: 460
I Business Name: COMFORT FLOW HEATING CO
I Contact: KELLY DATH
IAddrcs~: 195,1 DON ST
ICilY/State/ZIP: SPRINGFIELD, OR 974771993
I Phone: (541 )72601 00 !1<'llX: (541 )7264799
I [mail: kelly@comfortnow.COlTI
IJ\'lctro lie, no.: ICity 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.
!Description
I Furnace- up to 100,000 BTU
I rurnace - above 100,000 BTU
I Electric Furnace
I Duct alterations and additions
I Gas heater unitsl in-wall, in-
duct.,suspcndl.:d, etc!
I Vent, flue, liner for above
I Air Conditioner
I lIeat Pump
I Airl-landlcr
I Water heater $17.00
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/iilser1
I Wood fireplace
Chimney/liner/flue/vent wlo
ap,?liance '.
~E'!~iti!t1i?ilt~I(~~~~~K~j ,~NDJ~J})litio~'\~~;A::~~'
I Range hood
I Clothes dryer exhaust
I' Single-duct exhaust (bathrooms,
toilet compartments, utility
rooms)
I Atticlcrawlspacefans
I upto first 4 outlelS( enter Qty= I)
I each additional ollllet
II
S"b!"1ll11
City Of Springfield First Appliance fee
State Surcharge (12% of permit fee)
City OfSpringlield fees *'
I TOTAL PERMIT .'EE
* City Of Springfield fees: 5% Technology Fee
LanV:5DU]
5-Zy, - 0'1
0073 5
Nr-A
This Authorization To Begin Work must be posted at the job site until replaced by a Permit.
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$17,001
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$2400 I
$79,00
$12.36
$5.15
$120.51
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Iss u ed
PERMIT NO: COM2009-00733
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 In.spection Line
SITE ADDRESS: 975 FAIRVIEW DR
ASSESSOR'S PARCEL NO.: 1703273102100
Springfield TYPE OF WORK: Mechanical Only
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Tankless water heater
Owner: CHURCHILL JOHN L & PAULA A
Address: 975 FAIRVIEW DR .
SPRINGFIELD OR 97477
Phone Number: .541-747-8945
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:
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:
Encrgy 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
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Street Improvemt'-nts:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
%of.LotCoverage:
. ., . . to
A............I"':',",.l('\I\I. nrp.oon law requlrGs y?~"..
I PUBLIC IMPR0V'EMEN:rS'lioPrte~h~~~I~~I~~ ~a~~'~etj~;th
,"UU"vC'''~'' __..te., . ._ _I ~'^8 952-001-
. OAR Q52-001-00 SIdewall{ Type: I b
In . obto;n copies 01 the ru es Y
. 0090. You may . Downspouts/Drain's:Jne
I\'ng the cenlel. \"OO'~'" ,. .. '.'. .
ca Ib r lor the OrAGOn Utility Notification
num e. . ~- 3 4)
Center is 1-600-332-2 4 .
Total:
Handicapped:
Compact:
Front yard Setback:
Side I Setback:
. Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Storm Sewer Available:
speciallnstrNuction:
OnCE:
Notes: THIS PERMIT SH
AliTf..InDl7cn ,,,.~~~ EXPIRE IF THE WnRI<
eOMMEN -- ~'W~1l InliJ I"t.;;,;;; i'; IWI
ANY 180 DeED OR IS ABANDO/I'I:.v,aluation DescriDtion I
AY PERIOD .
$ Per Sq Ft Square Footage.
or multiplier or Bid Amount
Description
Type of Construction
Value
Date Calculated,
Pa2e 101'2
Status
Issued
. 225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 1 nspection Line
Fee..Description
-+; 12% State Surcharge
+ 5% Techn.ol.ogy Fee
1st Appliance
Gas Outlets 1-4
Miscellaneous Mechanical
Am.ount Paid
$12.36
$5.15
$79.00
$7.00
$17.00
T.otal Am.ount Paid
$120.51
T.otal Value.of Pr.oject
Fees Paid I
I Plan Reviews I
Date Paid
5/26/09
5/26/09
5/26109
5/26/09
5/26/09
CITY OF SPRINGFIELD
. Building/Combination Permit
PERMIT NO: COM2009"00733
ISSUED: OS/26/2009
APPLIED: OS/2612009
EXPIRES: 11/2612009
VALUE:
Receipt Number
2200900000000000562
2200900000000000562
2200900000000000562
2200900000000000562
2200900000000000562
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 r nsnectionsl
,. .
R.ough Mechanical: Pri.or to C.over
Fina' Mechanical: When all mechanical work is c.omplete.
Final Gas: When all gas w.ork is c.omplete.
By signature, r state and agree, that r have carefully examined the c.ompleted applicati.on and d.o hereby certify that all
inf.ormation here.on is true and correct, and I further certify that any'and all w.ork performed shall be d.one in acc.ordance with
the Ordinances of the City of Springfield and the Laws .of the State .of Oreg.on pertaining to the w.ork described herein, and
that NO OCCUPANCY will be made of any structure without permission .of the C.ommunity Services Divisi.on, Building Safety.
I further certify that .only contract.ors and employees wh.o are in c.ompliance with ORS 701.005 will be used .on this project.
I fnrther agree t.o ensure that all required inspections are requested at the proper time, that each address is readable fr.om the
street, that the permit eard is l.ocated at the fr.ont .of the pr.operty, and the appr.oved set .of plans will remain .on the site at all
times during construction.
Owner or Contractors Signature
Page 2 .of 2
Date
225 Fifth Street'
Spril)gfield~ Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-00733
COM2009-00733
COM2009-00733
COM2009-00733
COM2009-00733
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
Description
1st Appliance
Miscellaneous Mechanical
Gas Outlets 1-4
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS .
City of Springfield Official Receipt
Development Services Department
Public Works Department
2200900000000000562
1:31:13PM
Date: OS/26/2009
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
79.00
17.00
7.00
5.15
12.36
$120.51
Amount Paid
NJM
ONLINE COMFORT Online
FLOW
Payment Total:
$120.51
$120.51
Page 1 of 1
5/26/2009