HomeMy WebLinkAboutPermit Mechanical 2009-5-27
"
Cjty of Springfield
Mechanical Authorization To Begin Work
E-mailedTo:kelly@comfortfiow.com
Receipt # EC552398
5/27/20099:29:50 AM
q'\
if\ )J
\';
"ii
Wl-,
Check on status of permit
By Phone: (541)726-3753 or Emaii: permitcenter@ci.springfield.or.us
1~~S:~~7~:;~{'~--T;".;:;~,F(~~L~,C~I;R~[~-~~'~. _
I Description 1 Qt}'. I
':1 i;,:~':::<;:]::~~;':~~~~F"~
II Furnace - above 100,000 BTU
f-;.',:I I Electric Furnace
I I Duel alterations and additions
I GashCi.lIt:runits/in-wall, in-
I duct. suspended. ctel
I I Vent, flue, liner for above
I I Air Conditioner I
I Heat Pump' ] 1 $]7,001
1 Air Handler ] 1 $]7,00
jC9j~~(i'~tb_~~~ing~p._~!1~-nc:~~~~:~ ~~'s:~~:"". tB,~ ,_~
!Waterhcater
I Gas fireplacelinsert/stove
I Gas tog! log lighter
I Gas clothes dryer
I Gas slove/range
I Pool or spa heater, kiln
I Wood/pellcl stovc/inscn
Wood fireplace I
I ..<~.. ,~;.. ,""~,;~~~~f~ ~ -ShE CONTACT '.r' Chimncy/linerlfl!J$LY5alJ.\YLp .
INam" WARD, MAR]LY,N_&-':Id>.!:! appliance AI Tl:NTION: Dreg on Ilw requll es you j(,
Il'honl': (541) 747-85491" U T Ilr t: 1.'llX: ~fnviro~~ltendip~~u~~t,\I'lI}1VeniilA'iloiiH_oy_tr:leqr~gqn U.lfB.L\ Y1
HR;ag~ h~od l~oilil~a~I~~c~;I'~~" ~ i,'UF" ~i~,\ ,,,';",,,' ;;;~ I
I Em"i', I HI~ t-'tKIVIII ~ ALL t!\t-'IKt I~ I Ht VVUtil\ C] h ", f'I,v/'m :3..J<,- - i v ,1.-~vv"J. 3P n 0~2 Oe1-
at es ul)-~ xnllUSl - "
I c:n ':c. ao.;";~o'c'~c~~:~HJ~t~~R~~tl1~i~:J~fHI:0~KI~UJ~:j; i,t-" I ~~~~:~~~~a=f~~~~~~l~t~~:(~ )~~:h~f tt ~~~~;~E)Y
I rooms} nllmnor f("\r t;.Io nrprlnr I t ltilitv N ~tificatio i}
I:::i,:::: N~~'~C~y ~:~~aYtl8G Ii1h\Y]~UD, 1 :,~:~:/;::;~I;~:~:~~;: Centef is 1-809-3~~-:~4'~),'>1
!~~~~:::;;:~;;~:~::::FIELD' OR 974771991 F"" (54])7264799 ! 11':;~;.~;:::~~,~i~c:~~;cL PERMITLs ~ ~_,I," " , '1,;11
IEmail: k~lIy@comfortllow,com II"""' -".-,.' . "~--~ - ..,- - -'--S~b;olul -~' --,~", $;~.OO'"I
11\--fetro lie. no,: I City lie. no.: I I City Of Springfield First Appliance fee $79,00 I
1 State Surcharge (12% of permit fee) $13.56
j City Of Springfield fees" $5.65
l TOTAL PI.:RMIT FEE 1 $132.211
.. City Of Springfield fees: 5% Technolugy Fee
"';;J:!iki2:~?;:.-TYP_~12E~YY9~~~1;';:;~';~ -{
10 New construction [X] Addition/alteration/replacemcnt
I -. '-, :;,:"CATEGbRY.9ECONSTRU9T]bN,_~?:~tc>":-<:
I [K] 1 or 2 Illmily dwelling D Multi-family D Accessury Building
I~~b ":;: 7-','~fi' JOI:o:l~l::O~~2:TI~~::,~@CATION-1i::,/~
ICity/State/ZIP: SPRINGFIELD, OR 97478.6851
jSuilelbldg.lllpl.no,: SPC!lS
I Project nume: WARD
Ea.
<~-' ,t,~: ',:'
Total I
"LI
1
I
I
1
I
1
I
$17,001
$17001
Cross street/directions to job site:
I Subdivision:
I'Hu: mllp/parcel no,; 1702342200100
Ii' ,; ';;,,"',:';:;gESCRIPlipN9F,VYORlS:
replace heat pump and air hundlcr
I Lot no.:
~,~...;:-';-~- -
1
"P,' "I
~ ~ .1' ~'"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.
m-~cn
~t
612J(09
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/Combinatiol1 Permit
PERMIT NO: COM2009-00697
ISSUED: OS/20/2009
APPLIED: OS/20/2009
EXPIRES: 11/27/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1125 58TH ST SPACE 85
ASSESSOR'S PARCEL NO,: 1702342200100
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
PROJECT DESCRIPTlON: Circuit for electric furnace/air conditioner swap
Residential
Owner: WARD ALAN REAU & MARILYN LEAH
Address: 1125 58TH ST SPACE 085
SPRINGFIELD OR 97478
I CONTRACTOR INFORMATlON I
Contractor Type
Electrical
Mechanical '
Contractor
GMD, ELECTRIC lNC
COMFORT FLOW HEA TlNG CO,
License
162191
460
Expiration Date
11119/2010
06/27/2009
Phone
541-726-8601
541-726-0100
BUlLDlNG lNFl:,>RMATlON I
# of Units:
Primary Occupancy Gi'oup:
Secondary Occupancy Group:
Primary Construction Type '
Secondary Construction Type:
# of Bedrooms:
# of Stories: Lot Size:
Height of Structure Sq Ft 1st Floor:
Type of Heat: Sq Ft 2nd Floor:
Water Type: Sq Ft Basement:
Range Type: Sq Ft Garage/Carport
Energy Path:' Sq Ft Other:
Sprinkled Building: Al'\/~NTIOI'P'(5f'.!t'81~ ~J'v'~%quites you to
u::--,-- ,
... v I \.II:;,. " ".. 'V't l Utt;O) aUUl-llCU uy lilt: VI t:<YVII UUIllY
THIS PERMIT SHALL E I DEVELOPMENT INFORMA TlOl'Sal:ation Center. Those rules ,are set forth
XPIRc ,1"1'['11_ ..0'\',,\' ,"" D'EClJ.I-IREl" "'A"-k'M'",
AUTHORIZED UNDER THIS PERMIT N T In OAR 952-001-0010'~"",~" ",,",," _S"","VI"
Front yard ~t9ac(jf , ~verqay Dist: 0090, You may obta.llfIiH'i'!es of the rules by
Side I' Setback''''1V ENCED ORIS ABANDONED Flimtreet Trees Rqd: . calling the center, m.'i\\jiclipp~a!epho~e ,
Side 2 Setba~k~ 180 DAY PERIOD, Paved Drive Rqd: number for the Ore'C'l,nl1,1~Y~\~ Notification
. ' Center IS 1-8uu-0v;<-;<344),
Rearyard Setback: % ot Lot (overage:
Solar Setbacks:
"
I PUBLlC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Spedallnstruction:
Sidewalk Type:
DownspoutslDrains:
Notes:
Paee I of 3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Lille
CITYOF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00697
ISSUED: OS/20/2009
APPLIED: OS/20/2009
EXPIRES: 11/27/2009
VALUE:
I v aluation Descri~tion I
Description
, Tvpe of Construction
$ Per Sq Ft
or mnltiplier
Square Footage
or Bid Amount
Total Value of Project
F~es Paid I
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Air Handling Unit Up to 10,000
Heat Pump
Amount Paid
$6,96
$2,90
$58,00
$13,56
$5,65
$79,00
$17,00
$17,00
Total Amount Paid,
$200,07
I Plan Reviews ,
Date Paid
5/20/09
5/20/09
5/20/09
5/27/09
5/27/09
5/2 7/09
5/27/09
5/27/09
Valne
Date Calculated
Receipt Number
1200900000000000505
1200900000000000505
1200900000000000505
3200900000000000398
3200900000000000398
, 3200900000000000398
3200900000000000398
3200900000000000398
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 Rellllired Insnections I
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete,
Rough Mechanical: Pri~r to Cover '
Final Mechanical:, When all mechanical work is complete,
Page 2 of 3
"
_~S~QP';D~ .,' ,1.I,',:,!
,".~. )
'~' ~~
, .,,-~->., ,~.....-. >~. ~,,- .
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00697
ISSUED: OS/20/2009
APPLIED: OS/20/2009
EXPIRES: 11/27/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
By signature, 1 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 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,
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 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
Date
Page 3 of 3
"
225 Fifth Street
Springfield, Oregon 97477
541-126-3759 Phone
Job/Journal Number
COM2009-00697
COM2009-00697
COM2009-00697
COM2009-00697
COM2009-00697,
Payments:
Type of Payment
ONLINE CHGS
I
cReceiotl
RECEIPT #:
1~l:~~~~
*-"
3200900000000000398
DeSl'ription
I st Appliance _
Air Handling Unit Up to 10,000
Heat Pump
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
City of Springfield Official Receipt
Development Services Department
,Public Works Department
Date: OS/27/2009
Jtem Total:
Check Number Authorization
Received By Batch Number Number How Received
KR
Page.l of I
ONLINE COMFORT Online
FLOW
Payment Total:
10:53:20AM
Amount Due
79,00
17,00
17,00
5,65
13,56
$]32,21
Amount Paid
$132.21
,$132,21
5/27/2009