HomeMy WebLinkAboutPermit Mechanical 2009-6-4
City of Springfield
Mechanical Authorization To Begin Work
E-mailedTo:kelly@comfortflow.com
R~ceipt # EC553045 .f}. \
6/4/20091:41:31 PM "'"\
q/
~
Check on status of permit
By. Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
'~ \ 0 New construction
o Addition/alteration/replacement'
I.;
IllJ 1 or 2 family dwelling 0 Multi-family D Accessory Building
1:-'-' '_1'-.~::
IJob no,: 844733 I.lob address: 551 6TH ST
I City/StatelZIP: :SPR1NGFIELD, OR 97477-4625
I SlIitcJhldg.lapt.no.:
I Project name: MANN
Cross street/directions to job site:
I Subdivision:
ITax map/pareelno,: 1703352404800
ILot no.:
..
'....,?fr".- [-
INSTALL "EATPUMP AND AJR
I Gas 'fireplace/insert/stove
I Gas logllog lighter
I Gas clothes dryer
'I Gas'stove/range
I Pool or spa heater, kiln
I Wood/pellet stove/insert
I Wood fireplace
I Chimney/liner/flue/vem w(o
uooliance
li~.~~~:~.~~~~'~~~~~:au~~R"~~~~F)n'-ir~'i;1t:'~;'o~~~~'''~-::c~::" / -
I Range hood I, I
) Clothes dryer exhaust i
1 Singlc;duct exhaust (bathfooins, I' 1
I toilet compartments, utility ,
1 rooms)
,I Atticlcrawlspacefans I
I I upto first 4 oU1Jets( emer Qty= I )
II each additional outlet
11;-'
II
Ii
I TOTAL-PERMIT FEE I
* City Of Springfield fees: 5% Tecliilology Fee
,
BILLIE
I Phone: (54 J) 968~6333
] Email:
I Fa>.
;'H ...
ICCOlic. no,: 460
lOusiness Name: COMFORT FLOW HEATING CO
) Contact: KELLY DATH
IAddress: 1951 DON ST
jCity/StaterL,IP: SPRINGFIELD, OR 974771993
!Phon" (541)7260100 IFax: (541)7264799
! Emnil: kelly@comforttlow.com
I Metro lie. no.: I City lie. no.:
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 inspecUon.
;r Subtotal I
City Of Springfield First Appliailce fee
State Surcharge (12% ofpennil fee) 1
City Of Springfield fees *1
$3400
$7900 I
$13.56,1
$565 I
$13221 I
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.
W/YJ2{JD~~ ()079j
17 rvi ,? --- '7"-0 '1
This Authorization To Begin Work must be posted at the job site until replabed by a Permit.
Status
Issued
225 Fifth Street, Springfield, OR
541-726"3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 551 6TH ST
ASSESSOR'S PARCEL NO,: 1703352404800
CITY OF SPRINGFIELD'
Building/C~mbination Permit
,
PERMIT NO: COM2009-00791
ISSUED: 06/04/2009
APPLIED: 06/04/2009
EXPIRES: 12/04/2009
VALUE: "
Springfield TYPE OF WORK: Hea!ing System
PROJECT DESCRIPTION: Heat pnmp & air handler
Owner:
Address:
MANN BILLIE A
551 6TH ST
SPRINGFIELD OR 97477
TYPE OF USE: New
I
Residential
Phone ~nmber: 541-968-6333
I CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Contractor
COMFORT FLOW HEATING CO.
BUILDING INFORMA nON I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Strncture
Type of Heat:
Water Type:
Range Type:
Energy Path:
, Sprinkled Building:
License
460
Expirati~n Date
06/27/2009
Phone
541-726-0100
n/a
LotSize:
, Sq Ft rst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
, I;
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
AJTENTIO~-J ?re~:n,l~'" r'~I.PUBl;I€I!MPROVEMENTS I
S I foJ,ow r~fe-.., aGOp. ~~ >-,'y ..~.. ""-, :.,:..:y
treet mprovements"'rlCel't -r 'I" ., 'cl.
I~U~nlv"li.IU Ie,' A:J",,,, .::.; '1(: S:".lICfv;J
Sto'rm Sewef~~:{fuBre,?-001-0(, ~I' }, _i.." ; ...'11-',1 f {}52.Q01-
Speciallnst~iGm~/ou may obtaht ',);bS of the rt'les by
calling the center, C'\,:,,,: the tele,-1riJne
Notes: number for tile. Oregcli Utility :~otiiicatiori
Center IS 1,800,332-2344),
I Valuation DescriDtion I
Description
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Tv'pe of Construction
Page I of 2
REQUIRED PARKING
, Total:
i, Handicapped:
:: Compact:
NOTICE:
TI-Slde>Y:a\\\iffYI1!.:jALL EXPIRE IF THE WORK
AUT/JnDI7cf:) J.!.w,rn THI
Downspoutsl-mainsl S PERMIT IS NOT
COMMENCED OR'jIS ABANDONED FOR
ANY 180 DAY PERIOD,
Value
Date Calculated
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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
Total Value of Project
FfFS Pairl I
Plan Reviews I
Date Paid
6/4/09
6/4/09
6/4/09
6/4/09
6/4/09
CITY OF M'Kll"uJ< lELD '
Building/Combination Permit
"
PERMIT NO: COM2009-00791
ISSUED: 06/04/2009
APPLIED: 06/04/2009
EXPIRES: 1'2/0412009
VALUE:
Receipt Number
3209900000000000419
3209900000000000419
3200900000000000419
3200900000000000419
3209900000000000419
"
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., '
Reollirerllnsnections I
" . J
Rough Mechanical: Prior to Cover,
Final ,Mechanical: When all mechanical work is complete,
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
infonnation 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 he 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
Paee 2 of 2
Date
j,
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-00791
COM2009-0079 j
COM2009-0079I
COM2009-00791
COM2009-00791
Payments:
Type of Payment
ONLINE CHGS
cReccintl
RECEIPT #:
3200900000000000419
Description
1st Appliance
Air Handling Unit Up to 10,000
Heat Pump
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLlNE'PERMIT CHGS
Received By
NJM
Check Number
Batch Number
City of Springfield Official Receipt
Developmeht Services Department
Pu~lic Works Department
Date: 06/04/2009
Item Total:
Authorization
Number '
"
How:Received
ONLINE COMFORT Online
FLOW
Payment Total:
Page I of I
"
I :49:58PM
Amount Due
79.00
17,00
17.00
5.65
13.56
$132.21
Amount Paid
$132.21
$132,21
6/4/2009