HomeMy WebLinkAboutPermit Mechanical 2009-6-4
V\q~
ql
()
Mechanical Authorization To Begin Work
E-mailedTo:kelly@comfortflow.com
R~~eipt # EC553054
,
6/4/2009 1 :53:36 PM
City of Springfield
.~
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
I 0 New construction
[X] Addition/alteration/replacement
I Description
I
[K] ] or 2 family dwelling
D Multi-family
o Accessory Building
\?' -[::~Y:~;;~0~iT~O.B]j~T~J~&Rr.,"~TI9~'AN:~1~QE~flo,tt~~~~i\:1=.~.:~;i:~ ~::I
IJOb no,: IJob address: 415 67TH ST I
)Cil.y/State/ZIP: SPRINGFIELD, OR 97478-7183 I
I Suitc/bldgJapt.no.: I
'I Project name: DECKER I
Cross street/direction!; to job site:
1 Subdivision:
I Tax map/parcel no,: 1702341403740
!Lot no.:
INDOOR UNITS
r'''''''I''I,I'';:,,'''''','c,~'''~,--',' ,",.\t;;;n"" "~,' <",,",,' ,., '''''~'I
;;",~,tJ ~".!~~:;Y;SITE'CONTACT~'~'...~": o;.l,."~,."'L","':;.,;,.,~,, ','ti
INam" LARR~i~~}~n;viif~iiilLi. EXPIRE frTHT~vb~~ ~,.., "I
]Phoa" (541)747i1l~MHUIiILtU UI~Ut~FJ,l:lIt> l"'ttilVIII I;) I~UI I
I EmaiI. ' l-UIVIIVltNl-tU UIi It> I-\tll-\l~UUI~tU rUIi I
,
leeR lie. no.: 460
I Business Name: COMFORT FLOW HEATING CO
\ Contact: KELLY OATH
IAddrcss: 1951 DON ST
ICity/Stale/ZIP: SPRINGFIELD, OR 974771993
I Pholle: (541 )7260100 I Fax: (541 )7264799
I Email: kelly@comfortflow.com
I Metro lie, 110.: ICity lie. no.:
Upon review and approval by youi' local jurisdiction, your
permit will be a-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 ail
Authorization To Begin Work is null and void if it does not
meet applicable land use laws and local ordinances.
I Furnilce- up 10 J 00,000 BTU
I Furnace - above] 00,000 BTU
I Electric Furnace
I Duct alterations and additions
I Gas heater units/in-wall, in-
duct. susoended. elc/
[Vent, flue, liner for above
[ Air Conditioner
I Heat Pump
Air Handler
2
$17,00
$I700[
$17,00
$34001
heater
I Gas lireplace/insertlstove
I Gas log! log lighter
I Gas clothes dryer
I Gas stove/range
Pool or spa heater, kiln
I Wood/p'lIe~I\l't\ I ' .~
. .. . ON: 01 :g:~ ,3\1 roqUlrG you to
I WO,od fire~~~n\ftI .rIlJQ~ ~n.o ':il.en ky ho (1rog r Iltility
I ;:;~;~'J/l'I5BMifflMt;enllif. Those rules ar~ set forth
It~irb~Mtataj~~(-A~~N~~~~B!),~}IJ3~~q~,~~,?~~,o'::_~~~.1 :",
I Ran eho~v,. \vv ,",vy v.J,v,", vv~.vv v. II.~Ph~;oL{
g S2~~:::'=' t~~ efo-<~~'2~;: ~~2 t:~...
I Clothes d'Ylj\ IffiPY8\. 1m Ihp )'OJM I Will' ~I"I H~~tion
I Slngle,duct exhaust (lJatb.rg'''''.' 1 800 3 l2 2344)~
toilet compartments, Utnny,lljl It.:! - - -
rooms)
I Atticlcmwlspacefans I
", ~-;"
upto first 4 outlets{enter Qty=l)
each additional outlet
I j' Subtotal I
I City Of Springfield First Appliance fee
I State Surcharge (12% of per mil fee).
I City Of Springfield fees * I
I TOTAL PI<:RMIT FEI<:
* City Of Springfield fees: 5% Technology Fee
~q-1q3 ~ wl~\t9
$51.00 I
$79,00 I
$15,60 I
$650 I
$152,]0 I
This Authorization To Begin Work must be posted at the job site until replaced by a Permit.
,
CITY: OF SPRINGFIELD
, ,
,
Building/C~,mbination Permit
Status
Issued
"
PERMIT NO: COM2009-00793
ISSUED: 06/0.4/2009
APPLIED: 06/04/2009
EXPIRES: ]2/04/2009
VALUE:
225 Fifth Street, Springfield, QR'
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 415 67TH ST
ASSESSQR'S PARCEL NO,: 1702341403740
Springfield TYPE QF WQRK: Heating System
TYPE QF USE: New
PRQJECT DESCRIPTIQN: Install ductless system - one heat pump and two indoor nnits.
Residential
Qwner: DECKER LA WRENCE A & GAYLE I
Address: 415 N 67TH ST
SPRINGFIELD QR 97478
I CQNTRACTQR INFQRMATIQN I
Contractor Type
Mechanical
Contractor
COMFQRT FLQW HEATING Co..
License
460
Expiration Date
06/2712009
Phone
541-726-0100
BUILDING INFORMATIQN I
# of Units:
Primary Occnpancy Gronp:
Secondary Qccnpancy Gronp:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Strncture
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2~d Floor:
Sq Ft B~sement: I
Sq Ft Garage/Carport
Sq Ft Qther:
Qccupa~t Load:
nla
I DEVELQPMENT I~.FQRMATION I
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Qverlay Dist:
# Street Trees Rqd:
Paved DriveRqd:
% of Lot Coverage:
i'REQUlRED PARKING
"
liTotal:
iHandicapped:
"
,Compact:
Street Impt~v1Pfil!its:
Storm seJfl.I~'paii\l~rJ;r SHALL EXPIRE IF THE WORK
Special 1n.&(tlif~i@R~ZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
Notes: ANY 180 DAY PERIOD.
I PUBLIC IMPRQVE~ENTS I i,
ATS@~J.!ilt'lj--.Q.re:gon law requires you to
follow rUles ad5ptedby the Oregon Utility
NotiD,o.wil.sPQUw.I)r.a'ijj~~se rules are set forth
in OAR 952-001-001O:through OAR 952-001-
0090. You may obtain copies of the rules by
calling the center. (Note: the telephone
number for the Oregon Utility Notification
"'''Ill''' I~ ,-ouu-,)')'<-'<')'1'1j.
"i
"
I Valuation Description, I
Description
Type of Construction
$ Pel' Sq Ft
or multiplier
Square Footage
or Bid Amount
Valne
Date Calculated
Pa!!e I of 2
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
54]-726-3676 Fax
541-726-3769 Inspection Line
Fee Description
+ 12% State Snrcharge
+ 5% Technology Fee
1st Appliance
Air Handling Unit Up to 10,000
Heat Pump
Amount Paid
$15,60
$6.50
$79.00
$34.00
$17.00
Total Amount Paid
$152.10
Total Value of Project
F~es Paid I
Plan Reviews ,
Date Paid
6/4/09
6/4/09
6/4/09
6/4/09
6/4/09
CITY'OF SPRIN(Jl'lJi,LD
Building/Co'mbination Permit
l
PERMIT NO: COM2009-00793
ISSUED: 06/0412009
APPLIED: 06/04/2009
EXPIRES: 12/04/2009
VALUE:
Receipt Number
1200900000000000620
1200900000000000620
1200?00000000000620
1200900000000000620
1200900000000000620
To Request an inspection call the 24 hour recording at 726-3769. All inspections re~uested 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 Ref/uired Insnections I
Rough Mechanical: Prior to Cover
Final Mechauical: 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
information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with
tbe Ordinances of the City of Springfield and the Laws of tbe 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 70\.005 will be used on this project.
I further agree to ensure that all required inspections are requested at the proper time, that each 3(i'dress 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
Pa~e 2 of2
Date
225'Fifth Street
Spri'ngfield, Oregon 97477
541'~726-3759 Phone
~
Job/Journal Number
COM2009-00793
COM2009-00793
COM2009-00793
COM2009'00793
COM2009-00793
Payments:
Type of Payment
ONLINE CHGS
cReccintl
RECEIPT #:
'....,1,
City of Spril~gfield Official Receipt
Developmept Services Department
Publie Works Department
1200900000000000620
Date: 06/04/2009
Description
1 st Appliance
Air Handling Unit Up to 10,000
Heat Pump
+ 5% Technology Fee
+ 12% State Surcharge
Item Total:
Check Number Authorization
Received By Batch Number ' Number How Received
Paid By
ONLINE PERMIT CHGS
Page 1 of I
KR
ONLINE COMFORT Online
FLOW
HEATING
CO
Payment Total:
2:10:S8PM
Amount Due
79,00
34.00
17.00
6,50
15.60
$152,10
Amount Paid
$152,10
$152,10
6/4/2009