HomeMy WebLinkAboutPermit Mechanical 2009-6-15
City of Springfield
Mechanical Authorization To Begin Work
E-mailedTo:kelly@comforlnow.com
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6/15120097:00:59 AM VV\
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Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
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~1,~~'ripE-O"f;;..WOR1<)~.#;.... .-':t_.
[i] Addition/alteration/replacement
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" FE~ SCHEDUL~
Qty,
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I 0 New constructiun
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, ",c,CATEl:fClRY OF C9NSTRUCTION .
I Description
II!caii~g,coo-I!~iillpi)Uanc~~: ,"
I Furnace- up to 100,000 BTU
I Furnace. above 100,000 BTU
I Electric Furnace
I Duel alterations and additions
I Gas healer ul1itsl in-wull, in-
duct. suspended. cleI
I Vent, flue, liner for above I
I Air Conditioner I
I Heat Pump I
I Air Handler I.
jp),~c~:fl!~Cii:u!jl,i,~gupp!~~iccSf~\: ,
IWaterheatcr
I Gas fireplace/insert/slove
I Gas log/log lighter
I Gas clothes dryer
I Gas stove/nmge
j Pool or spa healer, kiln
I Wood/pellet stove/insert
I Wood fircp](lce
I' Chimney/linerlflue/vent wlo
aooliance
I Enjf~n'-lIci(~I'ciiUl~~,t ';~NDvchi~'la}loll-~"
I Range hood
Clothes dryer exhaust
Single-ducl exhaust (b(lthrooms,
toilet compartments. utility
rooms)
I Allie/crawlspace funs
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1:-ME~HANICA_C:PERl\lITFEES: "-
I - Subtotal [
I City OfSpringfieJd First Appliance fee
I State Surcharge (12% of permit fee) 1
I City Of Springfield fees *'
I TOTALPERMIT"-EE
* City Of Springfield Ices: 5% Technology Fce
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I ~ I or2 fami]ydwelling
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o Multi.family
o Accessory Bui]ding
. JOBSrrE,INFORMAifoN ANDL6cATioN'.
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I.Job no.: I Job llddress: 564 SCOTTS GLEN DR
ICity/StlltcfLIP: SPRINGF]ELD, OR 97477-]980
I Suite/bldg.!:lpt.no.:
I Project lIame: HARVEY
Cross street/directions to job site:
$17,00
$17.00
I Subdi\.ision: I Lot no.:
1'1;': m_"",:p"'~I.no,: 1703271305~~OSCRW}I.oNOF WORK
REPLACE HEAT PUMP AND AIR HANDLER
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" F- SITE CONTACT, ~ _,' ...
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I Name: HARVEY, MILES & CYNTHIA
I Phone: (541) 988-3445 I FlI.'c
!Email:
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I CCll lie. no.: 460
I Business Name: COMFORT FLOW HEATING CO
I Contact: KELLY DATH
IAddress: 195] DON 5T
I City/State/ZIP: SPRINGFIELD, OR 974771993
II'hone: (541)7260]00 IFax: (541)7264799
I Emai!: kelly@comfortflow.com
I !\-Ielrolie. 110.: I City 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.
~2OD 9' ~ OOYS,?
/J/YI 6 -;5-07
This Authorization To Begin Work must be posted at the job site until replaced by a Permit
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$17.001
$17,001
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$34,00 I
$79,00 I
$1356 I
$5,65 I
$132,2] I,
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Status
Issued
CITY OF SPRINGFIELD
Building/C~,mbination Permit
PERMIT NO: COM2009-00859
ISSUED: 06/1512009
APPLIED: 06/15/2009
EXPIRES: 12/15/2009
VALUE:" '
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax.
541-726-3769 Inspection Line
"
SlTKADDRESS: 564 SCOTTS GLEN DR
ASSESSOR'S PARCEL NO.: 1703271305600
Springlield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Replace HIP & AfH
Owner: HARVEY MILES & CYNTHIA
Address: 564 SCOTTS GLEN DR
SPRINGFIELD OR 97477
Phone Number: 541-988-3445
, CONTRACTOR INFORMATION'
Contractor Type
Mechanical
Contractor
COMFORT FLOW
License
460
,BUILDING INFORMATION I
Expiration Date
0612712011
Phone
541-726-0100
# of Units:
Primary Occupancy Group:
Secondar.y 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:
I
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Qther,
Occupant Load:
I
nla
I DEVELOPMENT INFORMATION'
Front yard Setback:
Side I Setback:
Side 2 Sethack:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
. REQUIRED PARKING
, Total:
, Handicapped:
, Compact:
I PUBLIC IMPROVEMENTS I ' :
Street Improvements: ' AI' l'ENT!;'ia"JivQfk'l''1n,J?w requires youto
foliow rUles aaopteG' oy the Oregon Utility
Storm Sewer Available: NotificaticDownsjl<iuiSlDtains:,es are set forth
Special Instruction: in OAR 952-001-0010 through OAR 952-001-
. 0090. You may obtain co~ies of the rules by
Notes:NOTICE. EXPIRE IF 1HE WORK calling the center. (Note: the telephone
THIS PERM" S~~~l TUI~ PFRMI1 IS N01 number for the'Oregon Utility Notification
AUTHUKILCU JlkJ'. BANDONED ~:..r;: ""'"1L''' '0 ,-uuu'v':';:' ;:';:'~~).
COMMENCED OR IS A I Valuation Descrirtion I
ANY 180 DAY PERIOD.
Description Type of Construction
$ Per Sq Ft
or multiplier
Square Fuotage
or Bid Amount
Value
Date Calculated
Page I of2
CITY OF SPRINGFIELD
Building/Combination Permit
I
Status
Issued,
PERMIT NO: COM2009-00859
ISSUED: 06/15/2009
APPLIED: 06/15/2009
EXPIRES: 12/15/2009
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
$17.00
6/15/09
6/15/09
6/15/09
6/15/09
6/15/09
Receipt Number
3200900000000000451
3200900000000000451
320Q90000000000045I
3200900000000000451
3200900000000000451
Fee Description
+ 12% State Surcharge'
+ 5% Technology Fee
1st Appliance
Air Handling Unit Up to 10,000
"eat Pump
Amount Paid
Date Paid
Total Amount Paid
$132.21
I Plan Reviews I
"
,
To Request an inspection call the 24 hour recording at 726-3769. All inspections r~quested before 7:00
a.m. will be made the same working day, inspections requested after 7:00 a.m. wilLbe made the following
work day.
.1 .Re~lIired, In~pe~!io~,s I
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 h~reby 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 permissiun of the Community Servi~es 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 a'ddress 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 thc site at all
times during construction. . t
Owner or Contractors Signature
Date
Page 2 01'2
225 Fifth Strcct
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-00859
COM2009-00859
COM2009-00859
COM2009-00859
COM2009-00859
Payments:
Type of Payment
ONLINE CHGS
cReceintl_
RECEIPT #:
City' of Spririgfield Official Receipt,
Developme'!t Services Department
Public Works Departmcnt
3200900000000000451
Date: 06/1512009
Description
I st Appliance
Air Handling Unit Up to 10,000
Heat Pump
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number Authorization
Received By Batch Number Number How ~eceived
NJM
ONLINE COMFORT Online
FLOW
, Payment Total:
Page I of I
7:37:46AM
Amount Due
79.00
17.00
17.00
5.65
13.56
$132.21
Amount Paid
$132.21
$132.21 :
6115/2009