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HomeMy WebLinkAboutPermit Mechanical 2009-6-17 City of Springfield Mechanical Authorization To Begin Work E-mailedTo:kelly@comfortnow.com Re~eipt # RC553897 6/17/20092:37:05 PM \i~ ~/n ~ f~..'-... ..,.. ... ._.,..,_,_~~,. h"': -' Check on status of permit By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us ) 0 Ne\\r construction lliJ Addition/alteration/replacement I [X] 1 or 2 family dwelling 0 Multi-family 0 Accessory Building 1:>:"'~:~~h...",~:~~~'6~;~IT!~I~F.<:rFi~~~lg~~~~t(~QEAfiQi~'J,:;'~~';:,- ;~{~..: I Job no.: 1 Job address: 1066 LONG RIDGE DR I City/StaterL.lP: SPRINGFIELD, OR 97478~8506 I Suite/bldg.Jnpt.no.: I project name: DAILEY Cross street/directions to job sile: I Subdivision: ITax map/parcel no.: 1802064107300 ILot no.: "+r"> 0""l:f", INSTALL DUCTLESS [Name: DAVE & PEATlE I i:~~~;:'~~:;~i~M'1kL~~~~ik'~r~~~;"mf.r",<~~I,' '<'~ '="'U~rnu~~b' urJ[;i:rt-;-I;1:),?ERM-l-T-I::'t'-!9T"-~" " ICCO he, 00,' 4601-1, 8"ES F"11 I , ,~' ~ -- ,r I~ .lBAND~,,-~ -" IOusioe"N"m" MMVt\{#:F~JtW'r\c~flN'O'C() 1 I Coo,,,'', KELLySJ..'fH IOU uiii rci113li. I [Address: 1951 DON ST I I CHy/S'''te/ZIP, SPRINGFIELD, OR 974771993 I I Phone: (541)7260100 IFax: (541)7~64799 I I Email: kelly@comfortflow.com I j Metro lie. no,: . f City lie. no.: ( Upon review and approval by your I.Dcal 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. I Description '-,'I ~, " :~~,I~, .1 I Furnace. up to 100,000 BTU I Furnace - above I 00,000 ~TU I Electric Fumace I Duct alterations and additions I Gas healer lInilsl in-wall, in- ducl. suspended. elcl I Vent; flue, liner for above I Air Conditioner I Heal Pump ! Air Handler 1 $17001 $5100 I ,I I 1 I 1 1 1 I I Chil~J:eyl1inerll1ue/vent wlo, I I aopl1ance J\ 1t)l.~~[~j(i\t;'\'\~Jffi;);V'1W~EffiI'ji~l'i'Wr~dOires':vcfu 'i6c~t:"'; 1 I R"ng'ibll>9w rules adopte d by the pregon Illtility I I ClotIfclo!W'c<>!ioo Center, ~hose rU;9S are se' Torln I Siogll1d('!fel<vOJist:!,WW-.oirlOil Jj,mrougr UI-\I1 "", -vV '" ~~~~~~~"'ffl\) I'Il'21Y o,btc i~ ~~?.Ie\~f.th; ~~ ;s~bY Ili;~t;;I;~~~r[1~;~~;~,~~~:~j~i;;'I;~)~~~';i~!1., _I i:::::;i:EI::0~te'Q~'~I)':: M"9r4~ c""f' .....1 1~;:~",~:"~<~~~+;fINffcHANiCAlIop~EFij;;IT;tF"EfEts';:;:xf~':'r=1t&~,1 ,".=f't7'$>''''''"-~''d'' ,'m,' ,{~*_,,,,,,,.. _.."._ .. ..' ""'=='*~""""""'"" '.,Ft1i0E.""G:~",~_. .~,"',"' ,. ~ ,.~ '. I J Subtotal $68.00 I I City OfSpr;ngtleJd First,-APDJianCe fee $79.00 I I State Surcharge (12%''ofpennil fee) $17,64 I City or Springfield fl.:~'~" $735 I TOTAL P,ERMIT FEE $171.99 I .. City Of ~pringfield fees: 5%Tcchi1?logy Fee lJ n(Cl1 $17,00 $1700 I Water heater I Gas fireplace/insert/slove ! Gas log! log lightl.:r I Gas clothes dl)'er I Gas stove/nmge I Pool or Sp<l heater, kiln I Wood/pdletstovelinscrt f Wood lireplace tq-~~ 1.I 0 :.. ~ This Authorization To Begin Work must be posted at the job site until rePlad~d by a Permit , . ~~~",,~~!11I~~:~r l,f" ' i( , > Status Issued CITYI:GF SPRINGFIELD i Building/CO~bination Permit PERMIT NO: C0M2009-00881 ISSUED: 06/1712009 APPLIED: 06/17/2009 EXPIRES: 12/17/2009 VALUE: Ii 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726.3769 Inspection Line SITE ADDRESS: 1066 LONG RIDGE DR ASSESSOR'S PARCEL NO,: 1802064107300 " Springfield TYPE OF WORK: Heating System I: TYPE OF USE: New" PROJECT DESCRIPTION: Install ductless heating system in residence Residential Owner: DAILEY DA VID R & V H Address: 1066 LONGRIDGE DR SPRINGFIELD OR 97478 I CONTRACTOR INFORMATION I Contractor Type Mechanical Contractor COMFORT FLOW HEATING CO, License 460 I: Expiration Date " 06/27/2011 Phone 541.726.0100 BUILDI~G I~,~ORMA nON I # of Units: Primary Occnpancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: n/a I; Lot Size: F Sq Ft IS,t Floor: Sq Ft 2nd Floor: Sq Ft Basement: " Sq Ft Garage/Carport , Sq Ft Other: J( Occupant Load: j! If IIREQUlRED PARKING I 1'Total: " liHandicapped: ~)Compact: I DEVELOPMENT INFORMATION I Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: 0/0 of Lot Coverage: , , NOTICE' 'I PUBLIC IMPROVEMENTS I .' ATTENTION;'Oregon law requires you to Street Improverif~\1ll$: PERMIT SHALL EXPIRE IF THE WUKI\ foll~i<\'U!'1!!l<at~,:eq by the Oregon Utility Storm Sewer AJ.llJIalihlQRIZED UNDER THIS PERMIT IS NOT ~otif15~Q\J<;\\lru!fhT;tJf':se rules are set forth Special Instructi06lMMENCED OR IS ABANDONED FOR In OAR-952-001-bD1~Ii11rough OAR 952-001- ANY 180 DAY PERIOD. 0090" You may obtain copies of the rules by calling the center, (Note: the telephone number for the Oregon Utility Notification r-,.......+.......;co 1_0,[1(\ 1)1)1')..f)I)-1,,\~ Notes: I Valuation Descriotion , Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount , Value' Date Calculated Paee I 00 Status Issued CITV::OF SPRIN(jt<l1'.LD , , Building/Coptbination Permit PERMIT NO: COM2009-00881 ISSUED: 06/17/2009 ' APPLIED: 06/17/2009 EXPIRES: 12/17/2009 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 Fee Description + 12% State Surcharge + 5% Technology Fee 1st Appliance Air Handling Unit Up to 10,000 Heat Pump Amount Paid Date Paid $17,64 $7,35 $79,00 $51.00 $17,00 6/17/09 6/17/09 6/1 7/09 6/17/09 6/17/09 Receipt Number " 1200900000000000699 1200900000000000699 1200900000000000699 1200900000000000699 1200900000000000699 I, I Total Amount Paid $171.99 I Plan Reviews , 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. will be made the following " work day. I: R'e,'d -ed Insoeelions I rf..' "II I I Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete, r I 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 Shauj'be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the wO;'k described herein, and that NO OCCUPANCY will be made of any strncture withont permission of the Community Servit'es Division, Bnilding Safety, I further certify that only contractors and employees who arc in compliance with ORS 701.005 will!ibe used on this project, I further agree to ensure that all reqnired inspections arc reqnested 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 I' times during construction. ' , w i I Owner or Contractors Signature Date i: I Pa~e 2 of 2 22~ Fifth Street Springfield, Oregon 97477 541"-726-3759 Phone Job/Journal Number COM2009-0088I COM2009-00881 COM2009-0088I COM2009-0088I COM2009-0088I Payments: Type of Payment ONLINE CHGS cRcccintl RECEIPT #: 1200900000000000699 Description 1 st Appliance Air Handling Unit Up to 10,000 Heat Pump + 5% Technology Fee + 12% State Surcharge Paid By ONLINE PERMIT CHGS Received By <":heck Number Batch Number , City of SpriQgfield Official Receipt Developmerit Services Department . Pub'lic Works Department - I! ,I j~ Date: 06/117/2009 Item Total: Authorization Number I' JI. How ~eceived ONLINE COMFORT Online FLOW:' HEATING I Payment Total: 'I I, I' KR Page 1 of 1 , ;1. 2:47:47PM Amount Due 79,00 51.00 17,00 7.35 17,64 $171.99 Amount Paid $171.99 $171.99 6/1 7/2009