HomeMy WebLinkAboutPermit Mechanical 2009-6-24
City of Springfield
(
Mechanical Authorization To Begin Work.
E~mailcd To: kclly@comrort~ow,com
Check on status of permit
By Phone: 541-726~3753 or Em-ail: peml.itcenter@ci.springfield.or.us
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>~:~~(:~fF-EE!SOCHEDULE~1 ~
I Q~ I
I D NewConstruction
o Addition/alteration/replacement
10 I oc 2 f,milydw,lIlo, D M..'<l-fmnlly D em",w,I,' DAce",m, S"i1d1o,
If~~~:"';..-:~-;~:q:JO-ErSiTE':JNFORNiATI6N'AN'""6icoi!icATi6N~J.,:.
I Jub Adtlrcss: 4SB . CASCADE DR
I City/Stale/ZIP: SPRINGFIELD, OR 97478
I Suite/bldg.!llpt.no,:
I ProjecfName:
I Cm" S""udlm""", '" job ,II"
I T>>m.p/p""ln" \1),0'1. ~ 4A. CO\\1
I~Z~~j~:~,~:~j-'-i.'i:;:DEscRfritI6N:6F.jWORK~~~~:~~4~~~~!i:~J;:
REPLACE HEAT PUMP AND AIR HANDLER
Name: Kelly Oath
Phone: 541-726-0100
Fax: 541-747-7274
Emllil:kclly@comfortflow.colll
CCBlic,no,:46Q
Business Name: COMFORT FLOW HEATING CO
Contact:
Address: 195] DON ST
City/Slate/ZI'p: SPRINGFIELD, OR 974771993
Phone: 541-726-0100
Fax: 541-726-4799
Email:
Metrolic, no,:
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'ifa
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
1~1;~- :::~~.'
I Description
llieatingic~ol!ng
IHeatPump
li\lhl,i_m"umTFecsl:
Firsl Appliance Fee
r;.,C~
~~J
6/24/2009 2:41 pm
69600-BMC-09-00004
'J
-,,~-jY-''t:
I
~l~<=H,ANj~AJ}l',k~)ttf~:~t;$"~,-.;r~ ,
SobtOHiI
Stale sorcharge (12% of penn it
total)
Technology fee (5% ofpennit
lotal)
TOTAL PERMIT I<'EE
This Authorization To Begin Work must be posted at the job site until replaced by aPermif;
$17.001
$17.001
I
$79.001
#*','1)
$9600 I
$11.521
$4.801
SII2:321
J
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Status
Issued
CITY OF SPRINGFIELD
I'
Building/Combination Permit
PERMIT NO: COM2009-00909
ISSUED: 06/24/2009
APPLIED: 06/24/2009
EXPIRES: 1'2/2412009
VALUE:
225 Fifth Street, Springfield, OR
541:726-3753 Phone
541-726"3676 Fax
541-726-3769 Inspection-Line
SITE ADDRESS: 488 CASCADE DR
ASSESSOR'S PARCEL NO.: 1702344400714
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Public
PROJECT DESCRIPTION: HIP & AIH
Owner: LINDSAY NAN V
Address: PO BOX 7611
EUGENE OR 97401
'I CONTRACTOR INFORMATION'
, Contractor Type
Mechanical
Contractor
COMFORT FLOW HEATING CO,
License
460
,
,
Expiration Date
06/27/2011
Phone
541-726-0 I 00
,~U1LDING ~NFORMA !ION I
# of Units:
Primary Occupancy 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:
"
L S'"
ot IZ,e:
Sq Ft 1st Floor:
Sq Ft 2:nd Floor:
Sq Ft i!asement:
Sq Ft GaragelCarport
Sq Ft Other: ,
Occupant Load:
!,
nla
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
0/0 of Lot Coverage: .
;' REQUIRED PARKING
"
:, Total: .
:: Handicapped:
, Compact:
"
I PUBLIC IMPROVEMENTS'
, quires you to
.,..,. NTION: Oregon laW re re on Utility
ASiJi,w.~lksry.p.~:)ted by the 10 a~e set forth
follow r~I<' r' ~t~ril ThOse ru es 01-
NcI)oW1ispout~1D6ains:thrOugh OAR 952-0 b
in OAR 952,001- Uti ':n copies of the rules ,y
0090. You may ob at Note' the telephone
calling the center, ( Utility NotificatiOn
number }~~:~; i~~~~g~_332-234~).
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes: '
MOTICE: . '_I~~ \f TUC wnRK
THIS PERMIl ::iHI\LL ~^' "'~ T' ~ I , .
AUTHORIZED UNDER THIS PERMI Fl~a~uation DescriDtion I
(' NeED OR IS ABANDONED "
_!O~ME , ~~~'D<,\ . $ Per Sq Ft Square Footage
DescnDtlOn 80 DPf:vpe:oMtonstructlOn I' I' B'd A '
hI\! 1 I " or mu tip lef or I mount
Value"
Date Calculated
Pa!!e 1 01'2
Status
Issued
CITY OF SPRINGFIELD
I'
Building/C<~mbination Permit
'PERMIT NO: COM2009-00909
ISSUED: 06/24/2009
APPLIED: 06/24/2009
EXPIRES: 12/24/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
F~es Paid I
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1 st Appliance
Heat Puinp
Amount Paid
Date Paid
Recei~t Number
$11.52
$4.80
p9.00
$17.00
6/24/09
6/24/09
6/24/09
6/24109
3200900000000000483
320Q900000000000483
320Q900000000000483
3200900000000000483
..
Total Amount Paid
$112.32
I Plan Reviews I,
I'
To Request an inspection caU the 24 hour recording at 726-3769. AU 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. "
ReOllired Insnectinns I
111111111
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
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 permis~ion of the CommuuityServi~es Division;' Building Safety.
1 further certify that only contractors and employees who are in compliance with ORS 701.005 wiUbe used ou 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
Paee 2 of 2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-00909
COM2009-00909
COM2009-00909
COM2009-00909
Payments:
Type of Payment
ONLINE CHGS
cReccintl
RECEIPT #:
Description
Heat Pump
1st Appliance
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
3200900000000000483
City of Springfield. Official Receipt
Development Services Department-
, Public Works Department
Date: 06/~4/2009
Item Total:
Check Number Authorization
Received By Batch Number Number How:,Received
NJM
Page I of J
ONLINE COMFORT In Person
FLOW
Payment Total:
2:43:45PM
Amount Due
]7,00
79,00
4,80
11.52
$112.32
Amount Paid
$] 12.32
$112,32
6/24/2009