HomeMy WebLinkAboutPermit Mechanical 2009-7-2
.
City of Springfield
69600-BMC-09-0001 I
Mechanical Anthorization To Begin Work
E~mailed To: kclly@comforttlow.com
7/1/2009 3:28 pm
Check on status of permit
By Phone: 541.726.3753 or [mail: permilcenter@ci.springficld.or.us
o New Constmction
o Addition/alteration/replacement
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I Job Address: 284 18TH ST
I City/State/ZIP; SPRINGFIELD, OR 97477
I Suile/bldg.lapt.no.:
r Project Name: KEENAN
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INSTALL DUCTLESS SYSTElv!
ONE(J) HEAT PUMP
TWO (2) INDOOR UNITS
I Name: SUSANNA KEENAN
I Phone: 54].744-4473
I [mail: _
1>lt:"'L\~'IUIi"I"'_r...,,~~-~---- ~"--~..Y~ -. ..,ct~-'"
~..~~:x;";'#*K;.;" }'~ill~:~.~..j4CONTRACTORlt<P;;i1b1f'j. ~~'~'<;~'=O
I CCBlk.00.4TJ-iIS PERMIT SHAll EXPIRErrTHE WORK
I B",i'm N","Al:l;!:M@.RtiZ<6}{b!J.'UD<l:i!\> THIS PERMIT IS NOr
GUIVIIVIENGED UR I::; AI:lANUUNI:U t-UR
I Add,,,,, 19511&NYsi180 DAY PERIOD.
I Cily/State/ZIP: SPRINGFIELD, OR 97477]99]
I Pho~e: 54]-726-0100
lema.l:
I Metrolic.no.:
Fax:
I Contllct:
Fax; 54]-726-4799
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
DC5aipiion
Ea.
Tolal
f1eatPump
Air handling unit
Fir5t Appliance Fee
Subtotal
State surcharge {11% ofpmTlit
total)
Technology fee (5% of permit
total)
I TOTAL PERMIT FEE
$]7,001
$]7.00
~O~<~'I
517.001.
~"'f'$';~o'~1
$113.001
$13.561
$5.651'
S132.2d
cq-cntJ K~ 11~()C\
ATTENTION: Oregon law requires you to
follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth
in OAR 952-001-0010 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
Center is 1_800-332-2344).
This Authorization To Begin Work must be posted at the job site until replaced by a Permit
.
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,
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Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00975
ISSUED: 07/02/2009
APPLIED: 07/0112009
EXPIRES: 01102/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 284 18TH ST
ASSESSOR'S PARCEL NO.: 1703362401401
Springfield TYPE OF WORK: Heating System
TYPE OF USE:
PROJECT DESCRIPTION: Install ductless system: one heat pump; two indoor units.
Residential
Owner:
Address:
KEENAN SUSANNA K
284 N 18TH ST
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION 1
Contractor Type
Mechanical
Contractor
COMFORT FLOW HEATING CO.
License
460
Expiration Date
06/27/2011
Phone
541-726-0100
BUILDING INFORMATION 1
Wof Units:
Primary Occupancy Group:
Sccondary Occupancy Group:
Primary Construction Typc
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Hcight of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Bnilding:
Lot Size:
Sq Ft I st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION ,I
REQUIRED PARKING
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
NOTICE' I PUBLIC IMPROVEMENTS,TTENTION: Oregon law requires youto
.. .vllow rules.adopted by the Oregon Utility
Street lifill~'I€fu'i1M~T SHALL EXPIRE IF THE VVUKI\. Notific~i9~'lJlJ"f!iy.pfi1ose rules are set forth
St ~^IITU()Dl71:1"l UNDER THIS PERMIT IS NOT in OAR n~?_n~1-n:w.l)throUgh OAR 952-001-
OrIlllYewer. 'Al"aif'.H:tfe. . OWlf: Jbll Drams:.
Special fnsfrlMti&lGED OR IS ABANDONED FOR 0090.. 'feu m 0 aln caples of the rules by
ANY 180 DAY PERIOD calhng the center. (Note:. the telephone
. number for the Oregon Utlhty Notification
Center is 1-800-332-2344).
Notes:
I V aluation De~cription I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee I of 2
Status
Issued
CITY OF SPRINu.HJ'.LD
Building/Combination Permit
PERMIT NO: COM2009-00975
ISSUED: 07/02/2009
APPLIED: 07/0112009
. EXPIRES: 01102/2010
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 Pnmp
Amount Paid
Date Paid
Receipt Number
$13.56
$5.65
$79.00
$17.00
$17.00
7/2/09
7/2/09
7/2/09
7/2/09
7/2/09
2200900000000000750
2200900000000000750
2200900000000000750
2200900000000000750
2200900000000000750.
Total Amount Paid
$132.21
I Plan Reviews I
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.
I R'~(I" red Insnections'
11,11.1_,.... I " ,J. ,,, ,
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
By signature. I state and agree, that I have carefnlly 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 pcrmission of the Community Services Division, Building Safety.
I fnrther certify that only contractors and employees who are in compliance with ORS 701.005 will be nsed on this project.
I further agree to ensure that all required inspections are requested at the proper time, that each address is readahle 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 Signatnre
Date
Pa2e 2 on
225 Fifth Street
Springfield, Oregon 97477
5"1-726-3759 Phone
"Job/Journal Number
COM2009-00975
COM2009-00975
COM2009-00975
COM2009-00975
COM2009-00975
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
2200900000000000750
Description
I st Appliance
Air Handling Unit Up to 10,000
. Heat Pump
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
City of Springfield Official Receipt
Development Scrvices Department
Public Works Department
Date: 07/02/2009
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
KR
Page I of I
ONLINE COMFORT Online
. FLOW
HEA T1NG
CO
Payment Total:
8:46:45AM
Amount Due
79.00
17.00
17.00
5.65
13.56
$132.21
Amount Paid
$132.21
$132.21
7/2/2009