HomeMy WebLinkAboutPermit Mechanical 2009-7-2
-
Mechanical Anthorization To Begin Work
I<>mailed To: kell)'@comforttlow.com
69600-BMC-09-00012
71212009 8:32 am
Check on status of permit
By Phone: 541-726~J753 or Email: permitcenter@ci.springfield.or.us
10'0<21IDnilY.dW'lli"g
o Multi-family 0 Commercial
DAccessOJYl3uilding
I Description
lii~tillgJJ"o~linilll;i;rra>!1_Uf: _~
II-kutPurnp
IM_!!i~I!~I~:f~el;
I first Appliance Fo:c
TOtlll
10 NcwConstruction
o Additionlaltel'utionfreplaeement
I Job Atltlress: 1960 5THST
I City/State/ZIP: SPRINGFIELD, OR 97477
I SuiteJbldg.!apt.no.:
I Project Name: GMD
I C"" S,,,,,/dl,,,",,"o job '''~
I Subtotal
IStulcsurchargC(12%Orpemlit
total)
ITeChnOIOgy fee (5% ofpennil
total)
I TOTAL PERMIT FEE
$96.00
$11.521
$4.801
SIIZ.32(
I T"""l,/,,,,,l""' \1 Q :J"J...\,p'J.A 0:')\\1)
1~~~~~~J!~;~-DESC8IirfrONr5F,WORK~~Z~;~t?!€J~Y$~il~':;S
CCJ ql1
~~jl~1 (Ji
install dlJ~lle,s system
I Name; MIKE GOWINS ATTFNTION' ()rpnnn !;::JW rpnlJirp.~ vnli tn
I Ph"" 541-741-7369 follow rules adar.,ed by the Oregon Utility
I Em.i\; Noll1lcalton Center. I hose rules are set torth
I '""v....v. 'U""'1 ........cr..." ...., "".;.. ,....,...."'..."
CCB lie. no.: 460 ....,.,lIi"'''' +h,., ....,.,....+,.,.... (fd,.,.+,.,. +!.-.,., +,.,I""....h...."''''
8",1"" N.m" COMF\'IITrfllS'~r'Wl1'fWfb"'e>reo'on Utilitv Notiiication
Co",,,,, Center is 1-800-332-2344).
Pllane: 541-726-DIOO
Fax; 54]-7264799
NOTICE: .
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
. ANY 180 DAY PERIOD.
Address: ]95] DONST
City/Stale/ZIP; SPRINGFIELD, OR 974771993
Emuil:
Melro lic. 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 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
This Authorization To Begin Work must be posted at the job site until replaced by a Permit
CITY OF SPRINGFIELD'
Building/Combination Permit
Status
Issued
PERMIT NO; COM2009-00977
ISSUED: 07/02/2009
APPLIED: 07/02/2009
EXPIRES: 01/02/2010
VALUE:
225 Fifth Street, Springtield, OR.
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1960 5TH ST
ASSESSOR'S PARCEL NO.: 1703262403100
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
PROJECT DESCRIPTION: Install ductless heating system in residence
Residential
Owner: DAVIS KAY B
Address: 1625 HENDERSON AVE SPACE DOl9
EUGENE OR 97403
Owner: DA VIS FRED S
Address: 1625 HI2NDERSON AVE SPACE DOl9
EUGENE OR 97403
I CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Contractor
COMFORT FLOW HEATING CO.
License
460
Expiration Date
06/27/2011
Phone
541-726-0100
BUlLD!NG INFORMATION I
# of Units: # of Stories:
Primary Occupancy Group: Height of Structure
Secondary Occupancy Group: Type of Heat:
Primary Construction Type Water Type:
Secondary Construction Tj]>e: . Ran~ipe:
# of Bedrooms: ATTENTION: Oregon law reqUJrE'bl . ath:
follow rules adopted by the Ore'S\{~i ~WBnilding:
\'Jotification Center. Those rules are se orin
in OAR 952-001-001 0 thr'1Jik'V'F:t!.\rM.~i9.T. INFORMA TlON I
0090. You may obtain cof r ~I , t(~ I i I ..
calling the center. (Note: the telephone
Frontyard Setbacloumber for the Oregon Utility N(1jviin\l)oDist:
Side I Setback: Center is 1-800-332-23411)Street Trees Rqd:
Side 2 Setback: Paved Drive Rqd:
Rcarya,"d Setback: % of Lot Coverage:
Solar Setbacks:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
REQUIRED PARKING
Street Improvements:
Storm Sewer Available:
Special Instrnction:
Total:
NOTICE: Handicapped:
THIS PERMIT SHAll E~'FtrHE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
""""n'f'cn nO 1<: 6RI\MnONED FOR
.... -......-.. - --
I PUB~IC IMPROVEMENT~ IY180 DAY PERIOD.
Sidewalk Type:
Downspouts/Drains:
Notes:
Pal!e I of2
'SP.RINGIi'IIiu:!';
-j.......".-..."".'...'.."..
r:' j
:; "
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00977'
ISSUED: 07/02/2009
APPLIED: 07/02/2009
EXPIRES: 01102/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Description I
Description
Tvpe of Constrnction
$ Per Sq Ft
or mnltiplier
Sqnare Footage
or Bid Amonnt
Valne
Date Calcnlated
Total Valne of Project
F~e' ~aid I
Fee Description
+ 12% State Snrcharge
+ 5% Technology Fee
1 st Appliance
Heat Pnmp
Amonnt Paid
Date Paid
Receipt Nnmber
$11.52
$4.80
$79.00
$17.00
7/2/09
7/2/09
7/2/09
7/2/09
.2200900000000000751
2200900000000000751
2200900000000000751
2200900000000000751
Total Amonnt Paid
$112.32
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 ~e(]~Jired Insnecti.oll.' I
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
By signature, 1 state and agree, that 1 have carefnlly examined the completed application and do hereby certify that all
information hereon is trne and correct, and I fnrther certify that any and all work performed shall be done in accordance with
the Ordinaoces 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 strnctnre without permission of the Community Services Division, Building Safety.
1 fnrther certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
1 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 rcmain on the site at all
times during construction.
Owner or Contractors Signature
Date
Pa2e 2 on .
22-5 Fifth Street
Springfield, Oregon 97477
54.1-726-3759 Phone
Job/Journal Number
COM2009-00977
COM2009-00977
COM2009-00977
COM2009-00977
Payments:
Type of Payment
ONLINE CHGS
cRcccintl
RECEIPT #:
Description
I st Appliance
Heat Pump
+ 5% Technology Fee
+ ] 2% State Surcharge
Paid By
ONLINE PERMIT CHGS
>>rr~F~.~~ii... .....
,. ..
,-"......~",...".".,>,.,~. ~~. '-' ,> ~
City of Springfield Official Receipt
Development Services Department
Public Works Department
2200900000000000751
Date: 07/02/2009
Item Total:
Lheck Number Authorization
Received By Batch Number Number How Received
KR
ONLINE COMFORT Online
FLOW
I-lEA TING
Payment Total:
Page 1 of 1
8:56:30AM
Amount Due
79.00
17.00
4.80
11.52
$112.32
Amount Paid
$] 12.32
$112.32
7/2/2009