HomeMy WebLinkAboutPermit Mechanical 2009-7-8
City of Springfield
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Mechanical Authorization To Begin Work
E.mailed To: kclly@comfortflow.com
69600-BMC-09-00017
7/8/2009 9:58 am
Approval Code: 00676D
Check on status of permit
B)' Phone:' 54} ~726-3753 or Emllil: pcrmitccntcr@ci,springfield.or.us
I 0 New Construction
o Addition/alteration/replacement
10m';Prion I Qty.
j)~atiugJroolin'g'appli~n~~~,?,: 'T~f~1~':..,; 'i
IHelllPump
10 I or 2 (amily dwelling
Dt"luhi-famiIY
o 'Commercial
DAccessolY Building
I First Appliance Fee I
~iECTIA~i~,n>fl{g.'ll'I;}FEtEr't~",~'ji/,,,
I Subtotal
!SlatesurCharge(12%O(pennil
total)
!TedmOlogy fee (So/u of per mil
I lo/al)
! ~:~';EE K~ 1./ ~ D1
.'.L-
I Job Address: 1]38 DQNDEAST
I City/State/ZIP: SPRINGFIELD, OR 97478
I SuiteJbldg./apt.no.:
Project Name: LONGWORTH
$96.00
$11.521
$4.801
$112.321,
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REPLACE HEAT PUMP AND AIR HANDLER
I Name: GLENN.& DIANE LONGWORTH
Phone: 541-747-4920
I Email:
Fill.:
I Emllil:
I Metro I..... no.:
I CCBlic.no.:460
I Business Name: COMFORT FLOW HEATING CO
I Contact:
I Address: 1951 DON ST
I City/State/ZIP: SPRINGFIELD, OR 974771993
I Pboo,.,4I.726.0100 ~PTlCE:
THIS PERMIT ~J..I~I ~~'''nE Inll: V/3fii\
AUTHnRI7Fn U$ID'~~oTHIS :'G1f{.l"f I"
COMMENCED 0 I " "u I
Upon ,.,'.w .nd 'PflRI'il' ""<l'?I',,\O~~P'l\,~~J~.M.iHWJJ(IJ,fr/;)' FO R
e-mailed or faxed wfdu~ bnd bUJirIJ~lIaf,'tw&bfOOl,lctions on how to
schedule your inspection.
Fax: 541-726-4799
NOTE: This Authorization To Begin Work expires within 180 days if a
permit is not obtained.
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
cailing the center. (Note: the telephone
number for the Oregon Utility Notification
Center is 1-800-332-2344).
The local building department may determine that an Authorization To
Begin Work is null and void if it does not meet applicabl~ land use laws
and local ordinances
This Authorization To Begin Work must be posted at the job site until replaced by a Permit
_&/l!Iil!NAll.le:l;;':l'J
~ .
~:
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01003
ISSUED: 07/0812009
APPLIED: 07/08/2009
EXPIRES: 01108/2010
VALUE:
225 Fifth Street, Springlield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1138 DONDEA ST
ASSESSOR'S PARCEL NO.: '1802061312100
Springlield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Replace heat pump aud air handler
Owner: LONGWORTH GLENDON C JR & D
Address: 1138 DONDEA ST
SPRINGFIELD OR 97478
r CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Contractor
COMFORT FLOW HEATING CO.
License
460
Expiration Date
06/27/2011
Phone
541-726-0100
BUILDINC: INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Slories:
Height of Structure'
Type of Heal:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
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
Frontyard Setback: Overlay Dist: Total:
Side 1 Setback: # Slreet Trees Rqd: Handicapped:
Side 2 Setback: Paved Drive Rqd: Compact:
Rearyard SetiN3.TICE: % of Lot Coverage: ATTENTION: Oregon law requires you to
Solar Setbackf:HIS PERMIT SHALL EXPIRE IF THE WORK . follow rules adopted by the Oregon Utility
~~~~~~~~ ~~UI~~~~~D~rl- ~ ROVEMENTS 1~~6iR~~52~501:o6'1?~hr~~Ug<:~~~:;5:;-~~i~
J. .-! ~.. 009Q,.d'.Rl! may obtalO copies of the rules by
Street Impro~/It'fntso DAY PERIOD. ca\ilng'l~e c~rft~:r. (Note: the telephone
Storm Sewer Available: nurDD\mIlqrotlWtilt~@sn Utility Notification
Special Instruction: Center is 1-800-332-2344).
I DEVELOPMENT INFORMATION I
Notes:
I Valuation DescriDtion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amouut
Value
DateCalcuhited
Paee I 01'2
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO:COM2009-01003
ISSUED: 07/08/2009
APPLIED: 07/0812009
EXPIRES: 01108/2010
VALUE: .
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 I nspection Line
Total Value of Project
F.e~~ P~id I
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Heat Pump
Amount Paid
Date Paid
Receipt Number
$11.52
$4.80
$79.00
$17.00
7/8/09
7/8/09
7/8/09
7/8/09
1200900000000000786
1200900000000000786
1200900000000000786
1200900000000000786
Total Amount 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 Relluired Insnections 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 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 strnctnre withont permission 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 used on 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 fronr of the property, and the approved set of plans will remain on the site at all
times during construction.
"'
Owner or Contractors Signature
Date
Page 2 01"2
225 Fifth Street
Springfield, Oregon 97477
541~;726-3759 Phone
Job/Journal Number
COM2009-0 I 003
COM2009-0 I 003
COM2009-0 1003
COM2009-0 I 003
Payments:
Type of Payment
ONLINE CHGS
cRcccint 1
RECEIPT #:
Description
1st Appliance
Hear Pump
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
~r~'!IN<!"I"LD .",.'.,..
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City of Springfield Official Receipt
Development Services Department
Public Works Department
1200900000000000786
Date: 07/08/2009
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
KR ONLINE COMFORT Online
FLOW
HEA TING
Payment Total:
Page 1 of I
II :06:56AM
Amount Due
79.00
17.00
4.80
11.52
$112.32
Amount P:lid
$112.32
$112.32
7/8/2009