HomeMy WebLinkAboutPermit Mechanical 2009-7-13
City of Springfield
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Mechanical Authorization To Begin Work,
E-mailedTo:kclly@comfortflow.com
Check on status of' permit
B)' Phone: 54] -726-3753 or Email: permilcenter@ci.springfJeld.or.us
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Job Address: 2315 9TH ST
City/Stair/ZIP: SPRINGFIELD, OR 97477
Suite/bldg.lapt.no.:
Project Name: BROWN
CrossStreetfdireaiunstojobsite:
INSTALL HEAT PUMP AND AIR HANDLER
I Name: DA WN & DENNIS BROWN
I Phone: 541-746-7304 Fax:
I' Em.;"
r...
I CCBlic. no.: 460
Business Name: COMFORT FLOW HEATING CO
I Contact:
I AlIdrcss: ]95] DON ST
I City/State/ZIP: SPRINGFIELD, OR 974771993
I Phone: 541-726-0100 .Fax: 541-726-4799
I Email:
"!\1ctro lie, 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
tq /I~V-
69600-BMC-09-00027
7/13/2009 3:12 pm
Approval Code: 02544D
Description
QI)',
Heat Pump
"in'iJnllm;re~eS;~'<
First Appliance Fee
Subtotal
$79.001
"I
$96.~~
$11.521
54.801
$112,321
Stalesurcharge(12%ofpennit
total)
Technology fee (5% of penn it
tota))
TOTAL PERMIT FEE
This Authorization To Begin Work must be posted at the job site until replaced by a Permit
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Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01022'
ISSUED: 07/14/2009
APPLIED: 07/13/2009
EXPIRES: 01/14/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2315 9TH ST
ASSESSOR'S PARCEL NO.: 1703261204303
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New'
Residential
PROJECT DESCRIPTION: Install hip & a/h
Owner: BROWN DENNIS G & DAWN A
Address: 2315 N 9TH ST
SPRINGFIELD OR 97477
Phone Number: 541-746-7304
I CONT~CTO~.INFO~MATION ,I
Contractor Type
Mechanical
Contractor
COMFORT FLOW HEATING CO.
License
460
Expiration Date
06/2712011
Phone
541-726-0 I 00
BUILDING INFORMATION'
# 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 P~th:
Sprinkled Building:
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 INFORMA TION ,
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Sethacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
0/0 of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
^
I PUBLI.C IMPROVEMENTS I
Street Improvements:
Sidewalk Type:
ATTENTI@.q)"t!!W,&'!ts/Ql;ains:luires you to
follow rules adopted by the Oregon Utility
Notitication Center. Those rules are set forth
THIS PERMIT SHAll in OAR 952-001-0010 through OAR 952-001-
AUTHmwm 1 ",,'~~ ~XP~RE IF THE WORK 0090, You may obtain copies at the rules by
COMMENC ,- -., ,I "v rc."1:'.'1I1 ;:.; r;Of v' ,lImg me cemer. \IWI~, '''~ 1~'VI-'; .v..v
ANY 18 ED OR IS ABAND01JiIDlfuation DescriDtion':i1nber for the Oregon Utility Notitication
o DAY PERIOD. " if, n. 'iI Center is 1-800-332-2344).
$ Per Sq Ft Square Footage
or mnltiplier or Bid Amount
Tvpe of Construction
Value
Date Calculated
Storm Sewer Available:
Special InstrrfBfkE:
Notes:
Description
Paee I 01'2
Status
Iss u ed
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Heat Pump
Amount Paid
$11.52
$4.80
$79.00
$17.00
Total Amount Paid
$112.32
Total Value of Project
Fees Paid I
I Plan Reviews ,~
Date Paid
7/14/09
7/14/09
7/14/09
7/14/09
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01022
ISSUED: 07/14/2009
APPLIED: 07/1312009
EXPIRES: 01/14/2010
VALUE:
Receipt Number
3200900000000000526
3200900000000000526
3200900000000000526
3200900000000000526
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.
Renuired "rn,sn~~t,io,~~ 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 structure without permission of the Community Services Division, Building Safety.
I further certify that only contractors and employees who are iu 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 front or the property, and the' approved set of plans will remain on the site at all
times during construction.
Owner or Contractors Signature
Paee 2 of2
Date
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-0 I 022
COM2009-0 I 022
COM2009-0 1 022
COM2009-0 I 022
Payments:
Type of Payment
ONLINE CHGS
cRcccintl
RECEIPT #:
Description
1st Appliance
Heat Pump
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
City of Springfield Officia.l Receipt
Development Services Department
Public Works Department
3200900000000000526
Date: 07/1'4/2009
6:56:43AM
Item Total:
<":heck Number Authorization
Received By Batch Number Number How Received
Amount Due
79,00
17,00
4,80
11,52
$ J 12.32
Amount Paid
nJrn
ONLINE comfon flow Online
Payment Total:
$112,32
$112.32
Page I of I
7/14/2009