HomeMy WebLinkAboutPermit Mechanical 2009-7-22
City of Springfield
Mechanical Authorization To Begin Work
E~mailed Tl?: kell}'@comforttlow.com
Check on status of permit
By Phone: 541-726-3753 or E'!Iail: permitcenter@ci.springfield.or.us
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69600-BMC-09-00036
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7/22/2009 1:05 pm
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Approval Code: 08723D
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This Authorization To Begin Work must be posted at the jo.b site until replaced by a.permit:!r
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_I D New Construction
o Additionlaltermionlrcplaceniem
jJeatiiiWc'oill(#g'apliliait'ces- ~.,~
Heal Pump
~ijDimum-Fe!SC <::'-~ 'c'
First Appliance Fee
10 1m2 f~ily dwdh'g D Molt;,fmnily D Comm",;,1 DA"","ty B;;Id;",
1~:~>~;:4,j/i~ -.~:S:' ~c;~?[JOBIS1TE~-IN.f6-RMA::j:loN-AN[iLOCATfON~~i j>-:~.i~,:
Job Address: 5854 G ST
Subtotal
City/State/ZIP: SPRINGFIELD, OR 97478
Statesurcharge(12%ofpemlit
total)
Technolob'Y fee (5% of permit
total)
Suitefbldg.lnpt.no.:
Project Name: ANDREWS
Cross Streetldire~tions 10 job sile:
TOTAL PERMIT FEE
I Tn.plp.",'""' \'ld!,'2ftM.. .(:(J.3CXJ
I ~:;;::,";;'''''''i2~'*'~' , ,x+L4"0j'2$4'.0"0^~"~"""""","~~0"t.",~,,,""0" ,',' "'';'' ~ ..~'c'. ';'--'0%;bJfJ;;;t~h;fcti' ,~~~"', ~, ~:I
,~,.,,:'f;?~~"'-.-:#PY;;~'i:'~.t\;~DESCRIP.TION;OF,jWORK,i:It.;,~<;;_C;k ",-2':.' ''''':c.":.AL--:r~;;,,*
INSTALL DUCTLESS SYSTEM
Name: JOHN ANDREWS
Phone: 54]-744-6669
Fax:
Email:
I CCB Iic. no.: 460
Business Name: COMFORT FLOW HEATING CO
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Contact:
Address: 1951 DON ST
Cit}'/State1ZIP: SPRINGFIELD, OR 974771993
Phone: 541-726-0100
Fax: 541-726-4799
Email;
Metrolic.no.:
Cit}'lic. 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
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Can u--v '7- (-) /007
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$17.001 $17001,
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$79,001
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$96,00 I
$]1.521
$4.801
SII2.32I,
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CIT\j OF SPRINLiJ:<lELD
Building/cdmbination Permit
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S]TE ADDRESS: 5854 G ST
ASSESSOR'S PARCEL NO,: 1702342200300
Springfield
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PERMIT NO: COM2009-01057
ISSUED: 07/22/2009
APPLIED: 07/22/2009
EXPIRES: 01/22/2010
VALUE: II
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TYPE OF WORK: MechanicaLOnly
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TYPE OF USE: Newll
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Residential
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
PROJECT DESCRIPTION: Install ductless system
Owner:
Address:
ANDREWS JOHN L & KAREN S
5854 G ST
SPRINGFIELD OR 97478
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Phone Number: 541-744-6669
I CONTRACTOR INFO~MATION I
Contractor Type
Mechanical
Contractor
COMFORT FLOW HEATING CO.
License
460
Expiratibn Date
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06/27[2011
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Sq Ft 1st Floor:
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Sq Ft 2nd Floor:
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Sq Ft Basement:
Sq Ft G'a;'agefCarport
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Sq Fl Other:
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Occupant Load:
II
,Phone
54]-726-0100
BUILDING INF~RM;\TION 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: nfa
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
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II
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Sidewalk Type: II
DownspoutsfDrbins:
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Street Improvements:
Storm Sewer Available:
Special Instruction:
N t ii
o es: NOTICE' II
__.:...~""^II ~\lP1RFIFTHEWORK I
I m~ r ~",.." -, THIS PEf! iv~;~ ;~ I';'" I . :11'" NTION: Ore II
/\UTrlORIZED UNDESRABANDmlc\{atulltion DescriDliOITVI rUles adoPt~~n law re,Fil'ires yo
COMMENCED OR I , .''''vat/on Cent by the Ore 0 I ,u. to
^ Y 1 on nfJv PFRIOD, $ Per Sq Ft sh'1t\ir'l,rFo6Iag~ er, Those ru/~s' g n uol/ty
Description,N 'lYpe of Construction It' I' (l.x:!jiJn ,Y.- 1-0010 thr~alue'O" are setDate)Ca1culated
or mu .p ICr or" "mounty obt ' "811 AR Qr-2 0 ..
calling the - am cOPies Ofth v;) - 01-
, nUmber ~ center. (Note' t~" e rules by
C:r the, Oregon ui'litl tele~hone
Paee I of 2 nter IS 1-800-332 Y Nol1t/catlOn
-2~f4),
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Status
Issued
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, CIT, OF SPRINGFIELD
Building/Combination Permit
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PERMIT NO: COM2009-01057
ISSUED: 07/22/2009
APPLIED: 07/22/2009
EXPIRES: 01/22/2010
VALUE: r
. _~~'J;lfi~~~~,~':~JI,~!~~~I_ _ ,,...
-, ~
225 Fifth Street, Springfield; OR
541-726-3753 Phone
541-726-3676 Fa.
541-726-3769 Inspection Line
Total Value of Project
F~e' Paid'
$11.52
$4.80
$79,00
$17,00
7/22/09
7/22/09
7/22/09
7/22/09
Receipt Number
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1200900000000000823
1200900000000000823
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1200900000000000823
1200900000000000823
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Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Heat Pump
Amount Paid
Date Paid
Total Amount Paid
$1l2,32
1 Plan Reviews I
To Request an inspection call the 24 hour recording at 726-3769. All inspections rJquested before 7:00
lC
a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following
work day.
I, Reonired Tn'n~ction' I
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
By signature, 1 state and agree, that I have carefully examined the completed application and do hirebY certify that all
information hereon is true and correct, and 1 further certify that any and all work performed shaliibe done in accordaoce with
the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the wJ'rk described herein, and
that NO OCCUPANCY will be made of any structure without permission of the Community Servi~es Division, Building Safety,
I further certify that only contractors and employees who are in compliance with ORS 701.005 wm be used on this project,
1 further agree to ensure that all required inspections are requested at the proper time, that each a~dress is readable from the
street, that the permit card is located at the front of the property, and the approved set of plans wit', remain on the site at all
times during construction. . 11
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Owner or Contractors Signature
Date
Pa2e 2 of 2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-01057
COM2009-01057
COM2009-01057
COM2009-0 1 057
Payments:
Type of Payment
RECEIPT #:
Description
1 st Appliance
Heat Pump
+ 5% Technology Fee
+ 12% State Surcharge
ONLINE CHGS ONLINE PERMIT CHGS
Paid By
cReceiotl
1200900000000000823
Received By
NJM
Page I of I
CheckNumber
Batch Number
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City of Springfield Official Receipt
Developmeht Services Department
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Public Works Department
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Date: 07/22/2009 1:18:33PM
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Item. T ata I:
Authorization
Number
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How Received
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Amount Due
79,00
17,00
4,80
11.52
$112,32
Amount Paid
$112,32
ONLINE COMFORT Online'
FLOW ]I
Payment Total:
$112,32
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, 7/22/2009