HomeMy WebLinkAboutPermit Mechanical 2009-7-30
City of Springfield
Mechanical Anthorization To Begin Work
E-mailed-To:kclly@comfortflow.com
Check on status of permit
By Phone: 541-726~3753 or Email; permitccl1tcr@cj.springficld.or,lls
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D NewConstruction
0'Additionlalterationlreplacement
0] or 2 family dwelling D Multi'fa~i1y Dcommercial
DACCeSSOryBUilding
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I Job Address: 3833 HAYDEN BRJDGE RD
I City/StafefZIP: SPRINGFIELD, OR 97477
Suite1bldgJapt.no.:
Project Name: STURGES
Cross Street/directions to job site:
I Tax map/parcel no.:
INSTALL AC
Name: JAMES & JANET STURGES
Phone: 54].746-5210
Fl.lx:
Email:
CCBlic.no.:460
Business Name: COMFORT FLOW HEATING CO
Contact:
I Address: 195/ DON ST
Cit)'/Sfllte/ZIP: SPRINGFIELD,OR 97477]993
Phone: 541-726-0100
Fax: 541-726-4799
Emllil:
Metro 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 Aut~orization To
Begin Work is null and void if it does not meet applicable land use laws
and local ordinances
IlJeserilJIiOIl
l~lhliinW~iEet's "F'~..~
I First Appliance Ft:t:
Il'-~~~I(~Hfc.~", I'J':RMIT:fF:ES' .:..~,
I SubtOtal
I State surchargt: (12% of penn it
lotal)
!Tt:dmOlogy fee (5% ofperrriil
IOlal)
I TOTAL PERMIT FEE
.
This Authorization To Begin Work must be posted at the job site until replaced by a Permit
CoyY\2-00q - 0 \ 10 <-t
1,3/- oel /'1M
69600-BMC-09-00048
7/30/2009 3:57 pm
AI)proval Code: 073580
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TotllJ
$79,00
$9.48
$3.95
S92A3
,
Status
Issued
. CITY VI' ~rRlNGFIELD '
Building/Combination Permit
PERMIT NO: COM2009-01104
ISSUED: 07/31/2009
APPLIED: 07/31/2009
EXPIRES: 01/31/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769Insp,ection Line
SITE ADDRESS: 3833 HAYDEN BRIDGE RD
ASSESSOR'S PARCEL NO.: 1702194101200
Springlield TYPE OF WORK: Mechanical Only
TYPE OF USE: New
, Residential
PROJECT DESCRIPTION: Install AIC
Owner: STURGES JAMES S & JANET L
Address: 3833 HAYDEN BRIDGE RD
SPRINGFIELD OR 97477
Phone Number: 541-746-5210
, CONTRACTOR INFORMATION'
Contractor Type
Mechanical
Contractor
COMFORT FLOW HEATING CO.
License
460
Expiration Date
06/27/20 II
Phone
541-726-0100
BUILDING INFORMATION 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 Bnilding:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
nla
. I DEVELOPMENT INFORMATION'
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:
Street Improvements:
I PUBLIC IMPROVEMENTS I
- ATTE~SiH~tJa(RIType: law requires YOlJ to
follow rules aQopled by the Oregon Utility
Notifica,-\l_~l"!!~P!!!'1.s/p'r~~n..s; ules 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
".!fITt!'!:' _ "i~~J' number for the Oreqon Utility Notification
:ff{IS PERMIT SHAll EXPII'I:"!~ ',; l~' ~;;';T .. I Ijenter IS 1-~UU-dd<::-<::'l'f4).
, THORIZED UNDER THIS P,~lu~t on'DescflotlOn
I'.U, S ABANDONI::U ~un
Co~nMENCED OR I '" $ Per Sq Ft Square Footage
~ype OOIOConstJ:ucftll9 1 ' I' B'd A
AN 1. -I t5 1-\1 r L..11l . or mu tip Ief or I mount
Value
Date Calculated
Storm Sewer Available:
Special Instruction:
Notes:
Description
Page I of 2
_$~J'!tl",q~\~",,?/ ' ",
,
I.
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01104
ISSUED: 07/3112009
APPLIED: 07/31/2009
EXPIRES: 01/3112010
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 Descri~tion
+ 12% State Surcharge
+ 5% Technology Fee
1 st Appliance
Amount Paid
Date Paid
Receipt Numoer
$9.48
$3.95
$79.00
7/31/09
7/31/09
7/31/09
2200900000000000861
2200900000000000861
2200900000000000861
Total Amount Paid
$92.43
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 after7:00 a.m. will be made the following
work day.
Renuired Insnections I
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
By signature, I state and agree, that I bave carefully examined tbe 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 oe done in accordance with
the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work descrioed herein, and
that NO OCCUPANCY will be made of any str~cture without permission of the Community Services Division, Building Safety.
I furtber certify that only contractors and employees who are in compliance with ORS 701.005 will oe used on this project.
I further agree to ensure that all required inspections are requested at th'e 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 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 II 04
COM2009-01104
COM2009-0 11 04
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
Description
1st Appliance
+ 5% Technology Fee
+. 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
City of Springfield Official Receipt
,Development Services Department
Public Works Department
2200900000000000861
Date: 07/31/2009
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
njm
ONLINE comfort flow Online
Payment Total:
Page I of I
8:19:35AM
Amount Due
79,00
3.95
9.48
$92.43
Amount Paid
$92.43
$92.43
7/31/2009