HomeMy WebLinkAboutPermit Mechanical 2009-8-4
"City of Springfield
.
tir~I_N~~~..L
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Mechanical Authorization To Begin Work
E-mailedTo:kelly@comfortflow.com
69600-BMC-09-00052
8/312009 3,15 pm
Approval Code: 004500
Check on status of permit
By Phone: 541-726-3753 or Email: pennitcenter@ci.springfield.or.us
o New Consmlction 0 Additionlalterationfreplaccment
0] or 2 frunily dwelling 0 Multi-family 0 Commercial DAccessory Building
I Job Address: ]262 S ST
City/State/ZIP: SPRINGF1ELD, OR 97471
Suile/bldg.lapt.no.:
Project Name:" COONRADT
I Cm" S"~"/d""';nn' 'n inb ,;too
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INSTALL DUCTLESS SYSTEM
Name: MARIE COONRADT
Phone: 54]-9]2-9763
Fax:
Emlli1:
CCBU,. "n.' ,NOTICE:
I B",;n<<, N'm'rn>~qaHl-RYfl1'StAAlct? EXPIRE IF THE WORK
I Cnn',," AIITHORIZED UNDER THIS PERMIT It; NU I
I Add",,, 1951 PWiI'ilfMFNr,m OR IS ABANDONED FOR
I city/Sln'<IZI P'tlf~V''VfffiD[J>A.'f7PE:IPl1O D.
I Pho~e: 541-726-0]00
Emlld:
I Metro lie. no.:
Fax: 54]-726-4799
Citylic.nCl.:
Upon review and approval by your local jurisdiction, your permit will. be
a-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
-Segin Work is null and void if it does-not meet applicable land use laws
and local ordinances
.1
Total I.
~I
.$17.001
$17.00"
f~:"(>!ri
I First Appliance Fee l, J I $79.001,
1J\~.ECHANiCAL,p~R~,1Jtf_f,tE~~"':~~~~~?::';\~f~'li1~~'~...i"'%:~f~;;';: >;'"1
I Subtotal $113.001
IStlltesurchargc(12%ofPennit $13.561'
lotal)
!TeChllologyteC(5%OfPermlt $5.651'
total)
!TOTAL PERMIT FEE S132.2d
Qq--lUq KiL 514109 .
I Description
I Heat Pump
lAir handling unit
.~
I
I
ATTENTION: Oregon law requires you to
foUow rules adop(ed by the Oregon Utility
!'Iotlflcatlon Center.: Those rules are set forth
m OAR 952-001-0010 through OAR 952-001-
0090.. You may ob~ain copies of the rules by
caUmg the center. (Note: the telephone
number for the Oregon Utility Notification
Center is 1,-800-332-2344).
,
,
.1.
This Authorization To Begin Work must be posted at the job site until replaced by a Permi~
i
"
CITY OF SPRINGFIELD
I"
Status
Issued
Building/C:ombination. Permit
PERMIT NO: COM2009-01119
ISSUED: 08/04/2009
APPLIED: 08/03/2009
EXPIRES: 02/04/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1262 S ST
ASSESSOR'S PARCEL NO.: 1703261400202
Springfield TYPE OF WORK: Heating System
TYpE OF USE:
PROJECT DESCRIPTION: Install ductless heating system in residence
New
I
Residential
Owner:
Address:
COONRADT MARIE ANN
1262 S ST
SPRINGFIELD OR 97477
"
Phone',Number: 541-912-9763
I, CONTRACTOR INFORMA nON ,
Contractor Type
Mechanical
Contractor
COMFORT FLOW HEATING CO.
License
460
Expiration Date
06/27/2011
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:
Heigbt of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
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 INFORMATION I
REQUIRED PARKING
Frontyard Setback: Overlay Dist: Total:
Side I Setback: # Street Trees Rqd: .. ~andicap'J)ed":
Side Z Setba<<:OTICE: Paved Drive Rqd: ATTENTION: Oregon 3l;{p:~a.f1res you to
follow rules adopted y lI,e u'regon Utility
Rearyard Setl'.'l~5:PERMIT SHALL EXPIRE IF THt"WO~ Coverage: Notification Center. Those rules are set forth
Solar Setbac~THORIZED UNDER THIS PERMIT IS NOT in OAR 952-001-0010 through OAR 952-001-
GUIVIIVltNGtU UK I::; AtlAI~Ulf~BtI0 iMPROVEMENTS ,0080. YOU may OOlam copies Ollne rUles uy
ANY 180 DAY PERIOD... . calling the center.. (Note:the tele~hone
Street Improvements: nursiiuMiilklrrry~~egon Utllrty Notrflcatlon
Center is 1,800-332-2344).
Downspouts/Drains:
Storm Sewer Available:
Special Instruction:
Notes:
',Valuation DescriDtion I
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
,
Date Calculated
Pa2e I 01"2
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 luspection Line
Total Value of Project
Fee~ Paid I
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Air Handling Unit Up to 10,000
Heat Pump
Amount Paid
$13.56
$5.65
$79.00
$17.00
$17.00
Total Amount Paid
$132.21
I Plan Reviews I
Date Paid
8/4/09
8/4109
8/4/09
8/4/09
8/4/09
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01119
ISSUED: 08/04/2009
APPLIED: 08/03/2009
EXPIRES: 02/04/2010
VALUE:
Receipt Number
,
,
120~900000000000869
120~900000000000869
1200900000000000869
1200900000000000869
1200900000000000869
,
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 Reouired Tnsnections I
Rough Mechanical: Prior to Cover
Final Mechanical: When aU mechanical work is complete.
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that aU
information hereon is true and correct, and I further certify that any and aU work performed sha(1 be done in accordance with
the Ordinances of the City of Springtield 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.
1 further certify that only contractors and employees who are in compliance with ORS 701.005 wil'i 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 ofthe property, and the approved set ofpfans w~lI remain on the site at all
times during construction.
Owner or Contractors Signature
Pa2e 2 of2
Date
225 Fifth Street
Springfield, Oregon 97477
541,726-3759 Phone
Job/Journal Number
COM2009-01119
COM2009-01119
COM2009-0 1119
COM2009-01119
COM2009-0 1119
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
8.~Q..f':,L~ii' ' ",,".,',
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1200900000000000869
Description
1 st Appliance
Air Handling Uriit Up to 10,000
Heat Pump
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
City of Springfield Official Receipt
"
Development Services Department
. ,
Public Works Department
I
Date: 08~04/2009
Item Total:
t:heck Number Authorization
Received By Batch Number Number Ho~ Received
KR
Page 1 of 1
ONLINE COMFORT Oriline
FLOW 11
HEAT.
Paym,ent Total:
8: II :49AM
Amount Due
79.00
17.00
17.00
5.65
13.56
$132.21
Amount Paid
$132.21
$132.21
8/4/2009