HomeMy WebLinkAboutPermit Mechanical 2009-8-7
City of Springfield
Mechanical Authorization To Begin Work
E-mailedTo:kelly@comfortflow.com
69600-BMC-09-00064
8/7/2009 12:06 pm
Approval Code: 038440
Check on status of permit
By Phone: 541-726-3753 or Email: pennitcenter@ci.springfield.or.us
o NewConstruction
12] Addition/alteration/replacement
I Description
I, Qty,
I First Appliance Fec
o ] or 2 family dwelling 0 Muhicfamily 0 Commercial
o AccessOlY Building
Cross Street/directions to job site:
I
I
i cq - Hsa k.R-- 5 '1 \eA
I Subtotal
I Stille surcharge (12% of penn it
Iota])
ITeChnOIOgy fee(5% of permit
totall
!TOTAL l'Ii:RMl'f FEE
$79.001
$9.481
$3.951
$92,.131
I Job Address: 914 MCKENZIE CREST DR
j City/State/ZIP: SPRINGFIELD, OR 97477
I SuiteJbldg.lapt.no.:
Project Name: BLISS
Tax map/llllrcel no.:
REPLACE GAS FURNACE
r.1='
I Nom" KEN & NORMA!!H~I-ln-;;I~'~'r I "I['en Tllln ",~n_. '.'- I~ rJ"f
I ' --- ..::ll..... ~ I J I l..11Io/1I (v u
I Phm, 541,744,6285 I'nnm:.IC'~~ tr: IS ^:JAri:J:lI;n; f3R
[mail: i n
I CCBlic. 1It1.: 460
I Business Name: COMFORT FLOW HEATING CO
I Contact:
I Address: 1951 DON ST
I City/Slate/ZIP: SPRINGFIELD,OR 974771993
I Phone: 541-726-0100 Fax: 541-7264799
I Ernail:
NOTE: This Authorization To Begin Work expires within 180 days if a
permit is not obtained.
.
,
't ~ ~~~
~O'
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
calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center.is 1-800-332-2344).
I Metrolic,no.:
Citylic,i1o.:
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,
The local building department ~ay determine that an Authorization To
Begin Work is null and void if it does not meet applicable land use laws
and local ordinances
~o<^-
~.\~<V
~~
ThiS Authorization To Begin Work must be posted at the job site until replaced by a Permit;'
- '-:4li~l!i,~~,F,1~,,~:~1
~ ;:itj '< ,'" ^Y~"W
II'" , ,
~ n; I ~",
,
.
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01152
ISSUED: 08/07/2009
APPLIED: 08/07/2009
EXPIRES:, ,02/07/2010
VALUE:
225 Fifth Street, Springfield, OR '
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 914 MCKENZIE CREST DR
ASSESSOR'S PARCEL NO,: 1703234300200
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Replace gas furnace in residence
Owner:
Address:
BLISS FAMILY TRUST
914 MCKENZIE CREST DR
SPRINGFIELD OR 97477
,
Phone Number: 541-744-6285
Owner: BLISS KENNETH 0 TE
Address: 914 MCKENZIE CREST DR
SPRINGFIELD OR 97477
Owner: BLISS NORMA J TE
Address: 914 MCKENZIE CREST DR
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATI?N I
Contractor Type
Mechanical
Contractor
COMFORT FLOW HEATING CO,
License
460
Expiration Date
06/27/201\
Phone
54\-726-0100
I BUILDING INFORMATION I
# of Units: # of Stories:
Primary ocMpiit'SIGroup:' He~~t of Structure
Secondary q~~!lP,!n~Y\l?rlhfjJ.'IALL EXPIRE IF THEWplt'o!f Heat:
Primary Cons~rl~~B?l1Nt!leJNDER THIS PERMIT 1W~t6:rrype:
Secondary <emJI'i~'i!I~CITrI1J'R IS ABANDONED Ftlmnge Type:
# of BedrOomNy 180 DAY PERIOD. Ene,rgy Path:, ,
, A Sprinkled BUlldmg:
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 .1
REQUIRED PARKING
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Total:
Handicapped:
ATTENTION: OregOl~fmWi'Jq\.iires you to
follow rules adopted by the Oregon Utility
Notification Center, Those rules are set forth
.--------..-- -,-
"'.....'''. oJ",&... '-''wi I "'-IV IV UlIVU~11 Vf""'\11 vv':;"-vv I-
I PUBLIC IMPROVEMENTS 10090, You may obtain copies of the rules by ,
caMi\igJgrkfT).(lt~!, (Note: the telephone
numoer tor tnePuregon Utility Notification
DO~'iPliutsi1>~aiiij(i-332-2344) .
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Street Improvements:
Storm Sewer Available:
Special Instruction:
.Notes:
Paee 1 of 2
~~~!~~!i!!~9,t
,I
,~'
~
\(
"
Status
Iss u ed
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541- 726-3676 Fax
541-726-3769 Inspection Line
I Valuation Description I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Total Value of Project
Fees Paid I
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Amount Paid
Date Paid
$9.48
$3,95
$79,00
817109
817109
817109
Total Amount Paid
$92.43
I Plan Reyiews I
CITY OF ~rKmul'lELD
Building/Combination Permit
PERMIT NO: COM2009-01152
ISSUED: 08/07/2009
APPLIED: 08/07/2009
EXPIRES: 02/0712010
VALUE:
Value
Date Calculated
Receipt Number
1200900000000000889
1200900000000000889
1200900000000000889
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. willibe made the following
work day.
RemIi~,ed I nsnecti?~,.1
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 aud the Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any structure withoui permission of the Community Services Division, Building Safety.
I further certify that only contractors and employees who are in compliance with ORS 701.005 wiWbe 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 of the property, and the approved set of plans will remain on the site at all
times during construction. '
Owner or Contractors Signature
Pa2e 2 01'2
Date
225 Fifth Street
SpringfielO, Oregon 97477
541-726-3759 Phone
,
Job/Journal Number
COM2009-01152
COM2009-01152
COM2009-01152
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
Description
1st Appliance
+ 5% Technology Fee,
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
1200900000000000889
City of Springfield Official Receipt
DevelopmehtServices Department
Public Works Department
Date: 08/07/2009
Item Total:
Check Number Authorization
Rec.eived By Batch Number Number How Received
kr
,
Page 1 of 1
ONLINE Comfort Online
Flow
Heating Co
Payment Total:
12:23:24PM
Amount Due
79,00
3,95
9.48
$92.43
Amount Paid
$92.43
$92,43
8/7/2009