HomeMy WebLinkAboutPermit Mechanical 2009-8-7
City of Springfield
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Mechanical Authorization To Begin Work
E-mailed;I.o:kclly@comfortflow.com
Check on status of permit
69600-BMC-09-00065
8/7/i009 2:42 pm
Approval Codi:: 011270
By Phone: 541.726-3753 or Email: pemlitcenter@cLspringfield.or.us-
I 0 New Consmlclion
o Addidon/a1teranonfrcplacement
I,
tq-/IS&
I ",mi.""" E.. Tot:,;'I.
pleat Pump I I $17.00 I $17.0;1
I Firsl Appliance Fcc J J . $79.0~1
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Subtotal $96.001,
State surcharge (12%ofpennil $]J,52
\otal)
10 I or 2 family dwC\;ing 0 Multi-family 0 Commercial o Accessory Building
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Job Address: 584 CASCADE DR
City/State/ZIP: SPRINGFIELD, OR 97478
Suile/bldg.!apt.no.:
Project Name: OGELSBY
CrossSlreetldirections to job sile:
I Taxmap/parcelno.:
CAo~
REPLACE HEAT PUMP AND AIR HANDLER'
Nllme: JOHN & CHERYL OGELSBY
Phone:"541-741-6636
Fax:
Emllil:
Technologyree(5%orpermil
total)
'TOTAL PERMIT FEE
CCB lie. no.: 460
Business Name: COMFORT FLOW HEATING CO
Conlnet:
Address: 1951 DQNST
I City/State/ZIP: SPRINGFIELD, OR 974771993
Phone: 541-726-0100 Fax: 541.7264799
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 AuthorizationTo
Begin Work is null and void if it does not meet applicable land use laws
and local ordinances
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This Authorization To Begin Work must be posted at the job site until replaced by a Permit
UJ/YlZA7Yl -- (J//Sy
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$4.80
$112.321
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01156
ISSUED: 08/10/2009
APPLIED: 08/10/2009
EXPIRES: 02/10/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 584 CASCADE DR
ASSESSOR'S PARCEL NO.: 1802022206400
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Replace heat pump and air handler
Owner: OGLESBY JOHN & CHERYL
Address: 584 CASCADE DR
SPRINGFIELD OR 97478 .
Phone Number: 541-741-6636
. '1 CONTRACTOR INFORMA TWN ,
Contractor Type
Mechanical
Contractor
COMFORT FLOW HEATING CO.
License
460
Expiration Date
06/2712011
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 Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
. I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Sethack:
Solar Setbacks:
Overlay Disl:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compa.ct:
I PUBLIC IMPROVEMENTS'
Sidewalk Type.:
ATTENTI(Do~i1spouts/Drains: .
. follow rule - . "v. . "'" ',-,yurres you to
Notification ~:~:te1h by the Oregon Utility
Notes: in OAR 952-001-0010 those rules are_setforth
I" 0090 Yo . rough OAR 952-001-
vOTlr.r:. _ .:, u may obtam CaDi", nftho ''''M ,_..
THIS PERMIT SHAL / . n~hl";i: t'" Willer, (Note: the telephone'
AUTHORIZED U L EXPIRE IF \('taluation DescriDtion ~ or the, Oregon Utility Notification
CO - NDER THIS PERMIT IS!lI()J e~ter IS 1-800-332-2344).
, . MfVlENGED [fP IQ ^ Q ^ "" $ Per :Slf'l't. Square Footage
DescnptlOny 180T,vpe of ConstructlOuONEfi rJio . I' B'd A Value - Date Calculated
. ",' lJiW PERIOD \ir rIItlttlp ler or I mount
Street Improvements:
Storm Sewer Available:,
Special Instruction: I
Paee I 01'2
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Status
Issued
225 Fifth.8treet, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection 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
Fee~ Paid I
Plan Reviews I
Date Paid
811 0/09
8/10/09
8/10/09
8/10/09
CITY OF SPRING., l~LD
. Building/Combination Permit
PERMIT NO: COM2009-01156
ISSUED: 08(10/2009
APPLIED: 08/10/2009
EXPIRES: 02/10/2010
VALUE:
ReceipfNumher
3200900000000000571
3200900000000000571
3200900000000000571
3200900000000000571
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 ~~ouj.re~, I~s'lections I
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
By signature, 1 state and agree, that 1 have carefully examined the completed application and do hereby certify that'all
information hereon is true and correct, and ~ 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 he 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 will be used on this project.
1 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
Paee 2 of 2
. Date
225 Fifth Street.
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-0 1156
COM2009-0 1156
COM2009-0 1156
COM2009-0 1156
Payments:
Type of Payment
ONLINE CHGS
cReccintl.
RECEIPT #:
Description
I 5t Appliance
Heat Pump
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
City of Springfield Official Receipt
. Development Services Department
Public Works Department
3200900000000000571
Date: 08/1012009
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
njm
ONLINE comfort flow Online
Payment Total:
Page I of I
8:3S:22AM
Amount Due
79.00
17.00
4.80
11.52
$112.32
Amount Paid
$112.32
$] 12.32
8/] 0/2009