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Home My WebLink AboutPermit Mechanical 2009-8-14 City of Springfield 69600-BMC-09-00072 , Mechanical Authorization'To Begin Work E.mailed To: kelly@comfortfTow.com 8/13/2009 3:37 pm Approval Code: 04649D Check on status of permit By Phone: 541-726-3753 or Email: permitcenter@ci.springfidd.or.us I D New Construction o Addition/alteration/replacement o ] Of 2 family dwelling DMulti-familY 0 Commercial DACC""')'"';Id;". I I Job Address: 3939 NORTH ST I City/Stale/ZIP: SPRINGFIELD, OR '97478 I Suite/bldg.lllpt.no.: I Project Name: JOHNSTON I C""S.",lId;",rio", tojob';'<: I Tu.p/p"cc'oo.: }~,rr7lJ.r/! 14- \~~OL> l~f~~~4.Ji~l;d~:~~oESCRI~TlON:cfgwoRKf~y~~~:~:;ji\~~;~I RE~LACE GAS FURNACE AND HEAT PUMP Name: STEVE'& YVONNEJQHNSTON I Phune:54]-7'HiRor'~I:. Fax: I Em.;I: HW: Om~nIT SU~) 1, J:YOIDf ,to TUJ: )M,fJPY 1~~-tst~1Jtr~rir(:{:f5~~jf~G.Qt\lrRA'>>iJ:.~iR;1f5tli\i'ltTd;l:C~~lnT<-;J~y~IS I CCBI;, no.:~60;.~~.~~;i~-E-~ 2n-~~ :'\~f;H~iiiirFg-R.- I B.,;o", NO"l'::hq\)Mr'l.~1 ,W:'Y/"OfClJi'i'>'i'1 . I Contact: I Address: 1951 DON ST I City/StatefZIP: SPRINGFIELD, OR 974771993 I Phone: 54i-726-0100 Fax: 54\-726-4799 Emai!: J\1etrolic.no.: Citylic.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. (~f~EE;SCHEriUCE(~~ I Description 'Qty. l(i~a#!igfc~~,li~i;rPP!ia~ces~~- I Fumace - up 10 100,000 8TU I First AppIial1ce Fee I Subtotal I Stale surcnarge (12% of penn it lotal) I Techno]ogyfee (5% of permit lotal} !TOTAL PERMIT FEE $96.00 $11.52 $4.801, $112.321 t q -11l~ \1L ~\\l'~()\ ATTEN'TION: 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). ~ ~~~ f\.\\ .f& \9 ~ ~.\1'0C\ ~~{L.. \}.-\ NOTE: This Authorization To Begin Work expires J,ithin 180 days if a pennit 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 This Authorization To Begin Work must be posted at the job-site until replaced by a Permit Status Issued Lll }' OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01178 ISSUED: 08/13/2009 APPLIED: 08/13/2009 EXPIRES: 02/14/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3939 NORTH ST ASSESSOR'S PARCEL NO.: 1802061415800 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New PROJECT DESCRIPTION: Gas furnace - retro, add heat pump or air contitioning to existing , Residential Owner: JOHNSTON STEPHEN L & YVONNE M Address: 3939 NORTH ST SPRINGFIELD OR 97478 Phone Number: ,541-741-7808 I CONTRACTOR INFORMATION . Contractor Type Electrical Mechanical Contractor GMD ELECTRIC INC COMFORT FLOW HEATING CO. License 162191 460 Expiration Date '11119/2010 06/27/2011 Phone 541-726-8601 541-726-0100 BUILDING INFORMATION,' # of Units: Primary Occupancy Group: Secondary Occupaucy 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 I st Floor: Sq Fl2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a NOTICE: . ! DEVELOPMENT INFORMAmIOiSit'; '~d-~pt~d'by'ih~~O;~g~~Util'ity THIS PERMIT SHALL EXPIRE IF THE WORK ~"UlllI(;allOn Center. ThoseIREQtfIRED1I'A'RKING 1MTf~nD'7t:O UNDER T . In OAR 952-001-0010 throunh OAR 952-001- F~on atll,:O;~DaC4{. HIS PERMIT fS NO'Pverlay Dlst: 0090. You may obtain copiJ<\'tJI,I;.he rules by S~de 1 ttiAckNCED OR IS ABANDONED FOR # Street T:ees Rqd: calling the cenler. (Note:f!ml,\lf,~~~S\='e SIde 2lSe'tb400 DAY PERIOD. Paved Dnve Rqd: number for the Oregon Ut~,\'fP.e~Mcation Rearyard Setback: % of Lot Coverage: Center is 1-800-332-2344). Solar Setbacks: IPUBLlC IMPROVEMENTS ~ Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: DoWnspouts/Drains: Notes: Pa2e 1 of3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line I Valuation Descriotion , Description $ Per Sq Ft or multiplier Type of Construction ' Square Footage or Bid Amount Total Value of Project Fees Paid J Fee Description + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Minimum/Adjustment Electrical . + 12% State Surcharge + 5% Technology Fee 1st Appliance Furnace - up to 100,000 btu Amount Paid $6.96 $2.90 $55.00 $3.00 $11.52 $4.80 $79.00 $17.00 Total Amount Paid $180.18 I Plan Reviews I Date Paid 8113/09 8/13/09 8113/09 8/13/09 8/14/09 8/14/09 8/14/09 8/14/09 CITY OF SPRINGFIELD ., Building/C6mbinationPermit PERMIT NO: COM2009-01178 ISSUED: 08/13/2009 APPLIED: 08/13/2009 EXPIRES: 02/14/2010 VALUE: Value Date Calculated Receipt Number 3200900000000000583 3200900000000000583 3200900000000000583 3200900000000000583 1200900000000000926 1200900000000000926 1200900000000000926 1200900000000000926 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. Re/luired J nsnections I Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Paee 2 01'3 "'::.~~~~Il!I~~." ;;. ~w CITY OF SPRINGFIELD Building/Combination Permit Status Iss u ed PERMIT NO: COM2009-01178 ISSUED: 08/13/2009 APPLIED: 08/13/2009 EXPIRES: 02/14/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line By signature, I state and agree, that 1 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 ofthe City of Springfield and the Laws of the State of Oregon pertaining to the work descrihed herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Servites Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will 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 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 3 of3 225 Fifth Street Springfield, Oregon 97477 54:1--726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department [ , RECEIPT #: 1200900000000000926 Date: 08/14/2009 9:33:l0AM Job/Journal Number COM2009-01l78 COM2009-01l78 COM2009-0 Il78 COM2009-0 1178 Paid By ONLINE PERMIT CHGS Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Due 79.00 17.00 4,80 11.52 $112.32 Description 1st Appliance Furnace - up to 100,000 btu + 5% Technology Fee + 12% State Surcharge Payments: Type of Paym.nt ONLINE CHGS Amount Paid KR ONLINE COMFORT Online FLOW HEATING Payment Total: $112,32 $112.32 cReceintl Page I of 1 811412009