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Home My WebLink AboutPermit Mechanical 2009-8-27 Mechanical Authorization To Begin Work [-mailed To: kcll)'@comfortflow.com 69600-BMC-09-00096 \ J-lP\ q/ C City of Springfield 8/27/2009 7:28 am Appr,?val Code: 09231 D Check on status of permit By Phone: 541-726-3753 or Email: pennitcenter@ci.springfield.or.us ~'~l~f\f\;~ c"~.ft ,:~'."g\ ,I .. 'C"~ "". .....;..._~.,...:' CATEGORY,OF.:cONSTRUCTjON:- IUt'scriPfion IHeatinilcoo,ting- app'li!lnces. IHcatPump l~tiilimumF~er[ I FirSI Appliance Fee I 1~IE;Ci-l~~NICAL.r.ERJ\1ITFE~-,_ "~ I Subtotal IStlltesurchargC(12%ofpemlit total) I Technology ree (5% of pennit (otal) ITOTAL J>t:RMIT FEE FEE SCHEDULE ," I Qt, I Ea, '" .~ ...,! Tulal I I $]7.001 I 179,001 '1 196,00 I $1L.521 S4.8OI $112.321 o New Construction o Addition/alteration/replacement -, II S17.001 o I or 2 family dwelling 0 Multi-family 0 Conunercilll DACCCSSOI)'Building "", ~_..... "'cti;,:jOEl'SITE'INFOFiMATIONANO"'EOcATI<Ji,n"i " ;,~ - Job Addres~: 5162 DAISY ST Cil}'IStaleJZIP: SPRINGFIELD, OR 97478 SuiteJbld&.lapt.no.: Project Name: VanOrdstrom Cross Streetldireelions to job site: T.m.f.",,1 no, \"?Of. "b~.3+ 0:=>0=> \ ~';-.:.:'~bESCRIPtjoN OF:WOR'K'::", +~ ", - ---I ~E7.-i": install heat pump and air handler :'; _ "';':1.~t~~>~e..~~~:T"Ljl<~~SiTE:CONTACTi,,:~}~,,-""L; -'~", Name: JEREMY V ANORDSTROM Phone: 54]-228-0886 Fax: Emai!: C(rNYRACTOR~~'t:'$;;l,~- " n CCB lie. no.: 460 Business Name: COMFORT FLOW HEATING CO L Contact: r Address: 1951 DON ST I Cil}'/SlateJZIP: SPRINGFIELD, OR 974771993 I Phone: 541-726-0100 Fu: 541-726-4799 " Email: I MefTo lie. no.: Cil}'Uc.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. 'r 'Q ~ ~ \.\ lU f).- ~. \s)' ~Q-/ rf' 6''l!O, Q- y.-cf< ~ 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 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 W/Yluvf- O/~I j} IYJ tJ21// df CITY OF SPRINGFIELD Building/C~mbination Permit PERMIT NO: COM2009-01261 ISSUED: '08/27/2009 APPLIED: 08/27/2009 EXPIRES: 02/27 /2010 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 5162 DAISY ST ASSESSOR'S PARCEL NO.: 1702333403001 Springlield TYPE OF WORK: Mechanical Only PROJECT DESCRIPTION: Heat Pump & Air Handler TYPE OF USE: New Public , , Downspouts/Drains: ATTENTION: Oregon law requires 'you to ~o".ow rules adopted by the Oregon Utility " otlflcatlon Center, ,Those rules are set forth ~_~!lR 952-001-0010 throuqhOAR 952-001- =---', 'vu 'Hay UU'<I'fl caples 01 the rules by NOTICE.' I Valuation Descrintion I ca".lng the center" (Note: the teiephone number for the Or~gon Utility Notification THIS PERMIT QIIA I I. _$ Per S~ Ft ' Square Footage Center IS 1-800-332-2344) AUTlI1J'tWfConstrnctidDl(P/R~~fuWipIiW)RK or Bid Amount Value Date Calculated COMMEN~~~ ~~DI~~~~~ PERMIT IS NOT ANY 180 DAY PERIOD. DONED FOR Owner: V ANORDSTRAND JEREMY T Address: 5162 DAISY ST SPRINGFIELD OR 97478 I CONTRACTOR INFORMATION ~ Contractor Type Mechanical Contractor COMFORT FLOW HEATING CO. License 460 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: Ilia I DEVELOPMENT INFORMATION 1 Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: I PUBLIC IMPROVEMENTS 1 Street Improvements: Storm Sewer Available: Special Instruction: Notes: Description Pa2e I of 2 Phone Number: 541-228-0886 I; Expiration Date 06/27/2011 Phone 541-726-0100 , Lot Siz~: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft O,ther: , Occupa,nt Load: ,/ ,,' f:'i !REQUIRED PARKING rTotal: , Handicapped: Compact: Sidewalk Type: . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Fee Description + 12% State Surcharge + 5% Technology Fee 1st Appliance Heat Pump Amount Paid $II.52 $4.80 $79.00 $17.00 Total Amount'Paid $II2.32 Total Value of Project Fees Paid 1 I Plan Reviews I Date Paid 8/27/09 8/27/09 8/27/09 8/27109 CITY: OF SPRINGFIELD Building/Combination Permit PERMIT NO: C.oM2009-01261 ISSUED: 08/27/2009 APPLIED: 0812712009 EXPIRES: 02/2712010 VALUE: ' Receil:'t Nnmber 3200900000000000607 3200900000000000607 3200900000000000607 320~900000000000607 To Request an inspection call the 24 hour recording at 726-3769. All inspections rJquested 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. ' R~r~ired I n,Sf'ecti,~ns 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 he;'eby 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 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. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be nsed on this project. I further agree to ensu're 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 construct~on. Owner or Contractors Signature Page 2 of 2 Date, 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-0 1261 COM2009-0] 26] COM2009-0 1261 COM2009-0 1261 Payments: Type of Payment RECEIPT #: Description I st Appliance Heat Pump + 5% Technology Fee + ] 2% State Surcharge ONLINE CHGS ONLINE PERMIT CHGS Paid By cReceintl .r~~~~4ti ~'" City of Springfield Official Receipt Development Services Department Public Works Department 3200900000000000607 Date: 08/27/2009 Item Total: Check Number Authorization Received By Batch Number Number How Received NJM ONLINE COMFORT Online FLOW Payment Total: 'Page I of I 8:14:20AM Amount Due 79,00 17,00 4,80 11.52 $112,32 Amount Paid $112,32 $112.32 812712009