HomeMy WebLinkAboutPermit Mechanical 2009-9-1
. City of Springfield'
Mechanical Authorization To Begin Work
. E-mailedTo:kcll}.@comfortf1ow.com
~heck on status of permit
By Phone: 541-726-375J or.Email: permitcenter@~i.springfield.or.us .
69600-BMC-09-00109
9/1/2009 4:37 pm
Approval Code: 067260
o New Construction
o Addition/alteration/replacement
I Description I :': Qty, Ea.
IlICi1Jjj;iic~~i)ilg:app~i.~~~(;S3"i':~~~2'-;f!::'~:1 ~'
IHentPump ]
01 or 2 family dweliing DMulti-flUJlily. 0 Conullcrcial o Accessory Building
I First Appliance Fee
I Subtotal
Statc surcbarge(12% of permit
total)
Technology"fee (5% of permit
lotal) .
I TOTAl. PERMIT FEE
I Job Address: 652 HAM1LTON ST
I City/StafeiZIP: SPRINGFIELD, OR 97477
I Suitelbldg./apt.no.:
Project Name: TAFF/SCARCI
CreuS.reet/directions to job site:
Tax map/parcel no.;
Ol9
CCl - \';115
INSTALL HEAT PUMP AND AIR HANDLER
I Name: PATRICIA SCARCl
I Phone: 541-968-7004
I Email:
Fllx:
CCB lie. DO.: 460 ~~9"!"1~~:
B."n"'N.m""~\"IJr'H~~r.l'ffT~.REb. ~Y!",,~ 1<: TLJ: '^'0DV
I Co."": . /\~FH2f1!6~~ ~NCm THI€ rER~^IT !€ ~'0T
1 Add",,: 1951 DO~~".~r\~[~~t~~ ~f1I:: 1'l;,.'\tJ~~~J:~ F2R
1 C;ty/S"I~ZIP: S~,~o/'f~20~\\~7~rh~~D-. '
I Phone: 541-726-0100 - Fax: 541-726--4799
I Email:
I Metro lie. 110.:
$96,00 I
$11.521
$4.801
$IIB21:
kL Q(010Q
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 lelephone
number for the,Oregon Utility Notification
Cenler is 1-800-332-2344).
City lie. 110.:
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.
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NOTE: This Authorization To Begin Work expIres within 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
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Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01295
ISSUED: 09/02/2009
APPLIED: 09/02/2009
EXPIRES: 03/02120]0
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 652 HAMILTON ST
ASSESSOR'S PARCEL NO.: 1703341206500
Springlield TYPE OF WORK: Heating System
TYPE OF USE: New
PROJECT DESCRIPTION: Install heat pump and air handler in residence
Residential
Owner: SCARCI PATRICIA A
Address: 652 HAMILTON ST
SPRINGFIELD OR 97477
Phone Number: 541-968-7004
I CONTRA~TOR!N~ORMA TION 1
Contractor Type
Mechanical
Contractor
COMFORT FLOW HEATING CO.
License
460
Expiration Date
06/27/2011
Phone
541-726-0100
BUILDING INF?RMATION,
# 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 1
REQUIRED PARKING
Frontyard Setback: Overlay Dist: Total:
Side 1 Setback: # Street Trees Rqd: Handicapped:
Side 2 Setback: Paved Drive Rqd: ATTENTION: Oregordimpacl,JireS you to
Rearyard SetbacIl:OTICE: % of Lot Coverage: follow rules adopted by the Oregon Utility
Solar Setbacks: THIS PERMIT SHALL EXPIRE IF THE WORK . Notification Center. Those rules are set forth
___ ....__.... ............ ,............r.JlIT I~ L'>.lnT :...f"\^Dm:;,)J'lnLnn1nthrrumhOAR952-001-
/'IU I nunll..l..U u",",d, "...I;Iii.~t.ii:f~1YtfROVEMENTS 10090. You may obtain copies of the rUles bY
COMMENCED OR IS ABAr ..l ..' . "'calling the center. ,(Note: the telephone
Street ImproveD}~I1~:180 DAY PERIOD. nUI~f9SI":tJ!<t1i~p!::;egon Utility Notification
Storm Sewer Available: DowlrllpO\Ws)b.Ja~qp-332-2344).
Special Instruction:
Notes:
I V~I~ation Descriotion I
J;>escription
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee 1 of2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-0]295
ISSUED: 09/02/2009
APPLIED: 09/02/2009
EXPIRES: 03/02/2010
VALUE:
225 Fifth Street, Springfield, OR
.541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project'
Fees Paid 1
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Heat Pump
Amount Paid
Date Paid
Receipt Number
$11.52
$4.80
$79.00
$17.00
9/2/09
912/09
9/2109
9/2/09
2200900000000000992
2200900000000000992
2200900000000000992
2200900000000000992
Total Amount Paid
$112.32
Plan Reviews I
To Request an inspection caIl the 24 hour recording at 726-3769. AIl inspections requested before 7:00
a.m. will be made the same working day, inspections requested after 7:00 a.m. wilIbe made the foIlowing
work day.
I '. ReoIlired In.sn.er.!i~.n,\.I
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete:
By signature, I state and agree, that J have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and 1 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 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 duringconstru~tion.
Owner or Contractors Signature
Date
Paee 2 of2
225 Fifth Street
Springfield, O'regon 97477
541-726-3759 Phone
.
Job/Journal Number
COM2009-01295
COM2009-0 1295
COM2009-01295
COM2009-01295
Payments:
Type of Payment
ONLINE CHGS
cReceint1
RECEIPT #:
Description
l51 Appliance
Heal Pump
+ 5% Technology Fee
+ 12% Stale Surcharge
Paid By
ONLINE PERMIT CHGS
2200900000000000992
City of Springfield Official Receipt
, Development Services Department
Public Works Department
Date: 09/02/2009
Item Total:
Check Number Authorization
Received By Batch Number Number Ho,w Received
KR
Page I of I
ONLINE COMFORT Online
FLOW
HEAT CO
Payment Total:
8:48:42AM
Amount Due
79,00
17,00
4,80
11.52
$112.32
Amount Paid
$112.32
$112.32
9/2/2009