HomeMy WebLinkAboutPermit Mechanical 2009-9-22
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City of Spring~~ld
,
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Mechanical Authorization To Begin Work
EMmailed To: kelly@comfortflow.com
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Check on status of permit
,By Phone': 541M726-3753 or Email: permitccntcr@ci.springfield.or.us
I D NewCo[]struc~on
o Addition/alteration/replacement
0Ior2fam'tIYdwellin~ ~MUlti~iami]~' Dcommercial' DAccessOlYBUildillg
Job Address: 402 67TH ST
City/State/ZIP: SPRINGFIELD."oR 97478
I Suite/bldg.lllptno.:':!
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Project Name: BARTO
Cross Street/directions to Job site;
,
"
INSTALL DVCTLES'S SYSTEM
Name: DOREEN BARTO
I Phone: 541-968-2701
Email:
Fax;.
I CCB lie. no.: 460
I Business Name: COMFORT FLOW HEATING CO
I Contact:
I Address: 1951 DON ST
City/State/ZIP: SPRINGFIELD'~IOR 97477]993
Phone: 541-726-0100 Fax: 541-726-4799
Email:
Metrolic.no.:
Citylic.no.:
"
Upon review and approval by your local jurisdiction, your permit will bo
e-malled or faxed ~ithln one business day, with instructions on how to
schedule your inspection.
NOTE: This Authorization To Begin ~ork expires within ,180 days if a ponnlt 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
\
69600-BMC-09-00132
9/22/2009 4:13 pm
ApprovalCode:04845D
C 1-/1o&,
I Description
I Helll Pump
I FirSl App]jan~e Fee
I Subtotal
I State surcharge (l2% of penn it
tolal)
ITeChnO]Ogy fee (5% of permit
total)
I TOTAL PERMIT FEE
$112.321,
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This Authorization To Begin Work must be posted at the job site until replaced by a Permit
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01406
ISSUED: 09/23/2009
APPLIED: 09/23/2009
EXPIRES: 03/23/2010
VALUE:
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Plione. :f'
541-726-3676 Fax .
541-726-3769 InspectiJn Line
SITE ADDRESS: 402 67TH ST
ASSESSOR'S PARCEL"No'.: 1702344102900
Springfield TYPE OF WORK: Mechanical Only
i\
TYPE OF USE: New
Public
PROJECT DES;CRl!;ION:
Install ductless system
Owner:
Address:
"
ELLARD DOREEN R'
402 67THI'ST .
SPRlNGI!IELD. OR 97478
Phone Number: 541-968-2701
I CONTRACTOR INFORMATION I
Contractor Type
'I' ":
Mechanical :'
Contractor
COMFORT FLOW HEATING CO.
License
460
Expiration Date
06/27/2011
Phone
541-726-0100
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group::
Secondary OccupancyiGroup:
Primary Constructioni'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:
Occnpant Load:
n/a
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
Storm Sewer Available:
Special Instruction: .
I PUBLIC IMPROVEMENTS I
Sidewalk Type: .
ATTENTION: Ore[1on lay; requires you te
f Ilow ruD"ownspontslDralDs: Oregon Utility
o I ::, r:l.L.;.)l-"l1:;U)"I1 ~J1....
Notification Center. Those rules are set fort~
in OAR 952,001-0010 through OAR 952-001,
0090. You may obtain copies of the rules by
",lnnn tp" r.enter. (Note: the telephone
I MI". I"tKIVlI1 "MALL t^:I"'"":: :~ '-:: "'''.-. 'fmber for the Oregon Utility NOllTlCall<~!1
AUTHORIZED UNDER TH.S\faIii'litiorlfD't\S'criotion ge~ter is 1-800-332-,2344).
COMMENCED OR IS ABANUUNtU I-UK .
iT"'};".~r~ ", ~~"'IilD $ Per Sq Ft
r<ypelu",...onstrnctio. It' I'
or mu Ip ler
NOTICE:
Street Improvements:
Notes:
Description
Square Footage
or Bid Amount
Value
Date Calcnlated
Paee I of 2
Status
Issued
225 Fifth Street, Springfield,OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspectioh Line
. ." Ir; .'i
;.;.
,.
I,:
Fee Description .
+ 12% State Surcharg~;
+ 5% Technology Fee "
Ist Appliance
Heat Pump
Amount Paid
:::
$11.52
$4.80
$79.00
$17.00
Total Amount Paid
$1l2.32
Total Value of Project
Fees P~i_rl I
Plan Reviews I
Date Paid
9/23/09
9123/09
9/23/09
9/23/09
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01406
ISSUED: 09/23/2009
APPLIED: 09/23/2009
EXPIRES: 03/23/2010
VALUE:
Receipt Number
3200900000000000661
3200900000000000661
3200900000000000661
3200900000000000661
To Request an insp~ction 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 Reollirerl In~nectioos I
Rough Mechanical: Prior to Cover,
Final Mechanic~l: When all mechanical work is complete.
By signature, I state aud agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is true ,md correct, and I further certify that any and all work performed shall be done in accordauce 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 frout ofthe property, and the approved set of plans will remain on the site at all
times during construct:~on.,
Owner or Contractors!:Signa,ture
Page 2 of2
Date
225 Fifth Street., '.
Springfield, Oregon 97477
541-726-3759 Phone II
Job/Journal Number ~
COM2009-0 1406
C0M2009-01406 ,.....
COM2009-0 1406
COM2009-0 1406
Payments:
Type of Payment
II
:, RECEIPT #:
, Description
.1 5t Appliance
Heat P"!"p
+';5% Technology Fee
+' 12% State Surcharge
ONLINE CHGS .ONLINE PERMIT CHGS
I
Paid By
cReceintl
3200900000000000661
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 09/23/2009
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
NJM
Page] of]
ONLINE COMFORT Online
FLOW
Payment Total:
7:20:36AM
Amount Due
79.00
17.00
4.80
11.52
$112.32
Amount Paid
$11232
$112.32
9/23/2009