HomeMy WebLinkAboutPermit Mechanical 2009-9-28
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City of Springfield
MecbanicalAuthorization To Begin Work
E-mailedTo:kelly@comfortflow.com
69600-BMC-09-00136
9/28/2009 .12:59 pm
Approval Code: 00660D
11"
Check on status of permit
By Phone: 541-726-3753 or Email: pennitcenter@ci.springfield.oLus
I D New Construction ,
I Description
o Add.itionlalteration/repla~cmenl
IHeatPump
101 Or2famj]YdW~I~~n~'~; DMU]~~-f~~.: .Dcomrnercial DAcceSSOZYBllilding
1~~:'~:;S'JEi'NF,'ORM"'TiON;ii.ND)lfO"CA'ilQNE~~1
I City/State/ZIP: SPRINGFIELD,' o~ 97477 I
I Suile/bldg.lapt.no.: I
I Project Name:HAAo' I
I C"" SI,,,tldi,,,.o."o job ,it" I
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INSTALL HEAT PUMP AND AIR H.A.NDLER
I First Appliance Fee
I Subtotal
IStatesurcbarge(12%Ofpennit
total)
I Technology fee (5% ofpennit
total)
I TOTAL PERMIT FEE
$%,00
$11.521
$4.801
5112.321
I Name: JOHN & JOYCE HAAG
I Pbone: 541-747-5133
Email:
Fax:
CCB lie. no.: 460
Business Name: COMFORT FLOW HEATING CO
Contact:
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Addressd951 DON ST
I City/StattlZIP: SPRINGFIELD, OR 974771993
Pbone: 541.726..0100 ;; Fax: 541-726-4799
Email:
Citylic. DO.:
Metro lie. no.:
Upon review and approval by your lbeal jurisdiction, your permit will be
e.mailed or faxed wfthin one business day, with instructions on how to
schedule your inspection.
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NOTE: This Authorization To Begin !!Vork expires wfthin 180 days If a pennlt is
not obtained.
The local building departmelJt may determine that an Authorization To Begin
Work Is 'null and void If it does not meet applicable land use laws and local
ordinances
~hiS 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: COM2009-01442
ISSUED: 09/28/2009
APPLIED: . 09/28/2009
EXPIRES: 03/28/2010
VALUE:
225 Fifth Street;'Springfield, OR
541-726-3753 Phone "
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: . 2351 11TH ST
ASSESSOR'S PARCEL NO.: 1703261105200
Springfield TYPE OF WORK: Heating System
.. i
PROJECT DESCRIPTION: Heat Pump
, '. J
TYPE OF USE: New
Residential
Owner: HAAG JOHN R & ORA J
Address: 2351 N 11 TH ST
SPRINGFIELD OR 97477
,
Phone Number: 541-747-5133
. . .1 CONTRACTOR INFORMATION ,
Contractor Type'
Mechanical
: Contractor
c(.lMFORT FLOW REA TING CO.
License
460
Expiration Date
06/27/2011
Phone
.541-726-01 00
BmLDlNG i,,,~vKMATlON 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:
Occup;mt Load:
n/a
I DEVELOPMENT INFORMATION'
Frontyard Setback:
Side 1 Setback:
Side 2 Setback: .
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
0/0 of Lot Coverage:
REQmRED PARKING
Total:
Handicapped:
Compact:
I PUBL1~ IMPROVEMENTS I
Street Improvements:
Sidewalk Type:
DQwl\Spouts/Drains:. t
ATTENTION: u,.egon law leqUlreS you .0
follow rules adopted by the Orego[1 U~'lty
Notification Cen1er. Those rules are set ,orth
. in OAR 952-001-001 0 through OAR 952-001-
1\1 nTl r.E. ^^M ,,_.. _^" ~h'o.'n ~n""P~ nf 'he rules bv
THIS PERMIT SHALL EXPIKt I: I i ~.~ ""::-., .. '-(-I~liing ihe c'enter. (Note:the telephone
AUTHORIZED UNDER THIS PEP fvVilIHation DescrI9IIon_ mber for the Oregon Utility NotificatIon
COMMENCED OR IS ABANDONED FUK Center is 1-800-332-2344).
" ' . '.. $ Per Sq Ft Square Footage
DescflptlOn NY 1STwpe,of,61onstn'ctlOn It' I' B.d A t Value. Date Calculated
M v LJr\1 II:_ ..u.:;l. or mu Ip ler or I moun
Storm Sewer Available:
Special Instruction:
Notes:
Pa~e 1 of 2
>
.
Status
Issued
225 Fif\h Street, ~pringfield, OR
541-726-3753 Phone
541-726-3676 Fax -
, .. I'
541-726-3769 Inspection Line
Fee Description,
+ 12% State Surcharge..
+ 5% Technology Fee
1st Appliance
Air Handling Unit Up to 10,000
I
Total Amount Paid
"
Amount Paid
$11.52
$4.80
$79.00
$17.00
$112.32
Total Value of Project
Fel's P3id I
I Plan Reviews I
Date Paid
9/28/09
9/28/09
9/28/09
9/28/09
CITY OF SPRINGFIELD
Building/Combination Permit
PERMJT.NO: COM2009-01442
ISSUED: 09/28/2009
APPLIED: 09/28/2009
EXPIRES: 03/28/2010
VALUE:
Receipt Number
1200900000000001098
1200900000000001098
1200900000000001098
1200900000000001098
To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00
a.m. will be made the s~me working day, inspections requested after 7:00 a.m. will be made the following
work day.
I Re'llli,~,~~ T~~'1e~tions I
Rongh Mechanical: Prior to Cover
Final Mechanical: ":hen all mechanical work is com(llete.
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 of the City Or Springfield and the Laws ofthe 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 tha't 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] 442
COM2009-0 1442
COM2009-0]442
COM2009-01442.. .
Payments:
Type of Payment
ONLINE CHGS
cRcccintl
RECEIPT #:
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City of Springfield Official Receipt
Development Services Department
Public Works Department
1200900000000001098
Date: 09/28/2009
,
Description
1 st Appliance
Air Handling Unit Up to 10,000
+,5% TechngIogy Fee
. 4' 12% Staie:Surcharge
'Paid. By:.
. ONLINE PERMIT .C.HGS
'- ," ~': .' j)'j' .:
Item Total:
<":heck Number Authorization
Received By Batch Number Number How Received
njm ONLINE comfort flow Online
Payment Total:
Page I of I
1:23:3IPM
Amount Due
79.00
]7.00
4.80
11.52
$112.32
Amount Paid
$112.32
$112.32
9/28/2009