HomeMy WebLinkAboutPermit Mechanical 2009-10-14
i:'-
'City of Springfield
Mechanical Authorization To Begin Work
E-mailedTo:kelly@comfortflow.com
69600-BMC-09~OOI53
10/1312009 4:11 p'm
Approval Code: 08580D
Check on status of permit
~y Phone: 541-726-3753 or Email: permitcenter@ci.springfield.ocus
I 0 New Construction
o Addition/alteration/replacement
10 I 0" f=ilydw~liog "::;[J M'lti'f~il/;.:;tJ Com~"'i'l OA""'O')' ".ildin.
Job Address: 93~
1 City/State/ZIP: SPR]NGF-IELO. OR 97477. .
I Suite/bldgJapt.no.:
I Project Name: GORDON
I C"" St,,,udimno., to job ,it"
I T>>m'plpm,I.., YJrt39,'1't4 CXJ~
1!ll"1;f,.,;~>M,I;~~bESi:;RI[fI9Ei:lGiIll(OB~~~~!i:~:~Ill.\l~
INSTALL DUCTLESS SYSTEM
I Name: JEFF & WENDY GORDON
I Phone: 541-520-9683 Fax:
'I Email:
I CCBlic.no.M~TI~~.' .~
B",in",N''rg~~'i~\l~Ifh-1'I''~UK'frCje)(PIRF IF THF WnRI(
Coola", AllTHnRm:n II~mFR THIe:: PFRMIT Ie:: W'IT
Add",,, 19IIIq?~I~,TFW'1=n m~ Ie:: ARAMnn~lm FnR
City/State/zm\iSfR~RnFfH3. 9RJJ~g:Wfn
Phone: 541-726-0100 Fax: 54]-726-4799
I Email:
I Metrolic.no.:
Citylic. no.:
Upon review and approval by your local jurisdiction, your permit will be
e-mailed or faxed within one businoss day, with instructions on how to
schedule your inspection.
NOTE: This Authorization To Begin Work expires within 180 days If a pennlt 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
. I Description
IHcatPump
I First Appliance Fee J, J l $79.001.
:;~b~~riiC~'\!-~PF;RMI!(I;~~S~1ftlcj..~! ~~~~;'1:;~._4:r:~:~~~;~jj .
I State surdillfge (12% ofperrnit $11.521
total)
ITechnOIOgy fee (5% of penn it $4.801
total)
I TOTAL PERMIT FEE $112.321
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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 telephone
number for the Oregon Utility Notification
Center is 1-800-332-2344)"
~~
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~~
This Authori?-ation To Begin Work mustbe posted at the job site until replaced by a Permit
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Status
Issued
CITY OF M'KHlit..HELD
Building/Combination Permit
PERMIT NO: COM2009-01S07
ISSUED: 10/14/2009
APPLIED: 10/14/2009
EXPIRES: 04/14/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phnne .1
541-726-3676 Fax
541-726-3769 Inspection Line
I
I
SITE ADDRESS: 935 LOCRA VEN AVE
ASSESSOR'S PARCEL NO,': 1703272400300
Springtield TYPE OF WORK: Heating System
, TYPE OF USE:
PROJECT DESCRIPTION: Install dnctless heating system in residence
I
Residential
Owner: GORDON JEFFREY A & WENDY L
Address: 935 LOCRA VEN ST
SPRINGFIELD OR 97477
Phone Numher: 541-520-9683
I CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Contractor
COMFORT FLOW HEATING CO,
License
460
Expiration Date
0612?/2011
Phone
541-726-0100
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:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
, , DEVELOPMENTlNFORMATlON , .
NOTICE: ' ' ATTENTION: Oregon 1'\~~~~~8~KING
Front yard Sethack:- ~1'fI~ Dist: follow rules adopted by tTotal:egon Utility
Side 1 Setbak~!" I"tRMIT SHALL EXPIRE IF THE W Trees R d: ~otification Center. ThoseH~fi'dii!ap <f,j,forth
Side 2 Setba~k:rHORIZED UNDER THIS PERMIT w:I rive RqJ: m OAR 952-001-001 0 throIG11.\ifaft~52-001-
Rearyard sft~~JklENCED OR IS ABANDONED F@tlof L~t Coverage: 0090., You may obtam copies Oi the rules by
Solar SetbaCKS!( 180 DAY PERIOD callmg the center, (Note:, the telephone
, . number for the OregonUttllty Notification
verner 15 I-OUU-"""-""'1'1).
I PUBLIC IMPROVEMENTS'
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspouts/D~'a'ins:
Notes:
I Valuation Descriotion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pa!!e I of 2
Status
Issued
CITY OF SrKH~GFIELD
Building/Olmbination Permit
PERMIT NO:COM2009-01507
ISSUED: 10/14/2009
APPLIED: 10/14/2009
EXPIRES: 04/14/2010
VALUE:
225 Fifth Street, Springfield; OR
541-726_3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fe~,~ Paid I
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Air Handling Unit Up to 10;000
Amount Paid
Date Paid
Receipt Numher
$11.52
$4,80
$79,00
$17,00
10/14/09
10/14/09
10/14/09
10/14/09
1200900000000001138
1200900000000001138
120p900000000001138
1200900000000001138
Total Amount Paid
$112,32
I Plan Reviews I
To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00'
a.m. wiII be made the same working day, inspections requested after 7:00 a.m, wiII be made the following
work day.
I Re(JlIire~ Insnections I
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete,
"
By signature, I state and agree, that 1 have carefnlly examined the completed application and do hereby certify that ~ll
information hereon)s true a~d 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 ou this project,
1 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 2 of2
225 Fifth Street
Springfield, Oregon 97477'
541-726-3759 Phone '.
City of Springfield Official Receipt
Development Services Department
Pnblic Works Department
RE<OEIPT. #:
1200900000000001138
Date: 10/1412009
8:59:56AM
Paid By
ONLINE PE~IT CHGS
Item Total:
Check N umber Authorization
Received By Batch Number Number How Received
Amount Due
79,00
17.00
4.80'
11.52
$112,32
Job/Journal Number
COM2009-01507
COM2009-0 I 507
COM2009-0 I 507
COM2009-0 I 507
Descriptio,"
1st Appliance
Air Handling Unit Up to 10,000
+ 5% Technotogy Fee
"
+ 12% State Surcharge
Payments:
Type of Payment
ONLINE CHGS
. Amount Paid
KR
ONLINE COMFORT Online
FLOW
HEATING
CO
Payment Total:
$112.32
$112,32
cReceintl
. Page I of I
10114/2009