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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 C-C1- \5D1 K1C 1D\14\M 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)" ~~ \\J~~ ~~ This Authori?-ation To Begin Work mustbe posted at the job site until replaced by a Permit .~j( ~~I\I\: . ~:v -,. 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