HomeMy WebLinkAboutPermit Mechanical 2009-10-14
~
City of Springfield
Mechanical Authorization To Begin Work
[-'mailed To: keJlY@l:omfortflow.com
69600-BMC-09-00152
10/13/2009 3:28 pm
App"...o\!al Code: 093240
/
Check on status of permit
By Phone: 541-726-3753 or Emllil: per'!litcenter@ci,springfield.or.us
I Description
Tolal
I D New Construction ,,1 0 '~dditil)w'alterationlreplacement
1~~:itfG~$i'f:~J'J1~CATEGbRy~6F;cON'STRcrCYIONt'~;~~";~-{*.tif~t.'~{f~7:;~~1
1010,2fwnilYdw'lling 'DMo!ti'fnmilY 0 Co~",,,inl o Acco"my Boildin, I
I First Appliance Fee
ISubtofal
I Stilte surcharge (] 2% of pennit
tota))
I Technol.ob'Y fee (5% ofpennil
total)
I TOTAL PERMIT FEE
I JobAddre.ss:-IOI9S 40THPL
I CityfState/ZIP: SPRJNGFIELD, OR 97478
I SuiteJbldg.lapt.no.:
I Project Name: W/1019
Ie"" St",tldi",tio", to job ,it"
I Taxmap/parcelno.:
(,9 -\'CDS ~'
INSTALL AC
Name: DERRICK WESTOVER
Phone: 541-606-5050
Fax:
Eniail:
$79.00
$9.48
$3951
S92.43,
\ D\r~~(o1
I . 11I\.~ II"'..... K
CCBht. 7~4;6~ ;:-~~,,~:~ f\: :.^.~h E~?~~~ II: TI..U= \MnR
I B",in"''!'~~~?A'1',qJ',Tr'.J;OKI1~l'I'IGH)IJC: P~RMIT IS NOT
I Contact: ;'~;,,~;,~~~~:=~ ~~r~ ~~- -^.~ ^l\lnn~l~n FOR
I Address: 1951 DONST nr-,Dlnn
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I City/StaleniP:1spiUNtiFtELo: OR 97477~99j
I Phone: 541-726-0100'- Fax: 541-726-4799
I t:mail:
I Metrolk, no.: Citylic.no.:
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 th'e center. (Note: the telephone
number for the Oregon Utility Notification
Center. is 1-800-332.2344).
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 permit 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: COM2009-01505
ISSUED: 10/14/2009
APPLIED: 10/13/2009
EXPIRES: 04/14/2010
VALUE:
, ;
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1019 S 40TH PL '
ASSESSOR'S PARCEL NO.: 1802061420000
Springfield TYPE OF WORK: ,Mechanical Only
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Install air conditioner
Owner: BRUCE WIECHERT CUSTOM HOMES INC
Address: 3073 SKYVIEW LN .-
EUGENE OR 97405
I CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Contractor
COMFORT FLOW HEATING CO.
License
,460
Expiration Date
06/27/2011
Phone
541-726-0100
BUILDING INFORMA TlO~ 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~nt Load:
n/a
- NOTICe: SHAll EXPlrJJ:D~\f1'J1;OllMEJ!liT INFORMATION I
THIS PERMIT I<: . . ill,!:; r<fCiI
'liT ORIZED UNDER THIS PERMIT I
F~ontyard se~ac.tl NeED OR IS ABANDONED ffil?rlay Dist:
S.de I Setback:O M M E 10 D # Street Trees Rqd:
Side 2 Setbacl;',NY 180 DAY PER. Paved Drive Rqd:
Rearyard Setback: % of Lot Coverage:
Solar Setbacks:
, REQUIRED PARKING
Street Improvements:
Storm Sewer Available:
Special Instruction:
Total:
i. Handicapped:
ATTENTION: Oregon laSl~Wq'tlW~s you to
follow rules adopted by the Oregon Utility
Notification Cenfer. Those rules are set forth
'."). ,...,n ;:1~':::-uu l-UU I v lIlI uuyrl UM.M l:I04::::-UU I ~
I PUBLIC IMPROVEMEN1iS-~IO. You may obtain copies of the rules by
callin(Slaewa'i~ti'yp6!'l6te: the telephone
number for the OrerJon Utility Notification
~)ri~p~.!'t~/!?J'~i!!~:2.2344).
Notes:
I V aluatio~. DescriDtion ,
Description
Type of Construction
'$ Per Sq Ft
or multiplier
Square Footage
or Bid AmoUlit
Value
Date Calculated
r
Pa2e I of 2
-~;.,~!!l'!!{l!'.!~!'~,i.. "''''
,.. " ,; ", ',-,..."".","
4. 'r'~ ,,-' ;J;' ,A
CITY OF SPRINt.il'u;LD
..
Building/Combination Permit
"
Status
Issued
PERMIT NO: COM2009-01505
ISSUED: 10/]4/2009
APPLIED: ]0/13/2009
EXPIRES: 04/14/20]0
, ,
VALUE: .
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
Total Value of Project
Fee~ Paid'
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Amount Paid
Date Paid
,
Receipt Number
$9.48
$3.95
$79.00
10/14/09
10/14/09
10/14/09
1200900000000001140
1200900000000001140
1200900000000001140
Total Amount Paid
$92.43
Plan Reviews I
To Request an inspection call the 24 hour recording at 726-3769. All inspections r~quested before 7:00
a.m. will be made the same working day, inspections requested after 7:00 a,m, wilHbe made the following
work day,
I, R,~(juire~ Insoections ,
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
By signature, I state and agree, that I 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 of Springfield alld.the Laws of the State of Oregon pertaining to the w~rk 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 during construction.
Owner or Contractors Signature
Date
Pa2e 2 on
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
,:
Job/Journal Number
COM2009-0 1505
COM2009-01505
COM2009-0 1505
Payments:
Type of Payment
ONLINE CHGS
r
cReceintJ
RECEIPT #:
Description
1st Appliance
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
1200900000000001140
Received By
CheckNumber
Batch Number
City of Sprhlgfield Official Receipt,
Development Services Department
PUlJlic Works Department
Date: 10/14/2009
Item Total:
Authorization
Number
,
How Received
,
ONLINE COMFORT Online
FLOW
HEATING
Payment Total:
KR
Page I of I
9:01:19AM
Amount Due
79,00
3,95
9.48
$92.43
Amount Paid
$92.43
$92.43'
1011 4/2009