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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 ".-", ............ T'\^\/I_<__ 'I 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: ,~# " ~ /\: ~ v0v 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 , ~.cf' \\)~~~ ~ ~ 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