HomeMy WebLinkAboutPermit Mechanical 2009-10-16
City of Springfield
Mechanical Anthorization To Begin Work
E-mailcdTo:kelly@comfortflow.com
69600-BMC-09-00155
10/16/2009 8:59 am
Approval Code: 00281 D
Check on status of permit
By Phone: 541.726-3753 or Email: permitcenter@ci.springl1cld.or,lls
IHeatf'ump
I D NewConstruction
o Addition/alteratiim/replacemcnt
o I or 2 family dweHing o Multi-farnily D Commercial
o Accessory Building
I First Appliance Fee
Job Address: 530 CENTENNIAL BLVD
City/StatefZII>: SPRINGFIELD, OR 97~77
I Subtotal
I State surcharge (12% of permit
total)
I Techriology fee (5% ofpcnnit
total)
I TOTAL PERMIT FEE
$96.00
$11.52
Suitelbldg./apt,no.;
, Project Name: HODGINS
Cross, Street/directions tojohsitc:
$4.80
$112.32
Tax map/pllrcel no.: \ \
t<=1 -lS";}cr ~
\ 0 \ \LDloCl
INSTALL HEAT PUMP & AIR HANDLER
11M & SANDY HODGINS
~
I Phone: 54]-744-0944 FIl:r.::.
I "m,i1, r~OT1CE. _, ,
l~tl'flilltI'lJ~~~C"'lVIlI~~~jt~tJI'~~;%0~';'ii&l",*j
I CCB ,;<, n", 46j\U I HUKILtl1 UNUtK Inl~ r'tnmlllO'"
I B"';","N'mdll~_fti,~""'
I C.,,,,,, ANY 1lSU UAf I'tffiyu.
I Address: 1951 DON ST
I City/State/ZIP: SPR1NGFIELD, OR 974'771993
r Phone: 541.726-0100 j<'a:r.:: 54].726~4799
AT'TENTlON: Oregon law requires yoU to
follow rules adopted by the Oregon Utility
NotiL~:iw.. 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 ...;. (Note: the telephone
number for the Oregon Utility NOIIfIcaUoa
Center Ia 1~2'2344).
I "m.ll,
Metro lie. no.:
City lie. no.:
Upon review and approval by your,.I()cal jurisdiction, your permit will be
e-mailed or faxed within one busitless day, with instructions on how to
schedule your inspection.
.foX;
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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 d~es not ~eet applicable land'use laws and local
ordinances
This Authorization To Begin Work must be posted at the job site until replaced by a Permit
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01522
ISSUED: 10/16/2009
APPLIED: 10/16/2009
EXPIRES: 04/16/2010
VALUE:
..
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 530 CENTENNIAL BLVD
ASSESSOR'S PARCEL NO,: 1703263401600
Springfield TYPE OF WORK: Heating System
TYPE OF USE: '. New
PROJECT DESCRIPTION: Install heat pump and air handler in residence
Residential
.,
Owner: R & R PERKINS LLC
Address: 530 CENTENNIAL
SPRINGFIELD OR 97477
I CONTRACT?R INFORMATION I
Contractor Type
Mechanical
Contractor
COMFORT FLOW HEATING CO,
License
460
Expiration Date
06/27/20II
Phone
54 I -726-01 00
BUILDING I~FORMATlON ~
# 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 GaragelCarport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION I
ATTEN'110N: Oregon law requires you to . ''tt ~REQUIRED PARKING
Front yard sfqD.ll",~les adopted by the Oregon Ilay Dist: . ; :r{lJ.l'!~,c~~.?, '
Side 1 Setb ,~WicattonCenter. Thoserulesare,,~e.v et Trees Rq~OTICE. 'Hand~BI'&ll'
Side 2 Seth ,{'tP.AR 952.()()1.()()10 thro~gh OAR:;:1e Drive Rqd: THIS PERMIT SHAll C/\I' 1ld.~I~ wORK
Rearyard s~louu::~~~(tfo::~~~ft~:~~ IIi ot CoveragAUTHORIZED UNDER THIS PERMIT IS NOT
Solar Setbace~forthB Oregon Utility Nolificallon COMMENCED OR IS ABANDONED FOR
\i8mens l-GU\1"iN"'~BLIC IMPROVEM~ llU UAT t'cnIUu.
Street Improvements: Sidewalk Type: .':' .
Storm Sewer Available:
Special Instruction:
DownspoutslOrains:
Notes:
I Valuation DescriDtion ,
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee I of2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01522
ISSUED: 10/16/2009
APPLIED: 10/16/2009
EXPIRES: 04/16/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees Paid I
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Air Handling Unit Up to 10,000
Amount Paid
Date Paid
Receipt Number
$11,52
$4,80
$79,00
$l7.00
10116/09
10/16/09
10/16/09
10/16/09
2200900000000001188
2200900000000001188
2200900000000001188
2200900000000001188
Total Amount Paid
$112,32
Plan Reviews' I
To Request an inspection call the 24 hour recording at 726-3769, All inspections requested before 7:00
a,m, will be mad~ the same, ~orking day., inspections requested after 7:00 a.m. will be made the following
work day, '
Reruiredl.":spe~~io~s I
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 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 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 cardis 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
2Z5 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-0 1522
COM2009-0 1522
COM2009-0] 522
COM2009-01522
Payments:
Type of Payment
ONLINE CHGS
/
cReceintl
RECEIPT #:
2200900000000001188
Descriptipn
] st Appliance
Air Handling Unil Up to ] 0,000
+ ] 2% State Surcharge
+ 5% Technology Fee.
Paid By
ONLINE PERMIT CHGS
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 10/16/2009
Item Total:
Check Number. Authorization
Received By Batch Number Number How Received
KR
Page 1 of 1
ONLINE COMFORT Online
FLOW
Payment Total:
9:02:32AM
Amount Due
79,00
17,00
11.52
4,80
$112,32
Amount Paid
$112,32
$112,32
10116/2009