HomeMy WebLinkAboutPermit Mechanical 2009-10-21
City of Springfield
Mechanical Authorization To Begin Work
E-mailedTo:kelly@comforttlow.com
69600-BMC-09-00164
10/21/2009 t2,S6 pm
Approval Code: 03157D
Ch.eck on status,ofpcrmit
By Phone: 541-726-3753 or Email: permitcenter@cLspringfield.or.us
l!:-ieal Pump
'I
I 0 New Construc~on
o Addition/alteration/replacement
I Description
Q".' I
10 I 0< 2 f=i1y dw,mo. OM,'tl-f=lly 0 Co~e<"" OA""'O" ",Ildlo.
~::::::::-:~~~~~F~JMATI6WAND:i!6-CA'ftON1l~Jt:~~P:~
I City/State/ZIP; S~RINGFIELD, OR 97478 .1
I Suittlbldg./apt.no.:
I Project Name: CHANCE
1 Cm" StmUd,,,,tio", to job ,He<
I Tal: map/parcel no.:
I First Appliance Fee I J
1~!,~QtlM~c:A~'r:~Ji:MXI:J:f~~};l~:~~\.. :. ':~:.
I Subtotal
ISt3Icsurcharge,t12%OfPennit
total)
I Technology fee (5% of permit
Imal)
I TOTAL PERMIT I'[E
t 9-1543
l&. lol2.t\D9
REPLACE HEAT PUMP AND AIR HANDLER
Name: FRANK CHANCE
: ~.."
Phone: 541-228-7358
Fax:
Email:
I CC"",.'o.'46NOTIC~~.
I ""',,'" N.m"mlg>'P1RID1I'1'''SFI~tt EXPIRE IF THE WORK
I Co",,," AUTHORIZED UNDER THIS PERMIT!S NUl
I Add",,, 1951 'P.!l'fIIIMI=Nr,ED OR IS ABANDONED FOR
I c,,,,StntdZtP, A'NV01'M.I>>\V'PER'IOO- I
I Phone: 541-726-0100 Fax: 541-726-4799
I Emili!: \.: ":'
, Metro lie. no.:
, "
ATTENTlON: Oregon law requires you to
follow rules adopted by the Oregon UtJlity.
NotJflcatlon 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 NotlllcatJon
Center 18 1-800-332-2344).
Cityllc:-'.i'o.:
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.
NOTE: This Authorization To Begin Work expires within 180 days If a pennit is
not obtained.
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The local building department may detennine that an Authorization To Begin
Work is null and void If it does not meet applicable land use laws and local
ordinances
This Autho~ization To Begin Work must be posted at the job site until replaced ~y a Permit
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Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01543
ISSUED: 10/21/2009
APPLIED: 10/21/2009
EXPIRES: 04/21/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 596 69TH PL
ASSESSOR'S PARCEL NO.: 1702341401400
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
PROJECT DESCRIPTION: Replace heat pump and air handler in residence.
Residential
Owner: CHANCE FRANK W
Address: 596 N 67TH AVE
SPRINGFIELD OR 97477
Phone Number: 541-228-7358
Contractor Type
Mechanical
I CONTRACTOR INFORMATION'
Contractor License
COMFORT FLOW HEATING CO, 460
BUILDING IN-FORMA TION ~
Expiration Date
.06/27/2011
Phone
541"726-0100
# 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
I DEVELOP~ENT INFORMATION'
REQUIRED PARKING
Frontyard Setback: Overlay Dist: . Total:
Side 1 Setback: # Street Trees Rqd: ~ndi~a ped:.
Side 2 Setback:NOTICE: Paved Drive Rqd: ATTENTION: Orego Ires you to
Rearyard Setb~HlS PERMIT SHALL EXPIRE IF TIl&I1WR<<overage: follow rules adopted oy t e regon Utility
Notification Center. Those rules are set forth
Solar Setbacks:AUTHORIZED UNDER THIS PERMIT IS NOT In OAR 952..()()1-OO10through OAR 952-001-
vUIVIIVll:Nl;tu UH I;) AtiAI~~PROVEMENTS ,pOSO. YOU may OIltaJn COpl8S 01 me rUles oy
ANY 180 DAY PERIOD.. . ~ calling the center. (Note: the telephone
Street Improvements:' .. nulIlIlde4G:I_lilregon Utility Notification
. Center IA 1~0-332.2344).
Storm Sewer Available: t' :Q>;r DownspoutslDrams: ~
, .
Special Instruction: "'"
Notes:
I Va~uation DescriDtion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Page 1 of2 "
~EP"'!~J~!!!!~~'j'V ';P'~ff"? r
'\:' ..- -;.",., "'.
Status
Issued
CITy' OF SPRINGFIELD
Building/CQmbination Permit
PERMIT NO: COM2009-0]543
ISSUED: 10/2112009
APPLIED: ]0/2112009
EXPIRES: 0~/21120]0
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
., Total Value of Project
, .'
Fee~ Paid I
Total Amount Paid
$11.52
$4,80
$79,00
$17,00
\
$112.32
10/21/09
10/21/09
10/21/09
10/21/09
Receipt Number
120~900000000001176
1200900000000001176
1200900000000001176
. 1200900000000001176
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Heat Pump
Amount Paid
Date Paid
I 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 made the same working day, inspections requested after 7:00 a.m. wiWbe made the following
work day.
I, R~,""ired lnsnections I
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
,
By signature, 1 state and agree, that 1 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 shaIrbe 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,
1 further certify that only contractors and employees who are in compliance with ORS 701,005 will be used on 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
Paee 2 of 2
2~5 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-01543
COM2009-01543
COM2009-01543
COM2009-0 1543
Payments:
Type of Payment
RECEIPT. #:
Description
I st Appliance
Heat Pump
+,5% Technology Fee
+ 12% State Surcharge_
ONLINE CHGS ONLINE PERMIT CHGS
Paid By
cReceintl
1200900000000001176
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 10/21/2009
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
KR
Page 1 of 1
ONLINE COMFORT Online
FLOW
HEATING
Payment Total:
2:12:08PM
Amount Due
79.00
17.00
4.80
11.52
$112.32
Amount Paid
$112.32
$112.32
10/21/2009