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HomeMy WebLinkAboutPermit Mechanical 2009-10-27 Gq.li7g0 Residential Mechanical Authorization To Begin Work 69600-BMC-09-00169 Approval Code: 03154C 1012712009 3:10 pm E-mailedTo:kelly@comfortflow.com ~W2t'~~_~"'~"~~~-'""~"""11 ~.ll!'!"tl1l!i:lII1_~,fil:~'~.~I-lI:[)'l:J!,g,lfl;S0 . "'''''fWJ,!u Description __' Qty. Ea. Total , :"".::' '.,. City Of Springfield i:b:':22S'Fifth 5t ~ ;;l:t~~Spri~gfield, OR97477 'Phone: 541'-i26~3753 '. . _ Email: pe~mitcenter@cLspringfield.or.us o New Construction . . {~ ;::~\'~;:[K] - ~ddition/alteration/rep]acement I Furnace -up 10 100,000 BTU IZJ 1 or 2 family dwelling ;;. Q .~ulti-family 0 Commercial o Accessory lI~jfI'~JeBlsrfE!iNitC:>R'MAmlellJ.b:N5Ji!O~Ai1fIC:>f\l~~~~i;-At~ I Job Address: 65 GREENVALE DR I City/State/ZIP: SPRINGFIELD, OR 97477 1 First Appliance Fee -;:< I Subtotal I State surcharge (12%01 permit total) I Technology fee (5% of permit total) l TOTAL PERMIT FEE I Suite/bldg.Japtno.: I Project Name: TULL I C~ss StreeUdirec~o~s 't~JO'b ~it:::, I Tax map/parcel no.: . 1703262203100,~.j} ::< .,... REPLACE HEAT PUMP AND GAS FURNACE .:1 . Name: ANN TULL I Phone: 541-741-4735 ,. Fax:' Email: CCB lie. no.: 460 ,':".1:,'" Business Name: COMFORT FLOW HEATING CO Contact: Address: 1951 DON 5T City/State/ZIP: SPRINGFIELD. OR 97477,1993 I Phone: 5417260100 I E,mail: J Metro lie. no.: Fax: 5417264799 j,:. .j, ,. " CitY lie_ no.: Upon re....iew and appro....al' by your local jurisdiction, your permit will be e-malled or faxed within one business day, with Instruc_tions on how to schedule,your inspection. NOTE: This Authorization To Begin Wor:k expires within 180,days if a permit is not obtained. 'f~ ~ \9\; The local building department may determfne that an Authorization To Begin Work: is nul; and void if it does not meet applicable land use laws and local ordinances " (!rJ--- O/6.tD.~.;~ jO/;:;:Fl/O~; /1J?^- " $17.00 $96.00 $11.52 $4,80 $112.32 'to.rt ~~ & , Inspections Phone: 541-726.3769 T~i~ ~uthorizatio~ To Begin Work must be posted at the job site until replaced by a Permit CITY OF SPRINGFIELD Status Iss'iied:. .. _'r~ 225 Fifth Street, Springfield, OR " 541-726-3753 Phone .-' .' 541 726 3676 Fax ' ':;', ..;;;; - -. ..,.'. '}"'", ' , 541-726-3769 Inspe~ti~II!.Line,,'i;:,\{i;;{,;,'.; ....~~.:. :"" ',';t-;'. . ~..:- ""~.I '-'",'-' Building/Combination Permit PERMIT NO: COM2009-01580 ISSUED: 10/28/2009 APPLIED: 10/27/2009 EXPIRES: 04/28/2010 VALUE: SITE ADDRESS:, '., 65 GREENV ALE DR 'ASSESSOR'S p:KReEb"NO,:. ,.,1703262203100 '~i:;><::,r;:' Springfield TYPE OF WORK: Mechanical Only TYPE OF USE: New Residential ,., ';, PROJECT DESCRIPTION: Repalce heat pump and gas furnace Owner: Address: ROCCAFORTE ANNMARIE M 65 GREENVALE DR. ::::r;;' '." '-' .-- - - ;.-' SPRINGFIELD OR 97477 Phone Numher: 541-741-4735 '~f'j \.i.:~f -':~r..'r .... - ~~ - I CONT~C~OR INFORMATION' Contractor Type Mechanical Contractor COMFORT FLOW HEATING CO. License 460 Expiration Date 06/27/2011 Phone 541-726-0100 .L. . " """ . ~. BUILD~NG Il':~ORMATION I . . .. # of Units: .; -,': ," Primary Occupancy Group: Secondary Occlipan~y Group: Primary Construction Type ." Secondary Construction Type: # of Bedrooms: " 'f f # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft I st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occupant Load: u n/a , .." ," I DEVELOPMENT INFORMAlmN , REQUIRED PARKING ',', " '.' ". 1'- '. . , Frontyard Setback:,' .; Side 1 Sethack: it ,: 1 . .,,: Side 2 Setback: Rearyard Setback: Solar Setbacks: p " Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: " Street Improvements: . . Storm Sewer Av~iIahle:), Special Instruction: ' . . , I PUBLIC IMPROVEMENTS I " :k! Sidewalk Type: DownspoutslDrains: Notes: . ,~'. l,\j.l /'\~' .,~ -;~.., ;; 'l.~::,.,fi". ~ ; I I Valuation Descriotion .1 Description, l Type of Construction '; I' !r" L' , , . ..,-., ~- $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated , . Pa2e 1 of2 .' " s~ .. CITY OF SPRINGFIELD 'Building/Combination Permit PERMIT NO: COM2009-01580 ISSUED: 10/28/2009 APPLIED: 10/27/2009 EXPIRES: 04/28/2010 VALUE: Status Iss~e.d_ ";'"r .' :::i};:i~.##~~@;b,~' .'. i, 225 Fifth StreeirSp~ngfield;'oR"'~:'r " 541-726-3753 Phone; . . 541-726-3676 F~;' ..i., . 541-726-3769I~spedioIi:hne;~~'A . ;' ':'" ; 'u,'; 't." ,'.~;;' . (l Total Value of Project Fees Plli~ , , " ,;:~:. ., ;. Fee Descrip'tion~~~'~'~"}' r...~;':' . lJ. '. 'r~' ." " ~ + 12% State Su;'-ch:irge'::" + 5% Technology.Fee . 1st Appliance Furnace - up to 100,000 btu Total Anfoun't Paid ~. :;!"" 0 Amount Paid , Date Paid $11.52 $4.80 $79.00 co $17.00 10/28109 i 0128/09 10/28109 10/28/09 Receipt N nmher 3200900000000000738 3200900000000000738 3200900000000000738 3200900000000000738 ..;~~~.', $112.32 , . - ~, .:;: r!.: 1 :-~_. ,. 'if:! ;V , ",'": . ~' . 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\! tb~ same working day, inspections requested after 7:00 a.m. will be made the following work day.' '~:-.~ ~-;7~."'f", -,;-.:. - ~:~~.f"r .~ , ; at: \ :. '1;' ~.+. ill- J l: ,,. Reolllirerl J i1snections . II." I III' III Rongh 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 herkon is tr'ue and correct, and I further certify that any and all work performed shail be done in accordance with the Ordinances oftheCity of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCup,AN,CY;Will he 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 readahle from the street, that the permit card is located at the front ofthe property, and the approved set of plans will remain on the site at all times during construction. ~) > .,.... {;. j ;, , . ., Owner or Contractors ~ignature I _~.. ~'! ,,:;l( ",';' .! !!., J. .,t., l' . " . n' .Aft.'~ If'\ ;... Date . , c' + L~!\-~'::- I; " " .t; .~~ . ( -~ . I' Page 2 of 2 .';, . . O' .. "..-..... ...,~.~...--, ., I' l. . ..'::'.,'. ." ;:;; 225'Fifth Street:!;>,::., " Sp~fugfieid;'O:~~~ii!ii~Tiii(~\;:i!;';' 541-726-3759 Pho'ne'-c",,!;:;-.: '.' Ii,~.,! .,'. " . .'-. :,...!. ......'.,>" '- City of Springfield Official Receipt Development Services Department Public Works Department . . ,RECEIPT;#:.' '. '3200900000000000738 '" ..." '."- ,- ,;~ , . " .' Date: 10/28/2009 8:34:3IAM ~~~;U;;;~O~~!g~~:&WJ;~Wl;~~::r~~j;(;;" . ' COM2009-0 1580 ,,'1;i,.;' ;,Furnace : up,to 100,009 btu COM2009'0i's8o;j;/CL,M?srd T.eChI}9!oGY Fee... ' . ......, - .., 0..".'.1,....." ... _ . ". COM2009-01580 ':, .,t',12%'State;,gUi-~harge. - ..' o. ';;,~. ..;:" . ,,_ Payments: Type or Payment .... Item Total: l:heck Number Authorization ''-' Received By Batch Number Number How Received Amount Due 79.00 17.00 4.80 11.52 $112.32 Paid By. Amount Paid ONLINE CHGS .'iONLINE'PERMITiCHGS" .''-;~;\:~:;f~::;> '~. ._;:,,;''.\'::~;.> ':'f.' " ::::;-:/ ';:.;~.t".t~'~:';~f:~,\:~~tr. . .,.,-".,." nJm ONLINE comfort flow Online Payment Total: $112.32 $112.32 : ..~,;: ,''''', ' ';-'.\:':';', .. ~ ;'':l':';';':;,'~ .:. .C(":':!:~/,\i-:' " '1: I .~ '~f .r t ;. .' ~~ .,i.~" '. .....M - ii, ;' ~~ t.: " - ,. . "~.... '.. 17 .j ~. .' Ii. . .: .; i"p", I') i -, ~ -:t, ~ .~' .' '~.~I.':", ..-., 1... . . ":,htr:!: ~;J " r \.) " ~ ;~~ ....~ -~ l 1 1r (. ,. " , ,..;) _.~ :;~ " ,. , " ; .' . :f , . ,> " " .';.. 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