HomeMy WebLinkAboutPermit Mechanical 2009-10-27
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Residential Mechanical Authorization To Begin Work
69600-BMC-09-00169
Approval Code: 03154C 1012712009 3:10 pm
E-mailedTo:kelly@comfortflow.com
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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
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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
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Name: ANN TULL
I Phone: 541-741-4735
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Fax:'
Email:
CCB lie. no.: 460
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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
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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.
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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
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$17.00
$96.00
$11.52
$4,80
$112.32
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, 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:.
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225 Fifth Street, Springfield, OR "
541-726-3753 Phone
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541 726 3676 Fax ' ':;', ..;;;;
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541-726-3769 Inspe~ti~II!.Line,,'i;:,\{i;;{,;,'.;
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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
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Springfield TYPE OF WORK: Mechanical Only
TYPE OF USE:
New
Residential
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PROJECT DESCRIPTION: Repalce heat pump and gas furnace
Owner:
Address:
ROCCAFORTE ANNMARIE M
65 GREENVALE DR. ::::r;;'
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SPRINGFIELD OR 97477
Phone Numher: 541-741-4735
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I CONT~C~OR INFORMATION'
Contractor Type
Mechanical
Contractor
COMFORT FLOW HEATING CO.
License
460
Expiration Date
06/27/2011
Phone
541-726-0100
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BUILD~NG Il':~ORMATION I
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# 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
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I DEVELOPMENT INFORMAlmN ,
REQUIRED PARKING
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1'- '.
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Frontyard Setback:,' .;
Side 1 Sethack: it ,: 1 . .,,:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
p
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Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
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Street Improvements: .
. Storm Sewer Av~iIahle:),
Special Instruction: ' .
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I PUBLIC IMPROVEMENTS I
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Sidewalk Type:
DownspoutslDrains:
Notes:
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I Valuation Descriotion .1
Description,
l Type of Construction
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$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
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Pa2e 1 of2
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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
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Total Value of Project
Fees Plli~ ,
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;. Fee Descrip'tion~~~'~'~"}' r...~;':' .
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+ 12% State Su;'-ch:irge'::"
+ 5% Technology.Fee .
1st Appliance
Furnace - up to 100,000 btu
Total Anfoun't Paid
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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
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$112.32
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Plan Reviews I
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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 .~
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Reolllirerl J i1snections .
II." I III' III
Rongh Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
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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. ~)
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Owner or Contractors ~ignature
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Date
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Page 2 of 2
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225'Fifth Street:!;>,::., "
Sp~fugfieid;'O:~~~ii!ii~Tiii(~\;:i!;';'
541-726-3759 Pho'ne'-c",,!;:;-.: '.'
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City of Springfield Official Receipt
Development Services Department
Public Works Department
. .
,RECEIPT;#:.' '. '3200900000000000738
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Date: 10/28/2009
8:34:3IAM
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COM2009-0 1580 ,,'1;i,.;' ;,Furnace : up,to 100,009 btu
COM2009'0i's8o;j;/CL,M?srd T.eChI}9!oGY Fee... '
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COM2009-01580 ':, .,t',12%'State;,gUi-~harge.
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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"
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ONLINE comfort flow Online
Payment Total:
$112.32
$112.32
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cReceinll Page I of I 1012812009
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