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HomeMy WebLinkAboutPermit Mechanical 2009-10-30 :.. jCity Of Springfield (,225 FifthSt . iSpringfield,OR 97477 :Phone: 541-726-3753 : Email: permitcenter@ci:springfield.or.us o New Construction I&l Addition/alteration/replacement I [R] 1 or 2 family dwelling' 0 Multi-family 0 Commercial 0 Accessory 1~;~J0i:lISI:rEIT~1f0RMA:rION1AN~I1QCAT1oN_"lt5i$.I;~1 I Job Address: 672 LEVEL IN I City/State/ZIP: SPRINGFIELD. OR 97477 I Suitefbldg./apt.no.: I Project Name: CLARK I Cross StreeUdirections to job ',ite: ' Tax map/parcel no.: 1703341406400 REPlACE HEAT PUMP Name: JAMES & JEANETT CLARK Phone: 541-747-4792 Fax: Email: CCB lic. no.: 460 Business Name: COMFORT FLOW HEATING CO Contact: Address: 1951 DON,ST City/State/ZIP: SPRINGFIELD, OR 97477-1993 I Phone: 5417260100 Fax: 5417264799 I Email: I Metro lie. no.: City lie. no.: Upon 'review and approval by your local Jurisdiction, your permit will be, e-malled or faxed within one business day, with Instructions on how to schedule your Inspection. NOTE: This Authorization,To Begin Wor1l: expires within 180 days If a permit Is not obtained. The local building department may determine that an Authorization To Begin Work hi null and void If it does not meet applicable land use iaws and local ordinances. (}y,;2t5b9- 0/095 ; Dp%7 /7~ ~ (/~. \'7t1\7 Residential Mechanical Authorization To Begin Work 69600-BMC-09-00173 Approval Code: 03249D 10/30/2009 8:56 am E.mailed To: kelly@comfortflow,com I Description, I First Appliance Fee $79,00 I I Subtotal I State surcharge (12% of permit tolall I Technology fee (5% of permit tolal) I TOTAL PERMITFEE $7900 $9.48 $3.95 $92,43 ~~6' \~I~~ ~" ~ "- \.. f"..' 0J ~ Inspections Phone: 541.726,3769 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:COM2009-01595 ' ISSUED: 10/30/2009 APPLiED: 10/30/2009 EXPIRES: 64/30/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 672 LEVEL LN ASSESSOR'S PARCEL NO.: 1703341406400 Springfield TYPE OF WORK: Mechanical Only TYPE OF USE: New Residential PROJECT DESCRIPTION: Replace heat pump o Owner: CLARK JAMES MANNING & J Address: 672 LEVEL LANE SPRINGFIELD OR 97477 Ptione'Number: 541-747-4792 .1 CONTRACTOR INFORMATION. Contractor Type Mechanical Contractor COMFORT FLOW HEATING CO, License , 460 Expiration Date 06/27/2011 Phone 541-726-0100 BUILDING INFORMA :nON 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: Occupant Load: n/a I. DEVELOPMENT INFORMATION I REQUIRED PARKING Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: , % of Lot Coverage: Total: Handicapped: Compact: 1 PUBLIC IMPROVEMENTS I ' . ATTENTION: QmQqIV~J~quires you to . follow rules aaopteallY itl'e Oregon Utility Notification Ce~nT~4Q~re set forth In OAR 952-001-0010 through OAR 952-001. ". 0090. You may obtain copies of the rules by Notes: NOTICE:. calling the center. (Note: the telephone THIS PERM[T ~HAII ~\(P'lil~ I~ TJ.JC 1A/~DV number for the Oregon Utility Notilication AUTHORIZED UNDER THIS PER/flU:,!~, N or ... I' ."llllll I~ l-ouu-.>>"-~"I' COMMENCED OR IS ABANDONE~:~[LiY,llflllD DesCflotIon . , ~NY 180 DAY PERIOD.. $ Per Sq Ft 'Square Footage' . , Descnplton Tvpe of ConstructIOn I' I' B'd A Value or mu tip ler or I mount Street Improvements: Storm Sewer Available: Special Instruction: . ,_. ~.. '. Date Calculated Pal!e I .~f 2 _$1!A~!'l~llIIl!'l:~:~,,~ " . "; . _, '\ :~l <. .,-' _~ Status Iss u ed CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009c01595 ISSUED: 10/30/2009 APPLIED: 10/30/2009 EXPIRES: 04/30/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Pbone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project I, Fe~s P~!~ , Fee Description + 12% State Surcharge + 5% Technology Fee 1st Appliance Amount Paid Date Paid Receipt Number $9.48 $3.95 $79.00 10/30/09 10/30/09 ,10/30/09 1200900000000001214 1200900000000001214 1200900000000001214 Total Amount Paid $92.43 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 7:00a:m. will be made the following work day. 'I ~~.r~~.~~,~.~ .1n~.l'ec~jo~~ , 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 1 furtber certify that any apd all work performed shall be done in accordance with tbe Ordinances of the City of Springfield and tbe 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 tbat only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I furtber 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 of2 225 Fifth Street .' Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-0 1595 COM2009-0 1595 COM2009-0 1595 RECEIPT #: Description 1st Appliance .+ 5% Technology Fee + 12% State Surcharge Payments: Type of Payment Paid By ONLINE CHGS ONLINE PERMIT CHGS cReceintl City of Springfield Official Receipt Development Services Department Public Works Department 1200900000000001214 10:25:58AM Date: 10/30/2009 Item Total: Check Number- Authorization Received By Batch Number Number How Received NJM ONLINE COMFORT Online FLOW HTG CO Payment Total: Amount Due 79,00 3.95 9.48 $92.43 Amount Paid $92.43 $92.43 Page 1 of 1 10/30/2009