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
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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.
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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
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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
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10/30/2009