HomeMy WebLinkAboutPermit Mechanical 2009-11-20
SPRINGFIELD --
."'I'A ....,..-
iTr,H".;I&
!'::t.i~,~,'~'
.)z:f~~~.."
'..""" "fo,c:""'"",, OREGON
City Of,Springfield
225 Fifth'St
Springfiel~, OR 97477
Phone: 541-726-3753
Email: peimitcenler@ci-springfield.or.us
I
. CQ';IR11
Residential Mechanical Authorization To Begin Work
69600-BMC-09-00188
Approval Code: 06622D 11/20/2009 7:52 am
E.mailed To: kelly@comfortflow.com
D New Construction
IX] Addition/alteration/replacement
I [Z] 1 0(2 family dwelling 0 Multi-family D Commercial 0 Accessory
1t;~1l!'~~;'l7~j6I3tsij'EliNI';ORW:;ti0N'AND!l!:<;j'<::;6.\IIQNf1K~::~~~
Job Address: 5335 MAIN ST
Suite/bldg.fapt.no;: 235
CityfSta!e/ZIP: SPRINGFIELD, OR 97478
Project Name: FULLER
Cross Street/directions to job site:
Tax maP,lparc'el no.:
1702330001300'
REPLACE HEAT PUMP AND AIRHANDl'ER
Name: TERRY FULLER
Phone: 541-746-6721
Email:
Fax:
Contact:'
Business Name: COMFORT FLOW HEATING CO
CCB lie, no,: 460
Address: 1951 DON ST
City/State/ZIP: SPRINGFIELD, OR 97477~1993
Fax: 5417264799
Phone: 5417260100
Email:
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 d~y, with instructions ~n hot' to schedule your inspection.
NOTE: This Authorization To Begin Work expires,'within 180 days if a permit is not obtained.
The local 'building department may determine that an Authorization To Begin Work is null and
void if it does not meel applicable land LIse laws and local ordinances.
/J./l .
LAJm200Y - {)/6'7'7
/1/:;2 0/0'7 /2/Y<---
I Heat Pump
First Appliance Fee
$96.00
$11.52
Sublotal
Slale surcharge (12% of permit
total)
I Technology fee (5%of permit total)
I TOTAL PERMIT FEE
'S>~ "'J 6^-
~f:Iv ~~
V'~
$480
$112.32
.~
~ ~:o'"
\9!L,
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: cOM2009-01677
ISSUED: 11/20/2009
APPLIED: 11/20/2009
. EXPIRES: OS/20/2010
VALUE:
. 225 Fifth Street. Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 5335 MAIN ST 236
ASSESSOR'S PARCEL NO.: 1702330001300
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Replace heat pump and air handler
Owner: SANTIAGO ESTATES ASSOCIATES LLC
Address: 11211 GOLD COUNTRY DR STE 100
GOLD RIVER CA 95670
Owner: TERRY FULLER
Address: 5335 MAIN STREET
SPRINGFIELD OR 97478
Phone Number: 541-746-6721
I CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Contractor
COMFORT FLOW HEATING CO.
License
460
Expiration Date
06/27/201 I
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
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
. -.~ -,...-,
I PUBLIC IMPROVEMENTS I
ATTENTIO~,QW&1\ln,l.I1Y! .reQulres YOU,t.O
follow rules adoptea W\'lie ore~~~~~~%.
Notification (JbnWIiJl1i\J~Bllti8f: 952-001.
In OAR 952-001-0010 through OAR
0090 You may obtain copies of the rules by
caliing the center. (Note:.~e t=
number for the Oregon Utility N
Center is 1-800-332-2344).
Slreet Improvements:
Storm Sewer Available:
Special Instruction:
NOTICE:
Notes:-HIS PERMrT SHAll EXPIRE IF THE WORK
,UTHORIZEO UNDER THIS PERMlfl8NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD:
Paee 1 01'2
CITY OF SPRINGFIELD
Building/Combination Permit
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
",'
PERMIT NO: cOM2009-01677
ISSUED: 11/20/2009
APPLIED: 11/20/2009
EXPIRES: OS/20/2010
VALUE:
Status
Issued
I Valuation DescriDtion I
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
Fees Paid I
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Heat Pump
Amount Paid
Date Paid
Receipt Number
$11.52
$4.80
$79.00
$17.00
11/20/09
11/20/09
11120/09
11/20/09
3200900000000000764
3200900000000000764
3200900000000000764
3200900000000000764
Total Amount Paid
$112.32
. ,
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. will be made the following
work day.
~Rp:nuirl'rl Tnsnections I
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 I further certify that any and all work performed shall be 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.
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.aIl 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
225 Fifth Street
Spril)gficld, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-01677
COM2009-0 1677
COM2009-0 1677
COM2009-0 1677
Payments:
Type of Payment
ONLINE CHGS
cReceiotl
RECEIPT #:
Description
I st Appliance
Heat Pump
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
~J~Q~,
:111[.. .'
City of Springfield Official Receipt
Developmcnt Services Dcpartmcnt
Public WorksDcpartmcnt
3200900000000000764
Date: 11/20/2009
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
NJM ONLINE COMFORT In Person
FLOW
Payment Total:
;,.1"
Page 1 of 1
8:26:16AM
Amount Due
79,00
17.00
4.80
11.52
$112.32
Amount Paid
$112.32
$112.32
11/20/2009