HomeMy WebLinkAboutPermit Mechanical 2009-11-30
, ~iP'RINGfIELD
."'1~;: '
,~~ \.
...' ,_:,'1" ,'~, OREGON
City Of Springfield
225 Fi~h 5t
Springfield, OR 97477
Phone: 541-726-3753
Email: permitcenter@d.springfield.or.us
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Residential Mechanical Authorization To Begin Work
69600-BMC-09-00200
Approval Code: 04487D 11/30/2009 12:28 pm
E-mailedTo:kelly@comfortflow.com
lKJ1 or 2 family dwelling
D Multi-family D Commercial
D Accessory
D New Construction
lRl Addition/alteration/replacement
.k'l~'\~.;4";li'JiJOB 'SlTET!NFORMA:TIQNtANO:r6cATiON@'",': ,;,"r':~;+JZ~
I Job Address: 7267 B 5T
CityfStatefZIP: SPRINGFIELD, OR 97478
I First Appliance Fee
Suite/bldgJapt.no.:
I Subtotal
I Stale surcharge (12% of per'mil
tolal)
I Technology fee (5% of permit tOlal) t,
I TOTAL PERMIT FEE
$96 00
$11.52
Project Name: FORDON
$4.80
$112.32 I
Cross Street/directions to job site:
Tax'map/parcel no.:
1702353112100
REPLACE HEAT PUMP AND AIR HANDLER
Name: JAN GORDON
Phone: 541-741-6064
Fax:
Email:
CCB lic. no.: 460
Business Name: COMFORT FLOW HEATING CO
Contact:
Address: 1951 DON ST
City/State/ZIP: SPRINGFIELD, OR 97477-1993
Phone: 5417260100
Fax: 5417264799
Emall:
Metro lic. no.:
City lic. no.:
Upon reviaw and approval by your local jurisdiction, _your pannit will ba o.mailod or faxed
within one business day, with instructions on how to schedule your inspection.
NOTE: This Authorization To Bagin Work expires within 180 days if a permit 15 nol obtained.
The local building dopartment may determine that an Authorization To Begin Wor1t IS nUll... a,":d cfJ
,o;d if " do.. "0' m..' .ppli"". ',"d "" ,.W, ,"d 10,,1 o,d'",""', dV.
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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 SPRING!' II'..LD
Building/Combination Permit
PERMIT NO: COM2009-01710
ISSUED: 11/30/2009
APPLIED: 11130/2009
EXPIRES: 05/30/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone,
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 7267 B ST
ASSESSOR'S PARCEL NO.: 1702353112100
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Heat Pump and Air Handler
Owner: GORDON JANET V
Address: 7267 B ST
SPRINGFIELD OR 97478
Phone Number: 541-741-6064
I CONTRACTOR INFORMATION I
Contractor Type'
Mechanical
Contractor
COMFORT FLOW HEATING CO.
License
460
Expiration Date
06/27/2011
Phone
541-726-0100
BUILDING INFORMATION 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 INFO~ATlON I
REQUIRED PARKING
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Scthacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
o~o ,M Lot Coverage:
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Sidewalk Type:
Downspouts/Drains: . S you to
. 0 on law reqUire . .
ATTENTION, reg b the Oregon Utility
WORK follow rule's adopted ~e rules are set forth
NOI'~:OiICE: ,. S\-\f:lLL EXPIRE IF 1H,.E,S NOI Notification ce~~~1~~~rough OAR 952~1.
T\Jle: DI=RMI _ -;\ ,,(' oI=Rt.a' 1ft ntJ.R. ~52-O0 - . _,.. "ftbl' fllles bY
. THORIZED Ul'lut:n ' If_ DONED Fr"f. 0090. You may uu.....'N~[e.thetelephone
AUOMMENCEO OR IS Mlf:lN Valuation Descriution I calling the cen~r. lon Utility NotifjcatIon
C ';( PERIOD. " "umber for the reg -332-2344).
~NY 180 OPi . ' $ Per Sq Ft Square Footage Center \8 1-800
DescriiltlOn Tvpe of ConstructIOn It' I' B'd A Value Date Calculated
or mu Ip ler or I mount
Storm Sewer Available:
Special Instruction:
Paee I of 2
_...,~RI.NCl.PI.IitI.!,)~,
I
\
Status
Issued
CITY OF SPRINGFIELD
Buildi~g/Combination Permit
PERMIT NO: COM2009-01710
ISSUED:' 11/30/2009
APPLIED: 11/30/2009
EXPIRES: 05/30/2010
VALUE: .'
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
F~es Paid I
$11.52
$4.80
$79.00
$17.00
1I/30/09
11/30109
11/30/09
11/30/09
'Receipt Nu~ber
3200900000000000782
3200900000000000782
3200900000000000782
3200900000000000782
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Heat Pump
Amount Paid
Date Paid
Total Amount Paid
$112.32
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.
Reouked Insn,ections I
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
By signature, I state and agree, that I have carefnlly examined the completed application and do hereby certify that all
information hereon is true and correct, and 1 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 all required inspections are requested at the proper time, thateach 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
Pa2e 2 of2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-0 171 0
COM2009-0 171 0
COM2009-0 171 0
COM2009-01710
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
Description
I st Appliance
Heat Pump
+ 5% Technology Fee
+ 12%,State Surcharge
Paid By
ONLINE PERMIT CHGS
City of Springfield Official Receipt
Development S~rvices Department
Public Works Department
3200900000000000782
Datt 1I/30/2009
Item Total:
Check Number Authorization
Received By Batch Number Number How. Received
njm
ONLINE comfort !low Online
. Payment Total:
}t,t
Page I of I
I :36:33PM
Amount Due
79,00
17,00
4,80
11.52
$112.32
Amount Paid
$112.32
$112.32
11/30/2009