HomeMy WebLinkAboutPermit Mechanical 2009-11-30
City Of Springfield
225 Fifth 51
Springfield, OR 97477
Phone: 541~726-3753
Email: .permilcenter@ci.springfield.or.us
C,1' 1701
Residential Mechanical Authorization To Begin Work
69600-BMC-09-00199
Approv~1 Code: 05646D 11/30/2009 11 :45 am
E-mailedTo:kelly@comfortflow.com
D New Construction
IR] Additjon/allerationlreplacement
lKJ 1 or 2 family dwelling
o MuJti-family 0 Commercial
o Accessory
JobAddress:710 RAYNER AVE
1ll,!'.-1ilI$''1 ziE2~:;t,-;~oBISTi'ElINi=eRMA'T1cii;i;--At'ID;t!OCArI6N"" '4'!'i"~,r',"\;j
Y2'"_'h!""'~" .E"._......~_........ ...,...__....__........L.... .'. _ ~,",_.__\::~.4J
City/StatefZIP: SPRINGFIELD, OR 97477
I Suite/bldg./apt.no.:
I Project Name: OLMSTEAD
I Cross SlreeVOirecUons to job site:
I Tax ma~/parce' no.: 1703331100407
REPLACE GAS FURNACE
Name: CADlE & PAUL OLMSTEAD
Phone: 541-554-4369
Email:
Fax:
Contact:
BU$iness Name: COMFORT FLOW HEATING CO
CCB lie. no : 460
Address: 1951 DON ST
I CityfStatefZIP: SPRINGFIELD, 013 97477-1993
Phone: 5417260100
Email:
J Metro lie. no.:
Fax: 5417264799
City lie. no.:
Upon review and approval by your local jurisdiction, your permit will be a-mailed or faxed
within one business day, with instructions on how 10 sChedule your inspection.
NOTE: This AUlhori;;z:ation To BeglnWork expires within 180 days if a permit is not obtained.
The local building depa'rtment may determine that an Authorization To Begin Work is null and
void if it does not meet applicable land use laws and local ordinances.
Co/)1 Leu f - 0/7(79
/},'/:j . Ilpolo 7
I Description
First Appliance Fe~
llViifltm'~ffi~~~:f~~Ji~tttf,~;~'f{(.::;f~IiJ:?t~~' ~~.:~
I Qty
Subtotal
I State surcharge (12% of per(Tlit
total)
I Technology fee (5% of perm'it total)
I TOTAL PERMITFEE
#'
.~~~0-
~rV' .
\s)'
$79,00 I
$9,481
$3,95 I
$92.43 I
~6\ '
, \~ tJj<, <J,/,
~
Inspections Phone: 541.726-3769
This Authorization To Begin Work must be posted at the jOb site until repla'ced by a Permit
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01709
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
SITE ADDRESS: 710 RAYNER AVE
ASSESSOR'S PARCEL NO.: 1703331100407
Springlield TYPE OF WORK: Mechanical Only
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Replace gas furnace
Owner: DORNATH CADlE J
Address: 71 0 RAYNER AVE
SPRINGFIELD OR 97477
Phone Number: 541-554-4369
I CONT~CTOR 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 INFORMATION I
Front yard Setback:
Side I Setback:
Side 2 Setback':
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Description
NOTICE:
_. I - - - - .
;UTHO~7zE~ ~~~~~ ~~i~;~~~:I;:~DtionJ
OMMENCED OR IS ABANUUI~tD'rUK
T . , ; fC'C" n.w nrt'''''''n $ Per Sq Ft Square Footage
yue 0 onstruc lon_' 'It' I' B'd A
. or mu Ip ler or I mount
ATTFNTjnN'rr"'nnr.l~w rP'llJirM "("lilt!'
I PUBLIC IMPROVEMENTS l follow rules adopted by the Oregon Utility
, ,'Notification Center. Those rules are set forth'
In O~.ffilOO1'mj 0 through OAR 952-001-
0090Dd,\l\lsWJ\~f)BWr.~,opies of the rules by
calling tlle center. (!"Jote: the telephone
numberfor the Oregon Utility Notification
Center Is 1-800-332-2344).
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Value
D,ate Calculated
Pa2e I of2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01709
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
Fe~s Paid"
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
I st Appliance
Amount Paid
Date Paid
Receipt Number
$9.48
$3.95
$79.00
11130/09
11130/09
11130/09
3200900000000000781
3200900000000000781
'I 3200900000000000781
Total Amount Paid
$92.43
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.
I ,R.ef'lIir~d Insnections ~
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
By signature, I state and agree, that 1 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 he used on this project.
I further agree to ensure that all required inspections are requested at the proper time, thatjeach 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
Page 2 of2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009,0 1709
COM2009-0 1709
COM2009-0 1709
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
Description
I 5t Appliance
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
3200900000000000781
City of Springfield Official Receipt
Development Services Department
Publie Works Department
Date: 11/30/2009
Item Total:
Check Number Authorization
Received By Batch Number Number: How Received
njm
Jo-
:.J
Page I of I
ONLINE comfort flow Online
,Payment Total:
12:50:27PM
Amount Due
79,00
3,95
9.48
$92.43
Amount Paid
$92.43
$92.43
11/30/2009