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Home My WebLink AboutPermit Mechanical 2009-12-21 City Of Springfield 225 Fifth St Springfield, OR 97477 Phone: 541-726-3753 Email: permitcenter@ci.springfield.or.us I' . ,: ,'~ I 0 New Construction [R] Addition/alteration/replacement '~c~,~:~AJ~'G'ORY~Qt;~'GQN~SJR:~~t~lT@N1i:y~~l~f(~~=~;~tl I [Z] 1 or 2 family dwelling 0 Multi-family 0 Commercial 0 Accessory Ii ,'~ic' ",~''''''~J0B1Sf1E;fN'F'clRMA,rloNAN15jCOCAIlbN'~' , I Job Address: 6164 FERNHILL LOOP CityfStatefZIP: SPRINGFIELD, OR 97478 Suitefbldg.lapt.no.: Project Name: SHEL TONfPERS Cross Street/directions to job site: Tax map/parcel no.: 1702343405600 INSTALL GAS FURNACE Name: DAVE SHELTON Phone: 541-505-8370 Fax: Email: cee lie. 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 Email: Metro lie. no,: City'lIe, no~; Upon review and approval by your local jurisdiction, your permit will be e-mailed or faKed within one business day, with instructions on how to sc~edule your inspection. NOTE: This Authorization To Begin Work eKplres 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 meet applicable land use laws and local ordinances. ., ~. 1 JJ'mUJOg Olol~ I~-+ , f-' " - (/1./~1 S' Residential Mechanical Authorization To Begin Work 69600-BMC-09-00226 Approval Code: 06154D 12/21/2009 11:45 am E'mailed To: kelly@comfortfiow,com Ea, Total I ,",,'to. ,..,';'11 Qty, I Description l~j6imuiTI1Be~~P;~~t\:~-;:;~. I First Appliance Fee $79.00 .;;-:;; I ":J Subtotal I State surcharge (12% of permit total) I Technology fee (5% of permiltolal) I TOTAL PERMIT FEE $79.00 $9,48 $3,95 $92.43 ;( ~ ~,~~ fa&'- ~~r&Q( ~-S Inspections Phone: 541-726.3769 1his Authorization 10 Begin Work must be posted at'the job site until replaced by a Permit Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01818 ISSUED: 12/2112009 APPLIED: 1212112009 EXPIRES: 0612112010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 I nspection Line SITE ADDRESS: 6164 Fernhill Lp ASSESSOR'S PARCEL NO.: 1702343405600 Springfield TYPE OF WORK: Mechanical Only TYPE OF USE: New Residential PROJECT DESCRIPTION: , Install gas furnace Owner: SHELTON DA VI[) L Address: 6164 FERNHILL LOOP SPRINGFIELD OR 97478 Phone Number: 541-505-8370 I, CONTI~;\nOR INFORMATION I Contractor Type Mechanical Contractor COMFORT FLOW HEATING CO, License 460 Expiration Date 06/27/2011 Phone 541-726-0100 BYILDING INFORMA !ION I # of Units: Primary Occnpancy Gronp: 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 INF@.MATlON I Front yard Sethack: ' 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: . I PUBLIC IMPROVEMENTS I Street Improvements: ' , Sidel\CaIk.J:._ requITes ~~ AmN1l0N':'=~~u,~ Oregon ettortb Storm Sewer Available: follOW ruleli!;:::;;:r:",os~I0S are s 2 ""1- Special Instructi,lJIr.. v' TICE.' atlon center. .. OAR 95 "'" Notllic 952-001,.0010 thrOUg.. 01 the rules bY Notes: r~~~6ERRMIT SHALL EXPIRE IF THE WORK ~~~~.,.ouma~:n{~~f~~~etel~.E".!.'~ IZED UNOlli.lliIC: Pl:D\.4l+.'(' W'~ .wD<<.theuv'" . nnW\lltVNOU-- vUIVI/VltNGED OR IS ABAN .- -', IIIfI1Ib8l: 101 UlV e~~ 83?-t.1-,. ANY 180 DAY PERIOD, P~~afi6~ D~scrip,tion I Center II Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount , Value .."Date Calculated Page I of 2 ''','' ,: Llli' OF ~rKmGFIELD Status Issued Building/Combination Permit PERMIT NO: COM2009-0I8I8 ISSUED: ] 2/2]/2009 APPLIED: 12/2]/2009 EXPIRES: 06/21/20]0 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 I $9,48 $3;95 $79,00 12/21/09 12/21/09 12/21/09 Receipt Numher 2200900000000001410 2200900000000001410 2200900000000001410 Fee Description + 12% State Surcharge + 5% Technology Fee 1st Appliance Amount Paid Date Paid 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 7:00 a.m. will be made the following work day. I R~olJir~d T?s,oectioos 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 herehy 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 he 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 us~d on this project. ] further 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 ~ignature Date Paee 2 of 2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone. Job/Journal Number COM2009-0 1818 COM2009-0 1818 COM2009-0 1818 Payments: Type of Payment ONLINE CHGS cReceintl RECEIPT #: Description I sl Appliance + 5% Technolo'gy Fee + 12% State Surcharge Paid By ONLINE PERMIT CHGS City of Springfield Official Receipt Development Services Department Public Works Department 2200900000000001410 Date: 12/21/2009 Item Total: Check Number Authorization Received By Batch Number Number How Received njm ONLINE comfort flow Online Payment Total: Page I of t' I :06:47PM Amount Due 79,00 3,95 9.48 $92.43 Amount Paid $92.43 $92,43 12121/2009