HomeMy WebLinkAboutPermit Mechanical 2010-1-5
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City Of Springfield
225Fifth Sf
Springfield, OR 97477
Phone: 541-726-3753
Email: permilcenter@cLspringfield.or.us
Residential Mechanical Authorization To Begin Work
69600-BMC-10-00004
Approval Code: 09431C 1/5/2010 11:36 am
E.mailed To: kelly@comfortflow.com
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1!llt~- OREGON
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I 0 New Construction [KI Additio~/alleration/replacemenl
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I [K] 1 or 2 family dwelling 0 Multi-family 0 Commercial 0 Accessory
ft. :"";I::J;.'JOB;SITE;iNFORMATToN'ANPili6cA TION:;!;~;;:,.~'?;l;h'1
I Job Address: 376 scans GLEN DR
I City/State/ZIP: SPRINGFIELD,'OR 97477
I SuitelbldgJapt.no.:
I Project Name: QUIGLEY
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I Description J Qty. J Ea. J Total
18eatin-g/~.O~9U~1rA~ppIJa~n~es~:f::~~~~~~,,~;--~:r~:'~~~ft~~~-~_;~",:'
I Heat Pump $17,00
1~.I6Iijl"[rfn):ij"Cts,~~7~~~~~.r~~~.
I First Appliance Fee
." ."11
I
'!I
$17.00 I
;1
$79.00 I
:; ;'1
I Subtotal
I Stale surcharge (12% of permit
total) .
I Technology fee (5% of permit total)
I TOTAL PER'NUT FEE
Cross Street/directions to job site:
Tax map/parcel no.:
1703271310802
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REPLACE HEAT PUMP AND AIR HANDLER
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I Name: PAM QUIGLEY
I PhonQ: 541-747-5542
Fax:
eee lie. no.: 460
I Business NaPID15~ FLOW HEATING CO
I Contact THIS PERMITSHALL EXPIRE IF THE WORK
I Add,,,,, 19t1lrJc\,t1MKILtU UI~UtK I HI::' I"'tKlVlI1 J;, I~U I
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citylStatelz,'!J MP.J"~l\7Wfio/' &ffi1U'l1'
I Phone: 5417260100 Fax: 5417264799
I Emall:
I Metro lie. no.; City lie. no.:
Upon review and approval by your local jurisdiction, your penn!! will be,,:e.malled ;or faxed
w1lhln one businessday,w1lh Instructions on howlo schedule yourl nspection.
$96.00
$11.52
$4.80
$112.32
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ATTENTION: Oregon law requires you to
follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth
in OAR 952.()()1.()()10through OAR 952-001-
0090. You may obtain copies of the rules by
calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center 18 1-800-332-2344).
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 r A ri))
void if it does not meet applicable land use laws and local ordinances. ~~
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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: COM2010-00020
ISSUED: 01105/2010
APPLIED: 01/05/2010
EXPIRES: 07/05/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 376 SCOTTS GLEN DR
ASSESSOR'S PARCEL NO.: 1703271310802
SPRINGFIETYPE OF WORK: Heating System
TYPE OF VSE: New
PROJECT DESCRIPTION: Replace heat pump and air handler in residence.
Residential
Owner: QVIGLEY PAMELA R
Address: 376 SCOTTS GLEN DR
SPRINGFIELD OR 97477
Phone Number: 541-747-5542
I CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Contractor
COMFORT FLOW HEATING CO.
License
460
Expiration Date
06/27/2011
Phone
541-726-0100
BUILDING INFORMATlONI
# ofVuits:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Coustruction 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 I st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
u/a
,REQUIRED PARKING
Front yard Setback: Overlay Dist: Total:
Side I Setback: # Street Trees Rqd: \ Handicapped:
Side 2 Setback: Paved Drive Rqd: ATTENTlON: Orego~!llIfMiM\ulres you to
Rearyard Set~1nJICE: '% .of Lot Coverage: follow nI'es adopted by the Oregon Utility
Solar Setback~HIS PERMIT SHALL EXPIRE IF THE WORK Notification Center. Those rules are set forth
. u.. - u . - _U._', "'f.T 'nnARQ5~-O01-qq10throuohOAR952-001-
IV IllvnlLCU Ulwcn I n,u rr'o'tlf''''' ~~ROVEMENTS 0090. You may obtaiQ copies of the rules by
COMMENCED OR IS ABAND~~~ I calling the center. (~ote: the telephone
Street ImproY~iii~nl[:O DAY PERIOD. . nutii:!lervfl:ll<fftaJElregon Utility Notification
Storm Sewer Available: ,'"'''' . Dow~t'3\!\~jar\~~P-332-2344).
Special Instruction: " , '
I DEVELOPMENT INFORMATION I
Notes:
I Valuation Descriotion .
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee I 012'
Status
Issued
CITY 011 ~1"Klj~uI11ELD
Building/Combination Permit
PERMIT NO: COM2010-00020
ISSUED: 01/05/2010
APPLIED: 01/05/2010
EXPIRES: 07/05/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees Paid I
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
I st Appliance
Heat Pump
Amount Paid
Date Paid
Receipt Number
$11.52
$4.80
$79.00
$17.00
1/5/10
1/5/10
1/5/1 0
1/5/10
1201000000000000008
1201000000000000008
1201000000000000008
1201000000000000008
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.
I R,eouired Ins?ections 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 truc 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 arc 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, 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
"j-
Date
Pa2e 2 of 2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM20 I 0-00020
COM20 I 0-00020
COM20 1 0-00020
COM20 1 0-00020
Payments:
Type of Payment
ONLINE CHGS
cReccintl
RECEIPT #:
Description
I SI Appliance
Heat Pump
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
ONLINE PERMIT CHGS
City of Springfield Official Receipt
Development Services Department
Public Works Department
1201000000000000008
Date: 01/05/2010
Item Total:
t:heck Number Authorization
Received By Batch Number Number How Received
KR
ONLINE COMFORT Online
FLOW
HEATING
Payment Total:
;
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Page 1 of 1
I :50:35PM
Amount Due
79.00
17.00
11.52
4.80
$112.32
. Amount Paid
$112.32
$112.32
1/5/2010