Loading...
HomeMy WebLinkAboutPermit Mechanical 2010-1-5 \ 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 .:.11 OM.-f:~ ~t3(~,~ 1!llt~- OREGON '~, . :.{,~ I 0 New Construction [KI Additio~/alleration/replacemenl .JF"ff10C;o;TEl:lQRYI9ifC:6Ns-j.BU(;,'t'1<)N~J"'.""V"'~:k~~~ 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 [;/0,1-0 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 C\O-V) REPLACE HEAT PUMP AND AIR HANDLER Ik c. 'i; 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 I ::;<Jrilf/(:::f~0:::3 ::J:1I:3 PlS;;fJ3::Jfl[3 ~:m 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 IdL \ is flo I'~t'- ~.... 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. ~~ ~~~rC':-' , ~ '-S', ,,~\'bq/ \;W 0" ~~ "J 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: ; \ 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