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Home My WebLink AboutPermit Mechanical 2010-1-5 SPRINGflELD~ I;~,,.,.,,,,, , .~~~t (J9 "",.:"ckM ........ ~."fc~",OREGON City OfS'pringfield '225 Fifth 5t Springfield, O~ 97477 Phone: 541.726.3753 Emall: permitcenler@ci,springfield,or,us D New Construction IKl Additionfalteration/replacement [K] 1 or 2 family dwelling D Multi-family 0 Commercial D Accessory " JOBSjTE'INRORMA tiON AN[iI,Qc:(tioN S.!:.i'1.~';~~ Job Address: 983 S 40TH PL City/State/ZIP: SPRINGFIELD, OR 97478 Suite/bldg./aptno.: Project Name: SUNDAHL. Cross Street/directions to job site: Tax map/parcel no.: 1802061407900 INSTALL HEATPUMP AND AIR HANDLER I Phone: 541-741-4319 I Email: Fax: I' eea lie. no.: 460 I Business N;a:rrtPr..1!'{l:T FLOW HEATING CO I Coot,,' THIS PERMIT SHALL EXPIRE IF THE WORK I Addr...' ,C,bJifdlillRIZED UNDER THIS PERMIT IS_ NOl I c;tylst".,ir~)~w.l'l~~i)jkl;,lb,\J~Mr_IiNclAI~UUI~tU run ;':;Y 1 C;C f;;'Y;'E11I::l:';. I Phone: 5417260100 Fax: 5417264799 I Email: I Metro lie. no".: City lie. no.: Upon review and approval by your local JurisdIction, your permil will be e-mailed or faxed within one buslnessday"w1th Instructlons on how to schedule your inspection. NOTE: This Authorization To Begin Worll expires within 180 days If a pennlt 1$ not o.btained. The local building department may determine that an Authorization To Begin Work Is null and void iflt does noi meet applicable land use laws and local ordinances. GjO)\ Residential Mechanical Authorization To Begin Work 69600-BMC-10-00005 Approval Code: 05360C 1/5/2010 11:48 am , . E.mailed To: kelly@comfortflow.com. "I tLl >~I Description I Qty. I Ea. IH~~tinglt;_~~Qti~g1~ppli!J~,ce,~~~'~'~,'~~~-i- I Heat Pump J $17.00 lMTnimuml~e-e~, _ ' . I First A~pliance Fee Total I Subtotal I Stale surcharge (12% of permit total) I Te'chnology lee (5% of permit total) I TOTAL PERMIT FEE $96.00 $11.52 $4.80 $112.32 t\D-^6\ \L\2- 115/10 , AnENTlON: Oregon law requires, you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth In OAR 952-OOHlO10 through OAR 952-001- 0090. You may obtaln copies of the rules by calling the center. (Note: the telephone IIUI1lber for the Oregon Utility Notification Center II t -800-332-2344). ,# Ch# \ t~V ,,:. \s)~ '\~ \.-\0 9<.'9(' .~~ ."-~,,,,,,,,,,.,,,,;-_... Inspections Phone: 541-726-3769 This Authorization To Begin Work must be posted at the job site until replaced by a Permit CITY OF ~nuNGFIELD Building/Combination Permit . - ' Status Issued PERMIT NO: COM201O-00021 ISSUED: 01/05/2010 APPLIED: 01105/2010 EXPIRES: 07/05/20]0 VALUE: , , 225 Fifth Street, Springfield, OR 541-726-3753 Phone i . 54] -726-3676 Fax 54]-726-3769 InspectiOlP Line SITE ADDRESS: 983 S 40TH PL ASSESSOR'S PARCEL NO.: 1802061407900 Springfield TYPE OF WORK: Heating System TYPE OF USE: New PROJECT DESCRIPTION: Install heat pnmp and air handler in residence. Residential Owner: SUNDAHL GLORIA J Address: 983 S 40TH'PL SPR]NGFIELD OR 97478 Phone Number: 541-741-43]9 I CONTRACTOR INFORMA nON, Contractor Type Mechanical Contractor COMFORT FLOW HEATING CO. License 460 Expiration Date 06/27/2011 Phone 541-726-0100 ~UILDING INFORM A TlON. # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Constrnction 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 GaragelCarport Sq Ft Other: Occupant I;oad: nla I DEVELOPMENT ]NFO~MATION I Frontyard Setback: Overlay Dist: Side 1 Setback;.. , # Street Trees Rqd: , .,nTh'E' nn" . Side 2 S~tb~~k;:r . PIRE IF THE WVI"""d Dnve Rqd: Rearyar~\S~jb'acIRMIT SHALL EX IS PERMIT IS tmlif Lot Coverage: Solar Se~~iJqIfWRIZED UNDER TH NED FOR -_..r-E n" '" ^06Mnn . l1UIVII\lI~I"'VL.. .....1.._ ANY 180 DAY PERIOD. I PUBLIC IMPROVEMENTS' Street Improvements: t' REQUIRED PARKING AT1CNTlON' OregonWrequI," you to follow rules ~dopted:WtMP0t$n Utility Notification Center. 1fio!llJ'lUll8s are set forth In OAR 952~1~10 through OAR 952.()01- 0090. You may obtain copies of the rules by - - 6J . _..A_. lit talaph","a t;aU11I1\:I \I IV "'"""......... ,."- ---,. . number for the Oregon Utility Notiflcalion Side~p'P: 1-800-332-2344). Storm Sewer Available: Special Instruction: Downspouts/Drains: Notes: I V~luation Descriotion .1 Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Page 1 of 2 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541- 726-3 769 Inspection Line Total Value of Project Fees Paid I Fee Description + 12% State Surcharge + 5% Technology Fee 1st Appliance Heat Pump Amount Paid Date Paid $11.52 $4.80 $79.00 $17.00 1/5/10 1/5/10 1/5/10 1/5/10 Total Amount Paid $112.32, Plan Reviews I CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00021 ISSUED: 01/05/2010 APPLIED: 01/05/2010 EXPIRES: 07/05/2010 VALUE: Receipt Number 1201000000000000009 1201000000000000009 1201000000000000009 1201000000000000009 , 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 ,ReHuired Insnec~i?,ns",1 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 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 Commnnity 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. [ 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 Contra~tors Signature Pa~e 2 of2 Date 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM20 I 0-00021 COM20 I 0-00021 COM20 1 0-00021 COM20 I 0-00021 Payments: Type of Payment ONLINE CHGS cRcccintl RECEIPT #: Description 151 Appliance Heat Pump + 12% State Surcharge + 5% Technology Fee Paid By ONLINE PERMIT CHGS 1201000000000000009 City of Springfield Official Receipt Development Services Department Public Works Department Date: 01/05/2010 Item Total: Check Number Authorization Received By B:ltch Number Number How Received KR Page I of 1 ONLINE COMFORT Online FLOW HEATING Payment Total: 2:01:49PM Amount Due 79.00 17.00 J 1.52 4.80 $] 12.32 Amount Paid $112.32 $112.32 1/5/2010