HomeMy WebLinkAboutPermit Mechanical 2010-1-5
SPRINGflELD~
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~."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.
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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).
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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
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