HomeMy WebLinkAboutPermit Mechanical 2010-1-5
SrRINGFIELD" "
it~'L;,t.,~-
.'+ie," I"M;
V"'__', "'-"""
"," ""'\ OREGON
City Of Springfield
225 Fifth 51
Springfield, OR 97477
Phone: 541~726-3753
Email: permitcenler@ci:springfield.or.us
Residential Mechanical Authorization To Begin Work
69600-BMC-10-00003
Approval Code: 00276C 1/5/2010 11:30 am
E-mailedTo:kelly@comfortflow.com
IF.
o New Construction
IKl Addition/alterationfreplacement
IlK] 1 or 2 family dwelling 0 Multi-family 0 Commercial 0 Accessory
Il..,JOB'"SITE;TNi;oRMATi6N'ANi5'I:OCATi6N~~,;:'",~4;':;~
I Job Address: 369 715T 8T
I CityfState/ZIP: SPRINGFIELD, OR 97478
I Suite/bldg./apt.no.:
I Project Name: WEBER
I C'oss st'eet/di"clions to job site:
I Tax map/parcel no.: 1702353106100
REPLACE HEAT PUMP AND AIR HANDLER
I Name: CHERI WEBER
I Phone: 541-746-7876 Fax:
11'~::':".."""'4.,.....J'-'~c!~~~~~S~..~.".",
: '..". . I'v,....R.".,,...W~tIiA.~:~n!...I'-".;jL]
I NOimoatIon~~lYlelaIe lIliortlt
I ..""",,.JIOARm&:t
Business ~ame: C "'III ndellw
I Cont.ct _ ....tIle ~ (N~ "'II"~~_
I Add,e", 1951 DON or' '::'=.:t~ ~
I City/StatelZlP: SPRI~GFIELD, OR 97477-1993
I Phone: 5417260100 _ Fax: 5417264799
Email:
.' ~,- .......'
Metro lie. no.:
City lie". no.:
Upon review and approval by your local Jurisdiction, your pennlt Will be e-malied or falted
within one business day, with Instructions on how to schedule yourlnspectloll.
NOTE: This Authorization To Begin Work eltpires within 180 days If a pennit is not obtained.
The local building department may determine that an Authorlullon TO Begin Work Is. null and
void If il 'does not meet applicable land use laws and local ordinances.
Die-It'
. '"I
,~ j
I Description I Qty.
~Iii;fg'-(;"_Qjln'g~fA.PPlian~_~~':r}~~6t~~~~i~---
I HealPump' 1
I First Appliance Fee
I Subtotal
I Stale surcharge (12% of permit
total)
I Technology fee (5% of permil tolal)
I TOTAL PERMIT FEE
C\D-I'D
~\2-
$96.00
$11.52
$4.80
$112.32
\ 15')10
NOTICE:
THIS PERMIT SHAll EXPIRE IF T~;~ORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
.~~~
~
Inspection. Phone: 541-726-3769
This Au~horization To Begin vvork must be posted .at the job site until replaced by a Permit
#
.~~ \\
~Y' \\:
~'\J YJ ')i
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00018
ISSUED: . 01105/2010 .
APPLIED: 01105/2010
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: 369 71ST ST .
ASSESSOR'S PARCEL NO.: 1702353106100
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
PROJECT DESCRIPTION: Replace heat pnmp and air handler in residence.
Residential
Owner: WEBER CHERYL J
Address: 369 71ST ST
SPRINGF]ELD OR 97478
Phone Number: 541-746-7876
I CONTRACTOR INFORMATION .
Contractor Type
Mechanical
Contractor
COMFORT FLOW HEATING CO,
License
460
Expiration Date
06/2712011
Phone
54].726-0100
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construclion Type
Secondary Construction Type:
# of Bedrooms:
# of Slories:
Heighl of Slruclure
Type of Heal:
WaleI' Type:
. Range Type:
Energy Palh:
Sprinkled Building:
Lol Size:
Sq FI Is1 Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq FI Olher:
Occupanl Load:
n/a
,
.1 DEVELOPMENT INFORMATION'
NOTICE: REQUIRED PARKING
Fronlyard Selhac~+remON' Oregon laW requtrM>yad_Disl: THIS PERMIT SHAll EXPIRitl!l:THE WORK
Side 1 Setback: f( I 9 idopted by the Oreg~lMIIIt\frees Rq<!AUTHORIZED UNDER T'HISlfle\l!Mll'~S1NOT
Side 2 Selback: ~~:a~o~ Center. Those rulesarllze!cfaftlJve Rqd: COMMENCED OR IS ABAN. 6tffi1ro"fOR .
Rearyard Selbarri'OAR 952-OO1"()010thro~gh OAR951l-OOkoverag~NY 180 DAY PERIOD . .
Solar Setbacks: 0090 You may obtain copies of the rules by . .
. .. ~} I _.,t..... ........ '~IAnhntu,
C8111ny '110' 'loo'GJ........ '''.~.. _ _.-
number for the Orego.n U'I!tYfNOOI'fI'lWROVEMENTS I
enter 18 1-800-33.:-L..,4.I). .
Street Improve'."ents: e . Sidewalk Type:
Slorm Sewer A vailahle:
Specialluslruclion:
Dowuspouts/Drains:
(->.', .. ...,~o!~~....~,....,
Noles:
:'
I Va,luatio? Descriotion I
Description
Type of Conslruction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amounl
Value
Dale Calculated
Paee 1 of 2
Status
Issued
CITY OF ~rKl1"tJl'll'.LD
Building/Combination Permit
PERMIT NO: COM2010-00018
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 P'lid I
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Heat Pump
Amount Paid
Date Paid
Receipt Number
$11.52
$4.80
$79.00
$17.00
115/1 0
1/5/10
115/10
115/10
1201000000000000006
1201000000000000006
1201000000000000006
1201000000000000006
Total Amount Paid
$112.32
Plan Reviews I
To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00
I
a.m. will be made the same working day, inspections requested after 7:00 a.m~ will be made the following
work day.
I ReOlYI~ed J 1sDections I
~1~lllIllll III
,oi ,~.,
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
By signature, I state and agree, that J have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and] further certify that any and all work performed shall be done in accordance with
the Ordinances of the City of Springlield 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 tbat only contractors and employees who are in compliance with ORS 701.005 wili be used on this pr~ject.
] 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
Date
,.:".
",c:'
';"':
~. "{:,
Page 2 of2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
,Job/Journal Number
COM20 1 0-000 18
COM20 I 0-000 18
COM20 I 0-000 18
COM2010-00018
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
Description
+ 5% Technology Fee
1st Appliance
Heat Pump
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
City, of Springfield Official Receipt
Development Services Department
Public Works Department
1201000000000000006
Date: 01/05/2010
. ] :24:22PM
.,,;1'.;
Amount Due
4.80
79:00
17:00
11.52
$1]2.32
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Paid
KR
ONLINE COMFORT Online
FLOW
HEA T1NG
Payment Total:
$112.32
$112.32
Page 1 of 1
115/20]0