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Home My WebLink AboutPermit Mechanical 2010-1-12 biS:~~.~=L~O~ "~'::' ;;. -~i;'~ - 1 J!"_< \:':' ',;J"",,:4_ "... OREGON City Of Springfield 225 Fifth 51 Springfield, OR 97477 Phone: 541-726~3753 Email: permilcenter@ci.springfield.or.us ID New Construction, lRJ Addition/alteration/replacement [R] 1 or 2 family dwerfing 0 Multi-family 0 Commercial o Accessory ,,<"'''' '>7J!~('Z:~jOB'SITE,IN"ORMAtION'AND'i:!o.CATlciNi;'4'Ii_x't"'''''; lC'fil I Job Address: 1025 54TH 8T I CitylStatelZIP: SPRINGFIELD, OR 97478 I Suite/bldg./apt.no.: I Project Name: BARTLESON I C'".. Sr,ee"d"eclio", to jOb ,it., I Tax map/parcel no.: 1702284301100 REPLACE GAS FURNACE I Name: ELIZABETH BARTLESON I Phone: 541-554-9516 I Emai1: Fax: eea lie. no.: 460 Business Name: COMFORT F.LOW HEATING CO Contact: I Address: 1951 DON 5T I City/StatefZIP: SPRINGFIELD, OR 97477-1993 I Phone: 5417260100 Fax: 5417264799 I Email: I Metro tic. no.: City 11c. no.: Upon review and approval by. your local Jurisdiction, your permit will b.e.:,e-maiJed :or, faxed within one business day, with Instructions on how to schedule y~ur inspection. NOTE; This Authorization To Begin Work expIres within 180 daYl:llf a permit is not obtained. The local building department may determine that an Authorization To Begin 'Work Is null and void Ifit does no.t meet applicable tand use laws and local ordinances. ~~ \0 .1) Residential Mechanical Authorization To Begin Work 69600-BMC-1 0-0001 0 Approval Code: 081550 1/12/2010 9:56 am E.mailed To: kelly@comfortflow.com I Description I First Appliance Fee ~ I $79.00 I $9.48\ $3951 ~92.43 , I Subtotal I ~tate surcharge (12% of permit total) I Technology fee (5% of permit total) I TOTAL PERMIT FEE ClO-4-o- 11\1110 ILl2-- .'":1 AmN11ON: Oregon law ftlqUIres you to foUow IVIes acIopted by the Oregon UtIIIIy Notification Center. Those rules are set forth In OAR 952.()()1.()()10 through OAR 952.001- 0090. You may obtaIn copies of the rules by calling 1M center. (Note: the telephone number for the Oregon Utility NollflcatlOn Center 18 1-i00-332-2344). ._.,:~t.,:-.8'. :~'.... "".' NOTICE: THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. ~ \-~~ ~~ Inspections Phone: 541-726-3769. This Author~zatjon To Begin Work must be posted at the job site until replaced bya:Permit _~p,;~t~~lTJ,~R;;.,~I"\~I,I"i~!.:",. i Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM20l0-00042 ISSUED: 01112/2010 APPLIED: 01112/2010 EXPIRES: 07/12/2010 VALUE: 225 Fifth Street, Springtield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1025 54TH ST ASSESSOR'S PARCEL NO,: 1702284301100 Springtield TYPE OF WORK: Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: Replace gas furnace in residence Owner: BARTLESON ELIZABETH A Address: 1025 54TH ST SPRINGFIELD OR 97478 I C?NTRA<cTOR INFORMATION I Contractor Type Mechanical Contractor COMFORT FLOW HEATING CO, License 460 Expiration Date 06/27/2011 Phone 541-726-0100 BUILDING INFORMATION I # of Units: Primary Occupancy GrOUjl: Secondary Occupancy Group: Primary Construction 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 Pt Basement: Sq Pt Garage/Carport Sq Pt Other: Occupant Load: n/a I, DE':ELOPMENT INFORMATION I REQUIRED PARKING Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Total: ATTENTlON: OregoJ\iI>>%'HWB$ you to follow rules adoptedbfWItf'Oregon Utility NoUlIcatlon Center. Those rules are set forth In OAR 952.001-001 0 through OAR 952,001. - . ",",u. IU... IlIay uu,alll ",vtJn,o::. VI U 10' 1\.011'(;.:;1 U1 1 PUBLIC IMPROVEMENTS I calling the center. (Note: the telephone , . nUI'!!bIlrJPl\t",.oregon Utility Notification " ---Center ;i'l-800-332,2344), DownspoutsJDrains: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Street Improvements: Storm Sewer Available: Special Instruction : Notes: .. .,' .->;~; !,-' Description Type of Construction I ~rrJlfiqh lliSG~tq~~IRE If THE WORK I (IIV , ~,r,[';.." S PERMIT IS NOT $ ~tI:I'$l{)R, IZED UNQfifUfi!~qt,~ED fOR V or IfihllDiiCED ORJ3iIltBMbiJ'fi\' alue B\9.v,l1;" ~ ANY 180 DAY PERIOD. Date Calculated Pa2e I of 2 Status Issued t: '10" CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM20l0-00042 ISSUED: 01/12/2010 APPLIED: 01/12/2010 EXPIRES: 07/12/2010 VALUE: . 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fee. Paid' Fee Description + 12% State Surcharge + 5% Technology Fee 1st Appliance Amount Paid Date Paid Receipt Number $9.48 $3.95 $79.00 1/12/J 0 1/12/10 1/12/10 2201000000000000026 2201000000000000026 2201000000000000026 Total Amount Paid $92.43 Plan Reviews , .\..<>.:. '-"'-t' ,",: 1" '",~. 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 Reol'ired h'1'I1,cfons. ..rlllllll 11.'111111 l Rough Gas: After line is installed and required testing and capped if not attached to an appliilllce, Final Gas: When all gas 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 ofauy structure without permission of the Commuuity Services Division, Building Safety, I fnrther certify that only contractors and employees who are 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. ".;J", '." Owner or Contractors Signature Date Paee 2 of 2 225 Fifth Strcet Springficld, Oregon 97477 541-726-3759 Phone Job/Journal Num~er COM20 I 0-00042 COM20 I 0-00042 COM20 I 0-00042 Payments: Type of Payment ONLINE CHGS cReccintl RECEIPT #: Description 151 Appliance + 12% State Surcharge + 5% Technology Fee Paid By ONLINE PERMIT CHGS - ~,~~~~'iiit'; --~-} City of Springficld Official Rcccipt Devclopment Scrvices Department Public Works Department 2201000000000000026 Date: 0l/12/2010 Item Total: Check Number Authorization Received By Batch Number 'Number How Received kr ONLINE 80m fort Online Flow Heating Payment Total: Page I of I r 10:39:22AM Amount Due 79.00 9.48 3.95 $92.43 Amount Paid $92.43 $92,43 1/12/20 I 0