HomeMy WebLinkAboutPermit Mechanical 2010-1-26
SPRINGFIElD--
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City Of Springfield
225 Fifth $1
Springfield. OR 97477
Phone: 541-726-3753
Email: permitcenter@ci.springfield.or.us
C-IC'1I5
Residential Mechanical Authorization To Begin Work
69600-BMC-10-00017
Approval Code: 095400 1/26/2010 12:07 pm
E-mailedTo:kelly@comfortflow.com
IlZl10r2familYdWelling 0 Multi.family 0 Co~mereial D.Accessory
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I Job Address: 864 S 37TH ST
I City/State/ZIP: SPRINGfiELD, OR 97478
Sultelbtctg./apt.no.:
First Appliance Fee
$79.00 I
o New Construction
[RJ Addition/alteratj00/r~PI~cement
I Description
I Subtotal
I State surcharge (12% of permit
total)
I Technology fee (5% of permit total)
[ TOTAL PERMIT FEE
$79.00
$9.48
$92.43
$3.951
Project Name: HOWES
Cross Street/directions to job site:
Tax mapfpareel no.:
1802061202500
REPLACE GAS FURNACE
I Name: MAlA HO\IVES
Phone: 541-915-6586
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Fax:
Email:
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CCB fie. no : 460
Business Name: COMFORT FLOWHEATJNG CO
Contact:
Address: 1951 DON ST
City/State/ZIP: SPRINGFIELD, OR 97477-1993
Metro lie.. no.:
City I1c. no.:
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t~ ~f(y
Phone: 5417260100
Fax: 541726479~
Email:
Upon review and approval by your 10Cill jurisdiction, your permit will be e-mililed or. faxed
within one business day, with instructions on how to schedule your inspection.
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
. '"';.':;''' . 'Ii.
void if it does not meet applicable land use laws and local ordinances. ,. , :~
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Inspections Phone: 541-726-3769
This Authorization To Begin Work must be posted.t the job site until replaced by a Permit
Status
Issued.
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00115
ISSUED: 01126/2010
APPLIED: 01126/2010
EXPIRES: 07/26/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-37,53 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 864 S 37TH ST
ASSESSOR'S I'ARCEL NO,: 1802061202500
Springlield TYPE OF WORK: Mechanical Only
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Replace gas furnace
Owner: HOWES MAlA
Address: 864 S 37TH ST
SPRINGFIELD OR 97478
i C,ONTRACTOR INFORMATION I
Contractor Type
Mechanical
Contractor
COMFORT FLOW HEATING CO,
License
460
Expiration Date
06/27/20] ]
Phone
541-726-0100
.~UILDI.NG INFORM~T!ON I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Ra'nge Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
nla
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:. Total:
# Street Trees Rqd: , Handicapped:
Paved Drive Rqd: Compact:
% of Lot CoveAU~NTION: Oregon law requires you to
folfow rules adopted by the Oregon Utility
Nntifi~:=!tin(l n.pptAr Thm;p. nJIp.~' Rre set fortI'
I PUBLIC IMPROVE~-001-001 0 through OAR 952-001-
, erp'" , ~ I may obtain copies of the rules by
calling the ~~lll6flYpllletelephone
number for thy> Or~g,QI1JJWllY..,Notification
Center IB'~'8tJ8~~:t:;~~).
Street Improvements:
,
Storm Sewer Available:
Special Instruction:
:'lGTiCE: .
Notes:,.-JIS PERMIT SHALL EXPIRE IF THE WORK
"n-lnRI7Fn UNDER THIS PERMIT IS NOT".,
, ,'r.,\RC[\ICED OR IS ABANUUNtU r'r'- : ". I
: :",'-\'''PlV PERIOD. Valu'ation Descriution
. ..',", .-1. ,
", ,"-.
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pa2e 1 of 2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00115
ISSUED: 01/26/2010
APPLIED: 01/26/2010
EXPIRES: 07/26/2010
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 ~
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Amonnt Paid
Date Paid
Receipt Nnmber
$9.48
$3.95
$79.00
1/26/10
1/26/10
1/26/10
3201000000000000028
3201000000000000028
3201000000000000028
Total Amount Paid
$92.43
I Plan Reviews ,
To Request an inspection call the 24 hour recording at 726-3769. AII.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.
Reouired Insnections I
., I I
"
Rough Mechanical: Prior to Cover
,,;-. . .
Final Mechanical: When all mechanical work is'complete.
By signature, 1 state and agree, that] 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 Springfield and the Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of an'y structure without permission of the Community Services Division, Building Safety.
I further certify that only contractors and employees who are in compliance with ORS 701.005 will be nsed on this project.
J 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
Date
-'
Page 2 of2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2010-001 IS
COM2010-00115
COM20 I 0-00 liS
Payments:
Type of Payment
ONLINE CHGS
J
cReceintl
. RECEIPT #:
Description
I st Appliance
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
ONLINE PERMIT CHGS
City of Springfield Official Receipt
Development Services Department
Public Works Department
3201000000000000028
Date: 01126/2010
Item Total:
Check Number Authorization
Received By Batch Number Number How,Received
njm
ONLINE comfort flow Online
Payment Total:
Page I of I
12:21:50PM
Amount Due
79.00
9.48
3,95
$92.43
Amount Paid
$92.43
$92.43
1/26/20 I 0