HomeMy WebLinkAboutPermit Mechanical 2010-2-8
SPRINGFIELO......
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New Construction
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Residential Mechanical Authorization To Begin Work
69600-BMC-10-00027
Approval Code: 031990 2/8/2010 12:01 pm
E-mailedTo:kelly@comfortflow.com
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City Of Springfield
225 Fifth 51
Springfield, OR 97477
Phone: 541-726-3753
Email: permitcenter@ci.springfield.or.us
IKJ Addition/alteration/replacement
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'.CATEGO,RY OF,CONST8.UCTioN". ,:;~~.
D Accessory
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1 or 2 family dwelling
JOB'SITE'INFORMATlONANOJ;.OCA TION
Job Address: 715 51ST 5T
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o Multi-family
D Commercial
City/State/ZIP: SPRINGFIELD, OR 97478
I Suitefbldg.fapt.no.:
I Project Name: 'NEATHERS
Cross Street/directions to job site:
Tax map/parcel no.:
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1702342403800
INSTALL GAS FURNACE AND GAS PIPE TO FURNACE
. ~O_~SCRIPflqN" OF;".{QR:~ ~\";"'?:1.'tit '::'..,~:;; :;~j
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Name: DILLARD INEATHERS
Phone: 541-746-6484
Email:
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,;'SITE C61'{fACT,tfifi~1;:
Fax:
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CCB lie. no,: 460
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Contact:
Business Name: COMFORT FLOW HEATING CO
Address: 1951 DON ST
City/State/ZIP: SPRINGFIELD, OR 97477-1993
Fax: 5417264799
Phone: 5417260100
Email:
I Metro lie. no.:
City lie. no.:
Upon review and approval by your local jurisdiction, your permit will be e.malled or faxed
within one business day, with instructions on how to schedule your inspection.
NOTE: This Authorization To Begin Work ellpires within 180 days if a permit is not obtained.
The local building department may determine that an Authorization To Begin Work is null Bnd
void if it does not meet applicable land use laws llnd local ordinances.
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I Description
l~as;Fuel;~ipi!1g j'
I Gas Piping - first four
IMinJm~m Fe~s'~.>... .-~ ',.--~
I First Appliance Fee
l~ech~nic~1 'fermit" Fee's/i~;':..'
I Subtotal
I State surcharge (12% of permit
total)
I Technology fee (5% of permit total)
I TOTAL PERMIT FEE
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Total
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J $7.00
$7.00
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$79.00
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$86.00
$10.32
$4.30
$100.62
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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
Status
Issued
CITY OF ""n-(Il"lil.JrIELD
Building/Combination Permit
PERMIT NO: COM2010-00163
ISSUED: 02/08/2010
APPLIED: 02/08/2010
EXPIRES: 08/08/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 715 61ST ST
ASSESSOR'S PARCEL NO.: 1702342403800
Springfield TYPE OF WORK: Mechanical Only
TYPE OF USE: New.
,
PROJECT DESCRIPTION: Install gas furnace and gas pipe to fnrnace
Residential
Owner:
Address:
WEATHERS DILLARD & WILMA L
715 N 61ST ST
SPRINGFIELD OR 97478
Phone Number: 541-746-6484
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I CONTR;\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 Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structnre
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 Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOP.MENT INFORMATION I
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
o/~. ~f Lot Coyerage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer Available:
Special Instruction:
NO'T I PUBLIC IMPROVEMENTS I' . yOU to
ICE:' . "on laW requires n Utility
THIS PERMIT SHALL EXPI' ATT~~ ~\ed by the Orego set lorth
;~~~~~~ER~~~~ ~~D,~R THIS ~E'~J~EJr~~~ ~~~~~~~~Y~\:!~6~~~~~~e~~~:~~~OeO~y
,,'N 180 DAY PERIOtBANDONED FOR ~o~~~ ~;u may o~:~in(~~i~~.~he tel~.~~~~:n
ca\li~~_t~:.. ;;~ oregon ~~~ltx~~,I.
nUH ....- .center \s 1.OV""' ...-
I Valuation Descrintion I
Notes:
Description
Type of Constrnction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount"
Value
Date Calculated
Page I of2
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CITY OF SPRINGFIELD
Building/Combination Permit
P.ERMIT NO: COM20I0-00163
ISSUED: 02/08/2010
APPLIED: 02/08/2010
EXPIRES: 08/08/2010
VALUE:
'. H /.
". .
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 I nspection Line
Total Value of Project
Fees ~aid I
$10.32
$4.30
$79.00
$7.00
"2/8/10
2/8/10
2/8/10
2/8/10
Receipt Number
2201000000000000119
2201000000000000119
2201000000000000119
2201000000000000119
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Gas Outlets 1-4
Amount Paid
Date Paid
Total Amount Paid
$100.62
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Pla'n Reviews I
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. '
. Re/luired Insnectionsl
, . ,
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
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 of any 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 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 Oftb~.'property, and the approved set of plans will remain on tbe 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
COM20 I 0-00 163
COM20 1 0-00 163
COM20 1 0-00 163
COM2010-00l63
Payments:
Type of Payment
ONLINE CHGS
cReccintl
RECEIPT #:
Description
I st Appliance
Gas Outlets 1-4
+ 12% Slale Surcharge
+ 5% Technology Fee
Paid By
ONLINE PERMIT CHGS
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City of Springfield Official Receipt
Deyelopment Services Department
Public Works Department
2201000000000000119
Date: 02/08/2010
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
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ONLINE comfort flow Online
Payment Total:
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Page I of I
12:51:3IPM
Amount Due
79.00
7.00
10.32
4.30
$100.62
Amount Paid
$100.62
$100.62
2/8/20 I 0