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HomeMy WebLinkAboutPermit Mechanical 2010-3-25 s~r::~,~ .r({~ .~. '\ ~......- "l, , OREGOH \ City Of Springfield \ 225 Fifth 51. \ Springfield, OR 97477 \ Phone; 541.726-3753 Email: permitcenler@ci.springfield.oLus C 10 - 3<t>Z- Residential Mechanical Authorization To Begin Work 69600-BMC-10-00056 Approval Code: 074730 3/25/2010 12:46 pm E-mailedTo:DBARS@comfortflow.com , '-?'. c" '"" TYPE OFWORK,: ....... .'''''iF.... .''''7''. D New Construction [Xl Addition/alteration/replacement " '" ; : CATEC;ORY OF'CONSTR.UCJION. ..' IX] 1 or 2 family dwelling 0 Multi-family D Commercial D Accessory JOB SITE INFORMATION AND lOCATION . Job Address: 1051 S 41STST City/State/ZIP: SPRINGFIELD. OR 97478 " . Sulte/bldg.lapt.no.: , Project Name: VVlECHERT 1051 Cross Street/directions to Job sIte: Tax map/parcel no.: 1802061418900 . ..;.; )" " DESCRIPTION,'oF WORK. ".. ' - . , . INSTALL AC . "c' SITECONT ACT.- :c. " " .,.- Name: DERRICK WESTOVER Phone: 541-606-5050 Fax: Email: . " . CONTRACTOR -""". ' .... . " i. ces lie. no.: 460 Business Name: COMFORT FLOW HEATING CO . . . Contact ~..,...~ .,. ., ,.: Address: 1951 DON ST City/State/ZIP: SPRINGFIELD, OR 97477~1993 Phone: 5417260100 Fax: 5417264799 EmaiL 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 Wor\!; expires within 180 days if a permit is not obtained. The local building department may dotormine that an Authorization ~o. B~~ln Wor\!; void If it does not meet applicable land use laws and local ordlnancos. CnriWIO 3-;;)5- /D - 0030 ~ Nf"'1 lli~ ,. 'c~, .. ':;::;;. FEE' SCHEDULE "J' .... .,' . Description I QIy. Ea. Total Minimum Fees .. .: ' " . " First Appliance Fee I $79.00 Mechanical Permit Fees .. Subtotal $79.00 State surcharge (12% of permit $948 totall Technology fee (5% of permit total) $3.95 TOTAL PERMIT FEE $92.43 ~.\Q roflv'&<.~ \\) \9 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 SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00362 ISSUED: 03/25/2010 APPLIED: 03/25/2010 EXPIRES: 09/25/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1051 S 41ST St ASSESSOR'S PARCEL NO.: 1802061418900 Springfield TYPE OF WORK: Mechanical Only TYPE OF USE: New Residential PROJECT DESCRIPTION: Install AC Owner: BRUCE WIECHERT CUSTOM HOMES INC Address: 3073 SKYVIEW LN EUGENE OR 97405 Contractor Type Mechanical I CONTRACTOR INFORMATION . Contractor License COMFORT FLOW HEA TlNG CO. 460 BUILDING INFORMATION I Expiration Date 06/271201 I Phone 541-726-0100 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Second aI")' Construction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: . Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft I st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMENT INFORMATION I Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: . #,Street Trees Rqd: Paved Drive Rqd: . % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: \"UIVIIVltl ANY 180 DAY PERIOD. I PUBLIC IMPRO.~~ Oregon law requires you to follow rules adopSld~JlllerS1illgon Utility Notification CenternIhose rules ar~ set forth In OAR 952-o01-00ro\lllffillj\\sClmI'95-2-o01- 0090. You mav obtain copies of the rules by calling the center. (Note: the telephone number for the Oregon Utility Notification is 1-800-332-2344 . Street Improvements: Storm Sewer Available: Speciallll1strp.otiru1 : 't:U' aliI:: Notes: THIS PERMIT SHALL EXPIRE IF THE WORK !>,UTHORIZED UNDER THIS PERMIT IS NOT Valuation Descri Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee I 01'2 ,.,' .!;:~il ../, "1';\ . ,.':-, .,....:.'- i"1 CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: COM2010-00362 ISSUED: 03/25/2010 APPLIED: 03/25/2010 EXPIRES: 09/25/2010 VALUE: i~.,,!,j; 't ~'. ,- Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project " I -Fees Paid-, Fee Description + 12% State Surcharge + 5% Technology Fee 1st Appliance Amount Paid Date Paid $9.48 $3,95 $79,00 3/25/10 3/25/10 3/25/10 Receipt Number 3201000000000000100 3201000000000000100 3201000000000000100 Total Amount Paid $92.4)1. t!-, I pian 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. L Reauired Insoections ~ Rough Mechauical: Prior to Cover " Final Mechanical: When all mechanical work';s 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 employee~ who are in compliance with ORS 701.005 will be nsed on this project. I further agree to ensure that .11 required inspectiori.-.,'re requested at the proper time, that each address is readable from the street, that the permit card is located at the front oft'~'e'pi'o-pJdy; .nd the approved set of plans will remain on the site .t all times during constn.lction. ;-.... :.: . ;". . I... , Owner or Contractors Signature Date " ,. Paee 2 of 2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 3201000000000000100 Date: 03/25/2010 I :07:08PM Job/Journal Number COM20 I 0-00362 COM20 I 0-00362 COM20 I 0-00362 Payments: Type of Payment ONLINE CHGS cReceintl Description 15t Appliance + 12% State Surcharge + 5% Technology Fee Paid By ONLINE PERMIT CHGS Amount Due 79.00 9.48 3.95 $92.43 Item Total: Check Number Authorization Received By Batch Number Number How Received njm .',.:.'=.: 't" .~ Page 1 of I . .., ,. Amount Paid ONLINE comfort flow Online htg co Payment Total: $92.43 $92.43 3/25/20 I 0