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