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Home My WebLink AboutPermit Mechanical 2010-3-16 C-IO- 3dlo Residential Mechanical Authorization To Begin Work 69600-BMC-10-00051 Approval Code: 067640 3/16/2010 10:09 am E-mailedTo:kelly@comfortfiow.com , ~:'FFEESGHEOULE City Of Springfield 225 Fifth $t Springfield, OR 97477 Phone: 541-726-3753 Email: permitcenler@ci.springfleld.or.us " ';. c' . '0..~:;~f~FjYPE.QF:W6RK:;,T,::.,,-ct ,-";':',,-; .;:;~ 0 New Construction IRl Addition/alteralion/replaceme nl , :', , -, ",. ' "CATEGORY,OF'CONSTRUCTION ';'--'~,J:~~ ... IRl 1 or 2 family dwelling 0 Multi-family 0 Commercial 0 Accessory .1.., . " JOB SITE'INFORMATfoNANO!LOCA llOill .... "'. -, -~ - ~ Job Address: 983 OLD ORCHARD LN CltyfState/ZIP: SPRINGFIELD. OR 97477 Suitefbldg.lapt.no.: ,,-.'.' " Project Name: HOLM "r::: .. Cross Street/directions to job site: Tax map/parcel no.: 1703234301000 L.f" :<.,', - ':X"'''!' ..~.[)E::tC::flIPfIOIll:OF..WQRK _~~j:"r';';:;';;:F"'",c ',~-" REOlACE AC AND GAS FURNACE , ,. ,?<, "-,. , . ' ,." _,~SITE-CONT ACT;~ .... .. - .... ~ 'r'" "0"2" .'" c", ".. - Name: Florence Holm Phone: 541.747-2653 Fax: .. ' Email: .:."....... -; .' ,~-; ",'C<)Nr~c:IQR ,,' ," . " ,', , ' .' " " , ',,- cee lie. no.: 460 Business Name: COMFORT FLOW HEATING CO Contact: Address: 1951 DON ST ;f;,::,M~_ 'L " City/State/ZIP: SPRINGFIELD, OR 97477-1993 -- ..' .. Phone: 5417260100 Fax: 5417264799 Emal1: Metro lie. no.: City lie. no.: Upon review and approval by your local jurisdiction, your permit will be (I-mailed or faxed within one businllsl:i day, with instructions on how to schedule your inspl;tct]on, NOTE: This Authorization To Begin Work e:o:pln.lS within 180 days if a permit is not obtained. The local building department may determine that an Authorization To Begin Work Is null an.d void if it does not meel applicable land use law5 and local ordinances. WnUJ/O - 003~(4 {1m G/I&//o Description Heatin91Co9IingAppliance's"," , ' Furnace. up to 100,000 BTU ~inimumFe.esY'~~ First Appliance Fee lvIech~nical permit'Fees $79.00 Total $17,00 Subtotal Slate surcharge (12'% of permit total Technology fee (5% of permit total) TOTAL PERMIT FEE $96.00 $11.52 $4,80 $112.32 ...~~. ~~ ' ~\D <0'\' ~ ~t.8( ~ Inspections Phone: 541-726-3769 This Authorization To Begin Work must be'posted at the job site until replaced by a Permit ;.1:t ~...::.(. ......, . Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00326 ISSUED: 03/16/2010 APPLIED: 03/16/2010 EXPIRES: 09/16/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 983 OLD ORCHARD LN ASSESSOR'S PARCEL NO.: 1703234301000 Springfield TYPE OF WORK: Mechanical Only TYPE OF USE: New Residential PROJECT DESCRIPTION: Replace ac and gas furnace. Owner: HOLM FLORENCE Address: 983 OLD ORCHARD LN SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION ~ Contractor Type Mechanical Contractor License COMFORT FLOW HEATING BUILDING INFORMATION ~ Expiration Date Phone # 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: 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 DEVELOPMENT INFORMATlO~ REQUIRED PARKING Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS ~. Street Improvemtj/lT5i=ENTION: Oregon law requires you to Sidewalk Type: St S A foliRlN rules adopted by Ihe Oregon Utility S or~llewer . ~jlfmifl~~tion Center. Those rules are set forth Downspouts/Drains: pCCla nstruct'/hnOAR 952-001-001 0 through OAR 952-001- 0090. You may obtain copies of the rules by Notes: h I h calling the center. (Note:, tete ~Il o~e ~ " , :? Descripti~~ Center is 1-800-33 - . Valuation Descrf"illi'IE THIS PE IT SHALL EXPIRE IF THE WORK A~~wJitz'1:~a~DER THI~F~~6TF~RNgJte Calculated COMIVltNew uR IS ABANDO\~ I\NY 180 DAY PERIOD, $ Per Sq Ft or multiplier Type of Construction Paee I of2 'i~' .\ ( 1Iar~f"~M"~F;1,!1,2 i ". . ~.,.. " .' CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00326 ISSUED: 03/16/2010 APPLIED: 03/16/2010 EXPIRES: 09/16/2010 VALUE: ,', Status Issued 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 I st Appliance Furnace - up to 100,000 btu Amount Paid Date Paid Receipt Number $11.52 $4.80 $79.00 $17.00..:..; 3/16/10 3/16/10 3/16/10 3/16/10 2201000000000000244 2201000000000000244 2201000000000000244 2201000000000000244 Total Amount Paid $112.32" . I Plan Reviews ~ 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. . LReouired InsDec~ Rougb 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.!'.ertif{t~.at any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the La,:,:s of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will bemade 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. ] further agree to ensure that all required inspection's 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 Paee 2 of2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone tit,. City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 2201000000000000244 Date: 03/16/2010 10:36:38AM Job/Journal Number COM2010-00326 COM20J 0-00326 COM20 I 0-00326 COM20 I 0-00326 D'escription 15t Appliance Furnace - up to 100,000 btu + J 2% State Surcharge + 5% Technology Fee Paid By ONLINE PERMIT CHGS Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Due 79.00 .17.00 11.52 4.80 $112.32 Payments: Type" of Payment ONLINE CHGS Amount Paid njm ONLINE comfort flow Online Payment Total: $112.32 $112.32 ., ,~:t,tk ~*. .~!,....';' }'i p~. v, " 1/ "~~ilf ,0'1. .. cReceintl Page I of I 3/16/2010