HomeMy WebLinkAboutPermit Mechanical 2010-4-6
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Residential Mechanical Authorization To Begin Work
69600-BMC-10-00064
Approval Code: 02043D 4/6/2010 2:01 pm
E-mailedTo:kelly@comfortfiow.com
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City Of Springfield
225 Fifth St.
Springfield, OR 97477
Phone: 541-726-3753
Email: permilcenter@ci.springfleld.or.us
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0 New Construction IRI Addition/a Ilerationlreplacement
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IRI 1 or 2 family dwelling 0 Multi-family 0 Commercial 0 Accessory
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Job Address: 1197 S 39TH ST
City/StatefZ1P: SPRINGFIELD. OR 97478
Suite/bldg.lapt.no.:
Project Name: ADAMS
Cross Streetfdirectlons to job site:
Tax maplparcel no.: 1802064108403
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INSTALL HEAT PUMP AND AIR HANDLER
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Name: GARY & LINDA ADAMS
Phone: 541"726-9616 Fax: .
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eCB 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 Ilc. no.: City lie. no.:
Upon review and approval by your 10l;;al jurisdiction, your permit will be a-mailed 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.
Tho local building department may determine that an Authorization To Begin Work is null and
void if it does not meet applicable land use laws and local ordinances.
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Description
~eati~9icoOilng Appli~l'!ces/y"ii~~5?'~~, >
Heat Pump
iIJIfniniurn F~es"
First Appliance Fee
~eCtlanic_aiPehnit1F~e;s "
Subtotal
State surcharge {12% of permit
total
Technology fee (5% of permit total)
TOTAL PERMIT FEE
$17.00
$79,00
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$96.00
$11.52
$4.80
$112.32
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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
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00432
ISSUED: 04/06/2010
APPLIED: 04/06/2010
EXPIRES: 10/06/2010
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1197 S 39TH ST
ASSESSOR'S PARCEL NO.: 1802064108403
Springfield TYPE OF WORK: Mechanical Only
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Install heat pnmp and. ,aJr hap<!,l~r
Owner:
Address:
ADAMS GARY LEE & LINDA SUE'
1197 SO 39TH
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION ~
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 Occnpancy Group:
Secondary Occupancy Group:
Primary Constructiou Type
Secondary Coustruction Type:
# of Bedrooms:
# of Stories:
Height of Strncture
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Bnilding:
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 INFORMATION ~
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Ovhlay'Dist:
# Street Trees Rqd:
Paved Drive Rqd: '
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer Available:
Special Instrnction:
ATTENTION: Oregon law requires you to
ru es a OpIe y 1 VI loHIIH
PUBLIC IMPROVEME alion Center. Those rules are set forth
In OAR 95Sia(M,llR~j\lr9ugh OAR 952-001-
0090. You may obtain caRies of the rule,: by
" calling tRB'1:11ffl!!P.t'(1D.E!'!I1~ile telephone
,number for the Oregon Utility Notification
Center is 1-800-332-2344).
Notes:
NOTICE:
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\UTHORIZED UNDER THIS F1E\w'UJ.s.J~Unescription I
~OMMENCED OR IS ABAND~
i1'\("; on ,y.;! DCtPlnI\ $ Per Sq Ft Square Footage
.,\ (iy-pe Olruohs ruclIon . . .
, or mulhpher or B,d Amount
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Description
Value
Date Calculated
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. Paee 1 of 2
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Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00432
ISSUED: 04/0612010
APPLIED: 04/06/2010
EXPIRES: 10/06/2010
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 I
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Heat Pump
Amount Paid
Date Paid
Receipt Number
$1 1.52
$4.80"-'1"
$79.00 "
$17.00:': ~
, .
416110
416110
416110
416/1 0
3201000000000000130
3201000000000000130
3201000000000000130
3201000000000000130
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Total Amount Paid
$112.32
I Plan Reviews ~
To Request an inspection call the 24 hour recording ~t 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. "
Renuired InsDections I
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
By signature, 1 state and agree, that 1 have carefully:,~xami~ed ,the completed application and do hereby certify that all
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information hereon is true and correct, and 1 furth'~r c,ertify that any and all work performed shall be done in accordance with
the Ordinances of the City of Springfield and the l;~~s 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.
1 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
" .
Pa2e 2 01'2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
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City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
""'1.-. .:\, ;,
3201000000000000130
Date: 04/06/2010
2:29:41PM
Job/Journal Number
COM20 I 0-00432
COM20 I 0-00432
COM20 I 0-00432
COM20 I 0-00432
Payments:
Type of Payment
ONLINE CHGS
cReceintl
Description
1st Appliance
!-Ieat Pump
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
ONLINE PERMIT CHGS
Amount Due
79.00
17.00
11.52
4.80
$112.32
Item Total:
Check Number Authorization
Received By Batch Number Numbe'r How Received
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Amount Paid
ONLINE comfort flow Online
heat
Payment Total:
$112.32
$112.32
4/6/20 I 0