HomeMy WebLinkAboutPermit Mechanical 2010-4-27 City Of Springfield 225 Fifth SI. Springfield, OR 97477 Phone: 541.726.3753 Email: permitcenl:r@ci.springfield.or.us D New Construction IX] Addition/alteralionfreplacement .""" ; CATEGORY~0F'CONSTRUCliION [Z] 1 or 2 family dwelling D Accessory D Multi-family 0 CommerCial JOB SITE INFORMATION.ANDL:0CIHlON,':':, Job Address: 4825 E S1 City/State/ZIP: SPRINGFIELD, OR 97478 ,1 t Suite/bldg./apt.no. : Project Name: RIGSBY Cross StreeUdirections to job site: Tax map/parcel no.: 1702332302101 ,';.: ":6ES~CRIf>,Ti0N,bFWORK" .. - -- . ,r,"",,".. INSTALL DUCTLESS SYSTEM Name: MARY RIGSBY Phone: 541-746-8715 Fax: Email: , ... ....... ._"...."4~...-...... ...........~...-.. :' . ". ," CONTRi\CTQR',':.,' cee lie. no.: 460 Business Name: COMFORT FLOW HEATING CO Contact Address: 1951 DON ST CityfState/ZIP: SPRINGFIELD, OR 97477-1993 Phone: 5417260100 Fax: 5417264799 Email: Metro lie. no.: City li~. 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 10 schedule your inspection. NOTE: This Authorization To Begin Work expires within 180 days if a permit is not obtained. The 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. ~WIO'-- 00530 '(\rY' 4 /?/..../ 0 ',.<. :-.~--.' ,~.~~,. Q. \ (). c:::e.o Residential Mechanical Authorization To Begin Work 69600-BMC-10-00075 Approval Code: 003040 4/27/2010 1 :53 pm E.mailed To: kelly@comfortflow.com ri-:'-~~"f:~~~?"'i""" --~;~M Description ~e.atirig'/C'60:Iirlg Appliances'- Heat Pump Miniiniim;Fees'"',: $17.00 First Appliance Fee ~eCt1.arifcal' P-e-rmit~ee~-' Subtotal State surcharge (12% of permit total Technology fee (5% of permit total) TOTAL PERMIT FEE $79 00 'I $96.00 $11.52 $480 $112.32 \ /:- ~t;~ ~. \g ~\D ~~<J:'" \F'- Inspections Phone: 541,726-3769 This Authorization To Begin Work must be posted at the job site until replaced by a Permit J:,.,. . 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line ". t.. . . 'Y~ . >>,;-"f'~... CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00520 ISSUED: 04/27/2010 APPLIED: 04/27/2010 EXPIRES: 10/27/2010 VALUE: Status Issued V'n- SITE ADDRESS: 4825 E ST ASSESSOR'S PARCEL NO,: 1702332302101 Springfield TYPE OF WORK: Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: Install ductless system Owner: MARY L RIGSBY REVOCABLE TRUST Address: 4825 E ST SPRINGFIELD OR 97478 I CONTRACTOR INFORMATION . Contractor Type Mechanical Contractor License COMFORT FLOW HEATING CO. 460 BUILDING INFORMATION ~ Expiration Date 06/27/2011 Phone 541-726-0100 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height:ofStructure '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 INFORMATION I 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 Improvements: Storm Sewer Available: Special Instruction : Sidewalk Type: tI'cr DownspoutslDrains: Ires you \0 t>.'l"TENTION: Ore~:; ~~~~:~egon Ut~~ .. talloW rules adop lhOse rules are ~.oo1. "; ".' '., NotiflcatiOn_ce~~~1othroll;ghOARerule8bY .' 0 You may 0 (Note' the telep escri tio aliing the center. on Utility NotlficatlOft number for the,~;eloo#_2.344). . Square YOotagecenter I V I D . C I I B'd A t a ue ate a cu ated or I moun Notes: NOTIC : EXPIRE \F",' THIS PERMIT SHALL i , , . AUTHORIZED UNDER THI~;o~eQ-Wltt DeSCrIptIOn CO,.T,wmSHl<4}RJ.iI:~ It' I' l"iIIl"!' D or mu Ip ler ANY 180 DAY PERIO ' Paee I of 2 Status Iss u ed CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00520 ISSUED: 04/27/2010 APPLIED: 04/27/2010 EXPIRES: 10/27/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line , ;,tot~\V~.'.u,e of Project I::&e~-P~id ~ "-. , ir,," Fee Description + 12% State Surcharge + 5% Technology Fee 1st Appliance Heat Pump Amount Paid Date Paid Receipt Number $11.52 4/27/10 3201000000000000169 $4.80 4/27/10 3201000000000000169 $79.00 4/27/10 3201000000000000169 $17.00 4/27/10 3201000000000000169 Total Amount Paid $112.32 Pl,an 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. Reuuired InsDections . ,~(.: " Final Mechanical: When all mechanical work is complete. Rough Mechanical: Prior to Cover i:'-;:::.S'T::' .;,..-r~.V':" "":.;;,J,:_,r,, " .: ;,t"" ,_... _.~ ,''I:''''C' By signature, I state and agree, that 1 have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and 1 further certify that auy 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 structnre without permission of the Community Services Division, Building Safety, 1 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. : .ll\'- '''.)!:" " Owner or Contractors Signature Date ;,~"iijrr, . I '.'.' . i. ~:*,iIlfU' \l::~~~' '.t*: \,. .i: ~.1."j~;1 f";: ' . l!<. '! Page 2 01'2 225.Fifth Street . Springfield, Oregon 97477 541-726-3759 Phone ~.--.p.J~~~11IU'.<lU>. ii',......,. Wi:' '.. ' R........... ", .. -" ,-....,-..................,. -........-..-,. -- City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 3201000000000000169 Date: 04/27/2010 2:28:55PM Job/Journal Number COM20 1 0-00520 COM20 1 0-00520 COM20 I 0-00520 COM20 1 0-00520 Payments: Type of Paymeot ONLINE CHGS cReceintl Description 1 st Appliance Heat Pump + 12% State Surcharge + 5% Technology Fee Paid By ONLINE PERMIT CHGS Item Total: Check Number Authorization Received By Batch Number Number How Received ONLINE comfort flow Online htg co Payment Total: Amount Due 79.00 17.00 11.52 4.80 $112.32 Amount Paid njm $112,32 '. ,.... ..,....',... $112.32 I 'J I i ~ L.:,," Page 1 of 1 4/27/2010