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
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; 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
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Suite/bldg./apt.no. :
Project Name: RIGSBY
Cross StreeUdirections to job site:
Tax map/parcel no.:
1702332302101
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INSTALL DUCTLESS SYSTEM
Name: MARY RIGSBY
Phone: 541-746-8715
Fax:
Email:
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," 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
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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
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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
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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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225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
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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
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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 .
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Final Mechanical: When all mechanical work is complete.
Rough Mechanical: Prior to Cover
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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\'-
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Owner or Contractors Signature
Date
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Page 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 #:
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
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$112.32
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