HomeMy WebLinkAboutPermit Mechanical 2010-5-20
City Of Springfield
225 Fifth 5t
Springfield, OR 97477
Phone: 54,1-726-3753
Email: permitcenter@ci.springfield.or.us
(J10.LPS::'
'Residential Mechanical Authorization To Begin Work
69600-BMC-1 0-001 06
Approval Code: 00308D 5/20/2010 1 :57 pm
E-mailedTo:kelly@comfortflow.com
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D New Construction IRI Addition/alterationlreplacement
iO .., , '>i>v" CATE<30RY'OF' C;ONSJ8iJc;rior\i<c';';;;'-, c." -".'
IRI 1 or 2 family dwelling D Multi~family D Commercial D Accessory
" ".. ':, - JOB SiTE'INFORMATIONAND'LOCAT(QI.b........ -yr.:-
Job Address: 1680 DELROSE AVE
CityfState/Z1P: SPRINGFIELD, OR 97477
Suite/bldg.fapt.no. :
Project Name: KENWORTHY
Cross Street/directions to job site:
Tax map/parcel no.: 1703243400132
. -',L. 0' cool:',"",;. , . DESCRi~.T19N OF ~''C. ;~'1,j
REPLACE HEAT PUMP AND AIR HANDLER
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Name: KEVIN & ROBVN KENWORTHY
Phone: 541-726-8713 Fax:
Email:
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CCB Iic. no.: 460
Business Name: COMFORT FLOW HEATING CO .. ..
Contact: '0>
Address: 1951 DON ST
City/State/ZIP: SPRINGFIELD. OR 97477-1993
Phone: 5417260100 Fax: 5417264799
Email:
Metro lic. no.: City Iic. no.: -.--. -- ...
Upon review and approval by your local jurisdiction, your permit will be e.mailed 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 appl1cable land use laws and local ordinances.
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- 00(053
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, 'FEE,SCHEDlJl:E"
Description
Heat,inQJCooli!J{J"Appti.fnC,e!?;': _
Heat Pump
Minimum;~-~e-~' .
First Appliance Fee
!YIEJ.c~:a~i-dil"Perinit'Fees,A:2:~:
Subtotal
State surcharge (12% of permit
total
Technology fee (5% of permi11otal)
TOTAL PERMIT FEE
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6
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Total
'i
$17,00
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$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: COM2010-00653
ISSUED: OS/20/2010
APPLIED: OS/20/2010
EXPIRES: 11/20/2010
VALUE:
Sta tus
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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SITE ADDRESS: 1680 DELROSE AVE
ASSESSOR'S PARCEL NO.: 1703243400132
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Heat pump & air handler
Owner: KENWORTHY KEVIN E & ROBYN L
Address: 1680 DELROSE AVE
SPRINGFIELD OR 97477
Phone Number: 541-726-8713
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
."('I'.
# 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 GaragelCarport
Sq Ft Other:
Occupant Load:
nla
I DEVELOPMENT INFORMATION.
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dis!:'
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
,~. 3/';";~~.:;""'e",:~"
I PUBLIC IMPROVEMENTS .
Street Improvements:
Storm Sewer Available:
Special Instru~j4tQ"E . .;:,.-ii '\'.:' ,'. ..'" I
NUll.... . . .,p;A'i;"""~.;,'!llUi,,',,,: "r,
Notes' THIS PERMIT SHALL EXPIRE IF THS~pRK,,,
. AUTHORIZED UNDER THIS PERMIT IIp,NOT
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I,;UIV!IVltl~ tU K;:' I-IDI-lIWC""
11,NY 180 DAY PERIOD. Valuation Descri
Sidewalk Type:
ATTENTION' Oroo.ol:l , .
tOIlO\fllWMPli/lgprEl~igi!W reqUires you ~o
. Notification Center Tho~~hel Oregon Utility
in OAR 952,001-0010 th rUhes are set forth.
0090 y, . roug OAR 952-001-
, caljin o~h~~~~btaJn Copi.es of the rules by
urn ere or the. Oregon Utility Notification
enter IS 1-800-332-2344).
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
,.
Pa2e 1 of 2
c'
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00653
ISSUED: 05/20/2010
APPLIED: 05/20/2010
EXPIRES: 11/20/2010
VALUE:
Status
Issued
. :1;
Total Value of Project
Fees Paid-,
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Amount Paid
Date Paid
Receipt Number
$9.48
$3.95
$79.00
; 5/20/1 0
5/20/10
5/20/10
2201000000000000549
2201000000000000549
2201000000000000549
Total Amount Paid
$92.43;
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, insp.ections',req'uested after 7:00 a.m. will be made the following
work day. _~'. :~;
"
Reouired InsDections I
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
By signatu're, I state and agree, that I have carefully examined the cO"1pleted application and do hereby certify that all
information hereon is true and correct, and I further certify that any a~d all work performed shall be done in accordance with
the Ordinances of the City of Springfield and the Laws of the State of Qregon 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 employ~es who are in'compliance with ORS 701.005 will be used on this project.
I further agree to ensure that all required insp~ction'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
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Pa2e 2 of 2
225 Fifth Street
SprihgfiCld, Oregon 97477
541-726-3759 Phone
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City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
2201000000000000551
Date: OS/20/2010
2:34:30PM
Job/Journal Number
COM2010-00653
COM20 I 0-00653
COM20 I 0-00653
COM20 I 0-00653
Payments:
Type of Payment
ONLINE CHGS
cReceintl
Description
Heat Pump
1st Appliance
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
ONLINE PERMIT CHGS
l:;l~'> ; ':;.'L
Amount Due
17.00
79.00
11.52
4.80
$112.32
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
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Page I of I
Amount Paid
ONLINE COMFORT Online
FLOW
, Payment Total:
$112.32
$112.32
5/20/20 I 0