HomeMy WebLinkAboutPermit Mechanical 2010-5-27
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Residential Mechanical Authorization To Begin Work
69600-BMC-10-00113
Approval Code: 01366D 5/27/2010 1:20 pm
E-mailedTo:kelly@comfortflow.com
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City Of Springfield
225 Fifth 51.
Springfield, OR 97477
Phone: 541*726-3753
Emait: permitcenler@ci.springfietd.or.us
o New Construction
IR] Addition/alteration/replacement.
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00 1 or 2 family dwelling D Multi.family 0 Commercial" . [J~: Accessory
I,,:r'..;'" ,;c'" . JOB'SITEjNFORMA TION ANlROCA iION~' /' ,."" , I
Job Address: 3807 EST
City/State/ZIP: SPRINGFIELD, OR 97478
Suite/bldg.lapt.no.:
Project Name: BERTINI (MOTHER)
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Cross Street/directions to job site:
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Tax mapfparcel no.:
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1702311301400
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INSTALL DUCTLESS SYSTEM
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Name: NANCY BERTINI
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Phone: 541-746-6845
Fax:
Email:
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ceB lie. no.: 460
Business Name: COMFORT FLOW HEATING CO
Contact:
Address: 1951 DON 5T
City/State/ZIP: SPRINGFIELD, OR 97477-1993
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Phone: 5417260100
Fax: 5417264799
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Email:
Metro lie. no.:
City lie. no.:
Upon review and approval by your local jurisdiction, your permit will be a-mailed or faxed
within one business day, with Instructions on how 10 schedule your Inspection.
NOTE: This Authorization To Begin WorX 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 meel applicable land use laws and local ordinances.
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Description
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Heat Pump
Air handling unit
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Qty. Ea.
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Total
Minim,um I:oos.., C.-C" ~ Ct.?",_ ,/ '.?c' ,'.,~,',
First Appliance Fee I
MechaniC'Of Pormit I:.os .~...",:
Subtotal
State surcharge (12% of permit
totall
Technology fee (5% of permit total)
TOTAL PERMIT FEE
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Inspections Phone: 541-726-3769
This Authorization To Begin Work ",ust be posted at the job site until replaced by a Permit
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1 $17.00
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$17.00
$17.00
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$79.00
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$113.00
$13.56
$17.00
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$5.65
$132.21
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CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM20IO-00687
ISSUED: OS/27/2010
APPLIED: OS/27/2010
EXPIRES: 11127/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 3807 E ST
ASSESSOR'S PARCEL NO.: 1702311301400
Springfield TYPE OF WORK: Mechanical Only
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Install ductless system
Owner: BERTINI LIVING TRUST
Address: 3805 E ST
SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION ~
Contractor Type
Mechanical
Contractor
COMFORT FLOW HEATING CO.
License
460
Expiration Date
06/2712011
Phone
541-726-0100
BUILDING INFORMATION ~
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Rimge Type:"
, , ~"Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION ~
REQUIRED PARKING
Overlay Dist: Total:
#,Street Trees Rqd: Handicapped:
Paved Drive Rqd: Compact:
% of LotCoveragel\TTENT/ON' .
..,- " foil . Oregon law
:'",._,' "" ,~w r~'es ado te requires }IOU to
I PUBLIC' IMPROVEMl!NJI\$lIlJ52-001~;;icihose rules are setfol1h
iite~ou m through OAR 952-""
calling th SYd~IIIk1~ilSofth __t_
n e ce"~~'.JNo\tl; e rulea br
umber for 1ftt!'~&lSuir!histelephone
Center is 1_aoo".,.,tllity NotllloatJoq
....,2-2344).
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
NOTICE:
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$ Per SqFt
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Description
'UTHORIZED UNDER THI
"OMMENCED OR IS ABA
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Type'of 100nsrrlitt &lV.
Page 1 of2
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Status
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Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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Total Valne of Project
Fees,Paid't-
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Air Handling Unit Up to 10,000
Heat Pump
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Amount Paid" ;
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$13,56
$5.65
$79.00
$17.00
$17.00
Total Amount Paid
$132.21", .
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Plan 'R~~'i~~s ~'
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Date Paid
5/27/10
5/27/10
5/27/10
5/27/10
5/27/10
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00687
ISSUED: OS/27/2010
APPLIED: OS/27/2010
EXPIRES: 11/27/2010
VALUE:
Receipt Number
2201000000000000590
2201000000000000590
2201000000000000590
2201000000000000590
2201000000000000590
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.
Reouired Ins~~,~tions ~
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Rougb Mecbanical: Prior to Cover , . ,,,:?L'
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Fiual Mechanical: When all mechanical w;)rk is complete.
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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 certify that any 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 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.
I further agree to ensure that all required inspections.",re;r~q~e!ted at the proper time, that each address is readable from the
street, that the permit card is located at the front ofgg,pi;,<fIieI',ty';'and,:the approved set of plans will remain on the site at all
times during construction. ;'1n,~ ,.~1l;_
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Owner or Contractors Signature
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P~lie2 of 2
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Date
225 Fifth Strl:-et
Springfield, Oregon 97477
541-726-3759 Phone
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City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
2201000000000000590
Date: OS/27/2010
1:32:3IPM
Job/Journal Number
COM20] 0-00687
COM2010-00687
COM20]0-00687
COM20]0-00687
COM20 I 0-00687
Payments:
Type of Payment
ONLINE CHGS
cReceintl
Description
Air Handling Unit Up to 10,000
1 5t Appliance
Heat Pump .
+ ] 2% State Surcharge
+ 5% Technology Fee
Paid By
ONLINE PERMIT CHGS
Received By
NJM
Check Number
Batch Number
,
Amount Due
17.00
79.00
17.00
13.56
5.65
$132.21
Item Total:
Authorization
Number
How Received
Amount Paid
$132.2]
ONLINE COMFORT Online
FLOW HTG
Payment Total:
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$132.21
5/27/20 I 0