HomeMy WebLinkAboutPermit Mechanical 2010-5-27
City Of Springfield,
225 Fifth $t.
Springfield. OR 97477 \~'i.:I,:
Phone: 541-726-3753 . 'i'C't7;
Email permitcenter@ci.springfield:oLuS"; ~~:';:"'.'-
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,CATEGORV:.0F CONSTRUCTION,:, ,'; ',p-"".,
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[Z] 1 or 2 family dwelling
o Multi-family 0 Commercial
o Accessory
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Job Address: 3805 E ST
City/State/ZIP: SPRINGFIELD, OR 97478
Suitefbldg.fapt.no.:
Project Name: BERTINI
Cross Street/directions to job site:
Tax map/parcel no.:
1702311301400
INSTALL DUCTLESS SYSTEM
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Name: NANCY BERTINI
Phone: 541-746-6845
Fax:
Email:
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cce Iic> no,: 460
Business Name: COMFORT FLOW HEATING CO
Contact:
Address: 1951 DON 5T
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City/State/ZIP: SPRINGFIELD. OR 97477.1993
Phone: 5417260100
Fax: 5417264799
Email:
Metro lie, no.:
City He. 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 to schedule your inspection. l::,.;n ,~~,i ".... ~
NOTE: This Authorization To Begin Work expires within 180 days if a permit is noi ~bti;i~ed::'l,~j:: r;~'l'
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The local building department may determine that an Authorization To '~,~!'}!-\JWOrk .',is inull
void if it does not meet applicable land use laws and local ordinances,
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Residential Mechanical Authorization To Begin Work
69600-BMC-10-00114
Approval Code: 025500 5/27/2010 1:27 pm
E-mailedTo:kelly@comfortfiow.com
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Description Qty, Ea. I Total
Heatirlg/c;ooiing;Appli~_i1~(}s ;> f'. .," . - ',~-. ,: :
Heat Pump 1 $17,00 $17.00
Air handling unit 1 $17.00 $17,00
MlillrrllJrn"Fee"s .c"",_ " ." , ".- ," " "
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First Appliance Fee I $79,00
~_~J~l!(lnJcalJ?ermit,Fee_~ "t . _' . ,>;,' ~ >., . ':'is . - -. :
Subtotal $11300
State surcharge (12% of permit $13.56
totall
Technology fee (5% of permit total) $5,65
TOTAL PERMIT FEE $132.21
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Inspections Phone: 54.1,726-3769
This Authorization To Begin W?rk.m~st be posted at the job site until replaced by a Permit
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00688
ISSUED: OS/27/2010
APPLIED: OS/27/2010
EXPlRES: 11/27/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 3805 E ST
ASSESSOR'S PARCEL NO.: 1702311301400
. Springfield TYPE OF WORK: Mechanical Only
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Install ductless system
Owner: BERTINI LIVING TRUST
Address: 3805 E ST
SPRINGFIELD OR 97478
Phone Number: 541-746-6845
I CONTRACTOR INFORMATION ~
Contractor Type
Mechanical
Contractor License
COMFORT FLOW HEATING CO. 460
Bu'iLinNG INFORMATION I
Expiration Date
06/27/2011
Phone
541-726-0100
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
8,prinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION ~
Frontyard Setback:
Side I Setback:
Side 2 Sethack:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLlCIMPROVEMENTS I
Street Improvements:
Sidewalk Type:
Storm SeweK~'1Ii\llble: : AnENT10N: 0reg8ll~QmIyug to
Speciallnstf~HiWrE= ", follow 1'1II00 adopted by the Oregon Utility
THIS PERMIT SHALL EXPIRE IF THE WORK NotlficatlonCenter. Those rules are setforth
Notes: ~gT~~~~ZE~ UNDER.~H/SPERMIT IS NOT ~,~f\:2~01~~?nt':~~~~t~9r~~~0~;
"'-.IV 0 "-~. unl..Jr\IIJUVl"~' ,-", er. oe: e e
. .1..[1 f"W P[,R'0l Valuation DdllU(I\ eOregon Utility Notification
r is 1-800-332-2344).
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$ Per Sq Ft . . S,quare Footage
or multiplierf'.\ -<(~f \~'.' aIr-Bid Amount
Description
Type of Construction
Value
Date Calculated
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Page I of2
Status
Issued
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: COM2010-00688
ISSUED: OS/27/2010
APPLIED: OS/27/2010
EXPIRES: 11/27/2010
VALUE:
Total Value of Project
L~~es ,Paid ~.
....~-...., ........ '. .."
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1 st Appliance
Air Handling Unit Up to 10,000
Heat Pump
Amount Pai.j('
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$13.56
$5.65
$79.00
$17.00
$17.00
Total Amnunt Paid
$132.21
I Plan Revie~s ~
Date Paid
5127/10
5127/10
5/27/10
5/27/1 0
5/27/10
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Receipt Number
3201000000000000249
3201000000000000249
3201000000000000249
, 3201000000000000249
3201000000000000249
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.
I Reouired"Insoections ~
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Rough Mechanical: Prior to Cover ':-':':: ,., ,. .'.
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Final Mechanical: When all mechanical wo'rk' is complete.
By signature, 1 state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and 1 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 tbe 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.
I 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. . j;. ,,\'
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Owner or Contractors Signature Date
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225 Fifth Street
Springfi~ld, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Puhlic Works Department
RECEIPT #:
3201060000000000249
Date: OS/27/2010
2:00:52PM
Job/Journal Number
COM2010-00688
COM20 1 0-00688
COM2010-00688
COM20 1 0-00688
COM20 1 0-00688
Payments:
Type of Payment
ONLINE CHGS
cReceiotl
Description
1 5t Appliance
Heat Pump
Air Handling Unit Up to 10,000
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
ONLINE PERMIT CHGS
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Received ~y
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Item Total:
Check Number Authorization
Batch Number Number Ilow Received
ONLINE comfort flow Online
Payment Total:
Amount Due
79,00
17,00
17,00
13,56
5,65
$]32.2]
Amount Paid
$132.21
$132.21
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5/27/2010