HomeMy WebLinkAboutPermit Mechanical 2010-6-4
S~~.~NG.~.I. E<~.',,:
~.~
.0
"'OREGON
City Of Springfield
225 FIfth st.
Springfield, OR 97477
Phone: 541-726-3753
Email: permitcenter@ci.springfield.or.us
Residential Mechanical Authorization To Begin Work
69600-BMC-10-00120
Approval Code: 04114D 6/412010 12:31 pm
E-mailedTo:kelly@comfortflow.com
Job Address: 829 S 43RD 5T
Clty/StatelZlP: SPRINGFIELD, OR 97478
SuitelbldgJaptno.:
Project Name: RODEllO
Cross Street/directions to job site:
Tax map/parcel no.:
1802052108900
No;ification Center. TIlieB'lll.l,I,b~.S4
Bu.;n... Na.ir.l,Q Ilffi'€IJ ies of the rules by
Contact caliing the center. (Note:.. e OR
Add,...: 1951 ~ er is 1-800-332-2344).
Clty/State/ZIP: SPRINGFIELD, OR 97477-1993
Phone: 5417260100
Fax: 5417264799
Email:
Metro lie. no.:
City lie. no.:
Upon revi~w and approval by your loca' jurisdiction, your pennlt will be e-maUed or faxed
within one business day, with Instructions on how to schedule your Inspection.
NOTE; Thi5 Authorization To Begin Wor1l: expires within 180 days If a pennit is not obtained.
The local building department may detennlne that an Authorization To Begin Work Is null and
void If it does not meet applicable land use laWl! imd local ordinances.
(J/01ZZ-
Air handling unit
First Appliance Fee
Subtotal
State surcharge (12% of permit
total
Technology fee (5% of permit total)
TOTAL PERMIT FEE
CtO-1o:r kJL lo IqllD
. .'#>
'~~~'1.\\
\i
\ OQ/ ,-0
V 0-,"
\.9" ~ Q.q..--
~~
NOTICE: . E IfTHE WORK
THIS PERMIT SHtlLL ~~~ PERMIT IS NOT
AUTHORIZED UNDERABANDONED FOR
COMMENCED OR IS
ANY 180 DAY PERIOD.
Inspections Phone: 541-726-3769
This Authorization To Begin Worl< must be posted at the job site until replaced by a Pennit
Total
$17.00
$17.00
$79.00
$113.00
$13.56
$5.65
$132.21
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00722
ISSUED: 06/04/2010
APPLIED: 06/04/2010
EXPIRES: 12/04/2010
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
54 1-726-3676, Fax
541-726-3769 Inspection Line
SITE ADDRESS: 829 S 43RD ST
ASSESSOR'S PARCEL NO,: 1802052108900
Springfield TYPE OF WORK: Heating System
PROJECT DESCRIPTION: Install ductless heating system
TYPE OF USE: New
Residential
Owner: RODELLO GILBERT A
Address: 829 S 43RD ST
SPRINGFIELD OR 97478.
I CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Contractor License
COMFORT FLOW HEATING CO, 460
BUILDING INFORMATION ~
# of Units: # of Stories:
Primary Occupancy Group: Height of Structure
Secondary Occupancy Group: Type of Heat:
Primary Construction ~pe I u'lres you to Water Type:
-!:."'lf1I=I\IT1('\1'}1. ~0n aw req
Seconda..y uonstmctio ' '~b Ih Oregon Utilit,ange Type:
f ia""'u rules ado I u y e h
# 0 Bed.uom.: . Th s rules are set for1!iJler::y Pat:
Notlflcatton Cenler. 0 e hOAR 952-00$t>rinkIed Building: nla
. 952-001-00l0throug
0090'IYouthmaYenOte~' (Nole' the te MtRLOPMENT INFORMATION
cal mg e c ' '
number for the Oregon Utility No Ilea
Frontyard Setba&enter is 1_800-332-2344). Overlay Dist:
Side 1 Setback: # Street Trees Rqd:
Side 2 Setback: Paved Drive Rqd:
Rearyard Sethack: % of Lot Coverage:
Solar Sethacks:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Expiration Date
06/27/2011
Phone
541-726-0100
Lot Size:
Sq Ft 1 st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Sidewalk Type:
DownspoutslDrains:
. :T SHfl1.1EXPIR NOT
Valuation Desc ~ Ml OER THIS PERMIT IS
AU ZED UN OONED fOR
$ Per Sq Ft SBuaf,e~@ileOR IS /l.B/l.N .
It' I' \J "'1"3\ tpERIOO Value Date Calculated
or mu 'p 'er 1Ir" I monn '
. A~ V-Ur\'
Storm Sewer Available:
Special Instruction:
Notes:
Description
TVDe of Construction
Paee 1 of2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COMlOI0-00722
ISSUED: 06/04/2010
APPLIED: 06/04/2010
EXPIRES: 12/04/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Valne of Project
Fees tiWLi
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Air Handling Unit Up to 10,000
Heat Pump.
Amount Paid
Date Paid
$13.56
$5.65
$79.00
$17.00
$17.00
6/4/10
6/4/1 0
6/4/10
6/4/10
6/4/10
Receipt Number
1201000000000000612
1201000000000000612
1201000000000000612
1201000000000000612
1201000000000000612
Total Amount Paid
$132.21
I Plan Reviews I
To Request an inspection call the 24 hour recording at 726-3769. All inspections requested hefore 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.
~eouire~nsnec~
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
By signatnre, 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 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 ofthe 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 are requested at the proper time, that each address is readable from the
street, that the permit card is located at the front ofthe property, and the approved set of plans will remain on the site at all
times during construction.
Owner or Contractors Signature
Date
Pal!e 2 of2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
1201000000000000612
Date: 06/04/2010
I :24:04PM
Job/Journal Number
COM20 I 0-00722
COM20 1 0-00722
COM2010-00722
COM20 1 0-00722
COM20 I 0-00722
Payments:
Type of Payment
ONLINE CHGS
cReceintl
Description
1 st Appliance
Air Handling Unit Up to 10,000
Heat Pump
+ 12% State Surcharge
+ 5% Technology Fee
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Paid By
ONLINE PERMIT CHGS
KR
,:{~.~ . ;,~ ';\~,::,'.
,..;s1;!J l'i~'T' I '.
I'.a ,,_'~~.',.
fi~~.fjJ1"
~~;'l;", -
<,~~~1;i: i;\,.
-,
.....'1,
Page I of I
ONLINE COMFORT Online
FLOW
Payment Total:
Amount Due
79.00
17.00
17.00
13.56
5.65
$132.21
Amount Paid
$132.21
$132.21
614120 I 0