HomeMy WebLinkAboutPermit Mechanical 2010-6-8
City Of Springfield
225 FitthSt.
Springfield, OR 97477
Phone: 541~726-3753
Email: permilcenler@ci.springfield.or.us
(!,/O.732-
Residential Mechanical Authorization To Begin Work
69600-BMC-1 0-00124 .
Approval Code: 040580 6/8/2010 9:55 am
E-mailedTo:kelly@comfortflow.com
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D New Construction (Xl AddjtjOn/alteratio~/~e,place~e,~t "
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IRI 1 or 2 family dwelling D Multi-family D Commercial q:~ccessory
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Job Address: 1909 BONNIE IN
CityfState/ZIP: SPRINGFIELD, OR 97477
Suite/bldg.lapt.no.:
Project Name: wetgaard
Cross Street/directions to Job site:
Tax map/parcel 1703251211600 .
no.: .
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replace heat pump and air handler
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Name; GARY WESTGAARD
Phone: 541-988-5625 Fax: ..;;~: ....;t._~,
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CCB lie. no : 460
Business Name: COMFORT FLOW HEATING CO
Contact:
Address: 1951 DON ST
City/State/ZIP: SPRINGFIELD, OR 97477-1993
Phone: 5417260100 Fax: 5417264799
Email:
Metrolic. City lie. ,
no.: 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 applicable land use laws and local ordinances.
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CX.f73':<
NM
Total
<\l.:
Heal Pump
,MJnJ!num,Fees ~
First Appliance Fee
M9ch~nica.I:Perrriit:fee~~?
Subtotal
,Stale surcharge (12% of permit
total
Technology fee (5% of permillotal)
$17.00
1
$79.00
\',;1
$96.00
$11.52
$4.80
$112.32
TOTAL PERMIT FEE
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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
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00732
ISSUED: 06/08/2010
APPLIED: 06/08/2010
EXPIRES: 12/08/2010
VALUE:
"j<S-;~/
,
'.
Status
Iss u ed
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1909 BONNIE LN
ASSESSOR'S PARCEL NO.: 1703251211600
Springfield TYPE OF WORK: Heating System
. ,.
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Replace heat pump and air handler
Owner: WESTGAARD GARY
Address: 1909 BONNIE LN
SPRINGFIELD OR 97477
Contractor Type
Mechanical
I CONT,RA€TORINFORMATlON .
Contractor License
COMFORT FLOW HEATING CO. 460
I BUILDING INFORMATION I
# of Units: # of Stories:
Primary occl111,an., _~"G. ',fdil(J':)regon law requires YOJll1.ht of Structure
Secondary qt~~PlI,,~tGrotiilpted by the Oregon Ufl of Heat:
Primary CO\J1~tWjjctitinl~pelter._ Those rules are se _ /Iff!' Type:
Secondary <U\lliStl1UetronevypllP 10 through OAR 951w Type: .
# of BedrooOO90. You may obtain copi:s of the ru Rer~y Path:.,'.:
. calling the center. (Note..the tel~~h ,rinkled Building: nla
, e Oreoon Utility Notlflc un .
Center is 1-800- 0 ELOPMENT INFORMATION
Front yard Sethack:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Cuverage:
Phone Number: 541-988-5625
Expiration Date
0612712011
Phone
541-726-0100
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer Available:
Spedallnstruction:
I PUBLIC'lMPROVEMENTS .
NOTICE: Sidewalk Ty'p~: .
. rl' THIS PERMIT SHALL ~XPIRE IF [HE WORK
AUTHORIZED UNDER ?~'f~~~W1'lf'~NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Notes:
I Valuation Description I
Description
Tvlie of Construction
$ Per Sq Ft
or multiplier
.Square Footage
1" ,\, ,
.' or Bid Amount
'.-1,'
',"J:
Pa~e I of2
Value
Date Calculated
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fee Description
+ 12% State SlIrcharge
+ 5% Technology Fee
1st Appliance
Heat Pump
Amount Paid.
$11.52
$4.80
$79.00
$17.00
Total Amount Paid
$112.32
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Total Vallie of Project
I . Fees Paid i
PIl!n Reviews I
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.,'u .
'. ~'>r.::', 'n '-'\ i'
), Date Paid
6/8/10
6/8/10
6/8/1 0
6/8/10
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM20IO-00732
ISSUED: 06/08/2010
APPLIED: 06/08/2010
EXPIRES: 12/0812010
VALUE: .
Receipt Numher
3201000000000000280
3201000000000000280
3201000000000000280
3201000000000000280
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.
~Reauired InsDections i
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
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, alld 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 pertailling to the work described herein, and
that NO occur ANCY will be made of any structure without permissioll 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 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
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Page 2 of 2
'. .....
Date
225 Fifth Street
Springfield, Oregon 97477
541-72(;-37$9 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
3201000000000000280
IO:41:03AM
Date: 06/08/2010
Job/Journal Number
COM20 1 0-00732
COM20 I 0-00732
COM2010-00732
COM20 I 0-00732
Payments:
Type of Payment
ONLINE CHGS
cReceintl
Description
1st Appliance
Heat Pump
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
ONLINE PERMIT CHGS
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:.,'i::'
Amount Due
79.00
17.00
11.52
4.80
$112.32
~;
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Paid
NJM
ONLINE COMFORT Online
FLOW
Payment Total:
$112.32
$112.32
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6/8/20 I 0