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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 . '0:.',r,~,",,:i ~0 i:. .ll. .I,T~ ~ ~::"'. """, -~, D New Construction (Xl AddjtjOn/alteratio~/~e,place~e,~t " ti',;'~: : ' Jr." 'CATEGORY OF'C6NSTRUCTJ(:5N,,,t"lto\~ )jji::t;;!,f"':~, ;:...,....:;..;..,~,. . . .0.", ....:.:,~..'^'...... ," ,.,.....~.~..... .... ":.. .,.."'.iil,L.,..... ~ IRI 1 or 2 family dwelling D Multi-family D Commercial q:~ccessory f;" ,., . o.'f,;:f_:JOB~S1rEfNFO~MATI6NAND{OCATION~Zl:''1'f:.;:; ;':,1;'" 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.: . rp"" ,;. '.'i;... ""~'" ,;DESCRI?,TI6N:Q~;W0R~"'~;"~:;;: ~7!j;/!0.,1f; "r'. ......j' ~"':-..r:"r.1 ';,,:,':c'" ';;:;~'" .... replace heat pump and air handler [, 't~{;A:,; '-":;.,;r' .'.':;C>l " L:-:',";,,~'0 "~'1 -if- IAl,'J Name; GARY WESTGAARD Phone: 541-988-5625 Fax: ..;;~: ....;t._~, ,.,,,,, ')1 "iii1:i, , Emai1: ,. ".< ;':5:,. ._,-;.,_"~\;-~"'t~- ,;, C6.&i~TOif''''::''';: c. ';~:~" >" 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. ~W\D ~-D-l\:) 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 ~ ~#' ~~ ~ !)j- \g ~ \9 " .\0 \o~ ~ ~cJ<. ~ 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 )',t. "'..:1!.',~ Total Vallie of Project I . Fees Paid i PIl!n Reviews I ',' \ I' ,'" H.'.i;.::,\v::::~"I'" .,'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 '"1.;"",,':'- 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 'ii' .~. ,;,. . :.,'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 ""I ~!" ,. , ., ;, ' Page I of I 6/8/20 I 0