HomeMy WebLinkAboutPermit Mechanical 2010-6-23
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o New Construction
City Of Springfield
225 Fifth 51.
Springfield, OR 97477
Phone: 541-726-3753
Email: pennitcenter@ci.springfield.or.us
Residential Mechanical Authorization To Begin Work
69600-BMC-10-00146
Approval Code; 09419D 6/23/2010 11:50 am
E-mailedTo:kelly@comfortflow.com
lKJ1 or 2 family dwelling 0 Multi-family 0 Commercial
D Accessory
$79.00
Job Address: 751 S 68THPL
City/StateJZlP: SPRINGFIELD, OR 97478
SuiteJbldgJaplno.:
Subtotal
State surcharge (12% of permit
total
Technology fee (5% of permit total)
TOTAL PERMIT FEE
$96.00
$11.52
Project Name: HOISINGTON
$4.80
Cross Street/directions to job site:
$112.32
Tax map/parcel no.:
1802031100700
010-81\
~\L
ul~ho
Name: Dan Hoisinaton
Phone: 541-741-3963
Fax:
Email:
ceB lie. no.: 460
Business Na"1~c&Tn'JffLOW HEATING CO
Contact THIS PERMIT SHA
ATTENTION: Oregon law requires you,t,o
follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth
in OAR 952-001-0010 through OAR 952-001-
0090, You may obtain caples of the rules by
calling the center, (Note: the tele~hone
number for the Oregon Utility Notification
Center is 1-800-332-2344).
Address: 1951
o FOR
"
City/StatelZlP:
Phone: 5417260100
Fax: 5417264799
Email:
Metro lie. no.:
City lie. no.:
Upon review Ind approval by your local Jurisdiction, your pennit will be e-rnalled or faxed
within one business day, wIttIlnstructlons on howto schedule your Inspection.
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~~
~
NOTE: This Authorization To Begin Wort!: expires within 180 dil)'s If a penn~ I.t:. no.t!'btain.,:d.
. An\')
The local building department may detennine that an Authorization To Begin Wortl: is null and ~W"'
-...----....---.-- ~{~
\D
Inspections Phone: 541-726-3769
This Authorization To Begin Work must be posted at the job site until replaced by a Pennit
,
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CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: C0M2010-00811
ISSUED: 06/23/2010
APPLIED: 06/23/2010
EXPIRES: '12/23/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 751 S 68TH PL
ASSESSOR'S PARCEL NO.: 1802031100700
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Replace heat pump and air handler
Owner: HOISINGTON DANIEL E & M K
Address: 751 S 68TH PL
SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION ~
Contractor Type
Electrical
Contractor License
COMFORT FLOW HEATING CO 460
BUILDING INFORMATION ~
Expiration Date
06/2712011
Phone
541-726-0100
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Heil(ht of Structure
Type of Heat:
Water Type:
Range Type:
Enerl:Y Path:
Sprinkled Building:
Lot Size:
Sq Ft I st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garal(e/Carport
Sq Ft Other:
Occupant Load:
nla
REQUIRED PARKING
Frontyard Setback: Overlay Dist: ATTENTION: Oregon 1Hi'bffr?uires youto
Side 1 Setback: lICE" # Street ;I:f}'es Rqd: follow rules adopted bl\-l~~~J:;(;-Wg.Utllity
Side 2 Setback: NO "MIT SH^LL EXnlRE n: 1RiieW6r.>\ Rqd: Notification Center. Thou ru es .' 1lt forth
iHlS PER "r ~ in OAR 952-001-0010throllBH'eti Ii 952-001-
Rearyard Setba(lj D UNDER THIS PER!\M{oa overage: 0090. You may obtain copies of the rules by
Solar Setbacks: AUTHORIZE BANDONED FOR . call in the center. (Note: the telephone
OD ~um er or e reg I U, I
ANY 180 DAY PERI : I PUBLIC IMPROVEMENTS I Center is 1-800-332-2344).
Street Improvements: Sidewalk Type:
I DEVELOPMENT INFORMATION ~
Storm Sewer Available:
Special Instruction:
Downspouts/Drains:
Notes:
I Valuation Descriotion ~
Description
TVDe of Construction
$ Per Sq Ft
or multiplier
Square Footal(e
or Bid Amount
Value
Date Calculated
Paee 1 of2
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: C0M2010-00811
ISSUED: 06/23/2010
APPLIED: 06/23/2010
EXPIRES: 12/23/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
~
Fee Descriotion
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Heat Pump
Amount Paid Date Paid Receipt Number
$11.52 6123110 1201000000000000747
$4.80 6123110 1201000000000000747
$79.00 6123110 1201000000000000747
$17.00 6123110 1201000000000000747
Total Amount Paid
$112.32
I Plan Reviews ~
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.
~eouire~nsnections ~
Rough Mechanical: Prior to Cover
Final Mecbanical: Wheu all mechanical work is complete.
By signature, I state and agree, that 1 have carefully examined the completed application and do hereby certilY 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 ofany structure without permission of the Community Services Division, Building Safety.
I further certilY 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 tbe 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
Paee 2 of2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
"Wit~~it;.7ii.............. ....'..'.
. . ~ ~- ---.. .. .
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City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
1201000000000000747
Date: 06/23/2010
1] :58:48AM
JoblJournaJ Number
COM2010-00811
COM2010-00811
COM2010-00811
COM2010-00811
Payments:
Type of Payment
ONLINE CHGS
cRcceiotl
Description
1st Appliance
Heat Pump
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
ONLINE PERMIT CHGS
Amount Due
79.00
17.00
11.52
4.80
$112.32
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
KR
I.
'''1"; . " ~
:h,t;,:
-'I' ,.~
"'\,-.
>01-10 ~t
Page I of i
,
Amount Paid
ONLINE COMFORT Online
FLOW
HEATING
CO
Payment Total:
$112.32
$112.32
6/23/20 I 0