HomeMy WebLinkAboutPermit Mechanical 2010-7-2
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City Of Springfield
225 Fifth 51
Springfield, OR 97477
Phone: 541-726-3753
Email: permitcenter@ci.springfield.or.us
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Residential Mechanical Authorization To Begin Work
69600-BMC-10-00165
Approval Code: 08675D 7/2/2010 10:39 am
E-mailedTo:kelly@comfortflow.com
New Construction
[KJ Addition/alleratio'n/replacemeni
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"cAfEG'ORY.OF'c6NSfRUCtION"~illlt~<':M .
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[Z]1 or 2 family dwelling
o Multi-family 0 Commercial
D Accessory
.,"JOB'SITE ,IIIIFORMATIONAND)iOCA TlON
Job Address: 364 49TH $T
City/State/ZIP: SPRINGFIELD, OR 97478
Suite/bldg./apt.no. :
Project Name: hayes
Cross Street/directions to job site:
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Tax maplparcel no.:
1702324100225
INSTALL DUCTLESS SYSTEM
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Name: DAVID & BARBARA HAYES
Phone: 541-746-1191
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Fax:
Email:
CCB lie. no.: 460
Business Name: COMFORT FLOW HEATING CO
Contact:
Address: 1951 DON ST
CityfStatefZIP: SPRINGFIELD, OR 974771993
Phone: 541-726-0100
Fax: 541~7264799
Email:
Metro lie. no.:
City lie. no.:
Upon review and approval by your local jurisdiction, your permit will be e-mailed or faxed
within one business day, with instructions on how to schedule your inspection.
NOTE: This Authorization To Begin Work expires within 180 days if a permit is not obtained.
The local building department may determine that an Authorization To
void If it does not meet applicable land use Jaws and local ordinances.
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$n20/V
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Description
Heafjh9'iC(){)f!nff~ppnir:'c_e~ ~_~
Heat Pump
Minifrl'ull1:,Fees "'"4-
First Appliance Fee
Mechanic~1 PerniitFees-c
Subtotal
State surcharge (12% of permit
total
Technology fee (5% of permit total)
TOTAL PERMIT FEE
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$96,00
$11,52
$4.80
$112.32
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Inspections Phone: 541-726-3769
This Authorization To Begin Work must be pos!ed .at the job site until replaced by a Permit
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM20I0-00883
ISSUED: 07/02/2010
APPLIED: 07/02/2010
EXPIRES: 01/02/2011
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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SITE ADDRESS: 364 49TH ST
ASSESSOR'S PARCEL NO.: 1702324100225
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Install ductless system
Owner: HAYS DAVID K & BARBARA E
Address: 364 49TH ST
SPRINGFIELD OR 97478
Contractor Type
Mechanical
I CONTRACTOR INFORMATION ,
Contractor License
COMFORT FLOW HEATING CO, 460
BUlLD,ING INFORMATION I
Expiration Date
06/2 i /20 II
Phone
541- 726-0 100
"
# of Units:
. Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Ii M Stories:'
!!eight of Structure
'Type ofH~at:
Water Type:
Range Type:
Energy Path:
Sprinkled 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 I
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:.
Paved Drive Rqd:
% of Lot CoVerage:
REQUIRED PARKING
, Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS.
Notes:
Sidewalk Type:
~r;;~~if[.GQAA-Ia\ll;reqUfreS yoU to
. " Notification Cen:teth by the Oregon Utility
,',i(',,' In OAR 952:001.00'10 thOrsoe ruh,eOs are set forth
, ,',., . 0090. You .. ug AR 952-001.
h'i; .. '" ", cef/i mayobteln COpies of the rules
TICE: I :,~ .". IIwmber for the Oregon Uiilt e ep one
. THIS PERMIT SHALL EXPIRE 1~-w...~Description I Center is l'800_332~ls~~:Jf,cetion
" AUTHORIZED UNDER ,THIS PE~M,\T~P'lOT S uare Foota e
Descnphon COMmv;p'~I3'~I}'l3'~'1\c"'\;'ANDQNliJi\.fiilJi\er o~ Bid Amou:t Value Date Calculated
~,NY 180 DAY PERIOD,
Street Improvements:
Storm Sewer Available:
Special Instruction:
Pa2e I of 2
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00883
ISSUED: 07/02/2010
APPLIED: 07/0212010
EXPIRES: 01/0212011
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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... "TilfalValue of Project
',.\
I Fees Paid ~
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Heat Pump
Amount Paid
Date Paid
$11.52
$4.80
$79.00
$17.00 .
7/2/10
7/2/10
:712/10
7/2/10
Receipt Number
320io00000000000374
3201000000000000374
3201000000000000374
3201000000000000374
:'1' ", .
Total Amount Paid
$112.32,/
I Plan Reviews 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. 0'''''';,' ~'.r"'"
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Reiluired lilsnections .
>iT
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, and I fnrther 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 structnre without permission 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 fronfiJf'the property, and the approved set of plans will remain on the site at all
times during construction. ' .
Owner or Contractors Signature
Date
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Pa2e 2 of 2
225 Fifth Street
Springfield, Oregon 97477
541-726:3759 Phone
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City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
3201000000000000374
12:20:32PM
Date: 07/02/2010
Job/Journal Number
COM20 1 0-00883
COM20 1 0-00883
COM20 1 0-00883
COM20 1 0-00883
Payments:
Type of Payment
ONLINE CHGS
cRcceintl
Description
Heat Pump
1 sl Appliance
+ 12% State Surcharge
+ 5% Technology Fee
Pa id By
ONLINE PERMIT CHGS
Amount Due
17.00
79.00
11.52
4.80
$112.32
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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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7/2/2010