HomeMy WebLinkAboutPermit Mechanical 2010-7-13
D New Construction
C/O, 932-
Residential Mechanical Authorization To Begin Work
69600-BMC-10-00184
Approval Code: 03213D 7/13/2010 9:34 am
E-mailedTo:kelly@comfortflow.com
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City Of Springfield
225 Fifth St
Springfield, OR 97477
Phone: 541-726-3753
Email: permitcenter@ci.springfield.or.us
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D Accessory
Description
Hea~i~g/,(jp()li~g'A'ppiiances;~:~ (<'x'
Heat Pump
~inim~!!l;Fees-": ::
First Appliance Fee
~echan'ic~!p~hllit'F,ees"~ "
Total
[K] 1 or 2 family dwelling
D Multi-family D Commercial
$17.00
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$79.00
Job Address: 697 71ST ST
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City/State/ZIP: SPRINGFIELD, OR 97478
Project Name: DYSON
Subtotal
Stale surcharge (12% of permit
total
Technology fee (5% of permit total)
TOTAL PERMIT FEE
$96,00
$11.52
Suite/bldg.fapt.no,:
Cross Street/directions to job site:
$4.80
$112.32
Tax map/parcel no.:
1702352405400
REPLACE HEAT PUMP AND AIR HANDLER
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Name: DANIEL & MEAGAN DYSON
Phone: 541"736-1080
Fax:
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Email:
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CCB lie. no.: 460
Business Name: COMFORT FLOW HEATING CO
Contact:
Address: 1951 DON ST
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City/State/ZIP: SPRINGFIELD, OR 974771993
Phone: 541~726-0100
Fax: 541"726-4799
Email:
The local building department may determine that an Authorization To
void if it does not meet applicable land use laws and local ordinances.
Begin Work is null and
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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.
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j1fr'--mspections Phone: 541-7,26-3769
This Authorization To Begin Work must be posted at'the job site until replaced by a Permit
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Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00932
ISSUED: 07/1312010
APPLIED: 07/13/2010
EXPIRES: 0111312011
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone \
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 697 71ST ST
ASSESSOR'S PARCEL NO.: 1702352405400
Springlield TYPE OF WORK: Heating System
TYPE OF USE: New
Puhlic
PROJECT DESCRIPTION: Replace heat pump a!,d air handler
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Owner: DYSON DANIEL J & MEGAN E
Address: 697 71ST ST
SPRINGFIELD OR 97478
Phone Number: 541-736-1080
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Contractor Type
Mechanical
I CONTRACTOR INFORMATION i
Contractor License
COMFORT FLOW HEATING CO. 460
BUILDING INFORMATION ~
Expiration Date
06/27/2011
Phone
" 541-726-0100
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories: .
Height of Structure
" Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basemeut:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION i
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
:-~k~' ',. .-{,.
:Oy~rliifDist: . .",
,,#;~treet Trees Rqd:
, raved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMP'ROVEMENTS i EXPIRE IF THE WORK'
, In'v no n IV II , v,IALL ' S NOT
Street Improvements: " HORIZED UNDEhSif\~1tal.kffi!PllI I
ATT.i=NTION' area 0 I . AUT n H'nnW:D I=nR .
Stor~ Sewer~~IJ~ta~J~bs ~do ~ n aw requires-you tD COMM,E,NGED OR IS @Ownspoutsrorlliils~
SpecIal Iust'1\'SHR1!btion C t pteTd by the 01 egon LJtillty -AN' y' 180 DAY PERIOD.
. en er. hose rules are set forth
Notes: In OAR 952.001.0010 through OAR 952.001. .": i '
0090., You may obtain copies of the rU"'s,by
callm(1 th,::> f"'cnt,...~ 1t.'_~_..Lt. ., t:t j';
number for the Oreo'on Uii/lty J':;;ii'~~;'~-
Center is 1.800.332.23: ~alU'ati\\n Descri tion
Descriotion
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Heat Pump
Total Amount Paid
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. ._._,,~'T.otal Value of Project
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00932
ISSUED: 07/13/2010
APPLIED: 07/1312010
EXPIRES: 0111312011
VALUE:
Receipt Number
3201000000000000432
3201000000000000432
3201000000000000432
3201000000000000432
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, inspectionsreque;ted after 7:00 a.m. will be made the following
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workday.".."...,
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I Fees Paid .
Amount Paid
$11.52
$4.80 ".'
$79.00,,,;,,\,
$17.00<,,'~, ,.,.-- (:,,,;--
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$112.3i'i::.
I Plan Reviews ~
Date Paid
7/13/10
7/13/10
, 7/13/10
7/13/10
Uea~ired InsDect~
By signature, 1 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 further certify that any and all work performed shall be done in accordance with
the Ordinances ofthe 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 structu;~ with'oil't permisshin of the Community Services Division, Building Safety.
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I further certify that only contractors and employees'who'areiilcompliance with ORS 701.005 will be used on this project.
I further agree to ensure that all required inspectiq~~. ~~'re reqiiestcd at the proper time, that each address is readable from the
street, that the permit card is located at the front of ('lie 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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Paee 2 of 2
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Date
225 Fifth Stre,et
Springfield, Oregon 97477
541-726-3759 Phone
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City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
32010Q0000000000432
9:49:51AM
Date: 07/13/2010
Job/Journal Number
COM2010-00932
COM201O,00932
COM201O,00932
COM201O,00932
Payments:
Type of Payment
ONLINE CHGS
cReceintl
Description
1st Appliance
Heat Pump
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
ONLINE PERMIT CHGS
Item Total:
. Che~k Number Authorization
Received By Batch Number .. Number How Received
Amount Due
79.00
17.00
11.52
4.80
$112.32
Amount Paid
NJM
ONLINE COMFORT In Person
FLOW
Payment Total:
$112.32
$112.32
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7/13/2010