HomeMy WebLinkAboutPermit Mechanical 2010-7-21
City Of Springfield
225 Fifth St
Springfield, OR 97477
Phone: 541-726-3753
EmaH: permitcenter@ci.springfield.or.us . :,
(j 10 .9109
Residential Mechanical Authorization To Begin Work
69600-BMC-10-00196
Approval Code: 096170 7/21/2010 10:20 am
,'"
E-mailedTo:kelly@comfortftow.com
Description
" , I
[Z] 1 or 2 family dwelling 0 Multi-family 0 Commercial 0 Accessory
i_: ~,,~,~~~t~~.,~:~; ',,~'OB~'~trEtINFOR~AtION,'A'NDLo_CAm0N}i~tt+:'t2:02i~:~ :<~;1
City/State/ZIP: SPRINGFIELD, OR 97478
"/i~;fY~ ,~:S! '~ )
First Appliance Fee
OOErctla"6ica'jipermit,Fem:i'
Subtotal
Stale surcharge (12% of permit
total
Technology fee (5% of permit total)
TOTAL PERMIT FEE
$79.00
$9.48
Job Address: 1045 S 40TH PL
Sulte/bldgJapt.no.:
$3.95
$92.43
Project Name:"FLEECE
,::
Cross Street/directions to job site:
Tax map/parcel no.:
1802061420200
J
INSTALL AC
c>>, ^\~~:;;-__~; :J:SFrE;C-oNTAGi:~0:J':2~--
Name: JASON FLEECE
-, ;.~.
.'-".,
Phone: 541-499-4637
Fax:
Emai/:
'" "',I
CCB'lic. no.: 460
Business Name: COMFORT FLOW HEATING CO
..rFr--'TT~";':,
Contact:
Address: 1951 DON ST
'I"!
City/State/ZIP: SPRJNGFJElD, OR 974771993
Phone: 541-726-0100
Fax: 541-726-4799
Email:
Metro lie, no.:
City lie. no.:
Upon review and approval by your local jurisdiction, your permit will be e-malled 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 obta~ned,
," '" ,
.,~ ' ,..;""..
The local building department may determine that an Authorization .I,~~~~jf'!_; Y"or1< is nUl,l, and
void if it does not meet applicable land us~ laws and local ordinances. ' "
J.
(fiIYll!:/JIO -
7.-,,}I---/O
o:Jtf6 '1
/? /h..-
........-_. ,::!;.!.,. "
:J~~~ __:--.~.._._
_.....r<<._ ' "",;'
Inspections P.hone: 541-726-3769
This Authorization To Begin Work;must be posted at the job site until replaced by:a Permit
n;',
^ .'
[" .
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00969
ISSUED: 07/2112010
APPLIED: 07/2112010
EXPIRES: 0112112011
VALUE:
'.0,"",-,":: _"I'"
. - ,'~~',,~:,~
;7;'21;" ~f' .
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
"
SITE ADDRESS: 1045 S 40TH PL
ASSESSOR'S PARCEL NO.: 1802061420200
S~ringfield TYPE OF WORK: Use Initials
,r~.
\ ::;.~'
TYPE OF USE:
New
Residential
PROJECT DESCRIPnON: Install AlC
;.
Owner: FLEECE JASON OLIVER
Address: 1045 S 40TH PL
SPRINGFIELD OR 97478
Phone Number: 541-499-4637
Contractor Type
Mechanical
I CONTRACTOR INFORMA nON ,
:- ..,,~ '
Contractor :: ,~~: " .'.. License
COMFORT FLOW HEArl~G CO;' , 460
BUILDING INFORMA TlON ~
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 pai~:.'. ;;':
Sprinkled Btiil~ing:"
Lot Size:
Sq Ft I st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
nla
I DEVELOPMENT INFORMATION ~
REQUIRED PARKING
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist: Total:
# Street T~~!fBq<!;ON: Oregon law requires yffil'Ulicapped:
Paved Drh:~:Rq<!:Jles adopted by the Oregon <:.:m1}.Pyact:
- % of LoOOoverage:l Center. Those rules me set forth .
in OAR 952-001-001 0 through OAR 952-001-
() ,........." _ ~.L_: _ _.
"., '.-",'- . . u> --~-~""--r'-~~'.""'" '........uy
I PUBLIC1MPR~E'Vr:ENrrs;'nter, (Note:. the telephone
.. . ,~. ..IIUIIIUvl IVI lllt:! OreSJon,Utd1hf Notification
, -. . .." Ct' 1 sidewalk :r.ype:
',TL'I{ "n1'.... en er IS -oul.;-":>v~-~0..Lf).
!~ f' Downspoutsffirains:
Street Improvements:
Storm Sewer Available:
S . I!' .t.t"II-r-r."....
pecl3 ns r.uctw.rt;.
THIS PERMiT SHALL EXPIRE IF THE WORK
Notes: AUTHORIZED UNDER THiS PERMIT IS NOT
,...rlfHllrf,I",r-n f\t'l 1(' ^f)Af'llnnr"IC C 0
/ ',I\( 150 DAY PERIOD
I Valuation Description I
Description
Type of Construction
$ Per Sq Ft
or multiplier' .
)'qu~re Footage
'~'~'I'~or'Bid Amount
.
Value
Date Calculated
. q.,,-.,.',
,.., . ~, j ..':.r,..
, ".., ._~..
L ;~;:&.:,'.~~,~ ,;)
.' "
Pa2e I of 2
;'1':';,"; ," ,
'L,fv.":r'~'1r,t(~.rt~r:~"'i> .1 ~:: '
'f~1;1.,:i,,; ';1"$i~,;':i.o~7U~, r'l~ ,-,'
i"," . ,
: ;-
;~"'~'T:<:' ,'j,.- '.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
\;~.:.:', ;
Total Value of Project
I ' Fees Paid ,
. ,;
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Amount Paid,
.~, > Date Paid
$9.~8/'
$3.95 ""
$79.00
, 7/21/10
7/21/10
7/21/10
Total Amount Paid
$92.43
I Plan R~views ~
".,".. ,!
i ,1.I~':'r' ;:'Y'frf.\,:'b;;t;:~.... r ," .'. .
'~'\;f:f~ 'e$;<'~,;A4"" . ',1;
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00969
ISSUED: 07/21/2010
APPLIED: 07/21/2010
EXPIRES: 01/21/2011
VALUE:
Receipt Number
3201000000000000463
3201000000000000463
3201000000000000463
To Request an inspection call the 24 hour re'cordin-g'at726-3769. All inspections requested before 7:00
fi.'.;o"'
a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following
work day.
Reauired Insoections ~
Rough Mechanical: Prior to Cover
,I,
Final Mechanical: When all mechanical wor~ is compl~t~: .
i;
By signature, I state and agree, that I have carefnlly;examiiIed't~e completed application and do hereby certify that all
information hereon is true and correct, and I fi.i'riii~';1certify that'any and all work performed shall be done in accordance with
the Ordinances ofthe City of Springfield and theL~ws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any structure 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 front of the property, and the approved set of plans will remain on the site at all
times during construction.
f..< ~.
r'.:" ".
l n:~" :;r~t~~iff'''; I
".""'.,<",,,;:,', '",,"," "....~.,:i
Owner or Contractors Signature
. ,:,,,"_~, . J,''''-:,'' "
n!~(;{1' ',;..!,,:.
,N'~ .
I
, . 'Paee,2 of 2
. ,,,,',~
, 'ii ~ . " I' 0:' ~I '
Date
225 Fifth Street
. ..
Springfield, Oregon 97477
541-726-3759 Phone
.
.....' r
,.
, .r
City of Springfield Official Receipt
Development Services Department
Pnblic Works Department
RECEIPT #:
3201000000000000463
Date: 07/21/2010
I :30:SSPM
Job/Journal Number
COM20 1 0-00969
COM20 I 0-00969
COM20 1 0-00969
Payments:
Type of Payment
ONLINE CHGS
cReceintl
Description
1st Appliance
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
ONLINE PERMIT CHGS
"
"~'I' :~:~tfNt
,y,.
!I .
Ii,'/'
".'~':'~:~ i~ ...:...'....h.Check Number
. R'~~~i~ed By . Batch Number
NJM
Item Total:
Authorization
Number How Received
Amount Due
79.00
9.48
3.95
$92.43
Amount Paid
ONLINE COMFORT Online
FLOW
Payment Total:
"
.). 'i, ~~,};:~4;,i\:~;!
"<:If..'i"i,,'
, '!,fi--
,
'. 'it":~~l~~; ,.
;l~' <'~[~~::J.\...,
,~.~-.,. .,......,.--..-'
..~:);t '~:~~'/.~~ ~.~
.?t:d"
"__,
1\,
','
'. '" ..'.;;.:~,\,:J".._,.~..~~.!~,~;", I 3'
~ \J,Wrij,T. .~.
~I': t~rj'i~f;~ '
. :'T;;f'iT!~';:
. '~g~f)ii~'~';;
~?~t.:\~~ ,i .:t,;V:~~ i :t'
4
.,?~:.. i'i
Page 1 of 1
$92.43
$92.43
7/21/2010