HomeMy WebLinkAboutPermit Mechanical 2010-8-3
t/{)./()37
city Of Springfield
225 Fifth 5t
Springfield, OR 974n
Phone: 541-726-3753
Email: permitcenter@d.springfield.or.us
Residential Mechanical Authorization To Begin Work
69600-BMC-10-00209
Approval Code: 083390 8/312010 9: 19 am
E-mailedTo:kelly@comfortflow.com
$79.00
Job Address: 5660 DAISY 5T
Clty/StateJZIP: SPRINGFIELD, OR 97478
Subtotal
State surcharge (12% of permit
total
Technology fee (5% of permit total)
TOTAL PERMIT FEE
$96.00
$11.52
SuiteJbldgJaplno.: 6
Project Name: PRAY
$4.80
Cross Street/directions to job site:
$112.32
Tax map/parcel no.:
1702334401423
(:JO-1031
kJL
'6131lD
CCB Ilc. no.: 460
Business Name: COMFORT FLOW HEATING CO
Contact NOTICE:
ATTENTION: Oregon law requires au to
fonSw rules adopted by the Orego~ Utilit
Notlllcatlon Center. Those rules are set foJh
In OAR 952-001-0010 through OAR 952-001-
0090.. You may obtain copies of the rules b
calling the center. (Note: the telephone Y
number for the Oregon Utility Notification
Center IS 1-800-332-2344).
I
7 71993A~lnONED FOR
P~on.' 541-726;ol.0,gO DAY PERIOD. Fa" 541-726-4799
Email:
Metro lie. no.:
city lie. no.:
Upon review and approval by your local jurisdiction, your pennlt wfll be e-mailed or laud
within one business day, with InstnJctlons on howto schedule your Inspection.
NOTE: This Authorization To Begin Wor1t expires within 180 days If II pennlt 1& not obtained.
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The local building deparbnent may detennlne that an Authorization To Begin Work Is null and
void if It does nllt meet applicable land use laws and local ordinances.
Inspections Phone: 541-726-3769
This Authorization To Begin Work must be posted at the job site until replaced by ~ Pennit
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM20IO-OI037
ISSUED: 08/03/2010
APPLIED: 08/03/2010
EXPIRES: 02/0312011
'- VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
SITE ADDRESS: 5660 DAISY ST 6
ASSESSOR'S PARCEL NO.: 1702334401423
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Replace beat pnmp and air handler
Owner:
Address:
PRAY LESLIE R & PATRICIA E
5660 DAISY ST SPACE 006
SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION ~
Contractor Type
Mechanical
Contractor
COMFORT FLOW HEATING CO.
License
460
Expiration Date
06/2712011
Phone
541-726-0100
BUILDING INFORMA nON ,
# 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 Ist Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
REQUIRED PARKING
Front yard Setback: Overlay Dist: Total:
Side 1 ~etback:' # Street Trees Rqd: ATTENTION' 0 Handicapped: .
Side 2fsaj}d~: Paved Drive Rqd: tollow rules' d regon law l@Q,W;mtyou t
RearYiirm~~t~lWin SHALL EXPIRE IF THE WOR~ of Lot Coverag~ot;t;cat;on C:n~teT~ by.the Oregon Utilify
Solar S!',t~NG~IZED UNDER. THI. c:: ~I In OAR 952-001-0010 t1~s; ~u/es are ~ettorth
'J:~J~V~tNCED ORIS ABANDONED FIJ1VBLIC IMPROVEMENWlli~g the ce~~ra;n~op~es ot the oru/~s b;
.() DAY PERIOD. ..u",eer tOf,Jb~ "'-~ ( ote. the telephone
Street Improvements: C ""'~Ik'~<!;Jtility N ft' .
. enter IS 1-800~q 0 I IcatJon
Storm Sewer Available: . DownspoutslDr.ii@44).
Special Instruction:
I DEVELOPMENT INFORMATION ~
Notes:
I Valuation Description i
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
I
Date Calculated
Pal!elof2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-01037
ISSUED: 08/03/2010
APPLIED: 08/03/2010
EXPIRES: 02/03/2011
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
Total Value of Project
Fees Paid I
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Heat Pump
Amount Paid
Date Paid
Receipt Number
$11.52
$4.80
$79.00
$17.00
8/3/10
8/3/10
8/3/1 0
8/3/1 0
1201000000000000858
1201000000000000858
1201000000000000858
1201000000000000858
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 madethe same working day, inspections requested after 7:00 a.m. will be made the following
work day.
I Reouired 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, 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 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 constructi~n.
Owner or Contractors Signature
Date
Paee 2 of2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department.
RECEIPT #;
1201000000000000858
Date: 08/03/2010
1:02:50PM
Job/Journal Number
COM20 I 0-0 I 037
COM2010-01037
COM2010-01037
COM2010-01037
Payments:
Type of Payment
ONLINE CHGS
cReceintl
Description
15t 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
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Page I 'on
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Amount Paid
ONLINE COMFORT Online
FLOW
HEATING
Payment Total:
$112,32
$112,32
8/3/20 I 0