HomeMy WebLinkAboutPermit Mechanical 2007-8-9
..
~
! -~. ~_...~ '.
WIr::Mi .
iI:_ .. I
l :,
""._ '0 , .. ., .,/
.
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SCANNED
. CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-01175
ISSUED: 08/09/2007
APPLIED: 08/09/2007
EXPIRES: 02109/2008
VALUE:
Status
Issued
SITE ADDRESS: 978 RAINBOW DR
ASSESSOR'S PARCEL NO.: 1703342101000
Springfield
TYPE OF WORK: Mechanical Only
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Heat Pump & Air Handler
Owner: SHIPLEY WILLIAM M & M A
Address: 978 RAINBOW DR
SPRINGFIELD OR 97477
Phone Number: 541-736-8783
I CONTRACTOR Il.rvKlVlATION I
Contractor Type
Mechanical
Contractor
COMFORT FLOW
License
460
BUILDING INFORMATION I
Expiration Date
06/27/2009
Phone
541-726-0 I 00
# 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 Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Sidewalk Type:
Storm Sewer Available:
Special Instruction:
~l!apoutsmrains:
~. ~""'~~~D
W 1i\lQco~~~~~
~'miC~' 1'N~~Oft~. ThO~~ooc:;3~
711lC :':r.n.~1'i' ~MIlI n (M)1~EfR\\Il~~lSwa~I~~ ~ ~~~~~~
AUTHORIZEO UNDER THIS P II '''Vb I t' D . t' ~Irngiilo~ ~..Gtol'-' .'~~-'.2y
ED 0" IS lB"MnON~ ~or a ua IOn escrm 10fl0,~~""" - ~~~'-.""
COMMENC VI'" "'"'" 10>1/ If ~'-J Vlve,W' v......l' "'~. . "".'
AM\! 111n DAY ~I=Rlon- . $ Per Sq Ft Square Footage' b D~
D~pllO)\ 'rvpe oTConstructlOn It' I' B'd A Value Date Calculated
or ruu Ip lef or I mount
Paee I on
...
.
. U 1 l' VI< ~PRINGFlELD -
Building/Combination Permit
PERMIT NO: COM2007-01175
ISSUED: 08/09/2007
APPLIED: 08/09/2007
EXPIRES: 02/09/2008
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
F""s p,.irll
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Air Handling Unit Up to 10,000
Heat Pump
Miscellaneous Mechanical
Amount Paid
Date Paid
$20.00
$5.00
$2.50
$4.00
$9.00
$14.00
$27.00
8/9/07
8/9/07
8/9/07
8/9/07
8/9/07
8/9/07
8/9/07
Receipt Numher
3200700000000000542
3200700000000000542
3200700000000000542
3200700000000000542
3200700000000000542
3200700000000000542
3200700000000000542
Total Amount Paid
$81.50
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.
L.Rf'OU i..aJr<""rtionsJ
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 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 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.
Owner or Contractors Signature
Date
Paee 2 of 2
.-
!chanical Authorization To Begin wor'
E-mailedTo:kelly@comfortnow.com
Receipt # RC515223
8/9120078:10:54 AM
tity of Springfield
~
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springlield.or.us
NOTE: This Authorization To Begin Work expires within 180
days If a permit Is not obtained.
II
II Description
j Heating/cooling appliances
I I Furnace. up to 100,000 BTU
II Furnace - above 100,000 BTU
II Electric Furnace
II Duct alterations and additions
I I Gas heater units! in-wall, in-
duel susoended. elel
I Vent, flue. liner for arove
I Air Conditioner
j Heat Pump
I Air Handler
I Other fuel burning appliances
I Water heater
I Gas fireplace/insert/stove
I Gas log/log lighter
I Gas c10thesdryer
I Gas stove/range
I Pool or spa heater. kiln
I Wood/pellet stove/insen
I Wood fireplace
I Chimneyflinerlfluelvenl w/o
aooliance
I Environmental exhaust AND ,"'colilalion
I Range hood
I Clothes dryer exhaust
I Single-duct exhaust (bathrooms,
toilet compartments. utility
rooms)
I Attic/crawlspace fans
I Fuel piping
I uplO first 4 outlets(enter Qty=l)
I each additional outlet
I II MECHANICAL PERMIT FEES
Sublotal $23,00
I j Minimum fee used instead of Sub IOta I $50.00
I Stale Surcharge (8% of penn it fee) $4.00
I Ci~ OrsI?rin~field fees; $27.50
l TOTAL PERMIT FEE , $81.50
'City Of Springfield 10% Local Admin Fee; 5% Local Techno~;
$11..._.._"-. -O\IIS
COM: rl \)0 (
'< ') (JO ( - 6Lf2-
RCPT #. -.) <:..
9' -Dj ~af
DATE PROCESSF~ n -
PROCESSEDBY:~'\
This Authorization To Begin Work must be posted at the job site until rePlace~ by a ~it.
TYPE OF WORK
FEE SCHEDULE
I Qly. I
Ea.
Total
I D New construction
[i] Addition/alteration/replacement
CATEGORY OF CONSTRUCTION
I [X] 1 or 2 family dwelling 0 Multi-family 0 Accessory Building
JOB SITE INFORMATION AND LOCATION
IJob no.: 824793 IJob address: 978 RAINBOW DR
IClty/StatelZlP: SPRINGFIELD. OR 91477-3636
I Suitelbldg./apl.no.:
I Project name: SHIPLEY
Cross slreet/directions to job site:
$14,00
$9.00
$14,00
$9.00
I Subdivision:
ITax map/partel no.: 1703342101000
I DESCRIPTION OF WORK
INSTALL HEAT PUMP AND AIR HANDLER
11.01 DO.:
SITE CONTACT
I Name: MELINDA & MIKE SHIPLEY
I Phoae: (541) 136-8183
I Emall:
I
I CCO Ii,. DO.: 460
I Business Name: COMFORT FLOW HEATING CO
I Conlact: kelly
IAddress: 1951 DON ST
ICiI}"/StatelZIP: SPRINGFIELD, OR 974771993
IPhoae: (541)1260100 IFax: (541)1264199
I Emall: kelly@comfortflow.com
I Metro lie. no.:
I Fax:
CONTRACTOR
ICily lie. no.:
Upon review and approval by your local Jurisdiction, your
pennlt will be e.mailed or faxed within one business day,
with Instructions on how to schedule your Inspection.
The local building department may detennlne that an
Authorization To Begin Work Is null and void 11 It does not
meet applicable land use laws and local ordinances.
,
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2007-0 1175
COM2007-0 1175
COM2007-01175
COM2007-01175
COM2007-01175
COM2007-01175
COM2007-01175
Payments:
Type of Payment
.
~~
Wit
. of Springfield Official Receipt
i"ft!Ie'elopment Services Department
Public Works Department
RECEIPT #:
3200700000000000542
Date: 08/09/2007
8:45:04AM
Description
Air Handling Unit Up to 10,000
Heat Pump
Miscellaneous Mechanical
-Mechanical Issuance Fee-
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Amount Due
9.00
14.00
27.00
20.00
2.50
4.00
5.00
$81.50
Paid By
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Paid
ONLINE CHGS ONLINE PERMIT CHGS
cReceint I
NJM
$81.50
ONLINE COMFORT Online
FLOW
Payment Total:
$81.50
Page I of I
8/9/2007