HomeMy WebLinkAboutPermit Mechanical 2009-6-25
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Status
Issued
CITY OF ~rKll"'GFIELD
Building/Combination Permit
PERMIT NO: COM2009-00940
ISSUED: 06/25/2009
APPLIED: 06/2512009
EXPIRES: 12/29/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
SITE ADDRESS: 1846 12TH ST
ASSESSOR'S PARCEL NO.: 1703264103400
Springfield' TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Heat Pump
Owner:
Address:
TOMSETH JOHN W & RHEA A
1846 N 12TH ST
SPRINGFIELD OR 97477
Contractor Type
Electrical
Mechanical
I CONTRACTOR ~NFO~MA T10N, tJ
, on lavnequ" :'~n \Jlilit'{ , .
Contractor nEt\lIOl't ore{ed bY 1M OI5i~~I),~~\OII\1Expiration Date
OWNER ~\\Q'N !u\es~~dO~1, l\1Ose lu\e~:R 952-001'
SUNSET HEAT~!YGI~'AIR\I~~I"I\\O 1\1loU9~ !J.W,Q.6;ules bY 08/18/2010
in I"'Bi.iiLDIN~l[NFORMATION'I~i\i~~~\~n
OC"-, 1\16 G~'''- 'on U""'l ..~
ca\\lI\Q# ':-St'Ior., ()le9 332-2344).
rob.;\o, oneS. '1_800- .
nU Hejglft.'O'i- 'Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Phone
541-988.3181
# of Units:
Primary Occupancy Gronp:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
VB
Lot Size:
Sq Ft J'st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
R-3
n/a
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Frontyard Setback:
Side I Sethack:
Side 2 Sethack:
Rearyard Setback:
Solar Sethacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
o;J'bOirdC<fdverage:
THIS PERMIT SHALL EXPIRE IF THE WORK
. Total:
Handicapped:
. Compact:
Street Improvements:
Storm Sewer Available:
Special Instruction:
I PUBLlC;;JMP,w,y;EM~ijA~~~;ONEvD 'F~"R"v I
ANY 180 DAY PERIOD. Sidewalk Type:
Downspouts/Drains:
Notes:
,
Paee I of 3
Status
Issued.
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2009-00940
ISSUED: 06/25/2009
APPLIED: 06/25/2009
EXPIRES: 12/29/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
,541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descri')tion I
Description
Tvpe of Construction .
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
I, fpp<, pqW
Fee Descritition
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Minimum/Adjustment Electrical
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Amount Paid Date Paid Receipt Numher
$6.96 6/25/09 1200900000000000742
$2.90 6/25/09 1200900000000000742
$55.00 6/25/09 1200900000000000742
$3.00 6/25/09 1200900000000000742
$9.48 6/29/09 1200900000000000749
$3.95 6/29/09 1200900000000000749
$79.00 6/29/09 1200900000000000749
Total Amount Paid
$160.29
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. '
I Rr'(JI,;rMj Tn<,nprt:nno ~
, v t J" ......... IMW6W
Rough Electric: Prior to Cover
Final Electric: When all electrical. work is complete.
Rough Mechanical: Prior to Cover
Final Mechanical~ When all mechanical work is complete.
Page 2 of 3
Status
Issued
U 1 Y OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00940
ISSUED: 06/25/2009
APPLIED: 06/25/2009
EXPIRES: 12/29/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541- 726-3676 Fax
541-726-3769 Inspection Line
"
By signature, I state and agree, that I have carefuny examined the completed application and do hereby certify that an
information hereon is true and correct, and I further certify that any and an work performed shan 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 he used on this project.
1 further agree to ensure that an 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 01' the property, and the approved set of plans will remain on the site at an
times during construction.
1S~ (~i~J? b~ L C-[![)i
'---
Date
Owner or Contractors Signature
Page 3 01'3
225 Fifth Street
Springfield, Oregon 97477
541-7i6~3759 Phone
Job/Journal Number
COM2009-00940
COM2009-00940
COM2009-00940
Payments:
Type of Payment
Check
, cReceint 1
RECEIPT #:
Description
1st Appliance
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
SUNSET HEATING AND AIR
INC
City of Springfield Official Receipt
Development Services Department
Public Works Department
1200900000000000749
]!
Date: 06/29/2009
,
8:43:42AM
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
79.00
3.95
9.48
$92.43
Amount Paid
djb
$92.43
3473
In Person
Payment Total:
$92,43
Pa,ge I of I
6/29/2009