HomeMy WebLinkAboutPermit Mechanical 2009-8-20
,
City of Springfield
Mechanical Anthorization To Begin Work
E-mailedTo:erogerst976@aol.com
69600-BMC-09-00085
8/20/2009 II :58 am
Approval Code: 095567
Check on status of permit
By Phone: 541-726-3753 or Email: permitcenter@ci.springfield.or.us
I D NewConstTuction
o Addition/alteration/replacement
I Description
I Hi:at Pump
10 ] m 2 f=i1y dwe]];" D M,It;-f=i1y D Comm",;,]
DACCeSSOryBllilding
I First AppJiance Fee J J $79.001,
l~t~~I:~~\NJ<:4'i,PER1\-II1:iF.EES:W:;~<f;E4'.t,:FE-4-,,%___~",~:'~i!:~>~.,41
I Subtotal $96.001
I State surchargc(12% ot'pemlil $1].521
total)
I Tcchno!ogy fec (5% of permit 54.801
tota))
I TOTAL PERMIT FEE $112.321
I Job Address: ] 451 L ST
I Cit)'/State/ZIP:SPRlNGFIELD, OR 97477
I Suite/bldg./llpt.no.:
I Project Name: Joe Jacoban Residence
I em" 5,,,,ud;,,,';0", '0 job ,;,,,
I Taxmapfparcelno.:
t9-1l~1 'a.
e> \,;;)0109
Installation oflllini split heat pump system
I Name: Bri~ Rogers
Phone: 54]-554-9331
Fax: 541-988-3]82
Email:erogers]976@aol.com
ATTENTION: Oregon law requires you to
'follow rules adopted by the Oregon Utility
Notification Center, Those rules are set forth
in OAR 952-001-0010 through OAR 952-001-
0090, You may obtair copies of the rules by
calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center is 1-800-332-2344),
I ...-..........
CCBlic, no.: 17J.7Qq..... nr-~r~'~~.' L "'~'''''''_''''r I" -II.... \1....Q.Q...!.~
I "IIU,L.,'IIVilTVITRr'<- L./\IIlIL. I I l..vVVrH\
BusinessName:~LJ!i~Ej~J:\.~4PN-Gr~N~IIr)_r"! TIll....... .........T"'\R.II';r If': r'..JT
I "'-' " ''-''"....L..LJ .....,~LJL..,I I II"; I .....'"V1I' U "
Contact: .......f)nmftllr"'t"\r-f1 t"\T"'\ It; ^n ^'''.'T'''\f'l~,r-I') ....,."....
I ..........,.II.,L..'~VL..LJ VI' IV ,. l..I'-\l~l..Ivr~....L.l J'''';ll
Address: 5729 Mt.',f';J\~T...BR~ 21~ ^'f T"'\r-.....lf'll') -.
I ,..., I v~ .....', I ....,'(JL.l.
City/Stale/ZIP: SPR]NGFIELD, OR 97478
I Phone: 541-988-3\8.\ Fllx: 541-988-3182
I Email:erogersI976@aol.com
I Metrolic.nu.: Citylic.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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The local building departme!lt may determine that an Authorization To
Begin Work is null and void if it does not meet applicable land use laws
and local ordinances
This Authorization To Begin Work must be posted at !he job site until replaced by a Permit;,
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in. . .1 ~
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Status
Issued
CITY OF ~rKlj~uFIELD
Building/Combination Permit
PERMIT NO: COM2009-01187
ISSUED: 08/14/2009
APPLIED: 08/14/2009
EXPIRES: 02/20/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541- 726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1451 L ST
ASSESSOR'S PARCEL NO:: 1703253306800
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Install ductless heat pump
Owner: JACOBAN JOSEPH M & KA YE M
Address: 1451L ST
SPRINGFIELD OR 97477
Phone Number: 541-968-8102
I CONTRACTOR INFORMATION'
Contractor Type
Electrical
Mechanical
Contractor
OWNER
SUNSET HEATING & AIR INC
License
Expiration Date Phone
171706
08/18/2010 541-988-3181
BUILDING INFORMATION I
VB
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2~d Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
R-3
nla
I DEVELOPMENT INFORMATION'
REQUIRED PARKING
ATTENTION: Oregon liFotal:luires you to
follow rules adopted iJ'InlIfdiciipped:Utility
Notification Center. ThoGoiiipact:re set forth
in OAR 952-001-001 0 through OAR 952-001-
0090, You may obtain copies of the rules by
('~tlinn thp r':pntpr INntp. thp tplp.ohnnp.
I PUBLIC IMPROVEMENTS ,lumber for the Oregon Utility Notification
Center is 1-800-332-2344):'
Sidewalk Type: '
Downspouts/Draihs:
Mn:rICE' , ,
Front yard SetJjacli.:' , Overla>: D,st:
Side 1 Setba&HIS PERMIT SHALL EXPIRE IF Tl-'istfQJMrrees Rqd:
Side 2 Setbacl,iiUTHORIZED UNDER THIS PERMll':lSlei:ilIl1'ive Rqd:
Rearyard SettaSKiMENCED OR IS ABANDONED rv~r Lot Coverage:
Solar SetbackA'NY 180 DAY PERIOD,
Street Improvements:
Storm Sewer Available:
Special Instr'uction:
Notes:
Pa~e 1 of 3
<l>P.JUNGiIClI.tLO"_,
- .^~...., '~";, .;;,:."c,,",,,.~,," ';.;}";....;;:L
Status
Iss u ed
CITY, OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01187
ISSUED: 08/14/2009
APPLIED: 08/14/2009
EXPIRES: 02/20/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
I Valuation DescriDtion I
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
Fees Paid.
$6,96
$2,90
$55,00
$3,00
$11.52
$4,80
$79,00
$17,00
8/14/09
8/14/09 "
8/14/09
8/14/09
8/20/09
8/20/09
8/20/09
8/20/09
Receipt Number
1200900000000000930
1200900000000000930
1200900000000000930
1200900000000000930
1200900000000000953
1200900000000000953
1200900000000000953
120~900000000000953
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Minimum/Adjustment Electrical
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Heat Pump
Amount Paid
Date Paid
Total Amount Paid
$180,18
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 ,,~elllJi~e~ ,In,~nection',.
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,
Paee 2 of 3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01187
ISSUED: 08/14/2009
APPLIED: ,08/14/2009
EXPIRES: 02/20/2010
VALUE:
By signature, 1 state and agree, that 1 have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and 1 further certify that any and all work performed shall he done in accordance with
the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work descrihed herein, and
that NO OCCUPANCY will he made of any structure without permission of the Community, Services Division, Building Safety,
1 further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
1 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
Page 3 of 3
Date
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
".
RECEIPT #:
Job/Journal Number
COM2009-01187
COM2009-01187
COM2009-0 1187
COM2009-0 1187
Description
I st Appliance
Heat Pump
+ 5% Technology Fee
+ 12% State Surcharge
Payments:
Type of Payment
Paid By
ONLINE CHGS ONLINE PERMIT CHGS
cReceintl
City of Springfield Official Receipt
Development Services Department
Public Works Department
1200900000000000953
Date: 08/20/2009
Item Total:
<":heck Number 'Authorization
Received By Batch Number Number How Received
KR
ONLINE SUNSET Online
HEATING
PaymentTotal:
Page 1 of 1
1:11:06PM
Amount Due
79,00
17,00
4,80
II ,52
$112,32
Amount Paid
$112,32
$112,32
8/20/2009