HomeMy WebLinkAboutPermit Mechanical 2009-9-9
City of Springfield "
69600,BMC-09-00122
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Mechanical Authorization To Begin Work
~Mmailed To: erogers1976@aol.com
9/9/2009 1:12 pm
Approval Code: 017944
Check oil status of permit
By Phone: 541-726-3753 or Email: pcrmitcenter@ci.springfield.or.us
I D New ConSlruc~on
, 0
~ddirionlalierationJrep]acement
10 ] o,2f=ily
:> D Multj-ramil.y
D Commercial
DACCeSSOryBUilding
Job Address: 223 71ST PL
City/Stale/ZIP: SPRINGFIELD, OR 97478
Suite/bldg./apt.no.:
Project Name: Joe & Winie Halley'
Ie.." St",tld;,,,"o", '0 job ,;",
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Installation of Fujitsu mini split heat pump system.
Phone: 541-554-9331
Fax: 541.988-3182
Email: erogersl976@aoLcom
CCOlic.no.: 171706
Business Name: SUNSET HEATING & AIR INC
I Contact:
Address: 5729 MAIN ST BOX 248
CilyfStatelZIP: SPRINGFIELD, OR 97478
Phone: 541-988-3181
Fax: 541-988-3182
Email:erogersI976@aoLcOlD
MefTolie.no.:
City lie. 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 penn it is
not obtained.
The local building department may determine that an Authorization To Begin
Work is null and void if it does not meet applicable land use laws and local
ordinances
1~.CS~~i~tion ~ ~ .~u_ J ~.t)" '. Ea. J. 'I~talq
:1::~;~~'~:",:'~~Po~~"~tf",cU"'I~~P:;l f+';f ,~~;" "~~$I'~~~1
I First Appliance Fee '"'~;~.o~'1
I Subtotal
ISlatesllrcharge(12%OfPennit
total)
I Technology fee (5% of penn it
total)
ITOTAL PERMIT FEE
$96.00
$11.52
$4.80
$112.32
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This Aut~orization To Begin Work must be posted at the job site until replaced by 8 Permit
Com~rm9 - 01-233
/1/>1 9/09/0 /'
Status
Issued'
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01333
ISSUED: 09/0912009
APPLIED: 09/09/2009
EXPIRES: 09/0912009
VALUE:
, 225 Fifth Street, Springfield,.oR
541-726-3753 Phone
541-726"3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 223 71ST PL
ASSESSOR'S PARCEL NO.: 1702353103600
, Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
PROJECT DESCRIPTION: Installation of mini-split heat pump system
Residential
Owner: HALLEY WILLIAM L & JO ANN
Address: 223 N 71ST PL
SPRINGFIELD OR 97478
I C:ONTRACTOR INFORMATION 1
Contractor Type
Mechanical
Contractor I
SUNSET HEATING & AIR INC
License
171706
Expiration Date
08/18/2010
Phone
541-988-3181
~U1LUl1~" INFORMATION I
# 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 1
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC I~PROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
NOTICE: ,,' _,mone Ie T~~ WORK
THI::i!-'tKIVIlIi:>1ln" ",,'W --
IF: T~'1~ DFRn"11 I" \~V I I
AUTHORIZED UNDE Vahiation,DesCFiption
COMMENCED OR IS I'\l)t'\'WV"--
T f,,,"' '-t^ ~ti"l PERllJ[f.er Sq Ft Square Footage
ype 0 ~ons tue on . . .
, , ..., ,_. or multiplIer or BId Amount
Sidewalk Type:
Dow'iispoUis/Dr'ains:'egon law requires you to
foHow rules adopted by the Owgon Uti/it'
Notification Center, Those rules are set fori 1
In OAR 952-001-0010 through OAR 952-00' _
009~:, Yo~ may obtain copies of the rules b I
.........".:;:l ";,\.< ....crllvl. \1'\IUllj. lilt! lelepnone
number lOr the Oregon Utility Notification
Center is 1-800-332,2344),
Value Date Calculated
Description
Paee 1 of 2
Status
Issued
CITY UI1 ~rRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01333
ISSUED: 09/09/2009
APPLIED: 09/09/2009
EXPIRES: 09/09/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax ;
541-726-3769 InspeCtion Line
Total Value of Project
]Fees Paid.
III Ii.
$11.52
$4.80
$79.00
$17.00
Date Paid
9/9/09
9/9/09
9/9/09
9/9/09
Receipt Number
2200900000000001024
2200900000000001024
2200900000000001024
2200900000000001024
, Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Furnace - up to 100,000 btu
Amount Paid
Total Amount Paid
$112.32
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, Reollired Insnections 1
, 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 1 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 wiil remain on tbe site at all
times during construction.
Owner or Contractors Signature
Date
Paee 2 0\'2
225 Fifth Street,
Springfield, Oregon,97477
541-726-3759 Phon~ '
"P,~~~JIILO. ','Iii.'... ',...
'ik~-,..!
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City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
2200900000000001024
Date: 09/09/2009
1:40:27PM
Job/Journal Number, ~
COM2009.01333 ,
COM2009..01333
C0M2009-01333
COM2009-0l333
. Qescription "
,,1st Appliance
Furnace - up to 100,000 btu
. + 5% Technology Fee
+' 12% State Surcharge
Paid By
Item Total:
t::heck Number Authorization
Received By Batch Number Number How Received
Amount Due
79,00
17,00
4.80
11.52
$112.32
Payments:
Type of Payment
ONLINE CHGS
Amount Paid
,ONLINE PERMIT CHGS
NJM
ONLINE SUNSET Online
.
Payment Total:
$112.32
$112.32
'"
cReceintl
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9/9/2009